Unit 1 - Decision Making Flashcards
Definition: All of part of the process of questioning, analysis, synthesis, interpretation, inference, inductive and deductive reasoning, intuition, application, and creativity
Critical Thinking
6 parts to Critical Thinking
- Intellect
- Creativity
- Inquiry
- Reasoning
- Reflection
- Intuition
T/F: Critical Thinking is more than an education guess
T
Definition: identifying the problem (open vs. closed questions)
Assessing
Definition: labeling
Nursing Diagnosis
Definition: focusing the direction of care
Planning
Definition: focusing on Evidence Based Practice
Nursing Interventions
Nursing Process:
- Assess
- Diagnose
- Plan
- Intervention
- Evaluate
- Documentation
Definition: Did we meet the goal?
Evaluate
What does UAP stand for
unlicensed assisted personal
Definition: guide us to what care we will provide to pts medical diagnoses can help guide us to _____ _____
Nursing Diagnoses
What is the difference between Nursing Research & Medical Research
Nursing care is based on intuition and experience
What does IRB stand for
institutional research based
What is the National Institute of Nursing Research (NINR)
- decrease costs by being more efficient
- provide grants/$ to do research which will over all decrease costs
- needs participants & criteria (age, wt, etc.)
Definition: an evidence-based practice (EBP) provides scientific support for nurses in clinical thinking processes, making decision, and using clinical judgement
Clinical Decision Making
ex. pt. may be there for a dressing change, but as you talk with pt. you notice a greater problem & so you contact someone for more help (ex. pt. depressed, change in behavior, etc.)
When is preoperative nursing done
before surgery
- pt. checklists: must be done before surgery
- informed consent
- removal of all metals: ALL piercings/jewelry
- wound care after surgery
- managing constipation
- deep breathing & coughing after surgery: teaching
- pain management
- safety after surgery (discharge instruction, making home a safe environment)
- a ride home: can’t drive home themselves
- teaching before surgery due to impaired thinking after
What does PACU stand for
Post Anasthetic Care Unit
What is the Intraoperative team
- who’s in the operating room
- *fewer people due to keeping things sterile**
- the surgeon
- anesthesia
- circulating nurse: RN
- scrub nurse/technician (can help hold retractor)
- first assistant
- manufacturer representative (specialty area such as ortho, some ENT, pacemakers, neuro, or other new specialty equipment)
Who the classification surgery is determined by
the surgeon
emergent: life threatening
urgent: painful
elective: not life threatening
- determine which surgery goes first
-ectomy
removal of an organ or body part
-oscopy
and organ or body part is being viewed
Definition: may be performed to restore lost or reduced appearance or function.
ex. Facial reconstruction following a motor vehicle crash
Constructive surgery
Definition: conducted to determine or confirm diagnoses
ex. a biopsy os a mass
Diagnostic procedure
Definition: a procedure that is the recommended treatment for a condition that is not life threatening
ex. hip replacement surgery
Elective surgery
Definition: performed when a condition is life threatening
ex. surgery to control internal hemorrhage is an example of emergency surgery
Emergency surgery
Definition: may be performed to alleviate pain or symptoms associated with a disease. Does not cure or stop the course of the disease
Palliative Surgery
Definition: surgery that replaces malfunctioning organs or other structures
Transplant surgery
Definition: to speak up or act in the cause of another in support of individuals, families, systems, communities & issues
advcacy
Definition: function effectively within nursing * inter-professional teams, fostering open communication, mutual respect, & shared decision-making to achieve quality pt. care
Collaboration
Definition: preventing in advertent pain, injury, or loss (ex. pesiperative nursing care)
Safety
Definition: interpretation or conclusion about a pt’s needs, concerns, or health problems, &/or the decision to take (or not) action, use or modify standard approaches, or improvise new ones as deemed appropriate by pts response
Clinical Decision Making
Definition: a process to solve problems in . clinical practice in using the best evidence, clinical experience, & pt. preference & values
Evidenced-Based Practice
Definition: a healthcare delivery system in which the goal is to provide cost-effective, high-quality care that focuses on decreased costs and improved outcomes for groups of clients
Managed Care
Purpose of ____ _____ is to coordinate, facilitate, and follow, over time, a client’s use of a variety of health and social services
Case Manager
Steps to a Delegation Process:
- define the task
- decide on the delegate
- describe to task
- reach agreement
- monitor performance and provide feedback (The nurse remains accountable)
Q: Parts to Four/Five Column Care Plan
- Nursing Diagnoses
- Goals/Desired Outcomes
- Nursing Interventions
- Evaluation
* medications are NOT listed in plan of care
Q: A nurse, who works in a clinic environment, places great emphasis on cost control, customer satisfaction, health promotion, and preventive services. The primary focus of this nurse is representative of which type of healthcare
system?
a. functional method
b. client-focused care
c. case method
d. managed care
D. managed care
Q: A nurse is completing discharge teaching for a client who is hospitalized for total hip replacement. The client
asks the nurse why there is a case manager involved and expresses confusion about who is in charge. The client
states, “I thought my doctor manages my care.” Which is the best response by the nurse?
A. “No, I manage your care.”
B. “You are correct; the doctor is responsible for managing your care.”
C. “A case manager coordinates everyone involved in your care to ensure your needs are met.”
D. “The case manager delegates your care to the nurse.”
C. “A case manager coordinates everyone involved in your care to ensure your needs are met.”
Q: A nurse manager of an ICU can NOT be held legally responsible in a court of law for which action performed by
the unit’s staff?
A. A nursing assistant administers medications to a client in ICU
B. A staff nurse refuses to follow physician’s order to administer medication because administering the dosage ordered could seriously harm the client
C. A nursing assistant attempts to initiate I.V. therapy
D. A staff nurse fill ‘s client prescription at the hospital pharmacy because the pharmacist on duty is busy
B. A staff nurse refuses to follow physician’s order to administer medication because administering the dosage ordered could seriously harm the client
Q: Delegation is the process of transferring work to subordinates. A nurse manager can appropriately delegate which
task?
A. Scheduling staff assignments for the next month
B. Terminating a nursing assistant for insubordination
C. Deciding on Salary increases for licensed practical nurses after they complete orientation
D. Telling a staff nurse to initiate disciplinary action against one of her peers
A. Scheduling staff assignments for the next month
Q: A nurse working in the triage area of an emergency department sees that several pediatric clients arrive
simultaneously. Which client should be treated first?
A. A crying 4 year old child with a laceration on his scalp
B. A 3 year old child with a barking cough and flushed appearance/ barking cough and fever should be suspected of having croup and should be seen promptly as should the child with the laceration
C. A 3 year old child with Down syndrome who’s pale and asleep in his mother’s arms/ The nurse should need to gather information about the child with Down syndrome to determine the priority of care
D. A 2 year old child with stridorous breath sounds, sitting up in his mother’s arms and drooling
D. A 2 year old child with stridorous breath sounds, sitting up in his mother’s arms and drooling
