Nursing 155 final hondros
1. Checking accuracy and reliability: realizing that something doesn't seem
quite right and taking action to determine if it is accurate or not, sounds
suspicious and looking further into it
2. Nursing Process: step by step approach directed at planning and providing pt
care.
Data collection(assessment), Planning, Implementation, Evaluation
3. Nursing process D: Data collection- gather and review info about the pt,
assessment
4. Nursing process P: Planning- development of a nursing dx, goals, and
interventions for a pt plan of care.
5. Nursing process I: implementation of planned interventions actually carrying
out the orders
6. Nursing process E: Evaluation- comparing actual outcomes with expected
outcomes
7. Tanner's Model of Clinical Judgement: A model based on how a nurse thinks,
it explains the 4 steps in the critical thinking process that nurses use to solve
any problem:
Noticing
Interpereting
Responding
Reflecting
8. Step 1 Noticing: -Identifying signs and symptoms
-gathering complete and accurate data
-assessing systematically and comprehensivly
-predicting and (managing) potential complications
-identifying assumptions
9. Identifying signs and symptoms: Indicates when a situation is normal,
abnormal, or has changed, something is different than expected
10. Gathering complete and accurate data: Data collected from all available
sources is used as the basis for identifying issues, problems, concerns. Must
verify that data is complete and accurate
11. Assessing systematically and comprehensively: A method of assessing
information or data so nothing is omitted or forgotten. Focused, head to toe,
body systems
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, Nursing 155 final hondros
12. Predicting (and managing) potential complications: Look at the big picture
to prepare for potential future complications for an individual pt, you are
predicting complications which means you are identifying possible problems.
What will put our pt at risk
ex.recognize that all pt have risk for atelectasis after surgery
13. Identifying assumptions: Recognize information taken for granted, hastily
arriving at a conclusion without supporting evidence, a misconception.
EVIDENCE
ex. all thin people are healthy
14. Step 2- Interpreting: -clustering related information
-recognizing inconsistencies
-checking accuracy and reliability
-Distinguishing relevant from irrelevant
-determining the importance of information
-comparing and contrasting
-(predicting) and managing potential complications
-judging how much ambiguity is acceptable
-using legal, ethical and professional
HERE WE- PLANNING, PRIORITIZE, DESICIONS
WHAT ARE YOU GOING DO WITH THE DATA YOU RECIEVE, MAKE SENCE
OF THE DATA*
15. Clustering related information: Grouping together information with a
common theme. A method of organizing data so that you put .things together in
order to understand the situation, what is alike
ex. headache-clustering orther related sx-sleepy, hit head, dizziness
16. Recognizing inconsistencies: does the objective data match the subjective
data
ex. pt says they aren't in pain but face is telling you diff. they are grimacing, clinching
fists, tearful, holding their side
17. Distinguishing relevant from irrelevant: decidingco what information is
pertinent or connects to the matter at hand, sort out what info relates to the current
problem
ex. pt tells cardiologist my back hurts
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1. Checking accuracy and reliability: realizing that something doesn't seem
quite right and taking action to determine if it is accurate or not, sounds
suspicious and looking further into it
2. Nursing Process: step by step approach directed at planning and providing pt
care.
Data collection(assessment), Planning, Implementation, Evaluation
3. Nursing process D: Data collection- gather and review info about the pt,
assessment
4. Nursing process P: Planning- development of a nursing dx, goals, and
interventions for a pt plan of care.
5. Nursing process I: implementation of planned interventions actually carrying
out the orders
6. Nursing process E: Evaluation- comparing actual outcomes with expected
outcomes
7. Tanner's Model of Clinical Judgement: A model based on how a nurse thinks,
it explains the 4 steps in the critical thinking process that nurses use to solve
any problem:
Noticing
Interpereting
Responding
Reflecting
8. Step 1 Noticing: -Identifying signs and symptoms
-gathering complete and accurate data
-assessing systematically and comprehensivly
-predicting and (managing) potential complications
-identifying assumptions
9. Identifying signs and symptoms: Indicates when a situation is normal,
abnormal, or has changed, something is different than expected
10. Gathering complete and accurate data: Data collected from all available
sources is used as the basis for identifying issues, problems, concerns. Must
verify that data is complete and accurate
11. Assessing systematically and comprehensively: A method of assessing
information or data so nothing is omitted or forgotten. Focused, head to toe,
body systems
1/6
, Nursing 155 final hondros
12. Predicting (and managing) potential complications: Look at the big picture
to prepare for potential future complications for an individual pt, you are
predicting complications which means you are identifying possible problems.
What will put our pt at risk
ex.recognize that all pt have risk for atelectasis after surgery
13. Identifying assumptions: Recognize information taken for granted, hastily
arriving at a conclusion without supporting evidence, a misconception.
EVIDENCE
ex. all thin people are healthy
14. Step 2- Interpreting: -clustering related information
-recognizing inconsistencies
-checking accuracy and reliability
-Distinguishing relevant from irrelevant
-determining the importance of information
-comparing and contrasting
-(predicting) and managing potential complications
-judging how much ambiguity is acceptable
-using legal, ethical and professional
HERE WE- PLANNING, PRIORITIZE, DESICIONS
WHAT ARE YOU GOING DO WITH THE DATA YOU RECIEVE, MAKE SENCE
OF THE DATA*
15. Clustering related information: Grouping together information with a
common theme. A method of organizing data so that you put .things together in
order to understand the situation, what is alike
ex. headache-clustering orther related sx-sleepy, hit head, dizziness
16. Recognizing inconsistencies: does the objective data match the subjective
data
ex. pt says they aren't in pain but face is telling you diff. they are grimacing, clinching
fists, tearful, holding their side
17. Distinguishing relevant from irrelevant: decidingco what information is
pertinent or connects to the matter at hand, sort out what info relates to the current
problem
ex. pt tells cardiologist my back hurts
2/6
