Week 3 Lecture Flashcards

(52 cards)

1
Q

Collect and analyze subjective and objective Data about the paitents health problems

A

Assessment

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2
Q

State the health problem

Nursing Process

A

Diagnosis / Analysis

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3
Q

ID expected results

Nursing Process

A

Outcome identification

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4
Q

Write a ______ that includes the nursing interventions designed to achieve expected outcomes

Which part of the nursing process is

A

Care plan

Planning

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5
Q

Which part of the nursing process is document the actions?

A

Implementation

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6
Q

Clinical Judgment Measurement Model: Recognize Cues

A

Assessment

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7
Q

Clinical Judgment Measurement Model: Analyze Cues

A

Diagnosis / Analysis

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8
Q

Clinical Judgment Measurement Model: Prioritize Hypothesis

A

Outcome Identification

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9
Q

Clinical Judgment Measurement Model: Generate Solutions

A

Planning

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10
Q

Clinical Judgment Measurement Model: Take Actions

A

Implementation

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11
Q

Clinical Judgment Measurement Model: Evaluate Outcomes

A

Evaluation

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12
Q

Which Org. Formally classifies nursing diagnoses

A

NANDA North American Nursing Diagnosis Association

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13
Q

How to formulate a nursing Diagnosis

A

Use assessment to develop a problem list.

Then prioritize the problems

Make diagnosis for biggest problems

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14
Q

Diagnosis (Patients Response): Impaired gas exchange

_______: ineffective airway clearance

_______: copious tracheostomy secretions, decrease in O² saturation, and increase WOB (work of breathing)

A

r/t (related to)

AEB (as evidenced by)

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15
Q

AEB in a nursing Diagnosis is aka

A

Symptoms

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16
Q

Actual nursing diagnosis have ___ parts: Name them

A

Problem, r/t, AEB

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17
Q

Risk nursing diagnosis has ___ parts: Name them

A

2

Problem, r / t

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18
Q

Wellness nursing diagnosis have 1 part - Name it

A

Statement of ability to transition to a higher level of well

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19
Q

SMART

A

Specific
Measurable
Appropriate
Realistic
Timely

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20
Q

Evidence Based Practice

Hierarchy of Evidence(Top = Greatest)

Systematic Review
____________
Cohort Studies
___________
Expert Opinion

A

Randomized Controlled trails

Case reports

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21
Q

______ transforms evidence into recommendations for practice

22
Q

______ refers to using the research findings in clinical practice

23
Q

Steps in Implementing EBP

  1. Ask a question about a clinical area of interest or intervention
  2. Collect the most relevant and best data
  3. ________
  4. Integrate the evidence with clinical expertise, paitent preferences, and ___ in making a decision to change
A
  1. Critically appraise the evidence
  2. Values
24
Q

Sources for Evidence Based Practices
(EBP)

Quality improvement, risk management, and benchmark data

International, national, and local standards/ guidelines

________

________

______

A

Journal Articles

Research Reports

Infection Control Data

25
Used to promote essential knowledge, skills, and attributes necessary to improve patient outcomes and reduce errors
(QSEN) Quality and Safety Education for Nurses
26
Clinical Judgment Model / Nursing Process what information is relevant/ irrelevant? What information is most important What is your immediate concern Identify relevant and important information from different sources ( medical history, vital signs)
Recognize Cues / Assessment
27
NCSBN Clinical Judgment Measurement Model / Nursing Process What client conditions are consistent with the Cues Are there Cues that support or contraindicate a particular condition Why is a particular cue or subset of Cues or co concern What other information would help establish the significance of a Cues or set of Cues Organizing and linking the recognized Cues to the clients Clinical presentations
Analyze Cues / Diagnosis
28
NCSBN Clinical Judgment Measurement Model / Nursing Process Which explanations are most / least likely Which possible explanations are the most serious Evaluating and ranking hypotheses according to priority (urgency, likelihood, risk difficulty, time
Priority hypothesis/ Outcome Id
29
NCSBN Clinical Judgment Measurement Model / Nursing Process Item development should focus on ranking the potential issues and should use phrases such as "most likely "
Prioritize hypotheses/ Outcome Identification
30
Hierarchy of Evidence Which is th3 most bias / weakest
Expert opnions
31
Hierarchy of Evidence The 2nd lowest (2 of 5) has to do with a Single Patient and treatment given to them
Case Report
32
Hierarchy of Evidence When you take a preselected group (have something in common) And do a treatment on them (3 of 5)
Cohort studies
33
Hierarchy of Evidence A group of people are randomly assigned a treatment/ not given treatment. (Double Blind) 4/5
Randomized controlled studies
34
Hierarchy of Evidence Reviewing multiple Randomized Control Studies and considered the most reliable
Systematic review aka meta analysis
35
Taking research and making recommendations to start new procedures in Healthcare
Translation
36
Difference between Translation & Intergration
Translation is recommended Integration is actually doing
37
Steps in Implementing EBP (5) in order
Ask Collect Appraise Integrate Evaluate
38
When asking clinical questions, use this format?
Population Intervention Comparison Outcome Time
39
Looking at charts and labs, Dr notes, and medical history Nursing process
Assessment
40
PICOT clinical research question
Population Intervention Comparison Outcome Time
41
Clinical Judgment Model Clinical Judgment Model Define a set of interventions for the expected outcomes Evaluation and ranking hypotheses to priority
Generate solutions/ Planning
42
Establishing goals is this part of the nursing process
Outcome ID
43
Convert nursing process to CLINICAL JUDGMENT MODEL Assessment
Recognize Cues
44
Convert nursing process to CLINICAL JUDGMENT MODEL Diagnosis/ Analysis
Analyze Cues
45
Convert nursing process to CLINICAL JUDGMENT MODEL Outcome ID
Prioritize Hypothesis
46
Convert nursing process to CLINICAL JUDGMENT MODEL Planning (actions you will take to achieve goals)
Generate Solutions
47
Convert nursing process to CLINICAL JUDGMENT MODEL Implementation
Take action
48
Convert nursing process to CLINICAL JUDGMENT MODEL Evaluación
Evaluate outcomes
49
How do you write Outcomes in the nursing diagnosis
SMART
50
Paitents Values and Preferences Best Research Evidence Clinical Expertise Make up
EBM (Evidence Based medicine)
51
Ask Collect Appraise Integrate Evaluate Steps in Implementing....
EBP Evidence Based Practices
52
List the nursing process
Access Diagnose Outcomes Planning Interventions Evaluación