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ADN11A Quiz2

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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  
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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?  
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Evidence based knowledge   knowledge based on research/clinical expertise  
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"Actual" Nursing Dx   - r/t = etiology/cause -Secondary = medical dx -AEB/ AMB = what we see  
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"Syndrome" Nursing Dx   x syndrome  
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"Risk" Nursing Dx   - r/t = etiology/cause  
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What is Critical THinking-   attempt to continually improve how to apply yourself when faced w/ problems in client care / problem solving  
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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  
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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  
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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  
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What is the nursing process?   professional nurse's approach to identify, diagnose, and treat human response to health and illness  
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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  
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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  
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Cue   information tht is obtain thru use of the sense  
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Inference   your judgement or interpretation of those cues (info that is obtained thru use of senses  
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Subjective data   pt's verbal description of their health problems, including feelings, perceptions, and self-report of symptoms, Only pts provide subjective data  
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objective data   observations/measurements of a pt's health status, (inspection of wound, description of an observed behavior, measurement of bp)  
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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  
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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  
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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  
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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  
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Created by: MarinaC
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