VR Test 2 (Chapters 4 - 6) Flashcards

1
Q

Nursing Process (4)

A

Way of thinking and acting based on the scientific method
Client centered
Think cognitively and critically
Use creativity
Use intuition
Framework upon which nursing care is based

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2
Q

Critical Thinking (4)

A

Directed, purposeful mental activity by which ideas are created and evaluated, plans are constructed and desired outcomes are decided; can occur in or out of the clinical setting

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3
Q

Priority (4)

A

Something taking precedence over other things at a particular time because of greater importance

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4
Q

Outcomes (4)

A

Results of actions

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5
Q

Clinical Judgement (4)

A

The outcome or results of clinical reasoning

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6
Q

Scientific method (4)

A

Step-by-step process used by scientists to solve problems

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7
Q

Clinical reasoning (4)

A

Critical thinking in the clinical setting

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8
Q

Cues (5)

A

Pieces of information that influence decisions

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9
Q

Data (5)

A

Pieces f information on a specific topic

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10
Q

Goal (5)

A

Broad idea of what is to be achieved through nursing intervention

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11
Q

Signs (5)

A

Abnormalities objectively verifiable by objective meand

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12
Q

Symptoms (5)

A

Data the patient says are occurring that are not verifiable by objective means

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13
Q

Etiologic factors (5)

A

Causes of the problem

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14
Q

Database (5)

A

All of the information gathered about a patient

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15
Q

Inferences (5)

A

Conclusions made based on observed data

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16
Q

Interview (5)

A

Verbal interaction with patient to obtain data

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17
Q

Subjective data (5)

A

Data obtained from the patient verbally

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18
Q

Objective data (5)

A

Data that can be measured (Obtained by the interviewer through the senses and hands-on physical examination)

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19
Q

Implementation (6)

A

Carrying out nursing interventions

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20
Q

Interventions (6)

A

Actions that come from collaborative care planning

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21
Q

Documentation (6)

A

Recording of pertinent data on the clinical record

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22
Q

Evaluation (6)

A

Assessment of effectiveness of nursing actions in meeting expected outcomes

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23
Q

Clinical pathway (6)

A

Step-by-step approach to the total care of the patient

24
Q

Outcome-based quality improvement (6)

A

Manage the quality of performance

25
Q

Nursing audit (6)

A

Examination of patient records to see if patient care meets accepted standards

26
Q

Independent nursing action (6)

A

Nursing action based on nursing judgement that does not require an order

27
Q

Dependent nursing action (6)

A

Action requiring a health care provider’s order

28
Q

Interdependent action (6)

A

Actions involving more than one health care professional

29
Q

Time-flexible (6)

A

Can be done at any time

30
Q

Time-fixed (6)

A

Must be done at a set time

31
Q

Problem solving steps (4)

A
  1. Define the problem clearly
  2. Consider all possible alternatives as solutions to the problem
  3. Consider the possible outcomes for each alternative
  4. Predict the likelihood of each outcome occurring
  5. Choose the alternative with the best chance of success that has the fewest undesirable outcomes
32
Q

What would be an independent nursing action? (6)

A

Teaching about the side effects of a medication

33
Q

Nursing diagnosis is a way of (5)

A

stating patient problems

34
Q

Assessment consists of gathering information about patients and their _____ using _________. (6)

A

needs

a variety of methods

35
Q

Assessment is an_____ process. (6)

A

ongoing

36
Q

Defining characteristics are the ____ and ____ attached to a nursing diagnosis that indicate the data from which the diagnosis was derived. (6)

A

signs

symptoms

37
Q

Etiologic factors are those that indicates the patient’s ____ status or risk of a _____ _____, the causative or related factors, and the specific ____ _____. (6)

A

health
problem developing
defining characteristics (signs and symptoms)

38
Q

When nausea is expressed, it would be considered _____ data. (6)

A

subjective

39
Q

In order to perform efficiently and to set priorities, sat the beginning of the shift, the nurse should perform a quick ___ for each assigned patient. (6)

A

assessment

40
Q

NANDA nursing diagnoses may be actual or related to _____. (6)

A

a risk, syndrome or to promote wellness

41
Q

Before you interview a patient, you should perform a ____. (6)

A

chart review

42
Q

The nursing problems present for a patient are determined by _____ the assessment data. (6)

A

analyzing

43
Q

Nursing care is delivered by considering the order of ____ of the patient’s needs or problems. (6)

A

priority

44
Q

Expected outcome statements should be written so that they are easy to ____ whether or not they have been achieved. (6)

A

evaluate

45
Q

When prioritizing nursing care, _____ always take precedence. (6)

A

physiologic needs for basic survival (ABC)

46
Q

When analyzing the information gathered during assessment, you should look for ____ indicating deviation from the norm. (6)

A

cues

47
Q

Sources of data used for the information of a patient database: (6)

A
Interviews
Defining characteristics
Physicians history and physical
ancillary staff notes
admission notes
48
Q

Methods used to gather a patient database: (6)

A
  1. Interview
  2. Chart Review
  3. Physical Exam
49
Q

5 Steps of the Nursing Process (4) - ANPIE

A
  1. Assessment - RN
  2. Nursing Diagnosis - RN
  3. Planning
  4. Implementation
  5. Evaluation
50
Q

Assessment

A

Data collection - (facts)
Prioritize and organize
Validate (readback)
Document

51
Q

Nursing Diagnosis

A

Identify the health status and problems of the patient

52
Q

Planning

A
Get an outcome
Determine goals and outcomes
Decide on interventions to reach goals
Promote wellness of patient
Prevent/correct any problems
Relieving any problems that exist
53
Q

Implementation

A

Performing actions to make plan work
Delegate some tasks
Document

54
Q

Evaluation

A

Check to see if plan worked (goals achieved)

55
Q

Patient benefits from Nursing Process

A

Needs are being met

56
Q

Nurse benefits from Nursing Process

A

Learn from each situation
Meets standards of practice
Continuity of care
Job satisfaction