Evidence-Based Assessment- Ch.1 Flashcards
What is Data Collection?
The collection of data about an individual’s health state.
What is the purpose of Assessment?
The purpose of Assessment is to make a judgment or diagnosis.
What is Objective Data?
What the HCP assess, what’s seen on the patient, labs, diagnostic testing
What is Subjective Data?
What the patient tells you
Is Patient History Objective or Subjective?
Subjective
Is a Physical Exam Objective or Subjective?
Objective
What are the 3 dimensions of Critical Thinking?
1.Theory and experiential knowledge to perform nursing process
2.Commitment to learning to think critically
3.Psychomotor and manual skill development
What’s the First step of the nursing process?
Assessment
What does Assessment Require?
(ARDOSC)
Requires the ability to gather data that is:
Accurate
Relevant
Differentiates normal and Abnormal
Organized
Systematic
Complete
What is Assessment in the Nursing Process?
Collecting Data
What are the 6 Steps in the Nursing Process? (ADPIE)
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
What are the First Level Priorities in Data Collection?
ABC
A-Airway
B-Breathing
C- Circulation
Definition of First Level Priorities
Emergent ,life threatening and immediate
Definition of Second Level Priorities
Next in Urgency, Requiring attention to avoid further deterioration.
Definition of Third Level Priorities
Situations that are important to the patients health but can be addressed after urgent problems (first and second priorities)
What are the Second Level of Priorities in Data Collection?
Amy Changes Institutions
Acute Pain
Change in Mental Status
Infection
What are the Third Levels of Priorities in Data Collection?
Lack of knowledge
Family coping
Activity
Rest
What are the 4 types of Data Collection?
Complete (total health)
Episodic (Problem-centered)
Follow-Up
Emergency
What is Complete Total Health Database?
Describes current and past health state and forms baseline to measure all future changes
What is Episodic or Problem-Centered Database?
Collect “mini” database, smaller scope and more focused than complete database
What is a Follow-Up Database?
Status of all identified problems should be evaluated at regular and approprate intervals
Emergency Database
Rapid collection of data often compiled concurrently with lifesaving measures.
What is EBP?
Evidence Based Practice
Definition of Evidence Based Practice?
It is a systemic approach to practice that emphasizes the use of best evidence.
All pts deserve to be treated with the most current and the best practice techniques to ensure the best patient outcomes.
What is the Role of the Nurse when using EBP?
Participating in Research
Recognizing research that is relevant to practice
Implement Changes in patient care that reflects EBP
What are the 5 steps to EBP?
(Scientific Method)
- Ask the Clinical Question
- Acquire sources of Evidence
- Appraise and synthesize evidence
- Apply relevant evidence in practice
- Assess the Outcomes
Validation of Data Entails?
A. Distinguishing normal from abnormal
B. Making inferences
C. Using an organized and comprehensive approach
D. Checking the accuracy and reliability of the data
D. Checking the Accuracy and reliability of the Data
Which critical thinking skill helps the nurse to see relationships among the data?
A. Clustering related cues
B. Validation
C. Identifying gaps in data
D. Distinguishing relevant from irrelevant
A. Clustering related Cues (putting cues into common themes)
An Example of subjective data is:
A. Decreased range of motion
B. Crepitation in the left knee joint
C. Left knee has been swollen and hot for the past 3 days
D. Reported pain in left knee
D. Reported pain in left knee
Which of the following is considered Objective Data?
A. Alert and oriented
B. Dizziness
C. An earache
D. A sore throat
A. Alert and oriented
Prioritize the following problems as:
1. life threatening
2. urgent
3. can wait
A. B/P 60/40 _____
B. Breathing difficulty, pulse oximeter 88 on room air _____
C. Hunger and thirst ____
D. Anxiety ______
E. Temperature 103 F ______
A. Life threatening (circulation issue)
B. Urgent( below normal Saturation)
C. Can wait
D. Can Wait
E. Urgent
What is Critical Thinking Required for?
Critical thinking is Required for sound diagnostic Reasoning and Clinical Judgement
