Exam 2 nurs 2030
Study online at https://quizlet.com/_i3npmf
1. critical thinking: involves thinking for ourselves by carefully examining the way we make sense of the world
includes reasoning both inside and outside of clinical setting.
Purposeful, goal-directed thinking Aims to base clinical judgements/decisions on evidence (facts), no conjecture
(guesswork) Based on principles of science Based on deliberate thought
2. clinical reasoning: way of thinking about patient care issues
3. clinical judgement: refers to the result (outcome) of critical thinking or clinical reasoning—the conclusion,
decision, or opinion you make
4. Why think critically?: Accurate & appropriate clinical decisions Directs your thoughts toward a goal Make a
judgement about a patient or situation How to appropriately navigate and intervene a situation Solve problems & find
solutions Plan care Seek knowledge Make clinical decisions & problem solve Think creatively
5. Nurse Responsibilities: Recognize health problems (alterations, deficits, impairments)
Anticipate complications
Initiate actions to ensure appropriate and timely treatment.
Work within your SCOPE of Practice Begin to Think and Act using Critical Thinking & Clinical Judgment
6. Nursing Process: Assessment
Diagnosis
Planning
Implementation
Evaluation
7. clinical judgement: Recognizing Cues Analyzing Cues Identify Problems/Generate Hypotheses & Identify
interventions/Generate Solutions Implementing interventions/taking action Evaluating Outcomes
8. nursing process: The "Work of Nursing" Sequence of problem-solving steps Organizational framework for
the practice of nursing Identify & manage the health problems Systematic method Established by the American Nurses
Association (ANA)
ADPIE
9. Assesment: • Observation • Examination • Interviewing • Collaboration
10. Analyzing: Purpose: Analyze & Interpret assessment data. Use Clinical Reasoning Analyzing, Synthesizing,
reflecting, drawing conclusions
11. Nursing Diagnosis: Not universally used Essentially, it's the identification of a patient problem or risk What
it is about the patient that gives rise to the need for nursing, versus another discispline (therapy, physician, etc.)? Not
a medical diagnosis Can be prevented, resolved, or supported by INDEPENDENT nursing actions.
1/8
, Exam 2 nurs 2030
Study online at https://quizlet.com/_i3npmf
12. diagnosis analysis: Recognition of significant data (recognize cues) What is considered significant? Recog-
nition of patterns or trends (clusters) and formulate nursing diagnoses (identification of patient problems) Identifying
a client's strengths & problems Identifying potential complications Reaching conclusions
13. medical DX: Within the scope of medical practice Convey signs & symptoms with little variability Specific & r/t
disease or pathology of specific organs or body system—focuses on curing pathology Diseases or conditions requiring
medical treatment. Stays the same as long as the disease is there
14. nursing DX: Within the scope of nursing practice Describe actual or risk for a health problem Only healthcare
problems within the nursing scope Problems that the nurse can address legally and independently within the scope of
nursing practice Can change from hour to hour and day to day
15. problem focused: problem experienced by the patient; occurring in the "here and now." Validated by the
presence of defining characteristics or signs and symptoms.
16. risk for: problem that may develop in the future due to the presence of certain risk factors; may occur unless
specific nursing actions are ordered and implemented.
17. NANADA-I: -problem
-characteristics
-etiology
18. planning/outcome: The nurse: sets priorities determines patient outcomes selects specific nursing inter-
ventions Communicates the plan Nurse & patient formulate mutual goals/outcomes Nursing Interventions are selected
to help patient reach these goals
19. Establishing Priorities: Planning begins with prioritizing patient problems (high, medium, or low priori-
ty) Priority Setting=Ranking Diagnoses Maslow's Hierarchy, Patient Preference, & Anticipation of Future problem (NOTE:
Priorities can change!) Life threatening? Needs Immediate Attention? Routine Care? Something very important to the
patient?
20. Goals: Patient-Centered Set goals with the client/family Establish SMART Goals Specific Measurable Attainable
Relevant Time Bound
21. Nursing Interventions: are any nursing treatment, nursing assessment, or nursing action, based upon
clinical judgment and knowledge, that nurses perform to enhance patients' outcomes. NIC=Nursing Interventions
Classification
22. interventions: can be: Nurse-Initiated Interventions Physician/Provider-Initiated Interventions Collaborative
Interventions
23. comprehensive TRIAD: 1) Assessment/Observation 2) Nursing Interventions/Actions 3) Teach-
ing/Counseling
2/8
Study online at https://quizlet.com/_i3npmf
1. critical thinking: involves thinking for ourselves by carefully examining the way we make sense of the world
includes reasoning both inside and outside of clinical setting.
Purposeful, goal-directed thinking Aims to base clinical judgements/decisions on evidence (facts), no conjecture
(guesswork) Based on principles of science Based on deliberate thought
2. clinical reasoning: way of thinking about patient care issues
3. clinical judgement: refers to the result (outcome) of critical thinking or clinical reasoning—the conclusion,
decision, or opinion you make
4. Why think critically?: Accurate & appropriate clinical decisions Directs your thoughts toward a goal Make a
judgement about a patient or situation How to appropriately navigate and intervene a situation Solve problems & find
solutions Plan care Seek knowledge Make clinical decisions & problem solve Think creatively
5. Nurse Responsibilities: Recognize health problems (alterations, deficits, impairments)
Anticipate complications
Initiate actions to ensure appropriate and timely treatment.
Work within your SCOPE of Practice Begin to Think and Act using Critical Thinking & Clinical Judgment
6. Nursing Process: Assessment
Diagnosis
Planning
Implementation
Evaluation
7. clinical judgement: Recognizing Cues Analyzing Cues Identify Problems/Generate Hypotheses & Identify
interventions/Generate Solutions Implementing interventions/taking action Evaluating Outcomes
8. nursing process: The "Work of Nursing" Sequence of problem-solving steps Organizational framework for
the practice of nursing Identify & manage the health problems Systematic method Established by the American Nurses
Association (ANA)
ADPIE
9. Assesment: • Observation • Examination • Interviewing • Collaboration
10. Analyzing: Purpose: Analyze & Interpret assessment data. Use Clinical Reasoning Analyzing, Synthesizing,
reflecting, drawing conclusions
11. Nursing Diagnosis: Not universally used Essentially, it's the identification of a patient problem or risk What
it is about the patient that gives rise to the need for nursing, versus another discispline (therapy, physician, etc.)? Not
a medical diagnosis Can be prevented, resolved, or supported by INDEPENDENT nursing actions.
1/8
, Exam 2 nurs 2030
Study online at https://quizlet.com/_i3npmf
12. diagnosis analysis: Recognition of significant data (recognize cues) What is considered significant? Recog-
nition of patterns or trends (clusters) and formulate nursing diagnoses (identification of patient problems) Identifying
a client's strengths & problems Identifying potential complications Reaching conclusions
13. medical DX: Within the scope of medical practice Convey signs & symptoms with little variability Specific & r/t
disease or pathology of specific organs or body system—focuses on curing pathology Diseases or conditions requiring
medical treatment. Stays the same as long as the disease is there
14. nursing DX: Within the scope of nursing practice Describe actual or risk for a health problem Only healthcare
problems within the nursing scope Problems that the nurse can address legally and independently within the scope of
nursing practice Can change from hour to hour and day to day
15. problem focused: problem experienced by the patient; occurring in the "here and now." Validated by the
presence of defining characteristics or signs and symptoms.
16. risk for: problem that may develop in the future due to the presence of certain risk factors; may occur unless
specific nursing actions are ordered and implemented.
17. NANADA-I: -problem
-characteristics
-etiology
18. planning/outcome: The nurse: sets priorities determines patient outcomes selects specific nursing inter-
ventions Communicates the plan Nurse & patient formulate mutual goals/outcomes Nursing Interventions are selected
to help patient reach these goals
19. Establishing Priorities: Planning begins with prioritizing patient problems (high, medium, or low priori-
ty) Priority Setting=Ranking Diagnoses Maslow's Hierarchy, Patient Preference, & Anticipation of Future problem (NOTE:
Priorities can change!) Life threatening? Needs Immediate Attention? Routine Care? Something very important to the
patient?
20. Goals: Patient-Centered Set goals with the client/family Establish SMART Goals Specific Measurable Attainable
Relevant Time Bound
21. Nursing Interventions: are any nursing treatment, nursing assessment, or nursing action, based upon
clinical judgment and knowledge, that nurses perform to enhance patients' outcomes. NIC=Nursing Interventions
Classification
22. interventions: can be: Nurse-Initiated Interventions Physician/Provider-Initiated Interventions Collaborative
Interventions
23. comprehensive TRIAD: 1) Assessment/Observation 2) Nursing Interventions/Actions 3) Teach-
ing/Counseling
2/8
