NURS 226 exam 1 Questions and Correct
Answers
5 steps evidence-based practice
1. Ask the clinical question
2. Acquire sources of evidence
3. Appraise and synthesize evidence
4. Apply relevant evidence in practice
5. Assess the outcomes
subjective data
Comes from the patient
objective data
Observed from the patient
Six functions of clinical judgment
recognize cues
Analyze cues
Prioritize hypotheses
Generate solutions
Take action
Evaluate outcomes
What do we need to have for diagnostic reasoning and clinical judgment?
Critical thinking
What should you never do while using critical thinking?
Never make assumptions
,First level priority
Emergent, life-threatening or limb, threatening
Second level priority
urgency to stop further deterioration
Third level priority
Important to overall health, but can wait until urgent problems addressed
Types of patient data
complete
focused/problem-centered
follow-up
emergent
Complete (total health) database
Complete health history and physical examination. It describes current and past health state and
forms a baseline against which all future changes can be measured. Yields first diagnoses
Focused or problem center database
Problem based (history needed just based on the problem.)
Follow up database
evaluates the status of any identified problem at regular intervals to follow up on short term or
chronic health problems
Emergent database
urgent, rapid collection of crucial information to save life or limb asking questions as it comes
up but only the most important information
Novice nurse
, Little to no experience/uses rules and guidelines/completes tasks
Proficient nurse
Understands patient situation as a whole/can see beyond short term/2 to 3 years
Expert nurse
has an intuitive grasp of a clinical situation and zeroes in on the accurate solution
Holistic health
Mentally, spiritually, physically
Health prevention
Focuses on helping patients to avoid negative behaviors, etc. doing drugs, unhealthy food
Health promotion
the process of enabling people to increase control over, and to improve, their health etc., eat
healthy and exercise
Social Detriments of Health (SDOH)
The conditions in the environment where people are born, live learn workplace worship, and age
that affect a wide range of health functioning and quality of life outcomes and risks
Biomedical or scientific theory of illness
Based on the assumption that all events in life have a cause and effect, that the human body
functions more or less mechanically
Naturalistic
derived from real life or nature, or imitating it very closely
Ying/Yang theory
health is believed to exist when all aspects of the person are in perfect balance;
Yin energy: female/negative forces such as emptiness, darkness, cold
Answers
5 steps evidence-based practice
1. Ask the clinical question
2. Acquire sources of evidence
3. Appraise and synthesize evidence
4. Apply relevant evidence in practice
5. Assess the outcomes
subjective data
Comes from the patient
objective data
Observed from the patient
Six functions of clinical judgment
recognize cues
Analyze cues
Prioritize hypotheses
Generate solutions
Take action
Evaluate outcomes
What do we need to have for diagnostic reasoning and clinical judgment?
Critical thinking
What should you never do while using critical thinking?
Never make assumptions
,First level priority
Emergent, life-threatening or limb, threatening
Second level priority
urgency to stop further deterioration
Third level priority
Important to overall health, but can wait until urgent problems addressed
Types of patient data
complete
focused/problem-centered
follow-up
emergent
Complete (total health) database
Complete health history and physical examination. It describes current and past health state and
forms a baseline against which all future changes can be measured. Yields first diagnoses
Focused or problem center database
Problem based (history needed just based on the problem.)
Follow up database
evaluates the status of any identified problem at regular intervals to follow up on short term or
chronic health problems
Emergent database
urgent, rapid collection of crucial information to save life or limb asking questions as it comes
up but only the most important information
Novice nurse
, Little to no experience/uses rules and guidelines/completes tasks
Proficient nurse
Understands patient situation as a whole/can see beyond short term/2 to 3 years
Expert nurse
has an intuitive grasp of a clinical situation and zeroes in on the accurate solution
Holistic health
Mentally, spiritually, physically
Health prevention
Focuses on helping patients to avoid negative behaviors, etc. doing drugs, unhealthy food
Health promotion
the process of enabling people to increase control over, and to improve, their health etc., eat
healthy and exercise
Social Detriments of Health (SDOH)
The conditions in the environment where people are born, live learn workplace worship, and age
that affect a wide range of health functioning and quality of life outcomes and risks
Biomedical or scientific theory of illness
Based on the assumption that all events in life have a cause and effect, that the human body
functions more or less mechanically
Naturalistic
derived from real life or nature, or imitating it very closely
Ying/Yang theory
health is believed to exist when all aspects of the person are in perfect balance;
Yin energy: female/negative forces such as emptiness, darkness, cold
