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Health Promotion > Clinical Judgment > Flashcards

Clinical Judgment Flashcards

1
Q

What is Clinical Judgment

A

Nurses conclusion and interpretation of data to determine the best response for the patient.

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2
Q

APPIE

A

The nursing Process

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3
Q

What does A stand for in APPIE?

A

Assessment

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4
Q

Assessment

A

Involves collecting data and information from pt.

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5
Q

What does the first P stand for in APPIE?

A

Nursing Problem

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6
Q

Problem

A

-Not a medical diagnosis
-What is the problem I identified from the data?
-analyze and interpret Cues

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7
Q

Problem focused statement

A

______(problem) related to ________(related factors/etiology) as evidenced by _______(defining characteristics/symptoms)

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8
Q

Risk Statement

A

Risk for _____ related to ____(risk factors)

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9
Q

What does the second P stand for in APPIE?

A

Planning

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10
Q

Planning

A

-Set priorities
-Goals
-Nursing Interventions
-Collaborate with pt, family and providers

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11
Q

Goals

A

SMART format
Patient Focused
Customized for pt

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12
Q

SMART

A

Specific, Measurable, Attainable, relevant,Timely

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13
Q

What does I stand for in APPIE?

A

Implement

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14
Q

Implementation

A

Perform interventions
Continually re-assess pt.

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15
Q

What does E stand for in APPIE

A

Evaluation

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16
Q

Evaluation

A

Reflection
Determine if goals and expected outcomes are achieved

17
Q

Tanners Model

A

Noticing
Interpreting
Responding
Reflecting

18
Q

Noticing

A

Collect data
Identify signs and symptoms
Assessment

19
Q

Interpreting

A

Cluster related info
Recognize inconsistencies
Check accuracy and reliability
Distinguish relevant and irrelevant
Create nursing problems

20
Q

Responding

A

Course of action
Implement a plan
Set priorities
Nursing skills

21
Q

Reflecting

A

Process of thinking and learning experiences

22
Q

Reflection in action

A

In real time while care is occurring

23
Q

Reflection on action

A

After the pt care occurs

24
Q

Objective

A

What you see

25
Q

Subjective

A

Things that you are told

Health Promotion (12 decks)

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