Critical Thinking and the Nurse Process

Question 1

Medical Diagnosis

Answer 1

Remains the same
ex: Amputation, Pneumania

Question 2

Nursing Diagnosis

Answer 2

Can change

Question 3

DEFINE Critical Thinking in nursing practice

Answer 3

The process of intentional and reflective judgment about nursing problems, where the focus is on clinical decision-making, provides safe and effective care

Question 4

DESCRIBE Critical thinking in nursing practice

Answer 4

-be able to weave through distractions
-listen for key details
-don’t overlook information
-questioning attitude
-simplest is not always correct
-help address all aspects of care for the patient

Question 5

Four types of nursing knowledge

Answer 5

Theoretical, Practical, Self, Ethical

Question 6

Theoretical

Answer 6

Thinking, what we know
ex: actual knowledge of disease

Question 7

Practical

Answer 7

doing, what we do
ex: What we do to treat

Question 8

Self

Answer 8

Caring, knowledge about ourselves
ex: any biases, reflection peirod

Question 9

Ethical

Answer 9

Caring, our sense of morality, and right vs wrong
ex: moral principals

Question 10

Phases of the nursing process

Answer 10

Assessment, Diagnosis, Planning, Implementation, Evaluation (ADPIE)

Question 11

Assessment

Answer 11

Data Gathering

Question 12

Diagnosis

Answer 12

Identity patients health needs

Question 13

Implementation

Answer 13

Action phase carrying out interventions

Question 14

Evaluation

Answer 14

Measuring the effectiveness of intervention

Question 15

Planning

Answer 15

Planning out care

Question 16

Skills required for nursing assessment

Answer 16

Observe, Auscultate(hear), Smell, Palpate(feel)

Question 17

Observe

Answer 17

Overall appearance, gait, skin quality, posture

Question 18

Auscultate(hear)

Answer 18

Heartbeat, breath, sounds, speech, noises with movement

Question 19

Smell

Answer 19

Sweet or foul-smelling odors in breath, urine, stool

Question 20

Palpate(feel)

Answer 20

The softness of their pulse rate, the character of an injury, firmness of an infants fontanelle

Question 21

Different Data to support assessment findings

Answer 21

Subjective and Objective

Question 22

Subjective

Answer 22

bias, feelings
(symptoms/covert data)

Question 23

Objective

Answer 23

gather info with 5 senses
(factual/observed)- unbiased

Question 24

Types of Assessments

Answer 24

Comprehensive and Focused

Question 25

Comprehensive

Answer 25

head to toe (apperance, health, patient history, patient story, what they want from visit

Question 26

Focused

Answer 26

Take a closer look (investigate, look at gait, change of feeling)

Question 27

How to prioritize holistic patient needs

Answer 27

- Maslow's Hierarchy of needs - Erikson's 8 stages of psychosocial development

Question 28

Explain aspects of holistic full spectrum nursing

Answer 28

- Caring! - Compassion and concern for other's well being - Builds trust in the caring relationship - Self-care so we can take care of others

Question 29

How is the nursing diagnosis used in patient care

Answer 29

We can identify problems that have a nursing focus to create and evaluate interventions

Question 30

Documentation guidelines

Answer 30

- can be used in a court of law (make it professional) - complete right after assessments - only abbreviate words you can - directly quote patient