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Exam 4 Flashcards

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1
Q

assessment

A

data collection
recognize cues
consists of gathering info about patients and their needs using a variety of methods

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2
Q

clinical judgment model

A

expands upon the nursing process and emphasizes the need to include context in planning patient care

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3
Q

what does the clinical judgment model include

A

steps to recognize cues
analyze cues/form hypotheses
prioritize hypotheses
generate solutions
take action
evaluate outcomes

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4
Q

decision making

A

choosing the best actions to meet a desired goal and is part of the critical thinking process

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5
Q

evaluation

A

evaluate outcomes
this is carried out by collecting data to determine whether expected outcomes have been achieved

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6
Q

implementation

A

take action
preparing and performing the interventions

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7
Q

nursing process

A

a way of thinking and acting based on the scientific method

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8
Q

outcomes

A

results of interventions

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9
Q

planning

A

generate solutions
determining specific interventions and desired outcomes for each problem statement/nursing diagnosis

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10
Q

priority

A

more important than something else is at the time

prioritizing involves placing problem statements/nursing diagnoses or nursing interventions in order of importance

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11
Q

scientific method

A

A step-by-step process used by scientists to solve problems

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12
Q

5 components of the nursing process

A

assessment (data collection)
data analysis/problem identification
planning
implementation
evaluation

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13
Q

Data analysis/problem identification

A

analyze cues/form hypotheses
prioritize hypotheses

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14
Q

patient input during planning stage

A

results in greater success with the care plan and care coordination

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15
Q

5 problem solving steps

A
  1. define the problem
  2. consider all possible alternative
  3. consider the possible outcomes
  4. predict the likelihood of each outcome occurring
  5. choose the alternative with the best chance of success
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16
Q

what is the nursing process for the scientific method step define the problem. gather information

A

assessment (data collection)

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17
Q

what is the nursing process for the scientific method step analyze the info

A

data analysis/ problem identification

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18
Q

what is the nursing process for the scientific method step develop solutions, make a decision

A

planning

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19
Q

what is the nursing process for the scientific method step implement the decision

A

implementation

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20
Q

what is the nursing process for the scientific method step evaluate the decision

A

evaluation

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21
Q

concept mapping

A

helps students learn to synthesize pertinent assessment data, develop comprehensive care plans, link nursing interventions with health problems and problem statements/nursing diagnoses, and effectively implement the care plan

will help you collect data in a logical manner and then group those data in a meaningful way.

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22
Q

positive self-concept

A

generally helps problem-solving and critical thinking ability

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23
Q

data analysis/ problem identification

A

requires analysis of data collected during assessment by clustering related info analyzing cues, id problem areas, and forming a hypothesis

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24
Q

what is evidence-based knowledge

A

knowledge of the scientific method
knowledge of evidence-based practices in use of your clinical facilities
distinguish between clinical opinion and evidence
Knowledge of reliable sources for evidence-based practice and clinical practice guidelines

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25
what is skills for prelicensure LPN
participate in data collection or research activities implement the individualized plan of care as directed by registered nurse participate in structuring the work environment when integrating new evidence into standards of practice consult with clinical experts question rationale of interventions that lead to adverse outcomes
26
What are attitudes for prelicensure LPN
value the concept of evidence-based practice value the need for quality improvement value the need for ethical research appreciate the need for reading current nursing journals value the need for continuous improvement in practice based on new knowledge
27
high priority
life-threatening problems
28
medium priority
problems that threaten health or coping ability
29
low priority
problems are ones that do not have a major effect on the person if not attended to that day or even that week
30
cues
pieces of data or info that influence decisions
31
database
all of the info gathered about a patient
32
defining characteristics
are those characteristics that must be present for a particular problem statement to be appropriate for that patient
33
etiologic factors
causes of a problem
34
inferences
conclusions made based on observed data
35
interview
conversation in which facts are obtained
36
objective data
info obtained through the senses and hands-on physical exam
37
subjective data
data obtained from the patient verbally that only the patient can describe or verify
38
what are Gordon's 11 health patterns
health perception-health management pattern nutritional-metabolic pattern elimination pattern activity-exercise pattern cognitive-perceptual pattern sleep-rest pattern self-perception- self concept pattern role-relationship pattern coping-stress tolerance pattern value-belief pattern
39
focused assessment
assessment of areas in which problems are evident
40
3 stages of interview
1. the opening, when rapport is established with the patient 2. the body of the interview, when the necessary questions are presented 3. the closing segment of the interview
41
Medical records review
a data collection tool that assists in obtaining the info needed to interview the patient intelligently or to prepare adequately for the day's patient assignment
42
3 parts of problem statement/ nursing diagnosis
1. patient's problem or potential problem 2. causative or related factors, which can include patho 3. specific defining characteristics or S&S
43
what takes precedence when prioritization
physiologic needs for basic survival airway always comes first
44
short-term goals
those that are achievable within 7-10 days or before discharge
45
long-term goals
take many weeks or months to achieve often relate to rehabilitation
46
planning in long-term care facilities
same as for any other facility Family members are usually invited to help
47
planning in home health care
nurses collaborate with family members concerned with care of patient when choosing expected outcomes
48
When should a care plan be reviewed
once every 24 hours
49
clinical pathway/ care map
step-by-step approach to the total care of the patient
50
dependent nursing action
requires a primary care provider's order
51
document
on each patient at least every 2hours and make some note about each problem statement/nursing diagnosis at least once every 24hrs
52
documentation
recording of pertinent data in the clinical record
53
evaluation
judgment of the effectiveness of the intervention or plan and is a collaborative process a continual process
54
implementation
giving care
55
independent nursing action
does not require a primary care provider's order, but does require critical thinking and clinical judgment
56
interdependent action
those that come from collaborative care planning
57
interventions
actions
58
nursing audit
the examination of a series of patient records to determine whether nursing care for those patients met particular standards and particular outcomes
59
outcome-based quality improvement
goal is to improve nursing practice improvement of the quality of performance
60
quality improvement
identifying specific areas that need changes
61
When planning time for uninterrupted care consider these 4 things
whether visitors will be coming when diagnostic tests are scheduled what time the primary care provider may come to see the patient medication admin schedules

Foundations (10 decks)

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