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Monday 1155 Lecture > Week 3 Lecture > Flashcards

Week 3 Lecture Flashcards

1
Q

Collect and analyze subjective and objective Data about the paitents health problems

A

Assessment

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2
Q

State the health problem

Nursing Process

A

Diagnosis / Analysis

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3
Q

ID expected results

Nursing Process

A

Outcome identification

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4
Q

Write a ______ that includes the nursing interventions designed to achieve expected outcomes

Which part of the nursing process is

A

Care plan

Planning

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5
Q

Which part of the nursing process is document the actions?

A

Implementation

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6
Q

Clinical Judgment Measurement Model: Recognize Cues

A

Assessment

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7
Q

Clinical Judgment Measurement Model: Analyze Cues

A

Diagnosis / Analysis

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8
Q

Clinical Judgment Measurement Model: Prioritize Hypothesis

A

Outcome Identification

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9
Q

Clinical Judgment Measurement Model: Generate Solutions

A

Planning

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10
Q

Clinical Judgment Measurement Model: Take Actions

A

Implementation

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11
Q

Clinical Judgment Measurement Model: Evaluate Outcomes

A

Evaluation

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12
Q

Which Org. Formally classifies nursing diagnoses

A

NANDA North American Nursing Diagnosis Association

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13
Q

How to formulate a nursing Diagnosis

A

Use assessment to develop a problem list.

Then prioritize the problems

Make diagnosis for biggest problems

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14
Q

Diagnosis (Patients Response): Impaired gas exchange

_______: ineffective airway clearance

_______: copious tracheostomy secretions, decrease in O² saturation, and increase WOB (work of breathing)

A

r/t (related to)

AEB (as evidenced by)

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15
Q

AEB in a nursing Diagnosis is aka

A

Symptoms

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16
Q

Actual nursing diagnosis have ___ parts: Name them

A

Problem, r/t, AEB

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17
Q

Risk nursing diagnosis has ___ parts: Name them

A

2

Problem, r / t

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18
Q

Wellness nursing diagnosis have 1 part - Name it

A

Statement of ability to transition to a higher level of well

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19
Q

SMART

A

Specific
Measurable
Appropriate
Realistic
Timely

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20
Q

Evidence Based Practice

Hierarchy of Evidence(Top = Greatest)

Systematic Review
____________
Cohort Studies
___________
Expert Opinion

A

Randomized Controlled trails

Case reports

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21
Q

______ transforms evidence into recommendations for practice

A

Translation

22
Q

______ refers to using the research findings in clinical practice

A

Integration

23
Q

Steps in Implementing EBP

  1. Ask a question about a clinical area of interest or intervention
  2. Collect the most relevant and best data
  3. ________
  4. Integrate the evidence with clinical expertise, paitent preferences, and ___ in making a decision to change
A
  1. Critically appraise the evidence
  2. Values
24
Q

Sources for Evidence Based Practices
(EBP)

Quality improvement, risk management, and benchmark data

International, national, and local standards/ guidelines

________

________

______

A

Journal Articles

Research Reports

Infection Control Data

25
Q

Used to promote essential knowledge, skills, and attributes necessary to improve patient outcomes and reduce errors

A

(QSEN)

Quality and Safety Education for Nurses

26
Q

Clinical Judgment Model / Nursing Process

what information is relevant/ irrelevant?

What information is most important

What is your immediate concern

Identify relevant and important information from different sources ( medical history, vital signs)

A

Recognize Cues / Assessment

27
Q

NCSBN Clinical Judgment Measurement Model / Nursing Process

What client conditions are consistent with the Cues

Are there Cues that support or contraindicate a particular condition

Why is a particular cue or subset of Cues or co concern

What other information would help establish the significance of a Cues or set of Cues

Organizing and linking the recognized Cues to the clients Clinical presentations

A

Analyze Cues / Diagnosis

28
Q

NCSBN Clinical Judgment Measurement Model / Nursing Process

Which explanations are most / least likely

Which possible explanations are the most serious

Evaluating and ranking hypotheses according to priority (urgency, likelihood, risk difficulty, time

A

Priority hypothesis/ Outcome Id

29
Q

NCSBN Clinical Judgment Measurement Model / Nursing Process

Item development should focus on ranking the potential issues and should use phrases such as “most likely “

A

Prioritize hypotheses/ Outcome Identification

30
Q

Hierarchy of Evidence

Which is th3 most bias / weakest

A

Expert opnions

31
Q

Hierarchy of Evidence

The 2nd lowest (2 of 5) has to do with a Single Patient and treatment given to them

A

Case Report

32
Q

Hierarchy of Evidence

When you take a preselected group (have something in common)
And do a treatment on them

(3 of 5)

A

Cohort studies

33
Q

Hierarchy of Evidence

A group of people are randomly assigned a treatment/ not given treatment. (Double Blind)
4/5

A

Randomized controlled studies

34
Q

Hierarchy of Evidence

Reviewing multiple Randomized Control Studies and considered the most reliable

A

Systematic review aka meta analysis

35
Q

Taking research and making recommendations to start new procedures in Healthcare

A

Translation

36
Q

Difference between Translation & Intergration

A

Translation is recommended

Integration is actually doing

37
Q

Steps in Implementing EBP

(5) in order

A

Ask
Collect
Appraise
Integrate
Evaluate

38
Q

When asking clinical questions, use this format?

A

Population
Intervention
Comparison
Outcome
Time

39
Q

Looking at charts and labs, Dr notes, and medical history

Nursing process

A

Assessment

40
Q

PICOT

clinical research question

A

Population
Intervention
Comparison
Outcome
Time

41
Q

Clinical Judgment Model

Clinical Judgment Model

Define a set of interventions for the expected outcomes

Evaluation and ranking hypotheses to priority

A

Generate solutions/ Planning

42
Q

Establishing goals is this part of the nursing process

A

Outcome ID

43
Q

Convert nursing process to CLINICAL JUDGMENT MODEL

Assessment

A

Recognize Cues

44
Q

Convert nursing process to CLINICAL JUDGMENT MODEL

Diagnosis/ Analysis

A

Analyze Cues

45
Q

Convert nursing process to CLINICAL JUDGMENT MODEL

Outcome ID

A

Prioritize Hypothesis

46
Q

Convert nursing process to CLINICAL JUDGMENT MODEL

Planning (actions you will take to achieve goals)

A

Generate Solutions

47
Q

Convert nursing process to CLINICAL JUDGMENT MODEL

Implementation

A

Take action

48
Q

Convert nursing process to CLINICAL JUDGMENT MODEL

Evaluación

A

Evaluate outcomes

49
Q

How do you write Outcomes in the nursing diagnosis

A

SMART

50
Q

Paitents Values and Preferences

Best Research Evidence

Clinical Expertise

Make up

A

EBM (Evidence Based medicine)

51
Q

Ask
Collect
Appraise
Integrate
Evaluate

Steps in Implementing….

A

EBP
Evidence Based Practices

52
Q

List the nursing process

A

Access
Diagnose
Outcomes
Planning
Interventions
Evaluación

Monday 1155 Lecture (8 decks)

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