In reviewing a patient's written chart, the nurse notes the use of the terms "bedsore," "decubitus ulcer," and "pressure ulcer." The nurse knows to reach maximum potential in computerized charting and data analysis that a standardized nursing terminology must be utilized. The nurse knows what concepts are associated with standardizing nursing terminology?
A) The Nursing Minimum Data Set (NMDS) was the first attempt to do so.
B) The focus was to provide a shared understanding of patient problem labels.
C) The NMDS data was completed and is the definitive source of patient labels.
D) The ICNP was developed to provide a standard for international nurses.
E) Standardized terminology can lead to better utilization of resources.

Question

Quizplus · Accepted Answer

A standardized nursing terminology is a structured vocabulary that provides a common means of communication among nurses. A standardized language ensures that when a nurse talks about a specific patient problem, another nurse fully understands the problem. An example is the choice between pressure ulcer, decubitus ulcer, and bedsore. Do all nurses in all settings have a shared understanding of these labels for a patient problem? The Nursing Minimum Data Set (NMDS) represents the first attempt to standardize the collection of essential nursing data. These core data, used on a regular basis by most nurses in the delivery of care across settings, provide accurate descriptions of the nursing diagnoses, nursing care, outcomes of care, and nursing resources used. Collected on an ongoing basis, the NMDS enables nurses to compare data across populations, settings, geographic areas, and time. The International Classification for Nursing Practice (ICNP) (2015), developed under the auspices of the International Council of Nurses (ICN), is a standard terminology that provides a dictionary to describe and report nursing practice in a systematic way. This information supports care and decision making to inform nursing education, research, and health policy.

In Reviewing a Patient's Written Chart, the Nurse Notes the Use