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Nurs 100 > class 5 critical thinking > Flashcards

class 5 critical thinking Flashcards

1
Q

Critical thinking is a combination of:

what 4 things?

A

reasoned thinking
openness to alternatives
an ability to reflect
a desire to seek truth.

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2
Q

Critical thinking definition

A

Critical thinking is the disciplined, intellectual process of applying skillful reasoning as a guide to belief of action.

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3
Q

Critical Thinking Skills

When planning nursing care, what 3 things do nurses do?

A

Gather information about the client

Draw tentative conclusions about the meaning of the information to identify the client’s problems.

Think of several different actions they might take to help solve or relieve the problem.

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4
Q

Concepts for a Critical Thinker
Critical thinkers are:
(5 things)
thinf

A 
Flexible
Nonjudgmental
Inquisitive
Honest
Interested in seeking the truth.
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5
Q

3 Critical Thinking Competencies

A

Problem solving
Decision making
Clinical reasoning

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6
Q

4 examples of Clinical Decision Making

A

Scientific knowledge base
Experience
The nursing process competency
Attitudes for critical thinking

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7
Q

12 Attitudes for Critical Thinking

A 
Courage
Independent thinking
Fairness
Responsibility and accountability
Risk taking
Discipline
Perseverance
Creativity
Curiosity
Integrity
Humility
Empathy
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8
Q

Developing Critical Thinking Skills
(Seeing the BIG picture)
4 examples

A

Reflective journaling
Concept mapping
Case study discussion
Collaboration

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9
Q

Reflective Journaling
What do we ask in a deliberative process?

what 3 questions do we ask ourselves

(question may have to be rewritten when I understand wtf)

A 
A deliberative process
              What did I learn?
             What did I miss?
How do I feel about it? 
What are the implications for the future? 
How will I deal with this next time?
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10
Q

Colleagues

reword

A 
Report
Post Conference
Case Models
Simulation 
Collaboration
Study groups
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11
Q

How do I learn?
(and how do my patients learn?)
what 5 considerations?

A 
Education
Experience
Psychosocial needs
Spiritual needs
Cultural values
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12
Q

what are the Three Domains of Learning?

A

Cognitive learning
Affective learning
Psychomotor learning

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13
Q

Cognitive Learning Behaviors
includes what type of behaviors?
requires what?

A

Includes all intellectual behaviors and requires thinking.

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14
Q

what 6 things would we use with Cognitive Learning Behaviors

A 
Knowledge
Comprehension
Application
Analysis
Synthesis
Evaluation
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15
Q 
Knowledge-Level Question example:
              What do I know?
Who was the founder of the red cross?
Florence Nightingale
Dorothea Dix
Isabel Robb
Clara Barton
A

Clara Barton

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16
Q

what do you ask yourself with a Knowledge-Level Question

A

What do I know?

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17
Q

what do you ask yourself with a Comprehension-Level Question

A

What do I understand?

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18
Q

Comprehension-Level Question example:
What do I understand?

What is the Nursing Process?

The relationship between health care professionals

Standard for nursing practice

Description of nurse-patient relationship according to Peplau

Legally binding agreement for liability coverage for all nurses

A

insert answer here

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19
Q

what do you ask yourself with an Analysis-Level Question

A

What does it mean?

How do I step back, think and reflect?

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20
Q

Analysis-Level Question example:

Which of the following would be a priority for a student with getting a low grade? Select all that apply.

Cut back on work
Organize daily schedule
Drop the class
Spend more time studying
Do some reflective journaling
A

insert answer here

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21
Q

Application-Level Question what do you ask yourself?

A

How do I use it?

What do I do?

22
Q

Application-Level Question example:
How do I use it? What do I do?

Which Standard of Professional Performance applies when you maintain CONFIDENTIALITY of patient information?

Quality of care
Performance Appraisal
Ethics
Collaboration

A

insert answer here

23
Q

Synthesis and Evaluation-Level Question what do you ask yourself?

A

what is the response?

24
Q

Synthesis and Evaluation-Level Question example:

A nurse has lost her license for diversion of controlled substances.

What does this tell you?

The nurse was under investigation by the Health Professional Recovery Program (HPRP)

The hospital failed to report the nurse to the Department of Consumer and Industry Affairs

The nurse likely has a past criminal record

The nurse was probably not following the treatment plan of the HPRP

A

insert answer here

25
Q

Affective Learning Behaviors involves what 2 things?

within those 2 things (above) what 4 things does that include?

A

Involves changes of feelings and acceptance of attitudes, opinions or values.

Includes receiving and responding to new ideas, demonstrating a commitment to new ideas,
integrating new ideas into value system

26
Q

what 3 teaching methods of Affective learning

A

Teaching methods for affective learning:

1:1 Listen
Discussion group
Role plays

27
Q

what is Psychomotor Learning & Teaching Methods

A

Acquiring skills that include the integration of mental and muscular activity

28
Q

Psychomotor Learning & Teaching Methods

Acquiring skills that include the integration of mental and muscular activity

what are the 5 skills? (is this question correct?)

A 
Demo
Practice
Return demo with feedback
Learner uses new skills under supervision
Independent
29
Q

does your state participate in the Nurse Licensure Compact?

A

Michigan is not a compact state

30
Q

how might Nurse licensure compact be important when you become licensed in your state after graduation

A

The Nursing Licensure Compact (NLC) allows nurses to have one license to practice in multiple states. There are currently 34 states participate in LNC, meaning: they recognize the multi state license or have legislation pending

31
Q

what is different bwtn certificate and licensure

perry and potter pg 10

A

liscensure is a nursing requirement to ensure minimum knowledge of nursing practice is met regardless of the nursing program completed. All 50 states require RN to pass the NCLEX-RN

certificate: beyond NCLEX-RN: work toward certification in a specific are of nursing practice. minimum requirements are set. Examples: critical care nurse, maternal-child nurse, research nurse

32
Q

provide 3 examples how malpractice lawsuits could happen

A

Intentional tort: assault, battery, false imprisonment

quasi-intentional tort: invasion of privacy, defamation of character (slander, libel)

unintentional tort: negligence, malpractice

33
Q

how can a nurse ensure that a malpractice action does not occur?

A

follow standards of care
adhere to policy and procedures of facility
give competent care
communicate with other providers
compassionate/caring rapport with patient / family members
accurate and timely documentation

34
Q

patient 2:
The patient is a 20 year old male admitted to the ED with complaints of dizziness, weakness, and fatigue for 2 weeks. He is a college student that admits to being a strict vegan for the last 2 years. He does not eat meat, dairy or nuts. a CBC is drawn. Hemoglobin is 9.0 and hematocrit is 28. no signs of GI bleed.
name 2 nursing interventions:

A

teach importance of a diet high in iron increase H & H (oxygen transport to cells)

provide list of foods high in iron (spinach, legumes, pumpkin seeds, quinoa, broccoli, tofu)

35
Q

religion plays and important role in recovery for many hospitalized patients
provide 2 nursing interventions that could assist a patient with spiritual needs

A

referral to spiritual care service. if religious preference, notify spiritual leader

referral for baptism services for newborn upon request

36
Q

race can impact the illness of an individual due to biologic differences in those vulnerable to a specific disease.
provide an example of a specific condition related to race
perry and potter pg 541

A

skin cancer is higher in Caucasians

prostate cancer is higher in black men

37
Q

culture plays a role in the hospitalized patient.
2 examples nursing interventions for each patient that would assure cultural caring
patient 1: 48 year old female that is 1st day post op with bariatric sleeve for weight loss. her goal is to lose 100lbs in the next year:
perry and potter pg 796

A

teach importance of exercise for health promotion and weight loss. patient will ambulate around the unit ever 2 hours during hospitalization. upon discharge, patient will ambulate 500 feet 3x/day; increasing distance by 100 ft per day

teach importance of adherence to diet plan. patient will consume 1 ounce of protein drink every hour. upon discharge patient will increase diet as ordered to clear liquids as instructed

38
Q

culture of safety

list 3 strategies that healthcare organizations can implement to faster a safe and caring environment for the client

A

new hire orientation that includes policies, procedures, equipment demonstrations and a mentor

patient centered care strategies

patient rounding every hour of shift

accreditation of the facility (the joint commission or others)

annual education requirements including CPR

39
Q

culture of safety
what does a patient-centered care mean, and why is it relevant to nursing?
potter and Perry pg 24

A

patient centered care is an approach to health care delivery that builds relationships among the healthcare providers, patients and their families.
Leads to improved outcomes and patient satisfaction.
Identifying expectations, knowledge, preferences, cultural beliefs, and values is an important part of patient centered care

40
Q

culture of safety

how can an adverse event occur in the healthcare setting?

A

not following polices and procedures of the healthcare facility

41
Q

list 5 interventions that nurses can implement to prevent an adverse event in the healthcare setting

A

proper body mechanics with lifting / moving patients

gait belt when ambulating a patient

infection control: hand washing b4 and after each patient encounter

infection control: adherence to isolation procedures

safety: identify patient with 2 identifiers

42
Q

what is living will used for in health care

A

it is a written document that directs treatment in accordance with a patient’s wishes in the event of a terminal illness or condition. the patient is able to declare which medical procedures her or she wishes to have or not have when no longer able to speak for themselves

43
Q

organizational ethics committees provide nurses with:

A

the teaching and processing of ethical issues and dilemmas. provide clinical ethics, consultations, developing and/or revising policies and procedures

44
Q

how does ethical decision making apply to nursing students

A

health care ethics will change as socity and technologies change, but the common denominators remain:
the basic process to address issues and the nurses’ responsibility to deal with them,.
as future nurses, students will have a basic understanding of ethics and the steps to resolve an ethical dilemma

45
Q

explain how the profession of nursing incorporates ethics into practice and the profession
perry and potter page 296

A
  1. ask the question, is this an ethical dilemma?
  2. gather information related to the case.
  3. clarify values, distinguish fact from opinion and values
  4. verbalize the problems. a clear simple statement of the issue
  5. identify possible course of action
  6. negotiate a plan
  7. evaluate the plan over time
46
Q

what is the research process?

A

an orderly series of steps that allow a researcher to find answers to questions

a. identify a problem
b. review literature, develop a theoretical framework, discuss problem with experts
c. develop research questions / hypothesis
d. conduct the study
e. analyze the results - formulate recommendations for further research, determine implication for nursing, and release the findings

47
Q

how does research relate to EBP?

perry and potter pg 60

A

provides knowledge that nurses will use to provide evidence-based nursing care

48
Q

what is a systematic review
and
what are the types of systemic reviews

A

is a review of a clearly formulated question that uses systematic and reproducible methods to identify, select and critically appraise all relevant research, and to collect and analyze data from the studies that are included in the review.

  1. quantitative: will include studies that have numerical data.
  2. qualitative: derives data from observation, interviews, or verbal interactions and focuses on the meanings and interpretations of the participants. It will include focus groups, interviews, observations and diaries

Chochrane database of systematic review is a valuable source of high quality evidence.
MedLine & CINAHL are among the best-known online databases to search for scientific knowledge in healthcare

49
Q

how do they??? relate to EBP

A

review of data about effects of the treatment and assess the evidence for any benefits or harms from those treatments. systematic review are able to summarize the existing clinical practice

50
Q

what is their????? value to practice

A

practitioners can see considerable time and rely on someone else’s expertise when they are provided with access to evidence

51
Q

why is EBP important to nursing practice?

A

the benefits of implementing EBP are numerous. increases in patient safety, reduction in variations of care, increases positive patient outcomes, and reduces costs associated with health care. as nurses we are accountable and responsible for providing the best nursing care possible. implementing EBP assists with effective, timely and appropriate clinical decisions.

52
Q

what are the barriers to implementing EBP,

how might some of them be overcome?

A

barriers to successful implementation arise from multiple factors including varying education and clinical experiences of nursing staff, and a lack of understanding about its’ importance to optimal high quality patient care

Nurs 100 (10 decks)

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