Evidence Based

Question 1

Nurses collect data about the individuals state of ______. The purpose is to make a judgement or _______.

• History: ________ data
• Physical exam: ______ data

Answer 1

health, diagnosis, subjective, objective

Question 2

_______ ________ is the process of analyzing health data and drawing conclusions to identify diagnoses.

*Attending, formulating (hypothesis), _______, Evaluating.

Cue- (a piece of info, a sign or symptom)

Answer 2

diagnostic reasoning, gathering

Question 3

What are the six phases of the nursing process?

Answer 3

1. ) Assessment
2. ) Diagnoses
3. ) Outcome identification
4. ) Planning
5. ) Implementation
6. ) Evaluation

Question 4

________ includes collecting data (review of the clinical record, interview, health history physical exam, functional assessment, risk assessment, consultation, review of the literature).

• use evidence bases techniques
• document relative data

Answer 4

Assessment

Question 5

_______ compares clinical findings with normal and abnormal variation and developmental events.

• Interpret data- identify clusters of ____, make hypotheses, test hypotheses, derive.
• Validate
• Compare cluster of cues with definitions and defining characteristics
• identify related factors
• Document

Answer 5

Diagnosis, cues `

Question 6

_______ ___________ is individualized to the person, culturally appropriate, realistic and measurable, include a timeline.

Answer 6

outcome identification

Question 7

While _______; establish priorities, develop outcomes, set timelines for ________, identify interventions, integrate _____ based trends and research, ______ plan of care.

Answer 7

Planning, outcomes, evidence, document

Question 8

________ in a safe and timely manner, use evidence based interventions and review, collaborate with colleagues, use _______ resources, coordinate care delivery, provide health _______ and health promotion, document any ________

Answer 8

Implement, community, teaching, modifications

Question 9

_________ includes; progress toward outcomes, make sure to conduct systematic, ongoing, criterion-based evaluation, include patient and significant others, use ongoing assessment to revise _______, outcomes, and plan, tell results to patient and family.

Answer 9

Evaluation, diagnoses

Question 10

Is the means by which we asses and modify, if indicated before acting

*Assumptions, organized approach, validation, normal/abnormal, inferences, clustering, relevance, inconsistencies, patterns, missing info, health promotion, diagnoses, priorities, outcomes, interventions, evaluation, comprehensive plan.

Answer 10

Critical thinking

Question 11

Consideration of the whole person, views the mind, body and spirit as interdependent and functioning as a whole within the environment

Answer 11

Holistic Health

Question 12

Type of data that is the total health of the individual and includes a health history and a full physical exam. Describes the current and past health state and forms a baseline against which all future changes can be measured.

Answer 12

Complete database

Question 13

Type of data for a limited or short-term problem, here you collect a “mini” database of usually one problem, cue complex or one body system

Answer 13

Focused or Problem-centered (episodic) database

Question 14

Type of data for the status of any identified problems that should be evaluated at regular and appropriate intervals. What change has occurred? is the problem getting better or worse?

Answer 14

Follow-up database

Question 15

Type of data that calls for rapid collection of the data, often compiled concurrently with lifesaving measures.

ex: substance overdose in ER, first history questions: what did you take? how much? when?

Answer 15

Emergency database