NR 226 Quiz 1 Questions and Answers

NR 226 Quiz 1 Questions and Answers clinical judgment model recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, evaluate outcomes critical thinking ability to think systematically and logically ADPIE • Assessment: 1st step, subjective and objective data • Diagnosis: analysis, formulation of nursing diagnosis • Planning: prioritizing problems, determining goals, plan of care • Implementation: Perform nursing action (rather than medical action) • Evaluating: comparing outcomes, communicate and document findings autonomy the patient's right to make their own healthcare decisions ex: respect pt right to refuse treatment beneficence to promote good ex: take pt to get fresh air Nonmalefience avoid causing harm ex: perform multiple checks to prevent medication error Justice to treat people fair and equally ex: distribute care among pts fidelity to be faithful/loyal ex: to keep your promise to pt advocacy to promote/protect the pts rights health and safety ex: notify provider of a concerning change in pt condition veracity to tell the truth ex:be honest with pt about possible side effect of medication process of Donning gown, mask, eyewear, gloves process of doffing gloves, goggles/face shield, gown, mask Confidentiality the act of holding information in confidence, not to be released to unauthorized individuals subjective data things a person tells you about that you cannot observe through your senses; symptoms ex: pain nausea dizziness headache things the client states objective data information that is seen, heard, felt, or smelled by an observer; signs ex: increase HR urine output grimacing blood sodium level risk for potential problem direct care treatments performed through interactions with patients ex turning client, ambulation, administering pain meds indirect care Treatments performed away from the patient but on behalf of the patient or group of patients ex: charting delegating care to others ADLs Activities of Daily Living such as eating, dressing, bathing. the nurse collects info about the pt what should the nurse do next determine the significance of the data