module 1: Clinical Reasonin Flashcards
What is the nursing process?
A deliberate problem-solving approach for meeting people’s health care and nursing needs.
What are the steps of the nursing process?
ADPIE
- Assessment.
- Diagnosis.
- Planning.
- Implementation.
- Evaluation.
what are the three different kinds of assessments a nurse does?
1) primary survey - ABCDE
2) secondary survey - subjective patient
3) Objective- head-to-toe assessment
Diagnosis?
data analysis
medical diagnosis?
Determined by physician or nurse practitioner
Nursing diagnosis?
Actual or potential problems that Interventions that nurses can perform independently
Collaborative problems?
Certain physiological complications that nurses monitor to detect onset or changes in status. Nurses manage collaborative problems using physician-prescribed and nurse-prescribed interventions to minimize he complications of the events.
Nurses and other HCP working to solve problems
Do registered nurses have the authority to diagnose conditions? (if yes, give example)
Yes.
For example, you diagnose hypoglycemia in your patient, and treat it, following your organization’s hypoglycemic decision support tool (DST).
· You diagnose respiratory disease in your asthmatic patient. You treat it, following your organization’s asthma DST.
What are the two frameworks within implementation of an ethical analysis?
Utilitarian approach: Predict the consequences of the alternatives; assign a positive or negative value to each consequence; choose the consequence that predicts the highest positive value.
Deontologic approach: Identify the relevant moral principles; compare alternatives with moral principles; appeal to the “higher-level” moral principle if there is a conflict.
What is the NANDA?
Nursing diagnosis: North American Nursing Diagnosis Association (NANDA) International is the official organization responsible for developing the taxonomy of nursing diagnoses and formulating nursing diagnoses acceptable for study.
Where do nurses collect data from?
· Patient’s chart
· A, B, C, D, E – primary survey
· Head to toe objective assessment – secondary survey
- Patient's subjective concern
- Family members
· Laboratory values
· Medical imaging
· PharmacologyWhat are the 6 different kinds of framework nurses use to organize data?
1) A,B,C,D.. Objective, subjective
2) ADPIE - nursing process
3) IDRAW - communication
4) SBAR - communication
5) QSEN - quality and safety education in nursing
6) Teaching and learning theory (bandura)
How are actual problems supported? give examples
with evidence and data
Pain related to (r/t) asthma o SOB r/t asthma o Hypoxia r/t pneumonia o Knowledge deficit r/t medications o Nausea r/t chemotherapy treatment o Pedal edema r/t heart failure o Constipation r/t narcotics and decreased mobility o Infective tissue perfusion r/t GI bleed
How are potential problems supported? give examples
have partial or no evidence
Risk of infection r/t dressings
o Risk for constipation r/t narcotics
o Risk for fall r/t decreased mobility
o Risk for DV r/t decreased mobility
o Risk for depression r/t chronic pain
o Risk for UI r/t indwelling urinary catheter
o Risk for skin breakdown r/t decreased mobility
What is critical thinking?
- is a cognitive or mental process of set of procedures.
- involves reasoning and purposeful, systematic, reflective, rational, outcome-directed thinking
- includes metacognition: the examination of one’s own reasoning or thought processes to help refine thinking skills
- enhances clinical decision making
