Unit III Exam 2

Question 1

What is a disciplin specific, reflective, reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns?

Answer 1

Critical thinking

Question 2

Critical analysis

Answer 2

Determining essential information

Question 3

Socratic questioning

Answer 3

Differentiate between truth & assumptions

Question 4

Inductive reasoning

Answer 4

Specific example to generalized conclusion

Question 5

Deductive reasoning

Answer 5

From generalized to specific conclusion

Question 6

What level of anxiety is the best to learn something at?

Answer 6

Mild

Stimulates learning

Question 7

Relativism

Answer 7

Knowledge is relevant

When you are older

Question 8

Assumes there is only one right answer

Answer 8

Dualism
Best way is to memorize
When you are young

Question 9

Collect data, analyze, formulate solutions, implement action & evaluate

Answer 9

Problem solving process

Question 10

Approach that enables nurses to manage explosion of new literature & knowledge
Allows nurses to search for, assess & apply best practices to care

Answer 10

Evidenced based practice

Question 11

Three main elements of evidenced based practice

Answer 11

Best evidence from well designed research studies
Clinicians expertise
Pt’s values & preferences

Question 12

PICO

Answer 12

P- pt

Question 13

Which is the fastest growing subgroup of the late adulthood population?

Answer 13

85-99 years old

The old old

Question 14

What is the current % of individuals older than 65 years old?

Answer 14

13%

Question 15

During as dement you suspect the pt may be depressed, your next action is to?

Answer 15

Administer the geriatric depression scale short form

Question 16

What is thought to be the primary cause of aging?

Answer 16

Genetic theory

Question 17

Safety issues with the elderly

Answer 17

Side rails up
Bed lowest position
dangle @ bedside b4 standing
Shoes with non skid soles

Question 18

When can restraints be used? What do the prevent?

Answer 18

Only as a last resort & by MD order

Helps with preventing falls, pulling out iv’s

Question 19

Reality orientation

Answer 19

Aware of:
Person
Place
Time
Circumstance

Question 20

Turn non ambulatory pt’s every?

Answer 20

Every 2 hours

Question 21

Slow insidious progressive loss of cognitive function, chronic state

Answer 21

Dementia

Question 22

Usually transient condition characterized by difficult concentration, disorganized thinking, sensory misperceptions, acute state

Answer 22

Delirium

Question 23

Are adult day care centers acceptable?

Answer 23

Yes

Question 24

What is the purpose of teaching?

Answer 24

Promote health
Prevent illness/injury
Restoration of health
Adapting to altered Heath & function

Question 25

Process of activities intended to produce learning | Dynamic interaction between teacher & student

Answer 25

Teaching

Question 26

Manipulated environment for intended response | Pavlov's dog

Answer 26

Behaviorism

Question 27

Refers to rational thought | Teach from simple to complex

Answer 27

Cognitive

Question 28

Difficult to measure learning in this domain

Answer 28

Affective domain

Question 29

Learn skills that require integration of knowledge with muscular activity

Answer 29

Psychomotor domain

Question 30

Learning is self motivated, self initiated & evaluated

Answer 30

Humanism | Uses both cognitive & affective domains

Question 31

Name some factors that effect learning.

Answer 31

Motivation | Active involvement

Question 32

What domain of learning does learning take place?

Answer 32

Cognitive Affective Psychomotor

Question 33

What are key factors in cognitivism?

Answer 33

Developmental & individual readiness

Question 34

Geragogy

Answer 34

Teaching older adults | Takes longer to process information

Question 35

Subjective, non specific feeling of uneasiness, tension, apprehension or impending doom

Answer 35

Anxiety

Question 36

T/F | Anxiety is not the same as stress

Answer 36

True

Question 37

Symptoms of anxiety

Answer 37

``` Increase: B/P, heart rate Palpations Nausea Wringing of hands Confusion Sweating ```

Question 38

Nursing process components

Answer 38

``` A- assess D-diagnosis P-planning I-implement E-evaluate ```

Question 39

NANDA

Answer 39

Develop, revise nursing diagnosis terminology

Question 40

Pt benefits of the nursing process

Answer 40

Helps to provide continuous care, pt centered

Question 41

Nurse benefits of nursing process

Answer 41

Enhancing professional creative care, helps effectiveness in daily care Helps collaborate with other team members & pts

Question 42

Professional benefits of the nursing process

Answer 42

Define scope of nursing practice

Question 43

Methods of data collection

Answer 43

Observe pt Interview with pt, family Physical exam Chart review

Question 44

Pt's perception of his/her health problems Involves feelings " my leg hurts" Pt is only one who can provide this data Symptoms

Answer 44

Subjective

Question 45

Observations or measurements made by data collector Sources include physical exam, diagnostic results, pt records Signs

Answer 45

Objective

Question 46

Who is the primary & best source of data

Answer 46

Pt

Question 47

Data validation

Answer 47

Double check your data | Ensure accuracy of info

Question 48

Data that is acquired through the 5 senses

Answer 48

Cues

Question 49

Nurses judgement or interpretation of cues

Answer 49

Inferences

Question 50

A clinical judgement about individuals, family or community responses to actual or potential health or life processes

Answer 50

Nursing diagnosis

Question 51

Types of nursing disgnoses

Answer 51

Actual Risk Wellness

Question 52

Steps in developing a nursing diagnosis

Answer 52

``` Identify problem (NANDA list) Identify etiology (related to factors) Identify the defining characteristics (signs & symptoms) ```

Question 53

Actual nursing diagnosis

Answer 53

Statement comes from NANDA list

Question 54

Risk nursing diagnosis

Answer 54

2 part statement No signs & symptoms Ex. Risk for falls r/t fatigue and altered gait

Question 55

A clinical judgement about a individual, family or community in transition from a specific level of wellness to a higher level of wellness

Answer 55

Wellness diagnosis

Question 56

Medical diagnosis

Answer 56

Goal - cure disease

Question 57

Nursing diagnosis goal

Answer 57

Treat human response not disease | Caring for mind, body, spirit

Question 58

Physiological problems that nurses monitor & collaborate with medicine for co-treatment

Answer 58

Collaborative problems

Question 59

Descriptive statements about what the pt's state will be after the nursing interventions are carried out

Answer 59

Expected outcomes

Question 60

Criteria for writing expected outcomes

Answer 60

``` Clear concise Specific (be able to measure) Realistic for pt What the pt will accomplish Includes a time frame ```

Question 61

The # 1 intervention is?

Answer 61

Assess

Question 62

Types of nursing interventions

Answer 62

Independent- things done without MD order Dependent-require MD order Interdependent-standing orders, protocols

Question 63

Cognitive NI

Answer 63

Teach | Education

Question 64

Interpersonal NI

Answer 64

Use therapeutic communication

Question 65

Technical NI

Answer 65

Perform routine nursing activities

Question 66

Monitoring NI

Answer 66

Ongoing assessment of pt

Question 67

Carrying out the proposed plan of care to resolve the problem

Answer 67

Implementing

Question 68

Determine the pt's response to the MI's & the extent to which the EO's have been achieved

Answer 68

Evaluating

Question 69

Metacognition

Answer 69

Thinking about thinking