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crit. think ch7
critical thinking ch 7 mj
Question | Answer |
---|---|
nursing process | professional nurse's approach for selecting, organizing and delivering appropriate nursing care to a patient. |
used to _____, ______, and treat human responses to health and ____. | identify, diagnose, illness. |
use the _____ continuously allowing you to ____ care as your patients _____ change. | process, modify, needs |
promotes __________ nursing care | individualized |
assists in responding to patient needs ina times and _________ manner. | consistent |
assessment | deliberate and systematic collection of data. |
two steps | collection and verification, analysis of all data |
collection of data from | primary source (the patient)and seconday sources (family, friends, medical records, etc.) |
establish a database about the patient's perceived needs, health problems and responses to these problems | assessment purpose |
determine questions or measurements that are appropriate based on your clinical knowledge and experience and your patient's responses. | assessment data gathering |
information you obtain from the use of your sense. | cue |
ability to come to a logical conslusion or judgment based on availabled data | inference |
assessment is | an ongoing activity |
two types of data | subjective and objective |
subjective | only provided by the patient |
objective | observations or measurements you make during assessment |
sources of data | patient, family/significant others, healthcare team, medical record |
methods of data collection | physical examination, observation of patient's behavior, diagnostic and lab data |
data validation | after gathering assessment data, validate the collected information to avoid making incorrect inferences, ask the patient |
steps of data analysis | recognize a pattern or trend, compare with standards for normal, make a reasoned conclusion |
set of meaningful signs and symptoms that are grouped together ina logical order | data clustering |
timely, thorough and accurate documentation of facts | data documentation |
general rule of thumb: | if you assess it, record it |
clinical judgment about individual,family or community responses to actual and potential health problems. | nursing diagnosis |
nurse is | licensed and competent to treat |
identification of a disease condition based on a specific evaluation of physical signs, symptoms, the client's medical history and the results of diagnostic | medical diagnosis |