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critical thinking
chapter 5 cooper 1811
| Question | Answer |
|---|---|
| which aspect of the problem statement includes the patients signs and symptoms? | defining characteristics |
| during which phase of the nursing process would the nurse anticipate making modifications to the nursing care plan? | evaluation |
| in which phase of the nursing process would you find a review of the patient-centered goals or desired outcomes? | evaluation |
| which component of the nurse process includes the degree of wellness desired expected or possible for patient to achieve and contains a patient goal statement? | outcomes identification |
| prioritizing occurs at which stage of the nursing process? | planning |
| Which methods of data collection does the nurse use to establish a database for the development of the patient problem statement? | Interview and physical examination |
| which step of the nursing process includes patient teaching about the importance of using an incentive spirometer every 2 hours and breathing deeply to clear secretions? | implementation of a nursing intervention |
| which action will the nurse take if patient is not responding to therapeutic intervention? | modify the plan of care |
| which plan of care considers age, culture, medical diagnosis and mutual interest? | individual |
| the nursing process as a means of problem solving during an emergency may be altered in what manner? | accelerated |
| the nurse will respond with which intervention when a patient describes their pain as "just as bad as before the pain medication" | Reassess the source of pain to determine why pain relief has not occurred |
| what part of data includes a patient saying " i have stomach pain for 2 days" | primary data |
| what is a clinical pathway? | multidisciplinary plan that incorporates EBP(evidence based) guidelines for high risk , high volume, high cost types of cases while providing for optimal outcomes and maximizing clinical efficiency |
| which type of data source would the nurse consider if the patients family tells the nurse that the patient has seemed very depressed lately? | secondary data |
| what is the assessment? | observe and report significant cues to the nurse in charge |
| what is the diagnosis? | assist with the determination of accurate patient problem statement . gather further data to confirm or eliminate problems, |
| what is the goal and identification and planning? | assist with setting priorities , suggest interventions, assist with the development of realistic goals |
| what is the implementation? | assist with establishment and priorities, carry out healthcare provider and planned nursing interventions. evaluate the effectiveness of nursing activities |
| what is the evaluation? | assist with reevaluation of the patients health state are nursing interventions. suggest alternative nursing interventions when necessary |
| what is the nursing process? | its a systematic method by which nurses plan and provide care for patients. |
| define assessment? | a systematic, dynamic way to collect and analyze data about a client, the first step in delivering care |
| what does assessment include? | physiological data, also psychologic, sociocultural, spiritual, economic and life style factors |
| what does a complete assessment involve? | physical examination of all body systems e.g) musculoskeletal, respiratory, gastrointestinal |
| what is a focused assessment? | this is advisable when the patient is critical ill, disoriented or unable to respond- gather information about a specific problem |
| what is an example of focused assessment? | if the patient reports abdominal distention, lack of appetite and straining to have a bowl movement- patient problem might be infrequent or difficult bowl movement. |
| in an assessment the nurse gathers what kind of data? | objective and subjective data |
| data is obtained from? | primary and secondary sources. |
| primary source of data is? | from the patient |
| secondary source of data is? | when patient is unable to supply information because of deterioration of mental status, age or seriousness of illness- the nurse will turn to secondary sources |
| two basic method are used to collect data- 1st and 2nd method? | interview and physical examination |
| a nursing diagnosis/patient problem statement is? | a type of health problem that can be identified by the nurse |
| the assessment and development of nursing diagnoses or patient problem statement are the responsibility of? | the RN |
| what is data clustering? | data obtained from the health history, physical examination, psychosocial history and related diagnostic procedures are analyzed in the development of a plan of care |
| during the planning phase of the nursing process.. | priorities of care are established and nursing interventions are chosen to best address the patient problem statement. |
| what is a nursing interventions? | activities that promote the achievement of the desired patient goal. |
Created by:
Mallory.gonzalez21