Brainscape's Knowledge GenomeTM

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


See full index

NUR 101A > Think Like a Nurse 1 > Flashcards

Think Like a Nurse 1 Flashcards

1
Q

What does it mean to use a trauma-informed and inclusive lens?

A
  • Reframe perspective
  • Reduce retraumatization
  • Value lived experiences
  • See the whole person
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Critical thinking

A

A combination of reasoned thinking, openness to alternatives, an ability to reflect, and a desire to see truth

An active, organized cognitive process used to carefully examine ones thinking and the thinking of others

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

Nursing Process

A

A systematic problem-solving process that is foundational in all nursing actions

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

Situational factors that influence critical thinking ability

A
  • Anxiety, stress fatigue
  • Awareness of risks involved
  • Knowledge of related factors
  • Awareness of related factors
  • Positive reinforcement
    -Evaluative or judgmental styles
  • Presence of motivating factors
  • Time limitations
  • Environmental distractions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Nursing Process

A

Assessment, Diagnosis & analysis, Planning, Implementation, Evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does ADPIE stand for?

A

A= Assessment
D= Diagnosis
P= Planning
I= Implementation
E=Evaluation

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

What is the critical thinking process for assessment?

A
  • Consider the situation
  • Collect information
  • Process that information
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the critical thinking process for diagnosis?

A

Identify Issues

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

What is the critical thinking process for planning?

A

Establish Goals

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

What is the critical thinking process for implementation?

A

Take action

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

What is the critical thinking process for evaluation?

A
  • Evaluate the outcomes
  • Adjust goals and actions according to outcomes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does an assessment mean?

A

Systematic and continuous collection, validation, and communication (i.e. documentation) of patient data - utilizes knowledge, critical thinking skills, noticing skills, and reflection skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which part of the nursing process involves these skills?

  • Identifying assumptions
  • Identifying an organized approach to assessment
  • Checking accuracy and reliability
  • Distinguishing relevant from irrelevant
  • Distinguishing normal from abnormal and identifying signs and symptoms
  • Clustering related information
  • Recognizing inconsistencies
  • Identifying patterns
  • Identifying missing information
  • Drawing valid conclusions based on evidence
A

Assessment

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

What are some types of assessment data?

A
  • Pain 6/10
  • Red, raised papules on the lower right leg
  • Vital signs at 0800 noted on patient chart
  • Bilateral lower lungs clear to auscultation
  • Stomach pain
  • Stomach tenderness
  • Periorbital bruising bilaterally
  • Caregiver states patient is anxious
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some data collection methods?

A
  • Observation
  • Interview
  • Physical examination
  • Inspection
  • Auscultation
  • Palpation
  • Percussion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the purpose of an interview during an assessment?

A
  • Purposeful structured communication
  • Components of health history
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What does it mean to get ready for an interview?

A

Prepare yourself, the space and the patient

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

What is the orientation phase of an interview?

A

Introductions, the purpose of the interview, establish trust and confidence, establish role you will play, take note of cultural, spiritual, and comfort needs and how they may influence patient participation

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

What is the working phase of an interview?

A
  • Asking pertinent questions and gathering information, using observation skills
  • Closed (closed-ended) questions
  • Open-ended questions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the termination phase of an interview?

A
  • Ending the interview process
  • What will happen next for the patient
  • Thank the patient for participating
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the purpose of a physical examination during an assessment?

A

Data gathered regarding the patient’s health status
- Comprehensive
- Focused
- Shift
- Etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How do you make sense of the data collected from an assessment?

A
  • Comparing findings with expected norms
  • Validating data findings
  • Reassessing data that does not make sense
  • Clustering sets of data that support a particular judgment
  • Recognizing trends and patterns
  • Documentation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are nursing diagnoses focused on?

A

Patient needs and responses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What does nursing diagnosis mean as a NOUN?

A
  • A word or phrase identifying specific patient problems, needs, or risks
  • The means of describing health problems that can be improved, prevented, or resolved by independent nursing interventions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What does nursing diagnosis mean as a VERB?

A

The process of identifying a specific patient problem/need

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What are the three types of nursing diagnoses?

A
  • Problem-focused
  • Risk
  • Health promotion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is a collaborative nursing diagnosis?

A

a health issue that requires both nursing and medical intervention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is a problem-focused nursing diagnosis?

A

a nursing diagnosis that focuses on a current issue or condition that’s present in a patient at the time of assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What is a collaborative nursing diagnosis also known as?

A

A collaborative problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What is a problem-focused nursing diagnosis also known as?

A

An actual diagnosis

31
Q

What is a risk nursing diagnosis?

A

a clinical judgment that identifies a patient’s vulnerability to developing a health issue in the future

32
Q

What is a health promotion nursing diagnosis?

A

a clinical judgment about a person’s motivation and desire to improve their health and well-being

33
Q

What is a health promotion nursing diagnosis also known as?

A

A wellness diagnosis

34
Q

What does NANDA stand for?

A

North American Nursing Diagnosis Association

35
Q

What is the purpose of the North American Nursing Diagnosis Association (NANDA)?

A

Provides a basis of selecting nursing interventions to address a patient’s needs - a common language for identifying problems, providing a basis for evidence-based nursing practice

36
Q

What does NIC stand for?

A

Nursing Intervention Classification

37
Q

What is the purpose of Nursing Intervention Classification (NIC)?

A

Describes the nursing treatments that nurses perform to improve patient outcomes

38
Q

What does NOC stand for?

A

Nursing Outcome Classification

39
Q

What is the purpose of Nursing Outcome Classification (NOC)?

A

Describes the changes in a patient’s health status based on the nursing interventions performed

40
Q

True or False: Significant data should begin to raise red flags

A

True

41
Q

How do you analyze data to identify a nursing diagnosis?

A
  • Compare data to standards (normal vs. abnormal)
  • Patterns or clusters of data
  • Patient strengths or problem areas
  • Potential problems (problems the patient is likely to encounter)
42
Q

What does the PES in nursing diagnosis PES statement mean?

A
  • Problem
  • Etiology
  • Signs & Symptoms
43
Q

What does problem mean in a nursing diagnostic PES statement?

A

Describes the actual or possible health and problem

44
Q

What always comes first in a nursing diagnosis PES statement?

A

Problem

45
Q

What does etiology mean in a nursing diagnostic PES statement?

A

Describes the factors believed to be causing or contributing to the problem

46
Q

What do signs & symptoms mean in a nursing diagnostic PES statement?

A

Supportive data (for actual problems only)

47
Q

What always follows the problem in a nursing diagnostic PES statement?

A

Etiology

48
Q

What is always last in a nursing diagnostic PES statement?

A

Signs and Symptoms

49
Q

How would you quote signs & symptoms on a nursing diagnostic PES statement?

A

“As evidenced by”
“As manifested by (AEB/AMB)

50
Q

True or False: “At risk” diagnoses are always two-part statements

A

True

51
Q

Why are “at risk” diagnoses always two-part statements?

A

Because the problems do not actually exist, or there is not enough data to support the problem

52
Q

True or False: You use PES when writing an “at risk” diagnosis statement

A

False

We use only the P and the E:
(P) “Risk for ____”
(E) “…R/T _____ “ (associated risk factors)

53
Q

What questions should you ask yourself when the diagnosis is unclear?

A
  • What are my concerns about the patient?
  • Can I/am I doing something about it?
  • Can the overall risk be reduced, or problem solved by a nursing intervention?
  • Am I sure I have the right problem identified?
54
Q

True or False: You should use a medical diagnosis when writing a nursing diagnosis (“pneumonia”, “fracture”)

A

False

55
Q

True or False: You should relate the problem to an unchangeable situation when writing a nursing diagnosis (“quadriplegia”, “houselessness”)

A

False

56
Q

True or False: You should not confuse the etiology or signs/symptoms for the problem (“limping” vs “impaired mobility”)

A

True

57
Q

True or False: Specificity does not matter when writing a nursing diagnosis (“as evidenced by medication intolerance”)

A

False

58
Q

True or False: It is okay to combine two nursing diagnoses when writing a nursing diagnosis

A

False

59
Q

True or False: Using judgmental/value-laden language is not allowed when writing a nursing diagnosis (“will not comply with…” , “bad hygiene”)

A

True

60
Q

True or False: It is okay to make assumptions when writing a nursing diagnosis (“will not be able to step up three stairs…” , “will become hostile if…”

A

False

61
Q

True or False: You can write a legally inadvisable statement when writing a nursing diagnosis (“AEB night shift nurse’s assessment”)

A

False

62
Q

True or False: Anything outside your nursing scope such as identifying a new medical diagnosis based on lab interpretation, etc is prohibited when writing a nursing diagnosis

A

True

63
Q

True or False: It is okay to copy and paste another nurse’s statement when writing a nursing diagnosis

A

False

64
Q

What does a chief complaint mean?

A

a brief statement that describes the main reason a patient is seeking medical care

65
Q

What are close-ended questions?

A

questions that limit the possible answers that respondents can choose from

66
Q

What is a comprehensive assessment?

A

a variety of systems and tools that evaluate a person or a student’s understanding

67
Q

What does diagnostic reasoning mean?

A

a cognitive process that involves interpreting patient data, forming a hypothesis, and narrowing down a list of diagnoses to determine a treatment plan

68
Q

What does evidence-based knowledge mean?

A

information or advice that is supported by scientific research

69
Q

What is the purpose of evidence-based knowledge?

A

to make informed decisions in healthcare

70
Q

What are open-ended questions?

A

questions that allow patients to discuss their concerns freely

71
Q

What is an ongoing assessment?

A

a head-to-toe evaluation of a patient’s physical and mental status that’s performed at least once per shift in acute care settings like hospitals

72
Q

What is the purpose of an ongoing assessment?

A

to verify that treatment is working and to monitor changes in a patient’s condition

73
Q

What does ROS stand for?

A

Review of systems

74
Q

What is a review of systems (ROS)?

A

a list of questions used in nursing to identify a patient’s symptoms

NUR 101A (3 decks)

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