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exam 2

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