exam 2 Flashcards
define percussion
two objects striking to make sound; use fingertips to tap body to produce vibrations
define auscultation
using a stethoscope to listen to body sounds
what are the four characteristics of sound
pitch, loudness, quality, duration
what are the four types of assessment
initial comprehensive, lapsed-time, focus, and emergent
define initial comprehensive assessment
performed slightly after admittance to the hospital, performed to establish a complete database for problem identification and care planning, performed by nurse to collect data on all aspects of patients health
define focused assessment
may be performed during initial assessment or as a routine, used to gather data about a specific problem already identified, or to identify new or overlooked problems
define time-lapsed assessment
performed to compare a patients current status to base lined data, used to reassess health status and make necessary revisions in plan of care
define emergent assessment
performed when a physiologic or psychologic crisis occurs, used to identify life threatening problems
what are the parts to thoughtful nursing practice
reflective practice, clinical reasoning, patient centered care
What are potential errors in decision making using the nursing process
Bias, Failure to consider the total situation, and impatience
What are the five steps to the nursing process
Assessing, diagnosing, planning, implementing, and evaluating
Briefly describe assessing as one of the five steps of the nursing process
Collecting, validating, and communicating patient data
Briefly describe diagnosing as one of the five steps of the nursing process
Analyzing patient data to identify patient strength and problems
Briefly describe planning as one of the five steps of the nursing process
Specifying patient outcomes and related nursing interventions
Briefly describe implementing as one of the five steps of the nursing process
Carrying out the plan of care
Briefly describe evaluating that’s one of the five steps of the nursing process
Measuring extent to which patient achieved outcomes
What are the benefits of the nursing process for the patient
- Scientifically-based, holistic individualized patient care, -Continuity of care
- Clear, efficient, cost effective plan of action
What are the benefits of the nursing process for the nurse
- opportunity to work collaboratively with other healthcare workers/ increased communication
- satisfaction of making a difference in the lives of patients
- Opportunity to grow professionally
What are the five characteristics of the nursing process
Systemic, dynamic, interpersonal, outcome oriented, universally Applicable
Briefly describe reflection IN action
Happens in the here and now of the activity and is also known as “thinking on your feet “
Briefly describe reflection ON action
Occurs after the fact and involves thinking through a situation that has occurred in the past
Briefly describe reflection FOR action
Helps a person to think about how future actions might change as a result of the reflection
What is critical thinking
A bridge between information we have an actions we need to take. Imply a search for a reason, purpose, meaning and value. Way to initiate inquiry, provide logic, and Justify conclusions
How can we identify a nurse who uses critical thinking consistently versus one who does not
A critical thinking nurse always explains what they are doing, ask questions, teachers every patient, rechecks everything, says it’s on their mind, is the person you want to work with
