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NUR 101A > Think Like a Nurse 2 > Flashcards

Think Like a Nurse 2 Flashcards

1
Q

What does AACT stand for?

A
  • Assessment
  • Actions
  • Collaboration
  • Teaching
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2
Q

What is the critical thinking process for assessment?

A
  • Consider the situation
    -Collect information
    -Process that information
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3
Q

What is the critical thinking process for diagnosis?

A

Identify issues

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4
Q

What is the critical thinking process for planning?

A

Establish goals

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5
Q

What is the critical thinking process for implementation?

A

Take Action

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6
Q

What is the critical thinking process for evaluation?

A
  • Evaluate the outcomes
  • Adjust goals and actions according to outcomes
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7
Q

What part of the nursing process is a formal or informal process, addresses unique needs and goals of individual patients, requires communication regarding the plan to all parties, and selection of appropriate nursing interventions to achieve desired outcomes?

A

Planning

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8
Q

What are the three types of planning?

A
  • Initial planning
  • Ongoing planning
  • Discharge planning
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9
Q

What is the first step of planning patient care?

A

Prioritizing the nursing diagnosis

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10
Q

What is the second step of planning patient care?

A

Identifying the patient goals/expected outcomes

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11
Q

What is the third step of planning patient care?

A

Identifying appropriate nursing interventions

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12
Q

What is the fourth step of planning patient care?

A

Communicating the care plan to all involved in its implementation

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13
Q

What are the greatest threats to the patient’s well-being?

A
  • ABCs
  • Maslow’s hierarchy
  • Patient preference
  • Anticipation of future problems
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14
Q

What is the fifth level of Maslow’s hierarchy and what does it mean?

A

Self-actualization

Morality, creativity, spontaneity, problem-solving, lack of prejudice, acceptance of facts

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15
Q

What is the fourth level of Maslow’s hierarchy and what does it mean?

A

Esteem

Self-esteem, confidence, achievement, respect of others, respect by others

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16
Q

What is the third level of Maslow’s hierarchy and what does it mean?

A

Love/belonging
friendship, family, sexual intimacy

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17
Q

What is the second level of Maslow’s hierarchy and what does it mean?

A

Safety

security of body, of employment, of resources, of morality, of the family, of health, of property

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18
Q

What is the first level of Maslow’s hierarchy and what does it mean?

A

Physiological
Breathing, food, water, sex, sleep, homeostasis, excretion

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19
Q

What does outcome mean?

A

any patient response to an intervention (positive or negative)

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20
Q

What does “expected” or “desired” outcome mean?

A

the positive patient response that we hope will occur as a result of an intervention

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21
Q

Outcome statements must be ______

A

S.M.A.R.T

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22
Q

Goals can be ______

A

General or specific

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23
Q

True or False: A broad, or general, goal must be accompanied by specific expected outcome statements

A

True

24
Q

What does the S in S.M.A.R.T stand for?

A

Specific

25
Q

What does the M in S.M.A.R.T stand for?

A

Measurable

26
Q

What does the A in S.M.A.R.T stand for?

A

Achievable

27
Q

What does the R in S.M.A.R.T stand for?

A

Relevant

28
Q

What does the T in S.M.A.R.T stand for?

A

Timed

29
Q

What are four types of goals?

A
  • Cognitive
  • Psychomotor
  • Affective
  • Physical
30
Q

What is a cognitive goal?

A

objectives that focus on developing intellectual skills, knowledge, and critical thinking abilities

31
Q

What is a psychomotor goal?

A

a learning objective that focuses on how a person controls or moves their body

32
Q

What is an affective goal?

A

an objective that focuses on a person’s attitude, emotions, values, and beliefs

33
Q

What is a physical goal?

A

a specific training objective or challenge you set for yourself to improve your physical health

34
Q

True or false: The goal is not always related to the problem

A

False

The problem identifies what needs to change and suggests patient goals and outcomes that demonstrate change has occurred

35
Q

What are nursing interventions?

A

Actions based on clinical judgement and nursing knowledge that nurses perform to achieve client outcomes

36
Q

What are the three types of interventions?

A
  • Independent (nurse-initiated)
  • Dependent (provider-initiated)
    -Collaborative (Interdependent)
37
Q

True or false: The “related” to part of the nursing diagnosis helps guide interventions

A

True

“related to” helps identify factors causing the problem, prevents change - which suggests possible intervention

38
Q

What is the purpose of AACT?

A

A guideline in clinical to help you identify a comprehensive set of interventions in your nursing care plan

39
Q

True or False: A well-written intervention identifies a WHO, What, WHEN, and sometimes HOW

A

True

40
Q

True or False: The “AMB/AEB” part of the nursing diagnosis does not suggest interventions

A

False

The evidence describes how we know there is a problem which suggest assessments or actions to be taken, this helps us identify additional interventions

41
Q

You should select interventions that are ____

A

Effective, cost-efficient, and supported by scientific data

42
Q

Evidence-based practice in nursing combines _____

A

Nursing knowledge, clinical judgment, and expertise, evidence from research, and patient preferences

43
Q

What are three things to remember with implementation?

A

Do, delegate, and document

44
Q

What is the “doing” part of implementation?

A
  • Prepare to act
  • Get organized
45
Q

What is the purpose of nurse protocols and standing orders?

A

They expand the scope of nursing practice within clearly defined parameters

46
Q

What is the purpose of nurse protocols and standing orders?

A

They expand the scope of nursing practice within clearly defined parameters

47
Q

What are protocols?

A

Written plans that detail nursing actions that are to be executed in specific situations

48
Q

What do protocols allow nurses and other members of the healthcare team to do?

A

Start, modify, or stop an order based on certain criteria

49
Q

What are standing orders?

A

Actions that ordinarily require the order or supervision of a physician or other provider

50
Q

What is a written agreement between a physician or other prescribing provider that allows the nurse or other member of the healthcare team tp provide specific care or treatment in emergent situations?

A

Standing orders

51
Q

What does delegation mean according to the OSBN?

A

The RN may delegate, to other than licensed nursing personnel, tasks relating to the administration of medication and patient care tasks that are ordered or prescribed by a physician-licensed

52
Q

What does it mean to assign according to the OSBN?

A

The Rn may assign to a practice team member work, the team member is authorized by license or certification and organizational position description to perform in the practice setting

53
Q

What are the five rights of delegation/assignment?

A
  • Right task
  • Right circumstance
  • Right person
  • Right communication
  • Right supervision
54
Q

What is documentation?

A
  • A record of care provided to the patient
  • A legal document
  • Can be used to demonstrate compliance with standards/regulations governing care
55
Q

What is evaluation?

A

An onging systematic process with the purpose of ensuring positive patient outcomes

56
Q

What are adverse reactions?

A

an undesirable effect on health caused by a drug, medical device, or natural health product

NUR 101A (22 decks)

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