Brainscape's Knowledge GenomeTM

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


See full index

NURS-202 > UNIT 2 Critical thinking; Nursing process > Flashcards

UNIT 2 Critical thinking; Nursing process Flashcards

1
Q

Characteristics of Critical Thinkers:

A

Raise Questions
Show willingness to search for answers
Are inquisitive
Eager to acquire new knowledge
Consider multiple perspectives
Explore ideas/problems in new ways
Are open minded

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

Critical Thinking Equation:

A

Character + Knowledge + Skills = Critical Thinking

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

The Nursing Process

A

A systematic method of planning/providing Pt care. It is intertwined w critical thinking to help make informed, ethical decisions about Pt care (has 5 phases-> ADPIE)

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

Critical thinking:

A

A high-level cognitive process that is the means by which nurses learn to assess and modify, if indicated, before acting.

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

What is ADPIE?

A

The 5 phases of the nursing process
1) Assessment
2) Diagnosis
3) Planning
4) Intervention/Implementation
5) Evaluation

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

ADPIE: Assessment

A

To gather and analyze info about the Pt and their context from HIS/HER perspective (“Pt’s Story”) to establish a database:
- Includes subjective data + objective data.

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

ADPIE: Diagnosis

A

In the Diagnosis phase, nurse begins clustering subjective and objective data + formulating an evaluative judgement a/b Pts health status. (Uses clinical reasoning)
A working Nursing Diagnosis may have 2 or 3 parts.

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

Types of Data:

A
  • Subjective data: What a Pt “says” = Symptoms
  • Objective data: What you observe = Signs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Assessment: Sources of Data:

A

Subjective:
- Complete a thorough health and medical history via listening and observing Pt (Pt = primary source & Family/friends/Pt records = secondary sources)
- Info obtained verbally = subjective info
Objective:
- Perform a Physical assessment by taking vital signs and noting diagnostic test results
- info obtained physically = objective info

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

Diagnosis: 2 Part system

A

consists of the nursing diagnosis and the “related to” (r/t) statement.
- used when defining characteristics/signs and symptoms are obvious.
Problem–> Related To (r/t)–> Reason

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

Diagnosis: 3 Part System

A

consists of a nursing diagnosis, r/t statement, and the defining characteristics (“observable”). Also referred to as the PES system:
P (problem) - the nursing diagnosis label: a term or phrase that represents a bunch of related cues.
E (etiology) - r/t phrase: related cause/contributor to the problem.
S (symptoms) - defining characteristics phrase: symptoms that the nurse identified in the assessment.

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

Types of Nursing Diagnoses: Problem-focused Diagnosis

A

A clinical judgment concerning an undesirable human response to a health condition/life process in an individual, family, group, or community.
A.k.a. Describes an existing problem (e.g. Constipation)

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

Types of Nursing Diagnoses:

A

4 Different Types:
1) Problem-focused Diagnosis
2) Risk Diagnosis
3) Health-promotion Diagnosis
4) Syndrome Diagnosis

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

Types of Nursing Diagnoses: Health-promotion Diagnosis

A

A clinical judgment concerning the motivation and desire to increase wellbeing/actualize human potential.
A.k.a. Describes a Pt’s, family’s, or community’s desire to realize human health potential. the focus is on being as healthy as possible.

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

Types of Nursing Diagnoses: Risk Diagnosis

A

Is a clinical judgement concerning to the susceptibility of an individual, caregiver, family, group, or community for developing an undesirable human response to health conditions/life processes.
A.k.a. describes a potential problem that the Pt is vulnerable to.

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

Types of Nursing Diagnoses: Syndrome Diagnosis

A

Based on a group of signs and symptoms that occur together; they provide a distinct clinical picture
(e.g. Post-trauma Syndrome)

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

ADPIE: Planning

A

The planning phase includes the identification of priorities and the determination of appropriate Pt-specific outcome/interventions (determine urgency of problems and prioritize Pt needs)
- Occurs from 1st contact & continues till discharge (results in a “care plan”).
- Includes goals that are Pt-centered/desired outcome is SMART.

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

Classification of Priorities:

A

HIGH - ABC’s (airway, breathing, circulation), Emergencies, + immediate/life-threatening .
INTERMEDIATE - Non-emergent (acute pain, risk of infection, acute urinary elimination problems, etc.)
LOW - What affects future well-being.

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

When Writing Outcome Statements, Use SMART, which Means the outcome is…

A

S - specific
M - measurable
A - attainable
R - realistic
T - timed
(goals should always be either long-term or long-term)

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

How to write a goal (/w outcomes):

A

Combine a Verb with Condition and Criterion:
E.g. Patient will demonstrate minimal episodes of agitation as evidenced by a calm demeanor over 48hrs.

19
Q

Independent goals:

A

Nurse can implement/achieve on own.
e.g. Give Pt prune juice to encourage bowel movement/

20
Q

Dependent goals:

A

Requires Primary Physician (Dr.) to assist in implementing/achieving goal.
e.g. Dr. prescribes meds to help with pain.

21
Q

Collaborative goals:

A

Requires working w other professions to implement/achieve goal.
e.g. helping a Pt with mobility which requires physical therapist, and maybe a pharmacist or Doctor.

22
Q

ADPIE: Implementation

A

“Acting on nursing interventions”
This phase includes the carrying out of specific, individualized, and jointly agreed-on interventions in the care plan.
Initiate appropriate nursing interventions AFTER:
- Reassessing the Pt
- Organizing resources/assistance
- Anticipate/prevent complications

23
Q

T/F Rationale is required when applying and documenting the implementation/intervention phase?

A

True
you have to state the significance of WHY you chose a particular intervention and provide a scholarly resource.

24
Q

ADPIE: Evaluation

A

Occurs throughout the Nursing Process. The nurse reassess the client, taking into consideration the Pt before the intervention, + after the intervention.
you will consider if the care was effective, if change has occurred in the Pt, & if not revise the plan.
ALWAYS Document

25
Q

Evidence-Informed Practice (EIP):

A

A more inclusive view of what “counts” as evidence. There are many forms of evidence that inform clinical decision-making and the delivery of care (6 different forms)
It can also be defined as a paradigm + lifelong problem-solving approach that uses the best evidence along w ones own clinical expertise to improve Pt outcomes.

26
Q

What are the 3 possible statements you could write for the evaluation on if the goal was achieved?

A

1) Goal met
2) Goal partially met
3) Goal not met
*You can only write ONE statement.

27
Q

6 main forms that influence evidence-informed practice:

A

intervention studies
clinical trials
ethnographic research
systematic reviews
policy analyses
evaluation studies

28
Q

The Biomedical Model:

A

The predominant model of the Canadian healthcare system.
Health is defined as the absence of disease and are viewed in 2 ways:
- Disease is caused by specific agents/pathogens
- Heath is when the symptoms that the pathogen caused have been eliminated.

29
Q

The Behaviour Model:

A

Believes that healthcare extends beyond treating disease to include secondary and primary preventions (changing behaviours & lifestyles)

30
Q

The Socioenvironmental Model:

A

Incorporates sociological + environmental aspects in addition to the biomedical and behavioural ones.
Defines health as a resource to realize goals/aspirations, meet personal needs, and cope w everyday life.
(includes the prerequisites of health and the social determinants of health)

31
Q

The Prerequisites to/for health:

A

Peace
Shelter
Education
Food
Income
A sustainable ecosystem
Sustainable resources
Social justice
Equality

32
Q

Social Determinants of Health:

A

The social, economic, and political conditions that shape the health of individuals, families, and communities.

33
Q

Health Promotion:

A

Defined as a comprehensive social and political process of enabling people to increase their control over the determinants of health, thereby improving their health.
- Directed towards changing social, economical, + environmental conditions to improve health.

34
Q

What is the Relational Approach to Nursing Practice?

A

Used to describe the complex, interrelated nature of health, people, society, and the nursing practice.
It is a relational approach that aids you in all nursing situations and requires you to consider:
- the experience of others
- how people understand their health
- how they manage their current/evolving states of health
- the intra/interpersonal + contextual dimension (looking at all that are involved)

35
Q

Reflexivity:

A

Central to the relational approach to nursing. it involves a combination of observation, critical scrutiny, and conscious participation.

36
Q

4 Types of Databases:

A

1) Complete (total-health) Database
2) Episodic/Problem-centred Database
3) Follow-up Database
4) Emergency Database

37
Q

Complete (total-health) Database:

A
  • consists of a complete health history, the results of a full physical exam, current/past health statements and records.
    • it forms a baseline.
    • mainly used in primary care and acute hospital care.
38
Q

Episodic/Problem-centred Database:

A
  • mainly used for a limited or short-term problem (“mini database”) and concerns mainly 1 problem/cue complex/body system
    • it is used in all settings (hospital, primary, + long-term care)
39
Q

Follow-up Database:

A
  • states the status of any identified problems, and should be evaluated at regular + appropriate intervals
    • used in all settings to monitor short-term or chronic health problems
40
Q

6 Competencies for Nursing:

A

Pt-centered care
Teamwork/collaboration
Evidence-based practice (EBP)
Quality improvement
Safety
Informatics

41
Q

Emergency Database:

A
  • calls for rapid collection of the data (diagnosis must be swift and sure)
    • Pt is questioned simultaneously while their ABC’s , level of consciousness, + disability are being assessed.
42
Q

EBN:

A

Abbreviation used when interventions have a scientific rationale supported by nursing research.

42
Q

Person-Centred Care:

A

The ability to recognize the Pt as the source of control and a full partner in providing compassionate/coordinated care
- Based on Pt preferences, values, and needs

42
Q

CEB:

A

Abbreviation for research that has not been replicated or is older (commonly seminal studies)

43
Q

EB:

A

Abbreviation used when interventions have scientific rationales supported by research obtained by disciplines other than nursing.

44
Q

Safety

A

Defined as minimizing risk of harm to clients and providers through both system effectiveness/individual performance. (Client safety is a priority)

NURS-202 (8 decks)

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