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HONDROS N155 CRITICAL
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THINKING FINAL, 200 EXAM 1
CRITICAL THINKING
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QUESTIONS AND CORRECT
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VERIFIED ANSWERS LATEST
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UPDATE
,Complete assessment - ANS A review and physical examination of all body systems,
for stable patients only
spices - ANS is an efficient and effective instrument for obtaining the information
necessary to prevent health alterations in the older adult patient. this acronym for the
common syndrome of the elderly requiring nursing intervention.
SPICES - ANS Tool to obtain the information necessary to prevent alterations in the
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older adult patient
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clinical judgment - ANS "Thinking Like A Nurse". integral to the Safety of pt.
Interpretation or conclusion about a patient's needs, concerns, or health problems,
and/or the decision to take action (or not), use or modify standard approaches, or
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improvise new ones as deemed appropriate by the patient's response.
Database - ANS Completed health history and physical examination, large store or
bank of info
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sleep - ANS S is for _____ disorders
S in SPICES - ANS Sleep disorders
clinical reasoning - ANS is the thinking process by which a nurse reaches a clinical
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judgement. an iterative process of noticing, interpreting, and responding- reasoning in
transition with a fine attunement to the patient and how the patient responds to the
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nurses action
Psychosocial history - ANS Psychological and social factors
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problems - ANS P is for _______ with eating or feeding
P in SPICES - ANS Problems with eating or feeding
evidence-based practice - ANS clinical decision making that integrates the best
available research with clinical expertise and patient characteristics and preferences
I in SPICES - ANS Incontinence
,incontinence - ANS I is for _________
1st method of data collection - ANS Interiew patient, health history. Patient is your
primary source
2nd method of data collection - ANS Physical examination ( guided by subjective and
objective)
Tanner's Model - ANS Noticing
Interpreting
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Responding
Reflecting
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confusion - ANS C is for ______
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C in SPICES - ANS Confusion
noticing (tanners model) - ANS identify s/s, gather complete and accurate data,
assessing systematically and comprehensively, *predicting (and managing) potential
complications, identifying assumptions
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Concepts of clinical judgment - ANS 1. Safety
2. Healthcare quality
3. Leadership
4. Patient education
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5. Evidence
6. Professionalism
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7. Care coordination
evidence - ANS E is for ___________ of falls
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objective data (noticing) - ANS information that is seen, heard, felt, or smelled by an
observer; signs
E in SPICES - ANS Evidence of falls
Analytic reasoning - ANS Situation is unfamiliar
skin - ANS S is for __________ breakdown
, S in SPICES - ANS Skin breakdown
subjective data (noticing) - ANS things a person tells you about that you cannot
observe through your senses; symptoms
Intuitive reasoning - ANS Able to recognize the situation immedialy. Pattern based
epworth sleepiness scale - ANS widely used in the field of sleep medicine as a
subjective measure of a patients sleepiness.
- no chance of dozing = 0
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- slight chance of dozing= 1
- moderate chance of dozing= 2
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- high chance of dozing= 3
Notice - ANS Identifying signs and symptoms, gathering complete and accurate data,
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assessing systematically and comprehensively, predicting and managing potential
complications, identifying assumptions
factors that influence "Noticing" - ANS -intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
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-knowing the patient
-context or environment of care
Interpret - ANS Clustering related data, recognizing inconsistencies, checking
accuracy and reliability, compare and contrast data,distinguish relevant from irrelevant
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information,determining the importance of information, judging how much ambiguity is
acceptable, using legal ethical and professional guidelines, predicting and managing
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potential complications
0-7 - ANS it is unlikely that you are abnormally sleepy
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Narrative reasoning - ANS Situation to patient experience with illness.
Interpreting (tanners) - ANS comparing and contrast data, clustering related
information, recognizing inconsistencies, checking accuracy, distinguishing relevant
from irrelevant, determine importance of info, judge how much ambiguity is acceptable
(ie b/p dt condition), determine legal ethical professional guidelines, (predicting and)
*managing potential complications