Across
- 4. formal suggestion during nurse to nurse report, guided by evidence or professional evaluation, meant to direct patient care choices, policy updates,
- 6. an unplanned, sudden descent of a patient's body to the floor, ground, or a lower level
- 15. means the context, history, or important details that help explain a current situation, or the events that lead up to the patients current status
- 16. is when the patient is the primary source of data during data collection
- 19. a digital version of a patient’s medical chart that tracks their health history, treatments, and care across multiple providers and settings
- 22. Data that is defined as object or observation and /or data that factual measurable and attainable
- 23. is dissolved in body fluids that carry a positive or negative electrical charge , and helps maintain homeostasis and proper hydration
- 26. the legal and ethical guarantees that protect a patient's autonomy, dignity, and active involvement in their own healthcare decisions
- 28. is factual accurate complete and timely documentation of
- 30. to do good for a patient
- 32. involves gathering data on patient self reports of discomfort with altered body function (requires ongoing evaluation)
- 33. is different from a medical doctors version, it uses the terms “as evidenced by “ and related to”
- 34. an agreement where nurses follow the beliefs and perspectives (vision ,mission and values ) of the health care facility
Down
- 1. real-time, accurate, and legal record of a patient's health assessments, care provided, and treatment outcomes.
- 2. the final step of the nursing process where a nurse measures a patient's progress toward expected goals and decides if the care plan needs changes
- 3. is the first and foundational step of the nursing process where a registered nurse collects, analyzes, and records a patient's physical, psychological, social, and spiritual data.
- 5. is the digital version of patient's medical history that makes health information available instantly and securely to authorized providers across different healthcare settings
- 7. data that requires collecting beliefs feelings and cultural perspectives of patients
- 8. a formal written document or guide that outlines patients individual needs,uses ADPIE ,sets short term and long term goals and assists in prioritizing specific nursing actions
- 9. describes the specific tasks, duties, and procedures that a licensed professional is legally permitted to perform.
- 10. isthe decision making that occurs with the resources that are available
- 11. visual diagram of the care plan and assists in organizing patient's health data, medical diagnoses, and nursing actions
- 12. is an assessment that is systematic, comprehensive physical examination where a nurse evaluates every major body system
- 13. is the process of collaborating a patient's end of admission or end to acute care at a hospital or health care setting
- 14. is the official entry or acceptance of a patient to a hospital unit or health care facility Transfer is the organized process of transitioning a patient from one health care setting or unit to another care setting
- 17. is the process of inflammation when long-term immune response where the body mistakenly attacks healthy tissues and organs over months or years.
- 18. is the concept of problem solving in nursing
- 20. data collection in nursing g
- 21. is the process of inflammation when the body's rapid, short-term immune response to sudden tissue injury, infection, or harmful irritants.
- 24. is the collection of patient information during the assessment phase to identify health needs, plan care, and guide clinical decisions
- 25. an objective measurement of the body's most basic and essential physiological functions.
- 27. is the immediate set of circumstances, events, or current health issues involving a patient and their clinical environment at a specific point in time
- 29. guides decision making
- 31. is the moral framework that guides nurses to make safe, compassionate, and fair decisions in patient care
- 32. the practice of preventing harm, reducing medical errors, and lowering risks for patients during medical care.