Objective 1

Question 1

a challenge and dynamic type of nursing that involves caring for acutely ill adults experiencing complex variations in health
The scope of this type of nursing is very broad, therefore, nurses in this area are expected to maintain a large skillset and knowledge base
demonstrates adaptability and a strong commitment to ensuring the best possible pt outcomes
Utilize a broad range of evidence-informed knowledge and clinical and critical thinking skills to address the needs of acutely ill adults and their families

Answer 1

medical-surgical nursing

Question 2

a broad term that refers to purposeful, focused, deliberate, informed, results-oriented thinking and includes both clinical reasoning and clinical judgement

Answer 2

critical thinking

Question 3

a more specific term that refers to ways of thinking about pt care issues

Answer 3

clinical reasoning

Question 4

refers to the outcome of critical thinking and clinical reasoning

Answer 4

clinical judgement

Question 5

A continuous interactive process involving the explicit consideration of the best available evidence to provide care
Basing health care decisions on evidence is essential for quality care in all areas of nursing to optimize outcomes for clients, communities, and families

Answer 5

evidence-informed practice

Question 6

what are the 4 elements contributing to the evidence-informed nursing practice?

Answer 6

clinical state, setting, circumstances
pt preferences/actions
best research evidence
health care resources

Question 7

what is PICOT?

Answer 7

pts/population of interest
intervention
comparison or comparison group
outcomes
time period

Question 8

A problem-solving approach to the identification and treatment of pt health problems. Provides a framework to organize the knowledge, judgements, and actions the nurses supply in pt care
Focuses on actual or potential health problems

Answer 8

nursing process

Question 9

what are the 5 phases of the nursing process?

Answer 9

Assessment
Diagnosis
Planning
Implementation
Evaluation

Question 10

Written as a two or three-part statement (PES)

Answer 10

nursing diagnosis

Question 11

a brief statement of the pts potential or actual health problem

Answer 11

problem (P)

Question 12

a brief description of the probable cause of the problem; contributing or related factors

Answer 12

etiology (E)

Question 13

a list of the objective and subjective data cluster that leads the nurse to pinpoint the problem; critical, major, or minor defining characteristics

Answer 13

S&S (S)

Question 14

Collection of data to determine a client’s current and past health
Establish an individual database regarding the client’s health and needs

Answer 14

critical thinking and assessment

Question 15

is foundational to a comprehensive and accurate nursing assessment

Answer 15

critical thinking

Question 16

A visual representation that shows the connections between a client’s health problems. It fosters a holistic view of the client and identifies linkages between the multiple variables affecting the client’s health
Promotes critical thinking and serves as a starting point for the development of a comprehensive, individualized care plan

Answer 16

concept mapping

Question 17

The ranking of nursing diagnoses or client problems, through the use of principles such as urgency or importance, to establish a preferential order for nursing actions
Ensures nurses attend to the client’s most important needs first

Answer 17

priority setting/decision making

Question 18

Nurses need to carefully evaluate the identified nursing diagnoses, the urgency of the problems, and the resources of the client and health care system.
Goals should be client-centred, specific, realistic, and measurable

Answer 18

planning

Question 19

usually less than a week, in acute care may be within hours (Client will report pain-free within 2 hours)

Answer 19

short term goals

Question 20

usually several weeks, or months (Client will be tobacco-free within 60 days)

Answer 20

long-term goals

Question 21

The selection of nursing interventions involves complex decision-making and is based on critical thinking to ensure that an intervention is correct and appropriate for the clinical situation

Answer 21

implementation

Question 22

An ongoing process whenever a nurse has contact with a client
This process ensures that all facets of the client’s health are considered

Answer 22

evaluation