unit two

Question 1

what steps are in the nursing process?

Answer 1

assessment, diagnosis, planning, implementation, and evaluation

Question 2

how are the steps of the nursing process interrelated?

Answer 2

• each step leads to the step after it
• evaluation connects to diagnosis, planning, and implementation

Question 3

how do you develop critical thinking through internal and external processes?

Answer 3

internal: reflecting on values, assumptions, and thinking
external: engaging in critical questioning and writing to develop and communicate thought

Question 4

what is the difference between critical thinking and evidence based practice?

Answer 4

• critical thinking is the prerequisite for EBP
• you need to use critical thinking to review, analyze and translate evidence
• it integrates evidence informed research into practice

Question 5

what is nursing informatics?

Answer 5

the meeting of nursing clinical, information, and management sciences in the development, design, implementation, and evaluation of technology related to computer software, hardware, and health care devices as they are used

Question 6

what are the 3 components of a nursing diagnosis?

Answer 6

1. problem and its definition
2. etiology or related factors
3. defining characteristics (S+S) or risk factors

Question 7

what are the purposes of documentation?

Answer 7

1. effective communication
2. continuity of care
3. proof of safe, professional practice and accountability
4. meeting legal, professional, and organizational standards

Question 8

explain the importance of effective communication in documentation

Answer 8

• method to communicate with other health care professionals about patient’s status and care
• shows initial assessment, concerns, canges in status, interventions, effectiveness and outcomes

Question 9

explain the importance of continuity of care in documentation

Answer 9

• quality of care over time
• many professionals care for each patient

Question 10

explain the importance of meeting legal, professional, and organizational standards in documentation

Answer 10

• may be reviewed and possibly called into legal court
• proper documentation supports that standards were met

Question 11

what are the 4 types of assessment?

Answer 11

1. initial
2. focused
3. ongoing
4. emergency

Question 12

what are the 4 types of nursing diagnoses?

Answer 12

1. problem focused
2. risk
3. health promotion
4. syndrome