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ANSWERS
a critical thinking 5 step process; the fundamental blueprint for how to
care for patients Correct Answers nursing process
5 steps of the nursing process Correct Answers assess
diagnose
plan
implement
evaluate
step that gathers information about the patient's condition; the deliberate
and systematic collection of information about a patient to determine the
patient's current and past health and functional status and his or her
present coping patterns Correct Answers assess
step that identifies the patient's problems Correct Answers diagnose
step that sets goals of care and desired outcomes and identify appropriate
nursing actions Correct Answers plan
step that performs the nursing actions identified in planning Correct
Answers implement
,step that determines if goals and expected outcomes are achieved
Correct Answers evaluate
two steps of assessment Correct Answers 1. collection of info from a
primary source (patient) and secondary sources (family, friends, health
professionals, and the medical record)
2. the interpretation and validation (analysis) of data to ensure a
complete database
4 things that influence critical thinking in assessment Correct Answers
experience, knowledge, standards, and attitudes
A leading cause of error in clinical decision making is __ during the
assessment phase Correct Answers collection of inaccurate or
incomplete data
what kind of information is gathered during the assessment step Correct
Answers physical, physiological, psychological, sociological, spiritual
status
Connecting with a patient by showing interest in problems and concerns
allows for what during assessment step Correct Answers better
interpretation and understanding of the patient's illness and their
perceptions of it
sources for patient data Correct Answers patient
family
, chart
observations
lab values
x-rays
health care team
types of assessment (3) Correct Answers patient-centered interview
during nursing health history
physical exam
periodic assessments you make during rounding or administering care
information that you obtain through the use of the senses Correct
Answers cue
your judgment or interpretation of cues Correct Answers inference
questions to ask yourself during assessment Correct Answers Is this
information relevant?
Do I need to assess anything else?
What supporting data sources do I need to check?
Have I assessed the client's knowledge and perception of these findings?
patient's verbal descriptions of their health problems is what kind of data
Correct Answers subjective