Nursing Judgement and Spirt of Inquiry

Question 1

What is patient centered care

Answer 1

recognition of the patient or caregiver as the source of control and full partner in providing compassionate an coordinated care based on respect for patients preferences, values and needs

Question 2

What is QSENs definition of teamwork and collaboration

Answer 2

patient and family centered care the nurse must function effectively within nursing and interprofessional teams, fostering open communication, mutual respect and shared decision making

Question 3

What does SBAR stand for

Answer 3

situational, background, assessment, recommendation

Question 4

What does SOAP stand for

Answer 4

subjective, objective, assessment and plan

Question 5

What is system thinking goal

Answer 5

to develop awareness of the relationships that exist between individual care and the overall context of the care safety and quality improvement

Question 6

What is QSEN

Answer 6

national initiative that informs best practice at multiple levels within the systems based continuum of care

Question 7

What are some barriers to interprofessional collaboration

Answer 7

miscommunication, distrust, lack of respect among provider types, different levels of perceived importance, misunderstanding of each other roles

Question 8

What is clinical judgment

Answer 8

the visible or observed outcome of critical thinking and decision making that considers nursing knowledge, client situations, prioritization of client problems and concerns while utilizing evidence based practice

Question 9

What are the 6 phases of clinical judgement

Answer 9

recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, evaluate outcomes

Question 10

What is critical thinking

Answer 10

the skill of learning to analyze and interrupt data to solve a problem to achieve a desired goal

Question 11

What does critical thinking include

Answer 11

questioning, analysis, synthesis, interpretation, inference, inductive, intuition, application, and creativity

Question 12

What is clinical reasoning

Answer 12

analyzing all the data getting rid of irrelevant data of a clinical situation to make a decision

Question 13

What does AAPIE stand for

Answer 13

accessing, analyzing, planning, implementing, evaluating

Question 14

What is maslows hierarchy of needs from least to most

Answer 14

physiological needs, safety, love, esteem, self actualization

Question 15

What does ABCDE stand for

Answer 15

airway, breathing, circulation, disability, exposure

Question 16

What is priority setting

Answer 16

delivery of nursing care based on the most critical intervention or action is first

Question 17

What are the principles of prioritization

Answer 17

systemic before local (life before limb), acute before chronic (acute has less opportunity for physical adaptation), actual problems before potential future problems

Question 18

What does CURE stand for when prioritizing client care

Answer 18

critical (life threatening), urgent (could suffer harm), routine, extras (promote comfort)

Question 19

What is delegation

Answer 19

one person assigning tasks to another person

Question 20

What are some things that could be delegated to an LPN

Answer 20

PO meds, continuous IV fluids (but not start them), urinary cath (insert and removal), ostomy care, non sterile dressing changes, give vaccines

Question 21

What is the most important to remember when considering delegation

Answer 21

each person should understand their own scope of practice and stay in it

Question 22

What are the steps of nursing process for an LPN

Answer 22

data collection (collect data and report changes to RN), planning (implement plan under supervision and guidance of RN), implementation ( collaborate with RN to take action), evaluation (evaluate effectives)

Question 23

What does PACET stand for when considering what cant be delegated

Answer 23

planning, assessment, collaboration, evaluation, teaching

Question 24

What are the five rights of delegation

Answer 24

right task, right circumstance, right person, right direction and communication, right supervision and evaluation

Question 25

What is acuity

Answer 25

the complexity of a clients condition, ranked from stable to high risk based on the tasks involved in their care

Question 26

What is a acuity calculation tool

Answer 26

helps ensure client assignments are consistent and fair

Question 27

What is noncompliance

Answer 27

defined as failure to act in accordance with a plan

Question 28

What could be some reasons for noncompliance

Answer 28

could be bc of challenges outside of the clients control

Question 29

What is time management

Answer 29

the process of planning time available in accordance with goals to achieve

Question 30

What should be included in discharge planning

Answer 30

understandable discharge instructions, ongoing/emergency care info, explain self fare activites, list of commonly outpatient resources, knowledge of patients language/culture/health literacy, medication reconciliation

Question 31

What is continuity of care

Answer 31

the transition of a client from one area within the same facility, from on level of care to a higher and more intense level or to a less intense level and any discharges to the home in the clients community

Question 32

What is spirit of inquiry

Answer 32

persistent sense of curiosity that informs both learning and practice – raise questions, challenge practices, and seek creative approaches to problem solving

Question 33

What are the steps of evidence based practice process

Answer 33

assess (determine clinical problem), ask (well build clinical question), acquire (conduct a research), appraise (appraise for closeness to the trust and usefulness), apply (integrate evidence), evaluate

Question 34

What should be included when deciding if research is good (article wise)

Answer 34

published In the last 5 years, intervention explicitly listed, data to support the intervention, ongoing study, peer reviewed