Nursing 155 final hondros Questions and Answers(A+ Solution guide)

Checking accuracy and reliability - Answer-realizing that something doesn't seem quite right and taking action to determine if it is accurate or not, sounds suspicious and looking further into it Nursing Process - Answer-step by step approach directed at planning and providing pt care. Data collection(assessment), Planning, Implementation, Evaluation Nursing process D - Answer-Data collection- gather and review info about the pt, assessment Nursing process P - Answer-Planning- development of a nursing dx, goals, and interventions for a pt plan of care. Nursing process I - Answer-implementation of planned interventions actually carrying out the orders Nursing process E - Answer-Evaluation- comparing actual outcomes with expected outcomes Tanner's Model of Clinical Judgement - Answer-A model based on how a nurse thinks, it explains the 4 steps in the critical thinking process that nurses use to solve any problem: Noticing Interpereting Responding Reflecting Step 1 Noticing - Answer--Identifying signs and symptoms -gathering complete and accurate data -assessing systematically and comprehensivly -predicting and (managing) potential complications -identifying assumptionsIdentifying signs and symptoms - Answer-Indicates when a situation is normal, abnormal, or has changed, something is different than expected Gathering complete and accurate data - Answer-Data collected from all available sources is used as the basis for identifying issues, problems, concerns. Must verify that data is complete and accurate Assessing systematically and comprehensively - Answer-A method of assessing information or data so nothing is omitted or forgotten. Focused, head to toe, body systems Predicting (and managing) potential complications - Answer-Look at the big picture to prepare for potential future complications for an individual pt, you are predicting complications which means you are identifying possible problems. What will put our pt at risk nize that all pt have risk for atelectasis after surgery Identifying assumptions - Answer-Recognize information taken for granted, hastily arriving at a conclusion without supporting evidence, a misconception. EVIDENCE ex. all thin people are healthy Step 2- Interpreting - Answer--clustering related information -recognizing inconsistencies -checking accuracy and reliability -Distinguishing relevant from irrelevant -determining the importance of information -comparing and contrasting -(predicting) and managing potential complications -judging how much ambiguity is acceptable -using legal, ethical and professional HERE WE- PLANNING, PRIORITIZE, DESICIONS WHAT ARE YOU GOING DO WITH THE DATA YOU RECIEVE, MAKE SENCE OF THE DATA* Clustering related information - Answer-Grouping together information with a common theme. A method of organizing data so that you put .things together in order to understand the situation, what is alikeex. headache-clustering orther related sx-sleepy, hit head, dizziness Recognizing inconsistencies - Answer-does the objective data match the subjective data ex. pt says they aren't in pain but face is telling you diff. they are grimacing, clinching fists, tearful, holding their side Distinguishing relevant from irrelevant - Answer-decidingco what information is pertinent or connects to the matter at hand, sort out what info relates to the current problem ex. pt tells cardiologist my back hurts may be important to pt overall care but not the current problem Comparing and contrasting - Answer-looking at 2 similar cases, identifying the subtle differences, and acting on them ex. pts both have arthritis look at similarities and subtle differences