Nursing Competencies: Exam 2 test questions and answers well illustrated.

Nursing Competencies: Exam 2 test questions and answers well illustrated. Of the following problem-focused nursing diagnoses which are stated correctly: - Impaired Skin Integrity r/t physical immobility - Fatigue r/t heart disease - Nausea r/t gastric distention - Need fro improved Oral Mucosa Integrity r/t inflamed mucosa - Risk for infection r/t surgery - correct answers.Correct: - Impaired Skin Integrity r/t physical immobility - Nausea r/t gastric distention Explanation: The related factors in diagnoses "Fatigue related to heart disease" and "Need for improved oral mucosa integrity related to inflamed mucosa" are incorrect. The related factor of a medical diagnosis (in Fatigue related to heart disease) cannot be corrected through nursing intervention. In "Need for improved oral mucosa integrity related to inflamed mucosa" there is no diagnosis, but instead a goal of care. "Risk for infection related to surgery" is incorrect; risk nursing diagnoses do not have defining characteristics or related factors because they have not occurred yet. A nurse reviews data gathered regarding a patient's ability to cope with loss. The nurse compares the defining characteristics for Ineffective Coping with those for Readiness for Enhanced Coping and selects Ineffective Coping as the correct diagnosis. This is an example of the nurse avoiding an error in: (Select all that apply.) Data collection Data clustering Data interpretation Making a diagnostic statement Goal setting - correct answers.Data collection Data interpretation Explanation: This is an example of an error in interpretation and data collection. When making a diagnosis, the nurse must interpret data that he or she has collected by identifying and organizing relevant assessment patterns to support the presence of patient problems. In the case of the two diagnoses in this question, there can be conflicting cues. The nurse must obtain more information and recognize the cues that point to the correct diagnosis. The use of standard formal nursing diagnostic statements serves several purposes in nursing practice, including which of the following? (Select all that apply.) -Defines a patient's problem, giving members of the health care team a common language for understanding the patient's needs - Allows physicians and allied health staff to communicate with nurses how they provide care among themselves -Helps nurses focus on the scope of nursing practice -Creates practice guidelines for collaborative health care activities -Builds and expands nursing knowledge - correct answers.Correct: Defines a patient's problem, giving members of the health care team a common language for understanding the patient's needs Helps nurses focus on the scope of nursing practice Builds and expands nursing knowledge knowledge base - correct answers.NOT experience or policy and procedure manuals IS reading current evidence from literature holistic vie of patient needs application of nursing theory making decisions about a group of patients: - correct ne activities to resolve more than one patient problem consider use of assistive personnel analyze diagnoses/problems and decide which are most urgent based on patient needs What separates RNs from technicians? - correct cal decision making: making decisions on the basis of clinical information What involves open-mindedness, continual inquiry, and perseverance, combined with a willingness to look at each unique patient situation and determine which identified assumptions are true and relevant? - correct answers.Critical thinking The use of ______ ______ ______ makes you an informed critical thinker. - correct nce based knowledge Why is the care provided by a nurse who applies critical thinking better than the care provided by a nurse that doesn't? - correct answers.The nurse is better able to (1) anticipate the patient's needs, (2) identify comfort problems, and (3) offer appropriate care No critical thinking = carelessly formed quick solutions What are concepts for a critical thinker? - correct seekiing