exam 2 chapters 10-15

Question 1

What is assessing?

Answer 1

collecting, validating, and communicating patient data

Question 2

Define Diagnosing

(as part of the nursing process)

Answer 2

analyzing patient data to identify patients strengths and problems

Question 3

Define Planning

(as part of the nursing process)

Answer 3

Specifying patient outcomes and related nursing interventions

Question 4

define Implementing

(as part of the nursing process)

Answer 4

carrying out the plan of care

Question 5

Define Evaluating

(as part of the nursing process)

Answer 5

measuring the extent to which the patient achieved outcomes

Question 6

Define Dynamic as a characteristic of the nursing process

Answer 6

Great interaction and overlapping among the five steps

(systematic, dynamic, interpersonal, outcome oriented, universally applicable)

Question 7

Give three benefits (for nurses) of the nursing process

Answer 7

working collaberatively with others

satisfaction of making a difference in patients lives

opportunity to grow professionally

Question 8

List the different types of problem solving

(associated with the nursing process)

Answer 8

Trial and Error Problem Solving

Scientific Problem Solving

Intuitive Problem Solving

Critical thinking: Intuitive, logical, or both

Question 9

The Nursing process is a person-centered outcome oriented process.

true or false?

Answer 9

true

Question 10

Each step of the nursing process depends upon the accuracy of the steps preceding it. The process provides a framework that enables the nurse and patient to accomplish ADPIE

true or false?

Answer 10

true

Question 11

List the 7 steps of Scientific Problem solving in order

Answer 11

1. Problem identification
2. Data collection
3. hypothesis formulation
4. plan of action
5. hypothesis testing
6. interpretation of results
7. evaluation

(resulting in the conclusion or revision of the hypothesis)

Question 12

Critical thinking often involves scientific problem solving but it also involves intuition, logic, and ________ ________

Answer 12

creative thinking

Question 13

Lipe and beasley define decision making as……

Answer 13

” a purposeful, goal directed effort, applied in a systematic way to make a choice among alternatives.”

(they determined that chosing not to act in a certain situation is a decision)

(also emphasized that all decisions have consequences)

Question 14

What do the standards of Nursing Practice do?

(just a review)

Answer 14

allow nurses to carry out professional roles, serving as protection for the nurse, the patient, and the institution where the health care is being provided

Question 15

Is Nursing practice part of the Nursing Process or is the Nursing Process part of the Nursing Practice?

Answer 15

Nursing Process is part of the Nursing Practice

Question 16

Who is normally the primary and the best source of information for collecting data?

Answer 16

the patient

Question 17

When collecting data, which patients would be considered patients with limited mental or communication capacity

Answer 17

• young children
• older adults with dimentia

Question 18

Define observation

Answer 18

the conscious and deliberate use of the 5 senses to gather data

Question 19

Sign vs Symptom

Which is which?

Answer 19

Signs can be measured

Symptoms cannot be measured

(ex: vital signs are signs)

Question 20

What is an interview?

Answer 20

planned communication

Question 21

The nursing physical assessment involves the examination of all body parts called the ROS, what does this stand for?

Answer 21

Review of Systems

(ROS)

Question 22

List the 4 methods used to collect data during physical assessment

(hint: IPA or IPPA)

Answer 22

Inspection

Palpation

Percussion

Auscalation

(sometimes percussion is not included)

Question 23

Nurses use the language of cues and inferences to describe the early analysis of data

(the subjective and objective data you identify)

If a nurse says “the patient does not respond when I speak to him on his left side”, this is a ______.

When a nurse says “the patient’s hearing may be impaired on his left side”, this is _______.

Answer 23

cue

inference

Question 25

What is Critical thinking?

Answer 25

a systematic way to form and shape one’s thinking.

it functions purposefully and exactingly

thought that is disciplined, comprehensive, based on intellectual standars, and as a result, well-reasoned

Question 26

What is the term clinical reasoning referring to?

Answer 26

it’s a specific term referring to ways of thinking about patient care issues (determining, preventing, and managing patient problems

Question 27

What is clinical judgment?

Answer 27

refers to the result or outcome of critical thinking or clinical reasoning—the conclusion, decision, or opinion you make

Question 28

What are the standards for critical thinking?

Answer 28

clear, precise, specific, accurate, relevant, plausable, consistent, logicalm deep, broad, complete, significant, adequate, and fair

Question 29

Alfaro defines critical thinking as, “your ability to focus your thinking to get the results you need in various situations.”

and claims that “critical thinking makes the difference between whether you _______ or _____

Answer 29

succeed or fail

Question 30

What is the Nursing Interventions Classification system?

(NIC)

Answer 30

the first comprehensive, validated list of nursing interventions applicable to all settings that can be used by nurses in multiple specialties and facilitates the work of identifying appropriate interventions.

Question 31

define outcome identification

Answer 31

observation of the patient to demonstrate the resolution of the problems identified by the nursing diagnoses and general problem list, along with the time frame for accomplishing these outcomes.

Question 32

What should a nursing history clearly identify about a patient?

Answer 32

their strengths and weaknesses;

health risks such as hereditery ot environmental factors

potential and existing health problems

Question 33

what is nurse-initiated intervention?

Answer 33

independent nursing actions that involve carrying out nurse-prescribed interventions written on the nursing plan of care

Question 34

What is a physician-initiated intervention?

Answer 34

dependent nursing actions, involving carrying out physician prescribed orders