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Fundamentals
exam 2
| Question | Answer |
|---|---|
| Eight sources of pt data | Patient, family/sig other, pt records, medical history, lab reports, reports of therapies, other hlth care professionals |
| Health assessment | used by nurses to help pt's identify potential and actual hlth risks & to explore the habits, behaviors, belief, attitudes, and values that influence their hlth. |
| Validation | the act of confirming or verifying data |
| physical assessment | the examination of patient for objective data that may better define the patient's condition and help the nurse in planning care |
| observation | conscious & deliberate use of the 5 physical senses to gather information |
| QPA | Quick Priority Assessment short, focused, prioritized done to get most important info needed 1st |
| objective data | observable & measurable information that can be seen, heard, or felt by someone other than the person experiencing it |
| Person centered care | pt is the source of control for their care |
| 5th method of critical thinking | identify alternative judgement or decisions, weigh the merits of each and reach conclusions |
| 4th method of critical thinking | recognize your limits and seek help to remedy deficiencies. be resourceful |
| 3rd step of critical thinking | potential problems learn to "flag" & remedy pitfalls to sound reasoning |
| 2nd step of critical thinking | Judge whether the knowledge you has is accurate, complete, factual, timely and relevant |
| 1st step in critical thinking | purpose or goal of your thinking |
| critical thinking indicators | evidence based descriptions of behaviors that demonstrate the knowledge, characteristic & skills that promote critical thinking in clinical practice |
| list 5 types of consideration in critical thinking | 1 purpose of thinking 2 adequate of knowledge 3 potential problems 4 helpful resources 5 critique of judgement/decision |
| define critical thinking | a systemic way to form & shape ones thinking |
| name 4 competencies of critical thinking | cognitive, technical, interpersonal, ethical |
| Components of critical thinking include | 1 knowledge 2 experience 3 critical thinking competencies 4 attitudes 5 intellectual & professional standards |
| In implementation nurses must use .. (what skills) | problem solving, clinical judgement, and critical thinking to select and implement appropriate therapeutic interventions |
| When planning client care or contributing to a clients plan of care, nurses must.. | establish priorities and optimal outcomes of care they can readily measure and evaluate |
| define blended competencies | nurse aim to design and manage each patient's care scientifically, holistically, and creatively/ utilizing 1 or more competencies at a time. |
| define caring | the human mode of being |
| define therapeutic relationships | relationship between the carer and the cared is promoting or restoring the hlth & well-being of people w/i the relationship |
| analysis/data collection requires nurses to look at the data & ..? | 1 recognize patterns or trends 2 compare the data with expected standards or reference ranges 3 arrive at conclusions to guide nursing care |
| define Health Assessment | helps pt's identify potential & actual health risks & to explore their habits, behaviors, beliefs, attitudes and values that influence their wellness |
| list steps in concept mapping | 1 develop a basic skeleton diagram 2 analyze & categorize data 3 analyze nursing diagnoses relationship 4 identify goals, outcomes and interventions 5 evaluate pt's responses |
| list the 3 parts of a nursing diagnosis statement | problem, etiology, defining characteristics |
| what is syndrome nursing diagnosis | comprise a cluster of actual or risk nursing diagnoses that are predicted to be present because of certain even or situation |
| wellness diagnosis | clinical judgement about a person group or community in transition from a specific level of wellness to a higher level of wellness |
| list the components of a nurse diagnosis | label, definition, defining characteristics, related factors |
| define Nursing Diagnosis | represent problems that have been validated by the presence of major defining characteristics |
| how many nursing diagnosis domains are there | 13 |
| ND domain 13 Growth & development | age appropriate increase in physical dimension maturation of organ systems, and/or progression through the developmental milestones |
| ND domain 12 comfort | sense of mental physical or social wellbeing or ease |
| ND domain 11 Safety/protection | Freedom from danger, physical injury or immune system damage preservation from loss & protection of safety & security |
Created by:
Miccimouse
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