Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Stack #154095
HCC Critical Thinking/Nursing process
| Question | Answer |
|---|---|
| intuition | come after years of practice, can indicate a problem before clinical signs are evident |
| cognitive | gives scientific rationale and ability to select "best match" interventions |
| technical | allows competent, comfortable use of technical equipment |
| Interpersonal | affirms worth of clients, elicits client goals and strengths, allows for collaboration with health care team |
| ethical | allows for client centered practice which is accountable and consistent with standards of practice |
| analysis | examine all elements, think through alternative strategies, identify options in patient situation, prioritize |
| Reflection | self evaluation; how did you handle the situation what would you have done differently |
| Attributes of critical thinkers | adequate knowledge, purposeful, disciplined, independent thinker, courageous, fair, humble, personal integrity, curious, creative, confident |
| clinical judgment | required in nursing practice, identifies and challenges assumptions, considers what is important in a situation, explores alternatives, applies logic and reasoning, makes an informed decision |
| Nursing process | systematic, critical thinking is essential, patient-centered, goal-oriented method or providing nursing care |
| 5 steps of nursing process | assessing, diagnosis, planning, implementing, evaluating |
| During assessment the nurse is | gathering data: subjective and objective. Sources of data: patient, family, significant others, records, health care team |
| Data Clustering | cohort human response to a health problem by data/body systems |
| Analysis Phase | interpret, validate and clustering data |
| Diagnosis | select diagnosis from NANDA list, clinical judgment about individual, family or community responses to actual or potential health problems, provides basis for selection of nursing interventions to achieve outcomes |
| Components of Nursing Diagnosis | Part 1: Human response Part2: Related factors (r/t) Part3: Defining characteristics (a.e.b) |
| Actual Diagnosis | has a health care need/problem. human response,etiology,and supporting data. ex. constipation r/t low fiber diet a.e.b no stool in 5 days |
| Risk Diagnosis | high potential for developing a problem. human response and etiology. ex. potential for aspiration r/t diminished gag reflex |
| Possible Diagnosis | suspicion that there could be a problem. Human response. ex. possible ineffective airway clearance |
| Wellness Diagnosis | transition to a higher level of functioning, building the clients strengths |
| When writing a nursing diagnosis | write in terms of the client response not the nursing needs, avoid use of value judgments, two parts of the diagnosis should not mean the same thing, avoid reversing the parts, write the problem and related factors in terms that can be changed, state the |
| Planning phase | establish client goals to prevent reduce or resolve the problems identified in the nursing diagnosis, identify nursing interventions/actions that will assist the client to achieve their goals |
| Elements of the Planning Phase | priority setting, goals and/or outcomes, nursing interventions, written care plan, ongoing |
| Priority setting... how do you determine priorities? who determines priorities? | maslow, nurse based on assessment of the patient |
| Goals should be | measurable, objective, realistic, complement the nursing diagnosis, have a time frame |
| Guidelines for writing Goals/outcomes | subject- usually patient, verb- action to be performed, criteria- expected patient behavior in observable measurable terms |
| Nursing interventions | activities performed to meet the clients needs and reach the clients goals |
| Nursing orders | written instructions for performing the nursing interventions |
| independent Nursing orders | can be put into place without physicians orders |
| Dependent Orders | need a physicians orders |
| Collaborative/Interdependent Orders | ex. obtain a dietary consult |
| Examples of Independent nursing Actions | positioning, VS monitoring, fluids, I&Os, assisting/providing in self care, assuring rest/sleep, nutritional monitoring, health education, reassurance/support |
| Implementation Phase | Actions performed to carry out the plan of care. includes all aspects of care, promote wellness |
| Carrying out the Plan of care | implement the independent, dependent and collaborative nursing orders. Continual reassessment, Accountable for evidence based practice, standards of care |
| Evaluation | measure outcomes, identify contributing factors, document evaluative statement, decide whether to terminate, continue, or modify the plan of care |
Created by:
jaed008
Popular Nursing sets