question

define critical thinking

answer

the intellectually disciplined process of actively and skillfully conceptualizing, applying, analyzing, synthesizing &/or evaluating info gathered from, or generated by observation, experience, reflection, reasoning, or communication, as a guide to belief and action

question

critically thinking requires:

answer

- creativity - ID of

question

in nursing, critical thinking is defined as:

answer

purposeful, goal directed thinking for clinical decision making

question

define clinical decision making

answer

strategies used to understand significance of data, ID real and potential patient problems & choose the best actions to achieve desired outcome

question

nursing process

answer

1. aims to make judgments based on evidence rather than conjecture 2. based on principles of science & scientific method 3. to make decisions that enhance client safety & wellbeing

question

definition of nursing

answer

diagnosis & treatment of human response to actual /potential health problems

question

define nursing process

answer

progressive course moving forward from one point to another using a detailed methodology

question

5 steps of nursing process

answer

1. assessment 2. diagnosis 3. planning 4. implementatoin 5. evaluation

question

define assessment

answer

ALWAYS first step of process RN collects comprehensive data pertinent to the patients health or situation - must be systematic, accessible, communicated & recorded

question

5 sources of assessment

answer

1. client 2. client significant other, family, friend 3. nurse 4. client record 5. other HC professionals

question

assessment procedure

answer

1. nursing health history - subjective 2. observation - objective data 3. measurement - most objective

question

assessment analysis

answer

1. data processing 2. hypothesis

question

assessement date processing

answer

1. organize 2. validate date - verify - compare - clarify - check - interfer? 3. compare date against standards-- cues? 4. cluster data - make inferences

question

cluster date possible errors (3)

answer

1. premature data interpertation 2. bias/stereotypes 3. forming premature conclusion

question

define nursing diagnosis

answer

clinical judgment about individual, family or community response to actual/potential health problems or life precesses NAMING THE PROBLEM (looking for human response) - provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable

question

objective of nursing diagnosis

answer

state problem - develop plan of care - promote adaptation

question

what is the difference btw medical diagnosis and nursing diagnosis?

answer

medical - ID & treat disease nursing - focuses on human responses to illness/condition

question

3 types of nursing diagnoses

answer

1. actual diagnosis - present at time of nursing assessment 2. risk diagnosis - client more vulnerable to develop problems 3. health promotion diagnosis

question

format of nursing diagnosis (PES)

answer

P - problem E - etiology S - symptoms

question

P - problem

answer

- description of client response - comes from NANDA list - based on defining characteristics (symptoms unconverted in assessment) examples: 1. risk for falls 2. impaired skin integrity

question

E - etiology

answer

- releated factors/risk factors - ID 1+ probable causes of problem - gives direction to therapy - joined to problem part of statement with "r/t" examples: 1a. risk for falls r/t poor eyesight 1b. risk for falls r/t dizziness 2a. impaired skin integrity r/t incontinence of urine 2b. impaired skin integrity r/t immobility second to stroke

question

S - symptoms

answer

defining characteristics PRESENT ONLY WITH ACTUAL DIAGNOSIS connected with "AMB" (as manifested by) examples: 1. not diagnosable 2a. impaired skin integrity r/t incontinence of urine AMB excoriated area on perineum 2b. impaired skin integrity r/t immobility second to stroke AMB blistered area 2-3cm on coccyx

question

errors in diagnostic statements

answer

- errors in data collection - stating diagnosis in terms of medical diagnosis - stating diagnosis in terms of client care needs - using value laden or judgmental expressions - diagnosis not validated in assessment - diagnosis wording legally inadvisable

question

what happens in planning step?

answer

- diagnoses are prioritized - client goals and expected outcomes are established - interventions are selected to achieve goals and outcome of care

question

prioritizatoin

answer

- maslow's hierarchy of needs 1. physiological 2. safety & security needs 3. love & belonging needs 4. self-esteem needs 5. self-actualization

question

3 classes of urgency of health problems

answer

1. high - priorities (what buys you the bed?) 2. intermediate - important (things to deal with, teach) 3. low - like to do (flu shot)

question

which is priority? a. diarrhea b. severe dyspnea c. risk for fluid volume deficit d. pain

answer

b

question

define goals

answer

broad statements that describe aim of nursing care - derived from first part of nursing diagnosis statement (the problem) - usually the healthy response this is the opposite of the problem

question

define projected outcomes/outcome criteria

answer

measureable changes in patient that should result from nursing intervention - derived from problem

question

projected outcomes must be:

answer

1. mutually acceptable 2. appropriate 3. realistic 4. specific 5. measurable 6. subject + verb + criteria or performance + conditions

question

NOC (nursing outcomes classification)

answer

7 domains outcomes - similar to goals indicators - similar to desired outcomes, 5pt scale for measurment

question

planning: define intervention

answer

selection of strategies to accomplish defined plans & promote adaptation of client

question

planning: factors that influence actions selected depend on: (6)

answer

1. theraputic plans of HC team 2. known effectiveness of action 3. time & resource available 4. possible side effects 5. client preferences 6. standards of care

question

3 types of planning

answer

1. physician initiated (dependent) - physician order, nurse action 2. collaborative - requires multiple HC professionals 3. nurse initiated (independent) - need no order - ADL - health edu - health promotion - counseling

question

how to write nursing order:

answer

1. verb + content are + time element 2. include client teaching SPECIFIC

question

NIC

answer

nursing interventions classification ** very general

question

define implementation

answer

performance of selected interventions

question

5 steps of implementations

answer

1. reassess client 2. review & modify existing NCP (nursing care plan) 3. organize resources & care delivery - equipment - environment - personal 4. implement nursing strategies 5. document

question

5 responsibilities of delegation

answer

1. right task - can't delegate tasks requiring assessment judgment 2. to right person - qualified & competent to do the job 3. in the right situation - patient stable, outcome of task predictable 4. with right communication - exact instructions of what to do and what info to give back 5 with right evaluation - nurse responsible for evaluating results

question

3 steps of documentation

answer

1. reassessment of client (briefly) 2. performance of nursing intervention (what you did) 3. evaluation (how it worked)

question

define evaluation

answer

focuses on client's behavioral changes & COMPARES THEM WITH THE OUTCOME CRITERIA - determines care plan status & currentness - ongoing process

question

4 steps of evaluation

answer

1. establishment of criteria 2. comparison of client response to criteria 3. analysis of variables affecting outcomes & conclusions 4. modification of nursing care plan

question

what evaluation is NOT:

answer

wether or not carried out intervention

question

why do nursing process?

answer

1. enable students to learn process 2. ensure quality & continuity of care 3. communicate the value of nursing 4. standards of practice (JCAHO and ANA standards of practice)

5 Health Promotion: Nursing Process – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards