NUR 2868 R & S EXAM 2 STUDY GUIDE VERSION 1 / NUR2868 R & S EXAM 2 STUDY GUIDE VERSION 1 (LATEST-2021) | RASMUSSEN COLLEGE

NUR 2868 R & S EXAM 2 STUDY GUIDE VERSION 1
 Define critical thinking. What are the steps of this process? Explain what is
involved in each step.
o Critical thinking is the ability to focus thinking to get the needed results in various
situations; deliberate, informed thought.
 purposeful, informed, outcomes focused thinking…[that] applies logic,
intuition, creativity and is grounded in specific knowledge, skills, and
experience
 Composite of knowledge, attitudes and skills that yields the ability to assess
a situation using open-ended questions about facts/assumptions and use
personal judgment and problem-solving to decide how to deal with it.
o Steps: (fluid and changing; dynamic) – gathering data, analyzing the data, choosing
an action, implementing that action, and evaluating the outcomes of the course of
action

 Describe the value systems of clients. How can nurses best deal with different value
systems?
o Values affect all aspects of care and as such, the nurse needs to assess what is
important to the client (cultural assessment, psychosocial assessment, etc.) and
work with the client to integrate this into the plan of care
 Factors that can help support this: ethical priniciples (autonomy,
nonmaleficence, beneficence, veracity, paternalism, respect, justice, and
fidelity), institutional policy, personal judgment, trusted co-workers,
institutional ethics committees, and legal precedent.

 Describe the different steps of the nursing process. What is involved in each step?
o Assessment – to collect and record data to provide the information needed to:
 Predict, prevent, detect, manage, and resolve problems, issues, and risks
 Clarify expected outcomes of care
 ID individualized interventions to achieve outcomes, promote health, and
attain optimum function
o Diagnosis/outcome identification – to clarify realistic expected outcomes, and the
problems, risks, or issues that must be managed to achieve the outcomes
 ID s/sx that may indicate need for referral
 R/O or include suspected problems
 Decide what need to be managed to obtain outcomes
 Recognize health states that are satisfactory but could be improved
 Reflect

, NUR 2868 R & S EXAM 2 STUDY GUIDE VERSION 1
o Planning – ensure that there’s a comprehensive, recorded, outcome-focused plan
that’s tailored to individual patient and circumstances
 Specify short-term and long-term goals
 Monitor and manage priority problems, issues, and risks
 Promote optimum comfort, function, independence, and health
 Coordinate care and include pts as partners in decision-making and care
 ID what interventions must be managed by RN and what can be delegated
 Achieve desired outcomes safely, efficiently, and cost-effectively
 Include teaching
 Provide a record that can be used to monitor progress and communicate care
o Implementing – put plan into action
 Assess pt to determine if interventions are appropriate/pt is ready
 Prioritize, delegate, and coordinate cares
 Prepare the environment and equipment for safety, comfort, and
convenience
 Perform interventions and reassess
 Make immediate changes as needed and update plan if needed
 Record pt data and responses
o Evaluating – determine where pt stands in relation to desired outcomes’ consider
how process can be improved
 Assess pt status to determine whether expected outcomes have been met and
what factors promoted or inhibited success of plan
 Plan for ongoing assessment, improvement, and pt independence
 Discharge pt or modify plan as needed

 What is the difference between subjective and objective? Give examples of each.
o Subjective: based on/influenced by personal feeling, tastes, or opinions
 The moon is pretty; my pain is at a 7.
o Objective: facts that are not influenced by feelings or opinions
 Earth is a planet; the client has vomited 200cc in the last hour.

 Review the process on resolving problems. What are the different steps? What is the
best approach?
o Steps:
 Define the problem, issue, or situation
 Gather data
 Analyze the data

, NUR 2868 R & S EXAM 2 STUDY GUIDE VERSION 1
 Develop solutions and options
 Select a solution with a desired outcome
 Implement the solution
 Evaluate the result
o TEACH (time (root cause), exposure (learn from others), assistance (members of
team investigate), creativity (brainstorm), hit it (implement))
o Best approach: depends on the situation but all data gathered should be accurate,
relevant, valid, and timely including both objective and subjective data.

 What is involved in making a high-quality decision?
o The phases of making a high-quality decision include:
 Defining objectives
 Generating options
 Identifying advantages and disadvantages of each option
 Ranking the options
 Selecting the option most likely to achieve the predefined objectives
 Implementing the option, and
 Evaluating the result.
o Achieves predefined goals, objectives, and outcomes

 What is involved in brainstorming? What is the goal?
o Brainstorming involves listing all ideas as stated without critique or discussion.
 The group leader or facilitator should encourage people to tag onto or spin
off ideas from those already suggested. Ideas should not be judged, nor
should the relative merits or disadvantages of the ideas be discussed at this
time.
o GOAL: to generate ideas, no matter how seemingly unrealistic or absurd; the
emphasis is on the volume of ideas generated, not necessarily the quality
 Solutions may be superficial and fail to solve the problem.
 Group brainstorming also takes longer, and the logistics of getting people
together may pose a problem.

 Define different decision styles (i.e. autocratic, democratic, etc.). Give examples of
each
o Autocratic: