Stack #139576
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| strategies for nursing exams | 1. consider adpie 2. Maslows 3. pt safety 4. therapeutic communication
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| situational exam questions | nursing process- whats the next step
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| ? that ask for needs of the pt | use maslows
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| ? c situations that are not urgent physiologic needs | consider safety
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| If a ? involves comm c pt | use principles of theraputic comm
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| If ? asks what action should be taken next | ADPIE
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| nursing dx | a systematic rational method of planning and providing nursing care(ADPIE)
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| Assessing | collecting, organizing, validating , documenting data
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| Diagnosing | Analyze data, identify health prob risks and strengths, formulate dx statements
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| planning | Priotrize problems and diagnosis, formulate goals/desired outcomes, slelect interventins, write nursing orders
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| Implementing | nsg interventions, supervise delegated care and document nsg activities
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| evaluating | collect data rt outcomes, compare data c outcomes, rt nsg actions to client goals/outcomes, draw conclusion about prob status, continue, modify or terminate the clients care plan
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| creativity | thinking that results in the development of new ideas and products
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| critical analysis | the application of a set of quesions to a particular situation or idea to determine essential inform and ideas and siscard superflous inform and ideas
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| critical thinking | is a cognitive process that includes creativity problem solving and decision making
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| decision making | the process of establishing criteria by which alternative courses of action are developed and selected
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| deductive reasoning | making specific observations from a generalization
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| inductive reasoning | making generalizations from specific data
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| Intuition | the understanding or learning of things sthe conscious use of reasoning
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| nursing process | a systematic rational method of planning and providing nursing care
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| problem solving | obtaining information that clarifies the nature of the problem and suggests possible solutions
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| socratic questioning | technique one can use to look beneat the surface, recognize and examine assumptions, search for inconsistencies, examine multiple points of view and differentiate what one knows from what one merely believes
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| skills and of critical thinking | critical analysis, inductive reasoning, deductive reasoning, making valid inferences, differentating facts from opinons, evaluating the credibility of info sources, clarifying concepts, recognizing assumptions
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| attitudes of critical thinking | independence, fair-mindedness, insight, intellectual humility, intellectual courage, integrity, perservence, confidence, curiosity
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| signifiance of critical thinking for safe nursing care | make a difference, new problems need new thinking, results, rapid chg, pt and family involvement, pt sicker, things chg.
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| inferences | interpretations or conclusions made based on cues or observed data
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| assessing | process of collecting, organizing, validating and recording data about a clients health status
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| closed questions | restrictive question requiring a short answer
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| cues | any piece of info or data that influences decisions
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| database | all the info about a pt
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| directive interview | highly structured interview that uses closed ? to elicit specific info
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| objective data | info that is dectable by an observer, can be tested, seen heard, felt, smelled
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| signs | overt data, objective
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| symptoms | covert data, subjective
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| subjective data | apparent to the person affected, can be described or verified
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| dependent functions | dr ordered
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| etiology | casual relationship btw a problema nd its related risk factors
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| independent functions | nursing functions
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| PES Format | Problem, etiology of the problem, defining characteristics(s/s)
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| taxonomy | classification system or set of categories arranged on teh bases of a single principle or set of principles
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| types of nursing dx | actual(present) Risk(risk factors) wellness(ready for enchancement) Possible(incomplete/unclear) syndrome(cluster of s/s)
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| Maslow's | 1. physiologic needs(food, water) 2. safety and security 3. love and belonging 4. self-esteem 5. self-actualization
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| Assignment | downward or lateral transfer of both responisbility and accountability of an activity from one person to another
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| collaborative care plans | multidisciplinary guidelines for client care based on specific medical dx designed to achieve predetermined outcomes
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| concept map | a visual tool in which ideas or data are enclosed in circles or boxes, creative endeavors
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| critical pathways | sequence of the care that must be given on each day during the length of stay
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| dependent interventions | dr. orders(meds, iv, diet, tests, tx, activities)
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| goals/desired outcomes | observable client responses
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| Independent interventions | activities that nurses are licensed to initate on the basis of their knowledge and skills
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| Indicator | cue for measuring outcome
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| NOC | nursing outcomes classification, describing client outcomes that respond to nursing interventions
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| nursing interventions | any tx, based upon clinical judgement and knowledge that nurse performs to enhance pt outcomes
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| NIC | nursing inberventions classification, taxonomy of nursing actions each of which includes a label, a definition, and a list of activities
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| 3 levels of NIC | domans, classes and interventions
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| policies | instutional records
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| procedures | steps to carry out policies
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| protocols | actions commony required for a particular group of clients
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| rationale | scientific principle given as the reason for selecting a particular nursing intervention
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| initial planning | on admission
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| ongoing planning | begining of shift and continous
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| discharge planning | needs after discharge
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| activities in the planning process | nurse and client develop goals, desired outcomes and nursing interventions to prevent, reduce or alleviate pts health problems
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| guidelines for writing care plans | date and sign, use category headings, use abbrev, be specific, refer to sources, tailor to pt, preventive and health maint goals, collaborative and coordination activities, dsch and home care needs
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| factors that the nurse must consider when setting priorties | clients health values and beliefs, priorities of client, resources avail, urgency, med tx plan
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| purpose of estab client goals/desired outcomes | what is to be achieved, measureable
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| audit | exam or review of records
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| cognitive skills | intellectual skills) problem solving,decision making, critical thinking, creativity
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| concurrent audit | audit while sitll receiving care
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| restrospective audit | audit after discharge
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| evaluation statement | 2 parts, conclusion and supporting data
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| outcome evaluation | demonstrable changes in the clients health status as a result of nursing care
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| process evaluation | how care was given
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| structure eval | setting where care was given
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