week 2 - 16, 17

Question 1

ability to think in logical and systematic manner with openness to question and reflect on the reasoning process

Answer 1

critical thinking

Question 2

general types of critical thinking

Answer 2

scientific method
problem solving
decision making
diagnostic reasoning
clinical decision making

Question 3

methodical process for problem solving

Answer 3

scientific method

Question 4

evaluates problem, identifies solutions, and try solution over time to ensure its effective

Answer 4

problem solving

Question 5

identifies patient’s health problems

Answer 5

diagnostic reasoning

Question 6

goes beyond a diagnosis and determines a course of action

Answer 6

clinical decision making

Question 7

what is OPQRSTU

Answer 7

Onset
Palliative/Provocative
Quality
Radiate/Region
Severity
Time/Treatment
Understanding

Question 8

examples of subjective data

Answer 8

pain scale
branching questions
emotions
health history

Question 9

observations and measurements of patients health; what the nurse sees, feels, smells, and measures

Answer 9

objective data

Question 10

examples of objective data

Answer 10

physical assessment
medical records
diagnostic studies
vital signs

Question 11

three principle depths of assessment

Answer 11

1. comprehensive
2. focused/periodic
3. emergency

Question 12

depth of assessment performed when patient is presenting for treatment (nursing health history and physical assessment)

Answer 12

comprehensive

Question 13

depth of assessment performed throughout a shift or at change in shift (objective and subjective, data pertinent in situation)

Answer 13

focused/ periodic

Question 14

depth of assessment performed during triage

Answer 14

emergency

Question 15

collecting information from patient and from secondary sources, along with interpreting and validating the info to form a complete database

Answer 15

assessment

Question 16

what are AIR notes

Answer 16

assessment
intervention
response

Question 17

three types of nursing diagnoses

Answer 17

problem-focused
risk
health promotion

Question 18

type of nursing diagnosis: active problem patient is experiencing; describes human response to condition/life event; describes response/deficiency that patient displays at time of diagnosis; reports active problem

Answer 18

problem-focused diagnosis

Question 19

type of nursing diagnosis: human response to health condition that patient doesn’t currently display but is at risk for developing

Answer 19

risk diagnosis

Question 20

type of nursing diagnosis: describes client’s desire/need to improve their state of health; can be made when patient is in any state of health

Answer 20

health promotion diagnosis

Question 21

four steps to formulating a nursing diagnosis

Answer 21

1. start with clustering assessment data
2. note abnormal findings
3. note medical diagnosis
4. use your resources (NANDA-I diagnosis)

Question 22

clinical judgment concerning a human response to health conditions, life processes or vulnerability by an individual, family or community

Answer 22

nursing diagnosis

Question 23

related/causative factor in a nursing diagnosis

Answer 23

etiology

Question 24

connects diagnostic label to etiology in a nursing diagnosis

Answer 24

related to (r/t)

Question 25

assessment data that supports diagnosis in nursing diagnosis

Answer 25

defining characteristics (as evidenced by)

Question 26

cause of patient’s risk for potential health complication in nursing diagnosis

Answer 26

risk factor

Question 27

what is PES

Answer 27

problem
etiology
symptoms

Question 28

three traditional interview phases

Answer 28

1. orientation or setting an agenda
2. working phase - collecting assessment data
3. termination of the interview