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med surg 1 > chapter 1,2,3,4 > Flashcards

chapter 1,2,3,4 Flashcards

1
Q

critical thinking

A

the use of cognitive skills or strategies that increase the probability of a desired outcome

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2
Q

WHAT’S UP

A

W- where is it
H- how does it feel
A- aggravating and alleviating factors
T- timing
S- severity
U- useful other data
P- patients perception of problem

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3
Q

clinical judgement

A

the outcome of critical thinking

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4
Q

intellectual humility

A

” Im not sure about that I need more information”

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5
Q

Intellectual autonomy

A

you will observe and determine what is safe or not

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6
Q

intellectual integrity

A

values the truth “I am not comfortable speaking about that patient”

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7
Q

CUS

A

C- I am concerned
U- I am uncomfortable
S- This is a SAfety issue

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8
Q

Vigilance

A

the act of being attentive, alert and watchful. state of awareness that enables you to anticipate a problem

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9
Q

prioritizing patient problems

A
  • life threatening
  • health threatening
  • health promoting
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10
Q

steps in clinical judgement process

A
  1. identify and analyze cues
  2. prioritize hypothesis
  3. generate solutions
  4. take action
  5. evaluate outcomes
  6. repeat
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11
Q

evidence based practice

A

systemic process that uses current evidence to make decisions about patient care

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12
Q

evidence informed practice

A

use of evidence in practice

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13
Q

1st level of evidence based practice

A

systemic reviews: strongest evidence, evidence of randomized controlled trials

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14
Q

level 7 of evidence based practice

A

expert opinion: opinion from authority; weakest level of evidence

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15
Q

dependent nursing intervention

A

delegated by health care provider

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16
Q

independent nursing intervention

A

does not require health care provider order , under supervision of registered nurse

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17
Q

EBP process

A

ASKME
Ask, Search, thinK, Measure, Make it happen, Evaluate

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18
Q

PICOT

A

framework that identifies relevant, searchable question keywords on databases

19
Q

PICOT stands for

A

P- population, patient problem
I- intervention
C- comparison
O- outcome
T- time frame

20
Q

health care delivery is influenced by

A

constant evolution that will impact your career

21
Q

factors influencing health care change

A

aging and increasingly cultural diverse population, new viruses, multidrug infectious organisms, human trafficking awareness, technology

22
Q

Autocratic (Authoritarian) Leadership

A

high degree of control and gives little to no control to others. leader determines goal

23
Q

Democratic (participative) leadership

A

moderate degree of control, others given some control and freedom. participation is encouraged in determining goal

24
Q

Laissez Faire ( delegative) leadership

A

exerts no control over the group, no one is responsible for determining goal

25
Q

ethics

A

study of traditions, values and beliefs related to people/ relationships

26
Q

Bioethics

A

ethical principles and values applied to human life and research

27
Q

morals

A

persons values, standards set by ones conscience

28
Q

values

A

standards/ concepts giving meaning to individuals life

29
Q

autonomy

A

right of self determination, independence and freedom

30
Q

beneficence

A

actions and treatments taken will benefit a person and promote welfare

31
Q

nonmaleficence

A

obligation to “do no harm”

32
Q

fidelity

A

obligation to be faithful to commitments

33
Q

veracity

A

virtue of truthfulness

34
Q

Justice

A

fairness and equality

35
Q

torts

A

lawsuits for personal injury

36
Q

malpractice

A

the breach of a professional duty

37
Q

culture

A

socially transmitted behavior patterns , beliefs, customs, and other characteristics of peoples world

38
Q

cultural competence

A

skills and knowledge required to provide effective nursing care

39
Q

cultural humility

A

a lifelong process of thinking about ones own cultural beliefs and identities while learning about others

40
Q

ethnocentrism

A

thinking that ones culture ways of thinking, acting and believing are the only right and natural ways

41
Q

spirituality

A

essential connections that provide meaning and purpose in life; god or higher power

42
Q

health disparities

A

preventable differences in disease burden, injury or opportunities to achieve optimum health

43
Q

cultural awareness

A

to have an appreciation for and attention to a cultures celebrations , foods, etc

44
Q

most prominent value in western medicine

A

research base

med surg 1 (3 decks)

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