Module 3 nursing process Flashcards
process of international higher level of thinking to define a client’s
problem, examine evidence-based practice in caring for the patient and making
choices in the delivery of care.
Critical Thinking
cognitive process that uses thinking strategies to gather and
analyze client information, evaluate its relevance and decide on nursing actions to
improve outcomes
Clinical Reasoning
Conclusion about a patient’s
needs or health problems that
leads to taking or avoiding action,
using or modifying standard
approaches or creating new ones
based on patient’s responses
Clinical
Judgment
Please review clinical judgement diagram
begin
proactive
THINK AHEAD
reflective
thinking
THINK BACK
The process of critical thinking
requires the nurse to 3
THINK AHEAD
APPLY THINKING WHILE
ACTING
. THINK BACK
Application of a set of questions to a particular
situation or idea to determine essential information
and ideas and discard unimportant ones
Critical
Analysis
Technique one can use to look beneath the surface,
recognize and examine assumptions, search for
inconsistencies, examine multiple points of view
and differentiate what one knows from what one
believes
Socratic
Questioning
Generalizations formed from a set of facts or
observations (from specific to general)
Inductive
Reasoning
Reasoning from general premise to specific
conclusions
Deductive
Reasoning
Levels Of Critical Thinking 3
CommitmentComplexBasic
consider wide array
of clinical alternatives, apply all
elements of clinical judgment
model automatically
Commitment
independent decision-making,
creativity, with initiative to look beyond
expert opinion, consideration of different
solutions, options and approaches
Complex
answers are either right or wrong, single
solution to a problem
Basic
Please review knowledge based
Technique that uses a
graphic depiction of
nonlinear and linear
relationships to represent
critical thinking
CONCEPT MAPPING
A systematic, rational method of
planning and providing
individualized nursing care. * Purposes to identify a client’s health
status
NURSING
PROCESS
Please review assessing diagnosis chichu
based on the client problems rather than nursing goals
CLIENT-CENTERED
CHARACTERISTICS of Nursing
Process
CLIENT-CENTERED
ADAPTED FROM PROBLEM-SOLVING AND SYSTEMS THEORY
DECISION-MAKING
INTERPERSONAL AND COLLABORATIVE
USED IN ALL HEALTHCARE SETTINGS
UTILIZES CRITICAL THINKING AND CLINICAL REASONING
Database
1)
physical assessment, 2) primary care
provider’s history, 3) laboratory and
diagnostic results, 4) materials by other
HCP
referred to as symptoms or covert data, apparent
only to the individual and can be verified only by that individual
Subjective Data
referred to as signs or overt data, detectable by an
observer or can be measured or tested against an accepted
standard
Objective Data
best source of data, unless too ill,
young or confused to communicate clearly
CLIENT
can supplement or
verify information provided by the client,
important source for a client who is very
young, unconscious, confused
SUPPORT PEOPLE
information
documented by various HCP
CLIENT RECORDS
information from previous contact with the
client
HEALTH CARE PROFESSIONALS
professional journals and
reference texts
LITERATURE
DATA COLLECTION
METHODS (3)
OBSERVING, INTERVIEW, EXAMINING
gathered by using
the senses
OBSERVING
planned
communication
with a purpose
INTERVIEW
systematic data
collection to
detect health
problems (IAPP)
EXAMINING
The nurse asks the client specific
questions t collect information
Focused Interview
highly structured and elicits
specific information
Directive Interview
Rapport-building
Nondirective
Types of Interview Questions
Closed Ended, Open Ended, Neutral, Leading,
Distance
2-3 feet
Seating
Arrangement
45 degree angle to the bed
act of double-checking or verifying data to confirm that it
is accurate and factual
VALIDATING DATA
