Exam 1: Chapters 1,3,4 Nursing Process Flashcards
What does critical thinking mean?
use of cognitive knowledge skills or strategies that increase the probability of a desirable outcome.
What is clinical reasoning ?
good thinking in nursing care
What is clinical judgement
The outcome of critical thinking and decision making
What are the 8 clinical thinking traits?
intellectual humility, intellectual courage, intellectual empathy, intellectual autonomy, intellectual integrity, intellectual perseverance, faith in reason and fair mindedness
What is intellectual humility?
ability to say “I’m not sure about that…. I need more information”
What is intellectual courage
allows you to look at other points of view even when you DO NOT agree
What is intellectual empathy?
being able to think like the patient, put yourself in their shoes
What is intellectual autonomy?
think about what you observe and determine for yourself what is safe
What is intellectual integrity
the discipline of striving to be thorough and honest
What is intellectual perseverance?
being about to NOT GIVE UP
What is faith in reason?
believe that good clinical reasoning will result in the best clinical judgments and best patient outcomes
What is fair mindedness?
Making sure thinking is not biased by something you want for yourself.
Identify 6 Critical thinking skills
- gather data, 2. identify the problem, 3. decide what outcome is desirable, 4. plan what to do, 5 implement the interventions in your plan and 6. evaluate the plan of care.
What are two ways to use critical thinking skills?
problem solving and anticipating what might go wrong.
What does vigilance mean?
anticipating what might go wrong, watching carefully for signs that a problem might be occurring and preventing it by notifying the proper individuals.
What does nursing process mean
clinical problem solving process that links thinking with actions in nursing practice. it is used to determine patient needs by collecting data, formulating nursing diagnoses and planning, implementing and evaluating care.
What are the five steps of the nursing process?
data collection, nursing diagnosis, planning care, implementation, evaluation
What does subjective data mean?
information provided verbally by the patient
What does objective data mean
pieces of factual information obtained through physical assessment and diagnostic tests that are observable through the five senses.
What does “WHATS UP” stand for?
W- Where is it? H How does it feel? A Aggravating and alleviating factors, What makes it worse or better, T timing - when did it start
S-Severity- How bad is it, what do you rate the pain? U- Useful other data, what other symptoms are present
P Patients perception of the problem.
What is a nursing diagnosis?
Clinical judgement concerning a human response to health conditions/ life processes, or a vulnerability for that response by an individual, family, group or community.
What does Maslow’s Hierarchy of Needs involve?
Basic physiological needs, safety and security, love and belonging, self-esteem, self actualization, planning, implementation, evaluation,
Nursing Diagnoses: Which of the following are NANDA-I-nursing diagnoses? Which are medical diagnoses? Impaired Physical Mobility Ineffective Coping Herniated Disk Fractured Femur Diabetes Impaired Gas Exchange Appendicitis Activity Intolerance
Impaired Physical Mobility
Ineffective Coping
Impaired Gas Exchange
Activity Intolerance
In which of the following ways is critical thinking useful to the nursing process?
- It highlights the solution to a problem.
- It can lead to a better outcome for the patient.
- It simplifies the process.
- It helps the nurse arrive at a solution more quickly.
- It can lead to a better outcome for the patient
Which nurse is exhibiting intellectual humility?
- the nurse who is an expert at wound care
- the nurse who reports an error to the supervisor
- the nurse who tries to empathize with the patient
- The nurse who asks a coworker about a new procedure.
- the nurse who asks a coworker about a new procedure.
The nurse teaches a patient the importance of stopping smoking. Which of the following patient responses provides the best evidence that the teaching was effective?
- I have a brother who died of lung cancer, I know smoking is bad
- I tried to quit 5 years ago, and I really would like to, but it is very hard.
- Thank you for the information. I will call the smoke stoppers organization today
- I know you are right. I should stop smoking.
- Thank you for the information. I will call the smoke stoppers organization today.
Place the steps of the nursing process in correct chronological order of use. Use all options. Nursing diagnosis Evaluation Data collection Planning care Implementation
Data collection planning care nursing diagnosis implementation evaluation
A 34-year-old mother of three is newly admitted to a respiratory unit because she has pneumonia. She has all the following problems. Based on the Maslow hierarchy of human needs, place the problems in order of priority.
1 Frontal headache related to stress of hospital admission
2 Anxiety related to concern about leaving children
3 Shortness of breath related to newly diagnosed pneumonia
4 Deficient knowledge related to discharge plan
3 shortness of breath related to newly diagnosed pneumonia
1 frontal headache related to stress of hospital admission
2 anxiety related to concern about leaving children
4 deficient knowledge related to discharge plan.
The nurse is collecting data on a newly admitted patient who has an ulcerated area on his left hip. It is 2 inches in diameter and 1 inch deep, with yellow exudate. Which of the following statements best documents the findings in the patient’s database?
1 Wound on left hip, 2 inches diameter, 1 inch deep, infected
2 Left hip wound, large, deep, with yellow drainage
3 Pressure injury on left hip, yellow drainage
4 Wound on left hip, 2 inches in diameter, 1 inch deep, yellow exudate
- wound on left hip, 2 inches in diameter, 1 inch deep, yellow exudate
