Exam 2 professional nursing practice questions with certified solutions

Exam 2 professional nursing practice questions with certified solutions Discuss the relationship between critical thinking and nursing assessment. - assessment involves collecting information from the patient and from secondary sources, along with interpreting and validating the information to form a complete database Two stages of assessment: - collection and verification of the data - analysis of data Critical thinking approach to assessment: knowledge-standards-attitudes-experience ties in with nursing process: assessment, diagnosis, planning, implementation, evaluation · Differentiate between subjective and objective data Subjective- what the patient states - document data in patient's own words Objective- what you observe or assess - document using specific, measurable terms · Explain nursing responsibilities related to making a nursing diagnosis Nursing diagnosis: -to clarify the exact nature of the problems and risks that must be addressed to achieve the overall expected outcomes of care - the conclusions you make affect the entire plan of care - diagnoses are actual and potential patient problems Responsibilities: the term diagnosis implies that there is a situation requiring appropriate, qualified treatment - that means that if you diagnose an actual or potential problem, you: - must be qualified to make the diagnosis - must be willing to accept the responsibility to treat it - if not, you are accountable for getting the qualified help - if you miss key problems or risks, you are accountable for what happens to the patient - recognizing safety and infection transmission risks and addressing these immediately - identifying human responses - anticipating possible complications - initiating urgent interventions · Discuss the value of the rapid response team in decreasing failure to rescue Def: clinician's failure to prevent death or disability in a patient who is experiencing a complication from an underlying illness or from medical care - provides a measure of the degree to which providers responded to adverse occurrences that developed on their watch. It may reflect the quality of monitoring, the effectiveness of actions taken once early complications are recognized, or both Rapid response team: critical care nurse, respiratory therapist, physician - respond to emergencies, follow up on patients discharged from ICU, proactively evaluate high risk ward patients, educate and act as liaison to ward staff · Contrast the "diagnose and treat" mode