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Nurs 202 > Lecture 1 > Flashcards

Lecture 1 Flashcards

1
Q

Critical Thinking

A

Looking beyond the obvious, exploring patient responses and seeing what needed to benefit patient

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2
Q

Characteristics of Critical Thinkers: 6

A
  • Raise questions and anticipate questions
  • Willingness to search for answers
  • Are inquisitive
  • Eager to acquire new knowledge
  • Consider multiple perspectives
  • Explore ideas in new ways
  • Are open-minded
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3
Q

Critical Thinking =

A

Character + Knowledge + Skills

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4
Q

Critical Thinking requires the habit to…

A

Ask questions to be well informed, being honest in facing biases and to reconsider and think differently about issues

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5
Q

Critical thinking is a…

A

Multidimensional Thinking process

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6
Q

Critical Thinking Skills

A
  1. Identify assumptions
  2. Identify an organized and comprehensive approach to assessment
  3. Validate
  4. Normal vs Abnormal
  5. Make interferences
  6. Cluster related clues
  7. Relevant vs Irrelevant
  8. Recognize inconsistencies
  9. Identify patterns
  10. Missing information
  11. Promote Health
  12. Diagnosis actual/potential problems
  13. Set Priorities
  14. Identify patient- centred expected outcomes
  15. Determine specific interventions
  16. Evaluate/ revise your thinking
  17. Determine a comprehensive plan
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7
Q

Set Priorities

A

1st Level (ABCDS)

  • Airway
  • Breathing
  • Circulations
  • Deficit (losing consciousness)

2nd Level

  • Acute pain
  • Abnormal Lab Values

3rd Level
-Anything that doesn’t fit

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8
Q

Nursing Process…

A

a thoughtful, informed, evidence-based, and ethical nursing practice

AD PIE
(DYNAMIC, MOVES BACK AND FOURTH, NOT LINEAR)

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9
Q

Assessment

A

Collection of data relating to clients health status

a. Collect and verify Data
- Physical exams
- Family info
- Old charts
- Asking them
- Blood

b. Analyse the data
- think holistically

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10
Q

Types of Data

A

Subjective
Objective
Constant
Variable Data

Create data cluster

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11
Q

Subjective

A

Pt States (symptoms)

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12
Q

Objective

A

Observations (signs)

  • Vital signs
  • What you observe
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13
Q

Constant

A

Data that cannot change

  • Name
  • Gender
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14
Q

Variable Data

A

Data that can Change

  • Weight
  • Pain
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15
Q

Sources of Data

A

Primary source
-pt

Secondary Source
-Family, support people

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16
Q

AOVD

A

Analyse

Organize (data cluster)

Validate (double check)

Document

17
Q

Nursing DIAGNOSIS

A

Clinical judgement about individual, family, or community responses to actual or potential health problems/ life processes.

Provides basis for selection of interventions to achieve outcomes for which the nurse is accountable

(NOT A MEDICAL DIAGNOSIS, relates to it but not the actual diagnosis)

18
Q

Nursing Diagnosis Types

A
  1. Actual (existing problem)
  2. Risk (Potential problem pt vulnerable to)
  3. Health Promotion (focus on being healthy)
  4. (based on group of S&S that occur together, provide clinical picture)
19
Q

PES (how to write nursing diagnosis)

A

Problem - Diagnosis Label

Etiology - Cause/ contributor to problem ( R/T)

(as evidenced by)
Symptoms

EXAMPLE:

P: Acute pain -> E: Abdominal discomfort -> S: Patient stating “this pain in my stomach is unbearable”

20
Q

Planning (with outcomes

A

Use priority setting - attend to the most important needs first

Combine goal with stated outcome and timeframe:

  • goals = broad statements
  • Outcomes = Specific, observable data

Can be as many outcomes as goals

Example: Patient will have decreased pain as evidenced by
Verbalization of pain rated less than 9/10 in 1 hour.

21
Q

SMART (goal setting)

A 
Singular
Measurable
Attainable
Realistic
Timed (short or long-term)
22
Q

nursing Interventions

A

Used to achieve Client goals

Direct or in direct

  • Independent: Initiated and carried out by nurses alone
  • Dependent: Dependent on physician’s orders (giving meds)
  • Collaborative: Carried out by working with other health care pro’s

Must indicate rationale: significance?

23
Q

Criteria when selecting interventions:

A
  • Safe and appropriate
  • Achievable considering available resources
  • Congruent with values/beliefs/culture
  • Congruent with other therapies
  • Based on evidence/research
  • Within our scope of practice
24
Q

Implementation (acting on Nursing interventions)

A
  • Reassess the pt (review/revise)
  • Determine need for assistance

(Prevent complications, safety and lack of knowledge)

  • Organize Resources
25
Q

Evaluation (6)

A
  1. Identify outcome criteria
  2. Collect data and compare with desired outcomes
  3. Interpret and summarize findings
  4. Document findings
  5. Continue/ revise/ terminate care plan
  6. Document evaluation.

Example: 19/09/14 Goal met: Pt states “I feel better now” after having a bowel movement.

Nurs 202 (20 decks)

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