QUESTIONS AND ANSWERS SURE A+
✔✔Noticing: (1) Identifying signs and symptoms - ✔✔The ability to recognize that a
situation is different, changed, or not a normal state.
✔✔Noticing: (2) Gathering complete and accurate data - ✔✔Collecting relevant data
from various sources. This data is used as the basis for identifying issues/concerns,
solving problems, and making decisions. Must verify that the data is complete and
accurate.
✔✔Noticing: (3) Assessing systematically and comprehensively - ✔✔An organized
manner to collect data to make sure nothing is omitted or forgotten. Examining the
whole, piece-by-piece in a thorough manner.
✔✔Noticing: (4) Predicting and managing potential complications - ✔✔Looking at the
"BIG PICTURE" to consider possible complications of the patient. You must know
common complications and consider individual differences.
In Noticing, you are predicting complications, which means you are identifying possible
problems.
, ✔✔Noticing: (5) Identifying assumptions - ✔✔Taking something for granted or quickly
arriving at a conclusion without supporting evidence. (A Guess)
✔✔Nursing Process: Assessment - ✔✔Observe and report to Charge Nurse or HCP.
Determine risk for injury or infection.
✔✔Nursing Process: Diagnosis - ✔✔Assist with accurate diagnosis. Gather data to
confirm or eliminate problems. Specific causes of safety risk to an individual.
✔✔Nursing Process: Planning/Outcomes Identifications - ✔✔Assist with setting
priorities and goals, suggestions interventions. To prevent threats to safety.
✔✔Nursing Process: Implementation (putting a decision or plan into effect) - ✔✔Carry
out planned interventions. Interventions, education, environment/development
considerations.
✔✔Nursing Process: Evaluation - ✔✔Assist with re-evaluation and make suggestions.
Compare response/results to the original goals, plan of care.
✔✔Data Collection-Scope of Practice - ✔✔LPN's collect data, RN's complete
Assessments.
✔✔Main Assessments - ✔✔3 types:
*Focus Assessment
*Systemic Assessment
*Head to Toe Assessment
✔✔(FOCUS) Assessment - ✔✔Focusses on one body part.
example: Heart, Lung, Stomach, etc...
✔✔(SYSTEMIC) Assessment - ✔✔Focusses on one body system.
example: Respiratory, Digestive, Cardiac, etc...
✔✔(Head-to-Toe) Assessment - ✔✔Total body examination.
✔✔Parts of Clinical Thinking - ✔✔*Assess/learn/gain knowledge
*Understand and ask questions
*Store information/memorize
*Recall information/bring it back
*Know what to do when information isn't in memory (know where to look it up)
*Draw your own conclusion
✔✔Humble Attitude - ✔✔We don't know everything.