exam 2 chapters 10-15 Flashcards
(34 cards)
What is assessing?
collecting, validating, and communicating patient data
Define Diagnosing
(as part of the nursing process)
analyzing patient data to identify patients strengths and problems
Define Planning
(as part of the nursing process)
Specifying patient outcomes and related nursing interventions
define Implementing
(as part of the nursing process)
carrying out the plan of care
Define Evaluating
(as part of the nursing process)
measuring the extent to which the patient achieved outcomes
Define Dynamic as a characteristic of the nursing process
Great interaction and overlapping among the five steps
(systematic, dynamic, interpersonal, outcome oriented, universally applicable)
Give three benefits (for nurses) of the nursing process
working collaberatively with others
satisfaction of making a difference in patients lives
opportunity to grow professionally
List the different types of problem solving
(associated with the nursing process)
Trial and Error Problem Solving
Scientific Problem Solving
Intuitive Problem Solving
Critical thinking: Intuitive, logical, or both
The Nursing process is a person-centered outcome oriented process.
true or false?
true
Each step of the nursing process depends upon the accuracy of the steps preceding it. The process provides a framework that enables the nurse and patient to accomplish ADPIE
true or false?
true
List the 7 steps of Scientific Problem solving in order
- Problem identification
- Data collection
- hypothesis formulation
- plan of action
- hypothesis testing
- interpretation of results
- evaluation
(resulting in the conclusion or revision of the hypothesis)
Critical thinking often involves scientific problem solving but it also involves intuition, logic, and ________ ________
creative thinking
Lipe and beasley define decision making as……
” a purposeful, goal directed effort, applied in a systematic way to make a choice among alternatives.”
(they determined that chosing not to act in a certain situation is a decision)
(also emphasized that all decisions have consequences)
What do the standards of Nursing Practice do?
(just a review)
allow nurses to carry out professional roles, serving as protection for the nurse, the patient, and the institution where the health care is being provided
Is Nursing practice part of the Nursing Process or is the Nursing Process part of the Nursing Practice?
Nursing Process is part of the Nursing Practice
Who is normally the primary and the best source of information for collecting data?
the patient
When collecting data, which patients would be considered patients with limited mental or communication capacity
- young children
- older adults with dimentia
Define observation
the conscious and deliberate use of the 5 senses to gather data
Sign vs Symptom
Which is which?
Signs can be measured
Symptoms cannot be measured
(ex: vital signs are signs)
What is an interview?
planned communication
The nursing physical assessment involves the examination of all body parts called the ROS, what does this stand for?
Review of Systems
(ROS)
List the 4 methods used to collect data during physical assessment
(hint: IPA or IPPA)
Inspection
Palpation
Percussion
Auscalation
(sometimes percussion is not included)
Nurses use the language of cues and inferences to describe the early analysis of data
(the subjective and objective data you identify)
If a nurse says “the patient does not respond when I speak to him on his left side”, this is a ______.
When a nurse says “the patient’s hearing may be impaired on his left side”, this is _______.
cue
inference
