NURSING 200: Nursing Concepts Exam 1 Elite Solutions, Ensured Academic Excellence, Tested and Confirmed

What is Clinical Judgment? - Answer The nurse's ability to analyze and synthesize patient's information (objective and subjective data) and use evidence-based nursing interventions to improve patient outcomes The process of acquiring and using information to address client needs Tanner Model of Clinical Judgment - Answer Noticing Interpreting Responding Reflection Tanner Model- Noticing - Answer identifying the signs and symptoms of a patient's health problems Tanner Model- Interpreting - Answer the reasoning process nurses use to make sense of the initial clinical situation Tanner Model- Responding - Answer course of action taken by the nurse Tanner Model- Reflection - Answer process of examining the actions implemented Reflection-in-action - Answer Reflection that takes place whilst you are involved in the situation, often a patient interaction Reflection-on-action - Answer The retrospective contemplation of practice in order to uncover the knowledge used in a particular situation, by analysing and interpreting the information recalled. Critical Thinking - Answer Purposeful, analytical thinking that results in a reasoned decision. Characteristics of Critical Thinkers - Answer Ask pertinent questions Assess statements and arguments Have a sense of curiosity Willing to examine beliefs, assumptions, and opinions and weight them against facts Examine problems closely 2 | P a g e Intellectual Autonomy - Answer Critical thinkers do not accept or reject an idea before they understand it Intellectual Curiosity - Answer Critical thinkers love to learn new things Intellectual Humility - Answer Critical thinkers ask for help when they do not know Intellectual Empathy - Answer Critical thinkers try to understand the feelings and perspectives of others Intellectual Courage - Answer Critical thinkers consider and examine their own values and beliefs and that of others Intellectual Perseverance - Answer Critical thinkers do not jump to conclusions or settle for the quick, obvious answer Fair-Mindedness - Answer Critical thinkers try to make impartial judgments irrespective of personal biases and social pressures. Confidence in Reasoning - Answer Critical thinkers rely on inductive and deductive processes to have confidence in their own reasoning Clinical Reasoning - Answer The process of synthesizing knowledge and information from numerous sources and incorporating experience to develop a plan of care for a particular client Nursing Process - Answer Process used to help the nurse provide goal-directed, client-centered care Steps in the Nursing Process - Answer Assessment Analysis (Diagnosis) Planning (Outcomes and Interventions) Implementation Evaluation Assessment - Answer Noticing/recognizing what is going on with the patient Analysis (Diagnosis) - Answer Interpreting what is going on with the patient through reviewing lab work, diagnostic testing, patient history, complaints, and observations Planning (Outcomes and Interventions) - Answer Prioritize hypotheses and generate solutions Implementation - Answer Responding to the needs of the patient Taking actions (Action phase) Evaluation - Answer Reflecting on the care given Evaluation actions and outcomes 3 | P a g e What does Assessment Include? - Answer Collecting data using a systematic and ongoing process Categorizing data Validating data Recognize cues Recording data Subjective Data - Answer information given by the patient symptoms Objective Data - Answer obtained through physical assessment, diagnostic tests, lab work signs Primary Data - Answer Subjective and objective data obtained from the patient What the patient says or what the nurse observes Secondary Data - Answer "Second Hand Data" Medical records, diagnostic tests, what another caregiver states What is the Best Source of Data? - Answer The patient Through interview, observation, and physical examination What are other sources of data? - Answer Family and significant others Health care team Medical records Nurse's observations What is an example of subjective data? - Answer "my stomach hurts" What is an example of objective data? - Answer "the patient's pulse is 84" Initial Assessment - Answer Completed at first contact with patient/client Ongoing Assessment - Answer Continuous- to assess patient's condition, evaluate status of existing problem and if goals are met Comprehensive Assessment - Answer Global Assessment 4 | P a g e Look at the patient holistically Focused Assessment - Answer On a particular body part or functional ability What are the critical steps in assessment? - Answer Collecting data Validating data Documenting data Reflecting on the assessment When do you validate data? - Answer Subjective and objective data do not agree or make sense Data are far outside the normal range The patient's statements differ at different times in the interview Factors are present that interfere with accurate measurement Health Problems - Answer Any condition that requires intervention in order to promote wellness/prevent or resolve disease/illness. Collaborative problems - Answer Require both medical and independent nursing interventions Independently solved problems - Answer Requires only independent nursing interventions ABCDE - Answer A: Airway B: Breathing C: Circulation D: Disability E: Environment Maslow's Hierarchy - Answer .......