QUESTIONS AND ANSWERS SURE A+
✔✔o Providing presence - ✔✔♣ Nursing presence is the connectedness between the
nurse and the patient
♣ Presence involves "being there" and "being with", physically, and being able to hear
and understand.
♣ The outcomes of nursing presence include alleviating suffering, decreasing a sense of
isolation, and personal growth.
✔✔o Listening - ✔✔♣ It is an intentional act in which the listener is present and engages
the patient in a nonjudgmental and accepting manner.
♣ Listening creates a mutual relationship and leads to knowing and responding to what
really matters to the patient and family.
✔✔• Critical thinking - ✔✔cognitive process for analyzing knowledge
✔✔• Clinical Reasoning - ✔✔when a nurse reaches clinical judgment (application of
critical thinking to the situation)
✔✔• Clinical Judgment - ✔✔an interpretation/conclusion about one's needs, concerns,
or health problems; the decision to take action (or not), use/modify standards, improvise
new approaches
, o Cognitive, psychomotor, affective processes
✔✔Tanners model of clinical judgement - ✔✔Noticing: o
Patterns, cues; use of background/experience; context; knowing patient
Interpreting:
o Making sense of the info
o Novice nurses - analytic
o Expert nurses - variety of reasoning patterns (analytic, intuitive, narrative)
Responding: o Implementation of action/interventions based on pt needs
o May not be able to judge effectiveness of intervention before initiating it
Reflecting
✔✔purpose of nursing process - ✔✔to diagnose and treat human responses to actual
or potential health problems
✔✔steps of nursing process - ✔✔· Assessment- collects comprehensive, pertinent data
· Diagnosis- analyzes assessment data & determines diagnoses or issues
· Outcomes Identification - identifies expected outcomes for an individualized
plan/situation
· Planning- develops a plan that prescribes strategies/alternatives to attain expected
outcomes
· Implementation- implements identified plan
o Coordination of care
o Health teaching/promotion
o Consultation
o Prescriptive authority and treatment
· Evaluation- evaluates progress towards attainment of outcomes
✔✔o Subjective- - ✔✔only provided by the patient; relevant to their health condition
✔✔o Objective - ✔✔measured on basis of an accepted standard
✔✔Independent nursing intervention - ✔✔· actions initiated by the nurse without
supervision or directions from others
o Examples: positioning patient, instructing patients in side effects of meds, providing
skin care to ostomy site
o Don't require an order from a provider; are autonomous based on scientific rationale
o Must benefit the patient in a predicted way related to nursing diagnoses & patient
goals
o Pertain to activities of daily living, health education & promotion, counseling (Nurse
Practice Acts)
✔✔Dependent nursing intervention - ✔✔· actions that require an order from a provider
o Based on provider's response