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ADN11A Quiz2
Question | Answer |
---|---|
Critical Thinking | active organized cognitive process used to carefully examine one's thinking and thinking of others - recog an issue exists (pt's problem), analyze info about issue (clinical data about pt), evaluate info (review assumptions and evidence,make conclusions |
Critical think questions | What do i really kno bout this pt? How do i know it? What are the options avail to me? What is the pt's status now? How might it change and why? What do i kno to improve pt's condition? In way way will a specific therapy affect the pt? |
Evidence based knowledge | knowledge based on research/clinical expertise |
"Actual" Nursing Dx | - r/t = etiology/cause -Secondary = medical dx -AEB/ AMB = what we see |
"Syndrome" Nursing Dx | x syndrome |
"Risk" Nursing Dx | - r/t = etiology/cause |
What is Critical THinking- | attempt to continually improve how to apply yourself when faced w/ problems in client care / problem solving |
In critical thinking model, What is basic Critical thinking? | learner trusts experts have right answers for q problem, concrete thinking based on set of rules / principles, (use of hospital procedure manual to confirm how to insert a foley cath). Accept opinions/values of experts |
In critical thinking model, What is complex critical thinking? | analyze/examine choices more independently, thinking abilities beyond expert opinions, learns alternatives/ conflicting solns do exist. Weigh benefits/risks before making final decision |
In critical thinking model, What is commitment? | person anticipates need to make choices w/o assistance from others, accepts accountability, choose an action/belief based on alternatives avail to support it |
What is the nursing process? | professional nurse's approach to identify, diagnose, and treat human response to health and illness |
Nursing assessment? | deliberate and systematic collection of data to determine a pt's current and past health status and functional status to determine pt's present and past coping patterns |
2 steps of nursing assessment? | 1. Collection and verfication of data from a primary source (pt) and secondary sources (fam, health professionals, med record) 2. Analysis of all data as a basis for developing nursing dx, I.D collaborative problems, developing a plan of individual care |
Cue | information tht is obtain thru use of the sense |
Inference | your judgement or interpretation of those cues (info that is obtained thru use of senses |
Subjective data | pt's verbal description of their health problems, including feelings, perceptions, and self-report of symptoms, Only pts provide subjective data |
objective data | observations/measurements of a pt's health status, (inspection of wound, description of an observed behavior, measurement of bp) |
medical Records | med hx, lab/ diagnostic test results, current physical findings, primary care provider's tx plan / is a baseline and ongoing info about pt's response to illness and progress to date |
Orientation phase of assessment | introduce yourself, purpose of interview, assure their info will remain confidential, establish trust and confidence w/ client, begin a relationship that allows pt to becum active partner in decisions about care |
Working phase of assessment | gather info about pt's health status, Obtain nursing health hx (data about pt's current level of wellness such as a review of body systems, family, health hx, sociocultural hx, spiritial health, mental/emo axns to illness |
termination phase of assessment | Give a cue- "there are just 2 more Q i want to ask", conclude by summarizing the important opints and ask the pt whether the summary was accurate |