Flashcards in Ch. 15 Critical Thinking Deck (22):
systematic, ordered approach to gathering data and solving problems.
obtain information and then use the information plus what you already know to find a solution. Evaluating a situation over time, identifying possible solutions, and trying a solution over time to make sure that it is effective.
focuses on problem resolution.
Analytical process for determining a pt's health problems. Mental steps (data clustering and analysis, problem ID) that follow assessment and lead directly to the formulation of a diagnosis.
Process of drawing conclusions from related pieces of evidence.
Clinical decision making
careful reasoning so the best options are chosen for the best outcomes or problem solving approach that nurses use to define patient problems and select appropriate treatment.
Systematic problem solving method by which nurses individualize care for each patient. Five-step clinical decision-making approach: assessment, diagnosis, planning, implementation, and evaluation. The purpose is to diagnose and treat human responses.
ability to think in a systematic and logical manner with openness to questions and reflect on the reasoning process.
Knowledge that is derived from the integration of best research, clinical expertise, and patient values.
turning over a subject in the mind and thinking about it. Thinking about it and recalling a situation to discover its purpose or meaning.
Knowing the patient
knowing the patient in depth knowledge of a pt's patterns or responses within a clinical situation and knowing the patient as a person.
visual representation of patient problems and interventions that shows their relationships to one another.
First step of the nursing process. Activities required in the first step are data collection, validation, sorting, and documentation, The purpose is to gather information for health problem identification.
Information that you obtain through use of the senses.
Functional health patterns
methods for organizing assessment data based on the level of pt function in specific areas.
Open ended questions
Pts describe a situation in more than one or two words. this leads to a discussion.
Includes active listening prompts such as all right, go on or uh-huh.
limit answers to one or two words such as yes or no or a number or frequency of a symptom.
Nursing health history
data collected about a pt's recent level of wellness, changes in life patterns, sociocultural role, and mental and emotional reactions to illness.
Does the pt have other symptoms associate with the primary symptoms.
Review of system (ROS)
systematic approach for collecting subjective information from pts about the presence or absence of health related issues in each body system.