Critical Thinking

Question 1

Define the Nursing Process?

Answer 1

Systematic method of critical thinking used to develop individualized plans of care. It is the framework within which nurses provide care to patients in and organized and effective manner.

Question 2

What are the Characteristics of the Nursing Process?

Answer 2

Analytical, Dynamic, Organized, Adaptable, Collaborative, Outcome Oriented

Question 3

What are the Steps of the Nursing Process?

Answer 3

ADPIE 
ASSESSMENT 
DIAGNOSIS 
PLANNING
IMPLEMENTATION 
EVALUATION

Question 4

What does the assessment process involve in the Nursing Process?

Answer 4

Gathering data through observation, interview, and physical assessment.

Question 5

What does the diagnosis process involve in the Nursing Process?

Answer 5

Analyze, validate, and cluster patient data to identify patient problems.

Question 6

What does the planning process involve in the Nursing Process?

Answer 6

Prioritize Nursing diagnosis and identify short/long term goals.

Question 7

What does the implementation phase involve in the Nursing Process?

Answer 7

Initiate specific Nursing interventions and treatments designed to help patients achieve established goals.

Question 8

What does the evaluation phase involve in the Nursing Process?

Answer 8

Determine whether the patients goals are met, examine the effectiveness of interventions, and decide whether the plan of care should be discontinued, continued, or revised.

Question 9

Primary data comes from?

Answer 9

The patient

Question 10

Secondary data comes from?

Answer 10

Family, friends, other professionals, or charts.

Question 11

Subject data comes from? (Can or cannot be measured)

Answer 11

Symptoms, health history. Cannot be measured.

Question 12

Objective data comes from? (Can or cannot be tested?)

Answer 12

Signs, examination, lab results, test results. Can be measured.

Question 13

What are the three types of Nursing diagnosis?

Answer 13

Actual
Risk
Health Promotion

Question 14

What do actual Nursing Diagnosis contain?

Answer 14

The problem
The etiology
Signs and symptoms

Question 15

Risk Nursing Diagnosis contain?

Answer 15

Problem

Risk Factors

Question 16

Health Promotion Nursing Diagnosis contains?

Answer 16

Nursing diagnostic label

Defining characteristics

Question 17

What are the Characteristics for short/long term goals?

Answer 17

Patient focused, realistic, measurable

Question 18

Independent interventions do or do not require an order?

Answer 18

Do not require an order

Question 19

Dependent interventions do or do not require an order?

Answer 19

Do require an order

Question 20

What are collaborative interventions?

Answer 20

Involve working together with other professionals.

Question 21

What are protocols?

Answer 21

Written plans that can be generalized to groups of patients with the same or similar clinical needs that DO NOT require an order.

Question 22

What are standing orders?

Answer 22

Written by physicians and list specific actions to be taken by the nurse or other health care provider when access to physician is not possible or when care is common to a certain type of situation.

Question 23

Patient interview:

Answer 23

Formal, structured discussion in which the nurse questions the patient to obtain demographic info, and data about current health concerns, and medical history.

Question 24

What are the phases of a patient interview?

Answer 24

Orientation
Working
Termination

Question 25

What type of questions are used during the orientation phase of a patient interview?

Answer 25

Closed ended questions

Question 26

Closed ended or open ended questions can be used during what phase of a patient interview?

Answer 26

Working

Question 27

What does the working phase include?

Answer 27

Health history | Review of systems

Question 28

What are the stages of physical assessment in order?

Answer 28

Inspection- use of vision, hearing, and smell. Auscultation- listening with a stethoscope. Palpitation- use of touch. Percussion- tapping of the patient's skin.

Question 29

List Maslow's Hierarchy of Needs.

Answer 29

``` Physiological (basic survival needs) Safety and security Love and belonging Self esteem Self actualization ```

Question 30

Define critical thinking.

Answer 30

Involves the application or knowledge and experience to identity patient problems and to direct clinical judgements and actions that result in positive patient outcomes.

Question 31

Define clinical reasoning.

Answer 31

Using critical thinking knowledge and experiencing to develop solutions to problems and make decisions in a clinical setting.

Question 32

Process that depends on critical thinking?

Answer 32

Problem solving Decision making Judgement Reasoning

Question 33

What is inductive reasoning?

Answer 33

(Specific to general) | Uses specific facts to details to make conclusions and generalizations.

Question 34

What is deductive reasoning?

Answer 34

(General to specific) | Involves generating facts or details from a major theory, generalization, or premise.

Question 35

Define Nursing Diagnosis.

Answer 35

Identifies an actual or potential problem or response to a problem.

Question 36

Define inferences.

Answer 36

Intellectual acts that involve a conclusion being made on the basis of something else.

Question 37

What is intuition?

Answer 37

Feeling that you know something without specific evidence.

Question 38

Define validation.

Answer 38

Process of gathering information to determine whether the information or data collected is true.

Question 39

Define Illogical Thinking.

Answer 39

Failure to follow rational, systemic processes when approaching an issue or problem

Question 40

What is problem solving?

Answer 40

Finding a solution to a problem

Question 41

What is decision making?

Answer 41

Choosing a solution or answer from different options.

Question 42

What is reasoning?

Answer 42

Logical thinking that links together the thoughts, ideas, and facts in a meaningful way.

Question 43

What is judgement?

Answer 43

Result or decision rather than the process of thinking and reasoning

Question 44

What is observable identification? Resource?

Answer 44

Listing behaviors or observable items that indicate attainment of a goal. NOC

Question 45

Direct care?

Answer 45

Involves contact

Question 46

Indirect care?

Answer 46

Doesn't involve contact

Question 47

Observation during assessment:

Answer 47

Gain info about a patient's emotional and health status

Question 48

Comprehensive assessment:

Answer 48

Thorough interview, health history, review of systems, head to toe assessment.

Question 49

Focused assessment:

Answer 49

Examination when only specific areas are examined.

Question 50

Emergency assessment:

Answer 50

Physical examination when time is a factor. Must begin treatment immediately

Question 51

Triage:

Answer 51

Form of emergency assessment that ranks patients in treatment priority.

Question 52

What is Nursing Diagnosis?

Answer 52

Actual or potential health problems, responses to a problem.

Question 53

Actual Nursing diagnosis:

Answer 53

Existing problems or concerns of a patient

Question 54

Risk Nursing diagnosis:

Answer 54

Increased potential for patient to develop a problem

Question 55

Health Promotion diagnosis:

Answer 55

Patients express interest in improving health status

Question 56

What is clustering?

Answer 56

Organizing patient assessment data into groupings with similarities.

Question 57

Related factors:

Answer 57

Cause or etiology of a patients problem

Question 58

Risk factors:

Answer 58

Environmental, physical, psychological, or situational, concepts that increases a patient's potential for a problem

Question 59

Defining characteristics:

Answer 59

Clusters of related assessment data that are signs and symptoms or indications of an actual or health promotion diagnosis

Question 60

Maslow's:

Answer 60

``` Physiological Safety/security Love/belonging Self esteem Self actualization ```

Question 61

Implementation:

Answer 61

Performing a task and documentation of each intervention.