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EPCC Nursing Foundations > Key Highlights from Nursing Process Lecture > Flashcards

Key Highlights from Nursing Process Lecture Flashcards

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1
Q

List the different type of reasoning

A

Socrative
Inductive
Deductive

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2
Q

Describe socrative reasoning

A

Examines multiple points of view/ examines assumptions and looks for inconsistencies

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3
Q

Describe indcutive reasoning

A

Generalizations formed from a set of facts or observations

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4
Q

Describe deductive reasoning

A

General premise to the specific conclusion

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5
Q

Normal electrolytes

A

Na - 135 - 145
K - 3.5 - 5.0
Cl - 95 -108
Ca - 8.5 - 10.5
Mg - 1.5 - 2.5
Ph - 2.5 - 4.5

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6
Q

Describe objective data

A

Measurable data (i.e. vital signs, lab values, information on medical chart)

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7
Q

Describe subjective date

A

Anything the pt tells you or the information given to you by their family members or caregivers. This is THEIR story and only they can tell it.

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8
Q

In the cognative domain of learning, what are the four types of styles:

A

Problem solving
Decision making
Creativity
Critical thinking

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9
Q

Which parts of the nursing process overlap each other?

A

Assess and Evaluation

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10
Q

Which four parts of the nursing process belong to the pt?

A

Assess
Diagnosis
Plan
Evaluation

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11
Q

What part of the nursing process belong to the nurse?

A

Intervention

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12
Q

What are the two types of interpersonal skills?

A

Verbal
Nonverbal

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13
Q

Describe verbal interpersonal skills

A

Speaking

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14
Q

Describe nonverbal interpersonal skills

A

Touch
facial expressions
gestures

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15
Q

When should the initial assessment take place?

A

Should be completed in 24 hours

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16
Q

What is included in the initial assessment?

A

Complete health hx
Physical examination

17
Q

All NANDA dx do this

A

Promote taxonomy of nursing

18
Q

In a NANDA two part label, it does not have __________.

A

Signs / symptoms

19
Q

What are the three types of planning?

A

Initial
Ongoing (done by all nurses who work with pt)
Discharge

20
Q

What are the four types of nursing care plans?

A

Informal
Formal
Standardized (formal - actions for group of clients with common needs)
Non standardized

21
Q

What are the types of nursing interventions?

A

Independent
Dependent

22
Q

What is initial planning?

A

Client contact - continues until pt leave
Hands on exam

23
Q

Describe independent nursing interventions:

A

Actions that the nurse can do without being told or ordered (teaching ensuring the pt is in a safe environment, monitoring the pt)

24
Q

Describe dependent nursing interventions

A

Responsibilities that have been ordered or authorized by the attending physician (medication administration)

25
Q

How are nursing care plans evaluated?

A

Met
Partially met
Not met

26
Q

When gathering subjective data, you can legally get information from these people regarding the patient:

A

Parents
Care givers
(both secondary sources of data)

27
Q

What are the four types of assessments?

A

Initial
Problem focused
Emergency
Time lapsed

28
Q

Describe what a problem focused assessment is

A

Ongoing process with nursing care to determine a status of a specific problem identified in an earlier assessment. (ex: hourly assessment of I&O for pt in ICU)

29
Q

Describe what an emergency assessment is

A

Any physiologic or psychologic crisis (ex: rapid assessment of Pts airway, breathing, and circulation during cardiac arrest)

30
Q

Describe a time-lapsed assessment

A

Occurs several months after initial assessment (compares current status to baseline data previously obtained)

31
Q

Using a direct interview method, which type of questions are asked?

A

Close ended questions (yes or no// begin with: when, where, who, does/did, is-are-was)

32
Q

Using the non-directive interview method, which type of questions are asked?

A

Open ended (broad topics// begin with: what, how, would you describe)

33
Q

In the physiological level of Maslow’s Hierarchy of needs, what are the priorities?

A

Oxygen
Food
Water
Shelter
Maintaining body temperature
Sleep
Excretion

EPCC Nursing Foundations (43 decks)

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