Quiz 2

Question 1

critical thinking

Answer 1

the ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process to ensure safe nursing practice & quality care

Question 2

MAAUR

Answer 2

2nd level of prioritization. Require immediate intervention to prevent further deterioration

Question 3

Delegation

Answer 3

assignment of the performance of activities or tasks related to patient care to UAP while retaining accountability for the outcome

Question 4

7 frameworks to help you set priorities and how they are used

Answer 4

Maslow’s hierarchy of needs: self actualization, self esteem, love and belonging, safety and security, physiological needs
Nursing processes: assess, diagnose, plan, implication, evaluation
ABC’s: airway, breathing, circulation
Saftey and risks: patient safety, greatest risk, and significance to other risks
Least restrictive: least restrictive/ invasive first
survival potential: expectant, nonurgent, urgent, emergent, recourses
acute/chronic, urgent/nonurgent, stable/unstable: first: acute, urgent, and unstable
critical care judgement model: recognize cues, analyze cues, prioritize hypothesis, generate solutions, take action, evaluate outcomes

Question 5

what questions to ask to recognize cues

Answer 5

what information is relevant
what information is the most important
what is of immediate concern
do not connect cues with hypothesis just yet

Question 6

what questions do I need to ask to analyze cues?

Answer 6

what client conditions are consistent with the cues
are there cues that support or contradictive a particular condition
why is a particular cue or subset of cues of concern
what other information would help establish the significance of a cue or set of cues

Question 7

what questions do I need to ask to generate solutions

Answer 7

what are desirable outcomes
what intervention can achieve those outcomes
what should be avoided

Question 8

what questions do I need to ask to prioritize hypothesizes

Answer 8

which explanations are most/least likely
what possible explanations are the most serious

Question 9

what questions do I need to ask to take action?

Answer 9

which intervention or combination is most appropriate
how should the interventions be accomplished (performed, requested, administered, comminated, taught, documented, etc)

Question 10

what questions do I need to ask to evaluate outcomes?

Answer 10

what signs point to improving/declining/unchanged status
were the interventions effective
would other interventions have been more effective

Question 11

How do I put all the frameworks together to organize patient care?

Answer 11

Assess ABC’s, assess safety, pain, educate what is happening and why and feelings

Question 12

What is MAAUAR

Answer 12

mental status changes and alternations
acute pain
acute urinary elimination concerns
unaddressed and untreated problems that require immediate attention
abnormal and other diagnostic data that are outside of normal limits
risk including those relating to healthcare problems like safety, skin breakdown, infection, and other medical conditions

Question 13

what are some 3rd-level priorities

Answer 13

all problems and concerns not covered in 2nd level needs and ABC’s
education and feelings

Question 14

when should I call the provider and what should I do before I call the provider

Answer 14

does that patient have an immediate need before I leave the room ( airway, fallen)
gather information before calling
look at the patient, symptomatic or not
Double-check vitals manually
check the chart for patients trending vitals, allergies, meds they’ve had before, pain score, and last dose.
change in patient condition
ABC’s
if the patient is stable, get full vitals, and lab values, and assess symptoms

Question 15

what are the additional principles of prioritization?

Answer 15

available resources and staff
qualification of staff
what things can be delegated
how much time is involved in skills

Question 16

NEVER DELEGATE

Answer 16

medications, initial assessments, care plans, initial education

Question 17

How do I determine which patient I should see first

Answer 17

ABC’s

Question 18

what theory does

Answer 18

expands scientific knowledge and offer well grounded rationales, explains relationships among variables, forms a basis for our approach to nursing care

Question 19

phenomenon

Answer 19

concepts , definitions, assumptions or propositions

Question 20

environment/ situations

Answer 20

all possible conditions that affect patients and settings where to go for help
continous interaction between patient and enviornment which has positive and negative effects on level of health and health care needs
fatcors relating to home, work, or community

Question 21

Florence nightingale

Answer 21

believed nursing could improve a patients environment to facilitate recovery and prevent complications

Question 22

components of SBAR

Answer 22

S- situation
B- background
A- assessment
R- recommendation

Question 23

delegation basics and rules

Answer 23

RNs- never delegate critical patients, assignments care planning, and patient education. They can only delegate to other RN’s
LPNs- can only care for stable and chronic patients
Nursing assistants- tasks, always discuss and report back to the nurse

Question 24

Theory most to least abstract

Answer 24

meta theory
grand theories
middle range theories
practice theories

Question 25

Meta theories

Answer 25

Human beings are viewed as open energy fields with unique life experiences. As energy fields, they are greater than and different from the sum of their parts and cannot be predicted from knowledge of their parts. Humans, as holistic beings, are unique, dynamic, sentient, and multidimensional, capable of abstract reasoning, and creativity

Question 26

Grand theories

Answer 26

Grand theories are abstract, broad in scope, and complex, therefore requiring further research for clarification.
Grand nursing theories do not guide specific nursing interventions but rather provide a general framework and nursing ideas.
Grand nursing theorists develop their works based on their own experiences and their time, explaining why there is so much variation among theories.
Address the nursing metaparadigm components of person, nursing, health, and environment.

Question 27

Middle range theories

Answer 27

More limited in scope (compared to grand theories) and present concepts and propositions at a lower level of abstraction. They address a specific phenomenon in nursing.
Due to the difficulty of testing grand theories, nursing scholars proposed using this level of theory.
Most middle-range theories are based on a grand theorist’s works, but they can be conceived from research, nursing practice, or the theories of other disciplines.

Question 28

Practice theories

Answer 28

Practice nursing theories are situation-specific theories that are narrow in scope and focuses on a specific patient population at a specific time.
Practice-level nursing theories provide frameworks for nursing interventions and suggest outcomes or the effect of nursing practice.
Theories developed at this level have a more direct effect on nursing practice than more abstract theories.
These theories are interrelated with concepts from middle-range theories or grand theories.

Question 29

nursing process

Answer 29

Input- the interaction of physiological, psychological, developmental, sociocultural, environmental, and spiritual domains
system: assessment, evaluation, implementation, planning, nursing diagnosis
Output- patient’s health status better for return