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nursing process/critical thinking > Unit Two Test > Flashcards

Unit Two Test Flashcards

1
Q

when you gather history and physical assessment

A

assessment phase

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2
Q

putting plan into action

A

implementation phase

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3
Q

did the outcome come out as wanted

A

evaluation phase

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4
Q

what is the pneumonic for steps in nursing proccess

A 
ADPIE
assessment
diagnosis
planning
implementation
evaluation
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5
Q

assessment is ________

A

ongoing

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6
Q

what do you first assess

A

chief complaint

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7
Q

maslow’s hierarchy

A 
physiological needs
safety needs
love and belonging
esteem needs
self actualization
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8
Q

actual problem=

A

ongoing problem

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9
Q

not as important because has not happened yet=

A

risk for

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10
Q

sex is located in what stage and why

A

physiological need because something has happened and lost participation in physical activity for a while

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11
Q

what are the 3 parts of formulating a nursing diagnosis

A

problem statement
etiology
defining characteristics

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12
Q

what is the pneumonic used for nursing diagnosis

A

PES
problem
etiology
signs and symptoms

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13
Q

avoid using ______ diagnosis with nursing diagnosis statement

A

medical

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14
Q

what is the first step in any plan

A

establish patient outcome

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15
Q

an outcome statement should have

A

objective, observable patient behaviors which are MEASURABLE and REALISTIC

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16
Q

planning needs to be

A

specific

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17
Q

outcome will need to start with

A

“the patient will..”

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18
Q

outcomes can be

A

short or long term

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19
Q

when planning outcome what is the pneumonic used

A 
SMART
specific
measurable (quantity, freq, weight)
attainable
realistic
time limited (short term/ long term)
20
Q

planned treatments and actions that are performed to help the patient to reach the outcomes that are set for them

A

nursing interventions

21
Q

no order needed=

A

independent nursing interventions

22
Q

in conjunction with an interdisciplinary team member

A

interdependent nursing interventions

23
Q

require an order

A

dependent nursing interventions

24
Q

your actions you are going to perform to help patient reach goal will always start with

A

” the nurse will…”

25
Q

interdependent is when working with

A

nutrition, physical therapy etc

26
Q

carrying out nursing interventions

A

implementation

27
Q

while implementing you need to

A

include your patient

28
Q

who should evaluate

A

author of the plan of care
nurses responsible for pt care
healthcare team
the patient too

29
Q

fecal impaction

A

may or may not need an order

30
Q

need what parts of brain for critical thinking

A

both sides

31
Q

what separates professional nurses form technical and ancillary staff

A

clinical decision-making skills

32
Q

“its true because I believe it”

A

innate egocentrism

33
Q

“its true because we believe it”

A

innate socioecentrism

34
Q

“its true because I want to believe it

A

innate wish fulfillment

35
Q

“its true because I have always believed it”

A

innate self-validation

36
Q

“its true because it is in my selfish interest to believe it”

A

innate selfishness

37
Q

purposefully thinking back on a situation to discover purpose or meanign

A

reflection

38
Q

nurse who engages in critical thinking is also to express ideas and thinking in clear and precise terms, articulate

A

language

39
Q

the direct understanding of particulars in a situation without conscious deliberation

A

intuition

40
Q

attitudes for critical thinking

A

responsibility, disciplined, integrity

41
Q

what should you never use when documenting

A

white out
erasable ink
obliterate
NO pencils

42
Q

summary worksheet reference of basic information that traditionally is not part of the record

A

Kardex

43
Q

vertical or horizontal columns for recording dates and times and related assessment and intervention information

A

flow sheets/forms

44
Q

in a court of law “care not documented is

A

care that was not provided”

45
Q

why would it be a reason to document refusal of medication

A

because it looks like you forgot to give it and will be accused of not doing your job

46
Q

how would you correct errors

A

single line through entry error and your initials

47
Q

how would you enter a late entery

A

add the entry to the first available line and label “late entry” (in body of entry add what time it was supposed to be entered and also add what time it is your entering data now

nursing process/critical thinking (1 decks)

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