GNUR 238 exam 1
CRITICAL THINKING AND INTRO TO THE NURSING PROCESS - ANS-
Critical Thinking - ANS-APPLICATION of knowledge and
Experience to identify patient problems
Clinical Reasoning - ANS-uses critical thinking, knowledge, and experience, to develop
SOLUTIONS to problems and make decisions in a CLINICAL setting
Problem Solve - ANS-systematic, analytic approach to finding a solution to a problem
Decision Making - ANS-choosing a SOLUTION or answer from among different options,
often considering a STEP in the problem solving process
Reasoning - ANS-LOGICAL thinking that links thoughts, ideas, and facts together in a
meaningful way
Judgement - ANS-RESULT or decision related to the processes of thinking and
reasoning
ATTITUDES FOR CRITICAL THINKING - ANS-Confidence, Fairness, Risk Taking,
Perseverance, Curiosity, thinking independently, humility, discipline, creativity, integrity,
responsibility
INTRO TO WAY NURSES THINK (history) - ANS-Nursing Process- 1950 labeled by
Lydia Hall
critical thinking is How Nurses: - ANS-think, identify patient problems, determine patient
OUTCOMES, and PRIORITIZE patient care
STEPS OF NURSING PROCESS - ANS-5 step process based on scientific process
ADPIE
1) - ANS-A- Assessment
2) - ANS-D- (nursing) Diagnosis
3) - ANS-P- Plan
, 4) - ANS-I- Implementation
5) - ANS-E-Evaluation
Critical Thinking and the Nursing Process - ANS-Critical thinking-power of the nursing
DIAGNOSIS and the nursing PROCESS
INTERVIEWING YOUR PATIENT TO OBTAIN A HEALTH HISTORY - ANS-
Sources of info for the Healthy History - ANS-
Primary Source - ANS-CLIENT-interview
Secondary Source - ANS-not conscious, too young, delusional, cognitive impairment
-other individuals (family)
-client records and CHARTS
** secondary source if primary source NOT possible
2 Primary components of health assessment: - ANS-HEALTH HISTORY --subjective
data (cannot use senses, what a patient is TELLING you)
PHYSICAL EXAM - objective data (you assess, can see/sense
health history = subjective
-database used to create a PLAN, prevent disease, resolve problems, and minimize
limitations
-If patient cant verbalize, use OBJECTIVE data to determine pain
COMPONENTS OF COMPREHENSIVE HEALTH HISTORY - ANS-Biographic
data--initial visit
REASON for seeking care (CC)
History of PRESENT illness
Present health status
PAST medical history
Family history
Personal and psychosocial history
Review of all body systems
** most of health history is SUBJECTIVE DATA
HISTORY OF PRESENT ILLNESS - ANS-Should include the following data:
O= onset
CRITICAL THINKING AND INTRO TO THE NURSING PROCESS - ANS-
Critical Thinking - ANS-APPLICATION of knowledge and
Experience to identify patient problems
Clinical Reasoning - ANS-uses critical thinking, knowledge, and experience, to develop
SOLUTIONS to problems and make decisions in a CLINICAL setting
Problem Solve - ANS-systematic, analytic approach to finding a solution to a problem
Decision Making - ANS-choosing a SOLUTION or answer from among different options,
often considering a STEP in the problem solving process
Reasoning - ANS-LOGICAL thinking that links thoughts, ideas, and facts together in a
meaningful way
Judgement - ANS-RESULT or decision related to the processes of thinking and
reasoning
ATTITUDES FOR CRITICAL THINKING - ANS-Confidence, Fairness, Risk Taking,
Perseverance, Curiosity, thinking independently, humility, discipline, creativity, integrity,
responsibility
INTRO TO WAY NURSES THINK (history) - ANS-Nursing Process- 1950 labeled by
Lydia Hall
critical thinking is How Nurses: - ANS-think, identify patient problems, determine patient
OUTCOMES, and PRIORITIZE patient care
STEPS OF NURSING PROCESS - ANS-5 step process based on scientific process
ADPIE
1) - ANS-A- Assessment
2) - ANS-D- (nursing) Diagnosis
3) - ANS-P- Plan
, 4) - ANS-I- Implementation
5) - ANS-E-Evaluation
Critical Thinking and the Nursing Process - ANS-Critical thinking-power of the nursing
DIAGNOSIS and the nursing PROCESS
INTERVIEWING YOUR PATIENT TO OBTAIN A HEALTH HISTORY - ANS-
Sources of info for the Healthy History - ANS-
Primary Source - ANS-CLIENT-interview
Secondary Source - ANS-not conscious, too young, delusional, cognitive impairment
-other individuals (family)
-client records and CHARTS
** secondary source if primary source NOT possible
2 Primary components of health assessment: - ANS-HEALTH HISTORY --subjective
data (cannot use senses, what a patient is TELLING you)
PHYSICAL EXAM - objective data (you assess, can see/sense
health history = subjective
-database used to create a PLAN, prevent disease, resolve problems, and minimize
limitations
-If patient cant verbalize, use OBJECTIVE data to determine pain
COMPONENTS OF COMPREHENSIVE HEALTH HISTORY - ANS-Biographic
data--initial visit
REASON for seeking care (CC)
History of PRESENT illness
Present health status
PAST medical history
Family history
Personal and psychosocial history
Review of all body systems
** most of health history is SUBJECTIVE DATA
HISTORY OF PRESENT ILLNESS - ANS-Should include the following data:
O= onset
