Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS 200 > Nursing Process & Critical Thinking > Flashcards

Nursing Process & Critical Thinking Flashcards

1
Q

what are the FIVE STEPS OF THE NURSING PROCESS?

A

**ADPIE

  1. ASSESSMENT
  2. DIAGNOSIS
  3. PLAN
  4. IMPLEMENT
  5. EVALUATE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

definition of ASSESSMENT

A

gathering INFORMATION about the patient’s condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what do we need to FACTOR IN DURING ASSESSMENT?

A
  • use of CRITICAL THINKING SKILLS
  • want to GATHER AS MUCH INFORMATION AS POSSIBLE
  • have to COLLECT, REVIEW, & ANALYZE the DATA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the TWO STAGES OF ASSESSMENT?

A
  1. want to first COLLECT information either from a PRIMARY SOURCE (the patient themselves) or SECONDARY SOURCES (the family, charting)
  2. want to then INTERPRET & VALIDATE THE DATA
    is this data needed?
    does the data make sense?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are our TYPES OF ASSESSMENTS?

A
  • PATIENT CENTERED INTERVIEW
  • PERIODIC ASSESSMENTS
  • PHYSICAL EXAMINATION
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

definition of patient-centered interview

A

conducted during nursing history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

definition of PERIODIC ASSESSMENTS

A

conducted during ONGOING CONTACT WITH PATIENTS
- going throughout the shift

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

definition of PHYSICAL EXAMINATION

A

conducted during the NURSING HISTORY or any time the patient presents a SYMPTOM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are OUR TYPES OF DATA?

A
  • SUBJECTIVE
  • OBJECTIVE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

definition of SUBJECTIVE DATA

A

the patient’s own VERBAL DESCRIPTIONS of their health issues
specific feelings or perceptions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

definition of OBJECTIVE DATA

A

findings that come from DIRECT OBSERVATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are some important parts of a NURSING HEALTH HISTORY?

A
  • PMH
  • FAMILY HISTORY
  • PERSONAL & SOCIAL HISTORY
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

definition of CULTURAL COMPETENCE

A

having the SELF AWARENESS AND PRACTICE and knowledge of a patient’s core cultural background

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

definition of CULTURAL HUMILITY

A

ability to RECOGNIZE UR OWN KNOWLEDGE LIMITATIONS and perspectives
still being open

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how should data documentation be like?

A

should be CLEAR AND CONCISE and using PROPER TERMINOLOGY
- be able to RECORD AND EVALUATE INTERVENTIONS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

definition of DATA COLLECTION

A

use of INFORMATION about a patient’s needs to adapt your data collection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

definition of INTERPRETATION

A

ability to INTERPRET ASSESSMENT DATA TO see if there are ABNORMALITIES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

definition of VALIDATION

A

comparing data with other sources to determine ACCURACY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is CONCEPT MAPPING?

A

being able to ORGANIZE YOUR ASSESSMENT DATA
- being able to PLACE ALL THE CUES TOGETHER and look for PATTERNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

definition of DIAGNOSIS

A

have the IDENTIFICATION OF A HEALTH-RELATED PROBLEM or the POTENTIAL OF A PROBLEM TO DEVELOP based upon patient data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are the TYPES OF DIAGNOSIS?

A
  • MEDICAL DIAGNOSIS
  • NURSING DIAGNOSIS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what is the DIFFERENCE BETWEEN MEDICAL & NURSING DIAGNOSES?

A
  • medical diagnoses are MORE SPECIFIC to the disease a patient has
  • NURSING DIAGNOSES are specific to the CLINICAL JUDGEMENT of the patient

ex. med. diagnosis - COPD
ex. nursing diag. - ineffective breathing pattern

23
Q

how do we WRITE OUT NURSING DIAGNOSES?

A

through the PES FORMAT

24
Q

describe the PES FORMAT

A
  1. PROBLEM
  2. ETIOLOGY
  3. SYMPTOMS
    - associated data
    - subjective data
    - objective data

(1)problem r/t (2)etiology a.e.b/a.m.b. (3) symptoms

25
Q

definition of COLLOBORATIVE PROBLEMS

A

problem that REQUIRES BOTH MEDICINE AND NURSING INTERVENTIONS totreat

26
Q

what is considered a NURSING DIAGNOSIS?

A

if the nurse can PREVENT THE COMPLICATION or PROVIDE THE PRIMARY TREATMENT for it

27
Q

definition of PROBLEM FOCUSED DIAGNOSIS

A

identifying an UNDESIRABLE HUMAN RESPONSE to existing problems or concerns of the patient

28
Q

definition of a RISK DIAGNOSIS

A

diagnoses that apply when there is an INCREASED POTENTIAL or VULNERABILITY for a patient to develop a PROBLEM OR COMPLICATION

29
Q

definition of a HEALTH PROMOTION DIAGNOSIS

A

identifying the DESIRE OR MOTIVATION to improve health status through a positive behavioral change

30
Q

definition of DATA CLUSTERING

A

set of assessment findings and defining specific characteristics
- being able to be MORE SPECIFIC AND COMPARE DATA – focused in specific PATTERSN

31
Q

definition of DATA INTERPRETATION

A

putting specific LABELS ON PATTERNS and IDENTIFYING PATIENT RESPONSES

32
Q

where do DIAGNOSTIC ERRORS OCCUR?

A
  • improper DATA COLLECTION
  • CLUSTERING
  • wrong ANALYSIS OR INTERPRETATION OF DATA
  • improper diagnostic statement
33
Q

why are DIAGNOSES SO IMPORTANT?

A

allow for a PROPER SELECTION OF NURSING INTERVENTIONS to achieve DESIRED OUTCOMES for patients
- sets an important start for a ROAD MAP OF DELIVERING CARE

34
Q

what is within the PROCESS OF PLANNING NURSING CARE?

A
  • being able to SET PRIORITIES
  • being able to IDENTIFY PATIENT-CENTERED GOALS
  • having the proper PRESCRIPTION OF NURSING INTERVENTIONS
35
Q

what is the IMPORTANCE SCALE FOR NURSING DIAGNOSES?

A

HIGH:
- very important if left untreated can cause HARM TO PATIENT
- maslow

INTERMEDIATE:
- nonemergent or non-lifethreatening

LOW:
- not typically directly related to illness specifically–but can affect the patient’s future well-being

36
Q

what about GOALS, how do they play out during PLANNING?

A

important to consider because this is the end finish line that we want to achieve!

  • is this goal SHORT-TERM or LONG-TERM?

important to be REALISTIC with the goal and priorities that you set

37
Q

definition of SMART GOALS

A

SMART - in setting your goals!

S - be SPECIFIC
M - it should be MEASURABLE
A - it should be ATTAINABLE (whether that is during your shift or throughout recovery)
R - be REALISTIC
T - should be TIME FOCUSED

38
Q

what are the TYPES OF INTERVENTIONS?

A
  • NURSE INITIATED
  • HEALTH CARE PROVIDER INITIATED
  • OTHER PROVIDER INITIATED
39
Q

what is the NURSING INTERVENITONS CLASSIFICATION

A

type of model that is divided into DOMAINS, CLASSES, & INTERVENTIONS

  • helps to ENHANCE COMMS between nurses and setting standards for nursing interventions
40
Q

definition of DIRECT CARE INTERVENTIONS

A

treatments that nurses PROVIDE through interactions with the patient or group of patients

41
Q

definition of INDIRECT CARE INTERVENTIONS

A

treatments that are PERFORMED AWAY from a patient but on the BEHALF OF THE PATIENT or group of patients
- documentation/usage of consultation etc…

42
Q

definition of STANDARD INTERVENTIONS

A
  • interventions that allow the nurses to ACT QUICKLY & APPROPRIATELY
  • captures patient care information that can be shared across disciplines or care settings
43
Q

what are some interventions?

A
  • care bundles
  • PRN orders/standing orders
  • standards of practice
44
Q

definition of CLINICAL PRACTICE GUIDELINES AND PROTOCOLS

A

systemically developed set of statements that are appropriate health care for specific health care problems

45
Q

definition of a CARE BUNDLE

A

group of interventions that are RELATED TO A DISEASE PROCESS OR CONDITION

46
Q

definition of STANDING ORDERS

A
  • prepreinted document that contains MEDICAL ORDERS
  • directs patient care in a specific clinical setting
47
Q

what are STANDARDS OF PRACTICE?

A

use of ANA STANDARDS OF PROFESSIONAL NURSING PRACTICE

48
Q

definition of QSEN

A
  • the QUALITY AND SAFETY EDUCATION FOR NURSES
  • gives proper KNOWLEDGE, SKILLS, and attitudes for the prep of future nurses
49
Q

what to consider BEFORE IMPLEMENTATION?

A
  • what are all POSSIBLE INTERVENTIONS for this patient?
  • are there any CONSEQUENCES for this action?
50
Q

how can we PREVENT COMPLICATIONS?

A
  • identifying RISKS to the patient
  • adapting interventions to the situation
  • comparing the BENEFIT AND RISK
51
Q

definiton of EVALUATION

A

determining if a PATIENTS CONDITION is being IMPROVED AFTER THE NURSING INTERVENTIONS THAT WERE IMPLEMENTED

52
Q

how do we EVALUATE?

A

want to look at the OUTCOMES AND DO A BEFORE AND AFTER COMPARISON OF STANDARDS
- examine results from patient, family, and other nurses
- do these results match with the goals set for this patient?

53
Q

what happens if the OUTCOMES DONT MATCH GOALS?

A
  • either can DISCONTINUE OR MODIFY THE CARE PLAN
  • have to REDEFINE OUR DIAGNOSES
  • REVISE GOALS AND EXPECTED OUTCOMES
  • REVISE INTERVENTIONS

NURS 200 (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions