NUR 340 Exam #2
Cognitive skills - answer offer scientific rationale for plan of care
select nursing interventions most likely to yield desired outcome
use clinical reasoning to problem solve creatively
technical skills - answer use technical equipment with sufficient competence and ease
to achieve goal with minimum participant distress
creatively adapt equipment and technical procedures to the needs of particular patients
interpersonal skills - answer creative use of looks, speech and touch to communicate
respect and to enhance sense of worth
skilled use of compassionate presence and conversation to demonstrate empathy and
obtain sufficient knowledge about patient to personalize care
holistic care
ethical or legal skill - answerself motivated to act in ways that advance interests of
patients
serve as effective patient advocate
be faithful to code of ethics
use legal safeguards that reduce risk of litigation
When would trial and error problem solving be justified? - answerA trial-and-error
approach to problem-solving involves trying a number of potential solutions to a
particular issue, then ruling out those that do not work.
nurse is having trouble palpating a pulse so they might use trial and error to determine if
the pulse is actually absent or if it just difficult to locate and palpate
National League of Nursing - answerrecommended that educational programs
incorporate nursing process as their intellectual process
American Nurses Association (ANA) - answersteps of nursing process were legitimized
in 1973 when the ANA developed standards of practice to guide nursing performance
,state board of nursing - answerunderwent revisions and began to use nursing process
as organizing concept
started to test practitioners ability to assess patients, diagnose health problems, plan,
implement and evaluate
previously exams had content on a medical model
What nursing organization first legitimized the use of the nursing process -
answerAmerican Nurses Association (ANA)
Nursing Process - answerAssessment
Diagnosis
Planning
Implementation
Evaluation
assessment - answerthe systematic and continuous collection and communication of
data, asking questions, obtaining vital signs.
Diagnosing - answeranalysis of data obtained, clearly identifying patient strengths and
actual and potential health problems and needs
planning - answeridentify expected outcomes. The nurse and patient discuss mutually
agreed outcomes.
Develop holistic plan of individualized care that specifies desired patient goals and
related outcomes and the nursing interventions most likely to assist patient in meeting
those outcomes
Implementing - answernurse carries out plan of care
documenting nurse actions and client responses
Evaluating - answerevaluating effectiveness of the plan based on achievement of
outcomes and determine whether the plan should be continued modified or terminated
how should a nurse ensure that care provided is captured fully and not thought to be
legally negligent - answera nursing action not documented in the clients record is not
preformed
characteristics of nursing process - answersystematic, dynamic, interpersonal, outcome
oriented, universally applicable
systematic - answerordered sequence of activities
dynamic - answergreat interaction and overlapping among the five steps
, interpersonal - answerconcerning or involving relationships between people
patient centered care - answerRecognize the patient or designee as the source of
control and full partner in providing compassionate and coordinated care based on
respect for patient's preferences, values, and needs.
outcome oriented - answeroutcomes related to health promotion, disease and illness
prevention, health restoration and coping with altered function
matching outcomes most important to patient
Universally applicable - answerUsed as a framework for nursing care in all types of
health care settings, with clients of all age groups
critical thinking - answera systematic way to form and shape one's thinking that
functions purposefully and exactingly
making a judgement about a particular situation, how to best intervene
must understand all details of the situation
Standards of critical thinking - answerclear, precise, specific, accurate, relevant,
plausible, consistent, logical, deep, broad, complete, significant, adequate (for the
purpose), and fair
problems with critical thinking - answerfaulty assumptions, accepting unproven claim,
allowing bias to blur thinking, allowing emotions to rule reason
intuitive thinking - answerinner prompting
direct understanding of the situation based on background experience and skill that
makes expert decision making possible
senses the right to intervene, teach, offer encouragement, affirm or simply listen
comes with years of practice and observation
trial and error - answertesting any number of solutions until one works
not efficient for nurse, can be dangerous for patient
what is the nurses first step when critically thinking about a situation? - answeridentify
the purpose or goal of your thinking
critical thinking skills - answerInterpretation
Analysis
Inference
Evaluation
Explanation
Self-Regulation
Cognitive skills - answer offer scientific rationale for plan of care
select nursing interventions most likely to yield desired outcome
use clinical reasoning to problem solve creatively
technical skills - answer use technical equipment with sufficient competence and ease
to achieve goal with minimum participant distress
creatively adapt equipment and technical procedures to the needs of particular patients
interpersonal skills - answer creative use of looks, speech and touch to communicate
respect and to enhance sense of worth
skilled use of compassionate presence and conversation to demonstrate empathy and
obtain sufficient knowledge about patient to personalize care
holistic care
ethical or legal skill - answerself motivated to act in ways that advance interests of
patients
serve as effective patient advocate
be faithful to code of ethics
use legal safeguards that reduce risk of litigation
When would trial and error problem solving be justified? - answerA trial-and-error
approach to problem-solving involves trying a number of potential solutions to a
particular issue, then ruling out those that do not work.
nurse is having trouble palpating a pulse so they might use trial and error to determine if
the pulse is actually absent or if it just difficult to locate and palpate
National League of Nursing - answerrecommended that educational programs
incorporate nursing process as their intellectual process
American Nurses Association (ANA) - answersteps of nursing process were legitimized
in 1973 when the ANA developed standards of practice to guide nursing performance
,state board of nursing - answerunderwent revisions and began to use nursing process
as organizing concept
started to test practitioners ability to assess patients, diagnose health problems, plan,
implement and evaluate
previously exams had content on a medical model
What nursing organization first legitimized the use of the nursing process -
answerAmerican Nurses Association (ANA)
Nursing Process - answerAssessment
Diagnosis
Planning
Implementation
Evaluation
assessment - answerthe systematic and continuous collection and communication of
data, asking questions, obtaining vital signs.
Diagnosing - answeranalysis of data obtained, clearly identifying patient strengths and
actual and potential health problems and needs
planning - answeridentify expected outcomes. The nurse and patient discuss mutually
agreed outcomes.
Develop holistic plan of individualized care that specifies desired patient goals and
related outcomes and the nursing interventions most likely to assist patient in meeting
those outcomes
Implementing - answernurse carries out plan of care
documenting nurse actions and client responses
Evaluating - answerevaluating effectiveness of the plan based on achievement of
outcomes and determine whether the plan should be continued modified or terminated
how should a nurse ensure that care provided is captured fully and not thought to be
legally negligent - answera nursing action not documented in the clients record is not
preformed
characteristics of nursing process - answersystematic, dynamic, interpersonal, outcome
oriented, universally applicable
systematic - answerordered sequence of activities
dynamic - answergreat interaction and overlapping among the five steps
, interpersonal - answerconcerning or involving relationships between people
patient centered care - answerRecognize the patient or designee as the source of
control and full partner in providing compassionate and coordinated care based on
respect for patient's preferences, values, and needs.
outcome oriented - answeroutcomes related to health promotion, disease and illness
prevention, health restoration and coping with altered function
matching outcomes most important to patient
Universally applicable - answerUsed as a framework for nursing care in all types of
health care settings, with clients of all age groups
critical thinking - answera systematic way to form and shape one's thinking that
functions purposefully and exactingly
making a judgement about a particular situation, how to best intervene
must understand all details of the situation
Standards of critical thinking - answerclear, precise, specific, accurate, relevant,
plausible, consistent, logical, deep, broad, complete, significant, adequate (for the
purpose), and fair
problems with critical thinking - answerfaulty assumptions, accepting unproven claim,
allowing bias to blur thinking, allowing emotions to rule reason
intuitive thinking - answerinner prompting
direct understanding of the situation based on background experience and skill that
makes expert decision making possible
senses the right to intervene, teach, offer encouragement, affirm or simply listen
comes with years of practice and observation
trial and error - answertesting any number of solutions until one works
not efficient for nurse, can be dangerous for patient
what is the nurses first step when critically thinking about a situation? - answeridentify
the purpose or goal of your thinking
critical thinking skills - answerInterpretation
Analysis
Inference
Evaluation
Explanation
Self-Regulation
