Topic 6 Critical Thinking and Nursing Process Flashcards

(66 cards)

1
Q

What is critical thinking?

A

A process and a set of skills used for making accurate clinical judgments and decisions

Emphasizes the use of knowledge and reasoning.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Why do nurses need complex thinking skills?

A

To effectively manage fast-paced and constantly changing health care environments

Critical thinking is essential for adapting to various clinical situations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What characterizes Basic Critical Thinking?

A

Concrete thinking based on a set of rules or principles

Involves initial learning and adherence to established guidelines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is Complex Critical Thinking?

A

Separating thinking processes from expert others and analyzing choices independently

Involves considering patient preferences and being creative in problem-solving.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does Commitment in critical thinking entail?

A

Anticipating the need to make choices without assistance and assuming responsibility for those choices

Involves choosing actions based on the viability of alternatives.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the five components of Critical Thinking in Nursing?

A
  • Knowledge base
  • Experience
  • Competencies
  • Attitudes
  • Standards

Each component plays a crucial role in developing critical thinking skills.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How does experience contribute to critical thinking in nursing?

A

It allows safe adaptations of textbook approaches and understanding of clinical situations

Experience helps recognize patient health patterns and discern relevant cues.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is Clinical Decision Making in the context of chest pain?

A

Notifying the healthcare provider, initiating cardiac monitoring, and administering aspirin

Based on urgency to address potential myocardial infarction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What action should a nurse take in response to abnormal liver function tests?

A

Collaborate with the healthcare provider to adjust medication dosage and order additional tests

Aims to address root causes and prevent further harm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What steps are included in the sepsis assessment decision-making process?

A

Initiating sepsis protocol, administering antibiotics, and obtaining blood cultures

Focused on urgency in treating infection and preventing sepsis progression.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What role do attitudes play in critical thinking?

A

Interpreting, evaluating, and making judgments

Attitudes shape how a nurse approaches clinical situations and decision-making.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is an intellectual standard in critical thinking?

A

A guideline or principle for rational thought

It helps maintain logical reasoning in clinical judgments.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What do professional standards promote in nursing?

A

The highest level of quality nursing care for individuals and groups

Essential for ensuring effective and ethical nursing practice.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does leadership mean in the context of nursing?

A

Leadership refers to a shared vision, values, organizational strategy, and relationships.

Leadership in nursing emphasizes collaboration and the collective goals of the healthcare team.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How are nurses considered leaders?

A

Nurses assume a large variety of management and leadership roles in health care to ensure patients get the best care possible.

Nurses often lead teams, advocate for patients, and implement care strategies.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are examples of unregulated care providers?

A

Examples include:
* HCA
* UCP (Unregulated Care Provider)
* Nurse’s aide
* Orderly

Unregulated care providers do not have defined qualifications or established standards.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

List traditional models of care in nursing.

A
  • Team Nursing
  • Primary Nursing
  • Case Management

These models represent different approaches to organizing nursing care.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Who makes decisions in nursing care settings?

A

Staff at all levels make decisions.

It’s important that nurses providing care have their voices and decisions valued.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the key responsibilities of nurses in leadership?

A
  • Autonomy
  • Authority
  • Accountability

These responsibilities are crucial for effective leadership in nursing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is clinical care coordination?

A

Clinical care coordination involves managing care for one patient initially, then expanding to a group of patients.

This skill develops as nursing students progress in their training.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are essential components of clinical decision-making in nursing?

A
  • Priority Setting
  • Time Management
  • Evaluation
  • Delegation

These components are critical for effective patient care.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are tips for effective delegation in nursing?

A
  • Assess the knowledge and skills of the delegate
  • Match the tasks to the delegate’s skills
  • Communicate clearly
  • Listen attentively
  • Provide feedback

Effective delegation improves patient care and team efficiency.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What criteria must an intervention meet to be eligible for delegation?

A
  • Falls within the nursing scope of practice
  • Is part of a well-established plan of care for a specific client
  • Aligns with the client’s plan of care
  • Is at low risk of endangering the client.

These criteria ensure patient safety and adherence to nursing standards.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Fill in the blank: Nurses are coming into ______ roles much sooner than in the past.

A

leadership

This trend highlights the evolving nature of nursing roles in healthcare.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
True or False: Leadership in nursing is solely about making decisions.
False ## Footnote Leadership also encompasses vision, values, and the ability to foster relationships.
26
What is the role of accountability in nursing leadership?
Accountability ensures that nurses are responsible for their actions and decisions in patient care. ## Footnote It is fundamental for maintaining trust and safety in healthcare.
27
What does ADPIE stand for in the nursing process?
Assessment, Diagnosis, Planning, Implementation, Evaluation
28
What is the purpose of nursing health history?
To create a detailed data base and differentiate important data from the total data collected
29
Define 'cue' in the context of nursing assessment.
Information that a nurse obtains through use of the senses
30
What is an inference in nursing?
One’s judgement or interpretation of cues
31
What are the two types of data collected during nursing assessment?
* Subjective * Objective
32
What is subjective data?
Client’s verbal descriptions of their health concerns
33
Provide an example of subjective data.
"I have pain in my chest."
34
What is objective data?
Observations or measurements of a patient’s health status
35
Provide an example of objective data.
Blood pressure: 162/90 mmHg
36
List the three sources of data in nursing assessment.
* Primary: Patient * Secondary: Family, health care team, medical records * Tertiary: Literature, nurse’s experience
37
What is the initial purpose of an organized interview in nursing?
To obtain the patient’s health history and information about the current illness
38
Describe the orientation phase of an interview.
The nurse introduces themselves, describes their position, and explains the purpose of the interview
39
What is the goal of the working phase of an interview?
To gather information about the patient’s health status
40
True or False: Open-ended questions encourage detailed patient descriptions.
True
41
What is a nursing diagnosis?
A clinical judgement about individual, family, or community responses to actual and potential health problems
42
What distinguishes a nursing diagnosis from a medical diagnosis?
A nursing diagnosis focuses on a client’s actual or potential response to a health problem
43
What are the four types of nursing diagnosis?
* Actual nursing diagnosis * Risk nursing diagnosis * Health promotion nursing diagnosis * Wellness nursing diagnosis
44
What is the purpose of a diagnostic label in a nursing diagnosis?
To describe the essence of a patient’s response to health conditions in as few words as possible
45
What does the 'related factors' component of a nursing diagnosis indicate?
Conditions or etiologies identified from the patient’s assessment data associated with the patient’s response
46
What are risk factors in nursing diagnoses?
Environmental, physiological, psychological, genetic, or chemical elements that increase vulnerability to unhealthful events
47
What is the purpose of establishing priorities in nursing planning?
To determine the order of importance for patient care goals
48
What is a goal in the context of nursing care?
An expected outcome for the patient's health status as a result of nursing interventions
49
Fill in the blank: The nursing diagnosis 'Impaired Gas Exchange related to _______ as evidenced by dyspnea.'
pneumonia
50
What is the termination phase of an interview?
The phase where the nurse summarizes important points and indicates the interview is coming to an end
51
What is the purpose of ongoing interviews in nursing?
To update the patient’s status and focus on changes in previously identified problems
52
Provide an example of a health promotion nursing diagnosis.
Readiness for Enhanced Nutrition related to expressed interest in adopting a balanced diet
53
What is the implementation step of the nursing process?
The implementation step initiates or completes planned actions or nursing interventions.
54
What are the key components included in the implementation step?
* Organizing and managing planned care * Aiding with activities of daily living (ADLs) * Counselling or teaching the patient and family * Providing care * Delegating care to others
55
What is the primary aim of the nurse during the implementation step?
To implement safe patient care designed to achieve planned goals and expected outcomes.
56
Define a nursing intervention.
Any treatment, based on clinical judgement and knowledge, that enhances patient outcomes.
57
What characterizes an effective nursing intervention?
Interventions are evidence informed, up-to-date, and effective in addressing patients’ health problems.
58
What are direct care interventions?
Treatments performed through interactions with patients.
59
Provide examples of direct care measures.
* Medication administration * Insertion of an intravenous infusion * Counselling during a time of grief
60
What are indirect care interventions?
Treatments performed away from the patient but on behalf of the patient or a group of patients.
61
List some indirect care measures.
* Managing the patient’s environment (e.g., safety and infection control) * Documentation * Interdisciplinary collaboration
62
What are the types of nursing interventions?
* Standard Nursing Interventions * Direct Care * Indirect Care
63
What does the implementation process include?
* Activities of daily living (ADLs) * Instrumental activities of daily living * Physical care techniques * Life-saving measures * Counselling * Teaching * Controlling for adverse reactions * Preventive measures
64
What are the five elements of the evaluation process?
* Identifying evaluative criteria and standards * Collecting data to determine whether the criteria or standards are met * Interpreting and summarizing findings * Documenting findings and any clinical judgement * Terminating, continuing, or revising the care plan
65
What is the goal of quality improvement in nursing?
To enhance patient care and outcomes through systematic evaluation and improvements.
66
Fill in the blank: A nursing intervention is any treatment based on _______.
[clinical judgement and knowledge]