FINAL, 200, CRITICAL THINKING,
HONDROS
ANA Standards of Professional Nursing Practice - ANS Standard of care
R
provided to patients
E
- Includes identifying and acknowledging expertise of those inside and outside
H
nursing profession
G
- Includes referring client to others in order to meet client's needs
analyze cues -
HI ANS is this normal /abnormal
G
analyze cues - ANS What does it mean?
IN
Assessing Systemically & Comprehensively(3/5) - ANS Use a systematic
method of assessment so no important information is missed.
LY
Head to toe, ROS, Focused assessment, pain scale.
F
Backchanneling - ANS Nodding your head or using facial expressions,
vocalizations such as "uh-huh," and verbal statements such as "I understand"
and "That's very interesting" to let the speaker know you're paying attention.
, 2
Benners stages of clinical competence - ANS Stage 1: Novice-Rule
governed, humble perseverance. beginner, no experience, needs cues
Stage 2: Advanced Beginner-May be delayed in time, Knowledge developing.
R
marginally acceptable performance, has prior experience in actual situations.
E
Skillful in parts of practice, occasional cues.
H
Stage 3: Competent-Same job or similar job for 2-3years. Demonstrates efficiency,
G
coordinated and confidence. Plan established based on considerable conscious,
I
abstract, analytic contemplation of the problem. Conscious deliberate planning,
H
efficiency and organization. Completed in suitable time without cues.
G
Stage 4: Proficient-see and understand situations as a whole. Learn from
N
experiences, what to expect from a situation, how the plan needs to be modified.
I
Decision making becomes less labored, the nurse has perspective on existing
Y
attributes and aspects of the situation.
FL
Stage 5: Expert-Intuitive grasp, zeros in on the accurate problem without wasteful
consideration. Has deep understanding of the total situation. Performance is fluid
and flexible and highly proficient.
Biographic data - ANS Relating to the facts and events of a person's life.
, 3
case management - ANS Patient advocate. Planning and coordinating pt
care.
Checking Accuracy & Reliability (4/9) - ANS Actions based on inaccurate or
R
unreliable information could cause patient harm.
HE
Recheck patient serum glucose levels.
G
Clinical decision making process - ANS identify problem
I
analyze data
H
inferences based on interpretation
G
list all actions that could be taken
evaluate each action
N
select best action
YI
clinical judgement - ANS "thinking like a nurse"
L
an interpretation or conclusion about a patient's needs, concerns, or health
F
problems, and/or the decision to take action (or not), use or modify standard
approaches, or improvise new ones as deemed appropriate by the patient's
response