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HONDROS
1. Complete assessment - ANSWER ✔ A review and physical examination of
all body systems, for stable patients only
2. clinical judgment - ANSWER ✔ "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 improvise new ones as deemed appropriate by the
patient's response.
3. Database - ANSWER ✔ Completed health history and physical
examination, large store or bank of info
4. clinical reasoning - ANSWER ✔ is the thinking process by which a nurse
reaches a clinical 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 nurses action
5. Psychosocial history - ANSWER ✔ Psychological and social factors
6. evidence-based practice - ANSWER ✔ clinical decision making that
integrates the best available research with clinical expertise and patient
characteristics and preferences
7. 1st method of data collection - ANSWER ✔ Interiew patient, health
history. Patient is your primary source
,8. Tanner's Model - ANSWER ✔ Noticing
Interpreting
Responding
Reflecting
9. 2nd method of data collection - ANSWER ✔ Physical examination (
guided by subjective and objective)
10.noticing (tanners model) - ANSWER ✔ identify s/s, gather complete and
accurate data, assessing systematically and comprehensively, *predicting
(and managing) potential complications, identifying assumptions
11.Concepts of clinical judgment - ANSWER ✔ 1. Safety
2. Healthcare quality
3. Leadership
4. Patient education
5. Evidence
6. Professionalism
7. Care coordination
12.objective data (noticing) - ANSWER ✔ information that is seen, heard,
felt, or smelled by an observer; signs
13.Analytic reasoning - ANSWER ✔ Situation is unfamiliar
14.subjective data (noticing) - ANSWER ✔ things a person tells you about
that you cannot observe through your senses; symptoms
15.Intuitive reasoning - ANSWER ✔ Able to recognize the situation
immedialy. Pattern based
16.factors that influence "Noticing" - ANSWER ✔ -intrapersonal
characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
,17.Delegations: - ANSWER ✔ -- define by the Texas BON as authorizing an
unlicensed person to provide nursing services while retaining accountability
18.5 RIGHTS OF DELEGATIONS: - ANSWER ✔ 1. person
2. tasks
3. circumstances
4. communication/direction
5. supervision/evaluation
19.RN TASKS PROHIBITED FROM DELEGATION: - ANSWER ✔ --
assessment
◼ formulating care plans
◼ implementation of parts of care plans
◼ health education
◼ dose calculation
◼ injectable medications except insulin
◼ medications via a non permanent tube
◼ verbal and telephone orders
◼ initial dose
20.Nursing diagnosis - ANSWER ✔ Process the RN is exclussivly responsible
for
21.standards (critical thinking) - ANSWER ✔ intellectual standards- a
principle for rational thought- used for nursing process
Professional standard- ethical criteria for nursing judgement, evidence based
criteria used for evaluation, and criteria for professional responsibility
22.Planning - ANSWER ✔ The LPN assists the RN in the development of the
planning of the goals and outcomes as well as interventions for the patient
23.ANA Standards of Professional Nursing Practice - ANSWER ✔ standard
of care provided to patients.
- Includes identifying and acknowledging expertise of those
inside and outside nursing profession
- Includes referring client to others in order to meet client's
needs
, 24.Toxotomy - ANSWER ✔ Standarized, orderly. Systemic language
25.priority setting of patient care - ANSWER ✔ is the ordering of nursing
diagnosis or patient problems using notions of urgency and importance to
establish a preferential order for nursing interventions. "Treat the cause
before the symptom."
26.Fulmers SPICES tool - ANSWER ✔ S. Sleeping disorders
P. Problems eating or feeding
I. Incontinence
C. Confussion
E. Evidence of falls
S. Skin breakdown
27.Tool used to flag areas that may need more assessing or more data collection
Assessing systemically and comprehensively, gathering complete and accurate
data
28.RRT (Rapid Response Team) - ANSWER ✔ prevent/ minimize
deterioration of a pt
29.Advanced begginer nurse - ANSWER ✔ Shows acceptable performance,
has gained prior experience in actual nursing situations. Looks for support
through their peers and supervisors but not constantly
30.Benner's Theory - ANSWER ✔ Novice to expert. The theory that nurses
develop skills and understanding of patient care over time from a
combination of strong educational background and personal experiences
31.Noticing - ANSWER ✔ Vital Signs, is the patient in pain, color of their
skin what are their suroundings
32.interpretation - ANSWER ✔ your understanding of the situation when you
put all your data together to come up with the diagnosis
33.Narrative reasoning - ANSWER ✔ Situation to patient experience with
illness.