Hondros Nur 155 exam 1

Hondros Nur 155 exam 1 question and answers graded A+2023 update Tanner's Model of Clinical Judgement - CORRECT ANSWER-A "MODEL" based on how a nurse thinks. Explains 4 steps in the "CRITICAL THINKING PROCESS" that nurses use to solve any problem: *Noticing *Interpreting *Responding *Reflecting Nursing Process - CORRECT ANSWER-Uses the Scientific Method to complete a Stepby-step approach to plan patient-centered care: "ADPIE" *Assessment *Diagnosis *Planning/Outcomes *Implementation *Evaluation Why do we study Critical Thinking? - CORRECT ANSWER-To think with a purpose, and know why you do what you do. A strict reasoning process that ensures a nurse is generating, implementing, and evaluating approaches. Benner's Theory of Stages and Clinical Competence - CORRECT ANSWER-What theory of stages have 5 Stages? The 5 stages: Stage 1: Novice Stage 2: Advanced Beginner Stage 3: Competent Stage 4: Proficient Stage 5: Expert Credit to Stage 1: Novice - CORRECT ANSWER-Nursing Students first year of clinical education; inexperienced, text book knowledge, limited ability to predict what might happen in any situation. Credit to Stage 2: Advanced Beginner - CORRECT ANSWER-Newly graduated in their first jobs; Nurses have more experience and are able to recognize recurrent, meaningful components of a situation. They have the knowledge and the knowhow but not the indepth experience. Credit to Objective Data - CORRECT ANSWER-(Signs) Observable and measurable data that can be seen and heard, or felt, smelled by someone other than you, or by physical examination and lab data. example: elevated temperature, vomiting, skin moisture... Subjective Data - CORRECT ANSWER-(Symptoms) Information perceived only by the affected person, personal taste, symptoms, verbal statements provided by the patients point of view or perception. What the patient tells you. Clinical - CORRECT ANSWER-_____________ observation Is related to/or conducted in a healthcare setting involving direct observation of the patient. Judgement - CORRECT ANSWER-Your interpretation that influences your actions to take. Clinical Judgement - CORRECT ANSWER-Interpretation or conclusion about a patient's needs, concerns, or health problems. Whether or not you should take action. Sometimes you have to improvise new actions or plans. Why do we need Clinical Judgement? - CORRECT ANSWER-We need it to provide safe quality care. How do we develop Clinical Judgement? - CORRECT ANSWER-We use the Nursing Process, and Tanner's Model to develop the skills to establish Clinical Judgement. Emergency! - CORRECT ANSWER-Emergencies cease to exist when you prepare for them! SPICES: - CORRECT ANSWER-A tool that can be used to obtain information necessary to prevent health alterations in older adult patients. SPICES: S - CORRECT ANSWER-SLEEP Disorders SPICES: P - CORRECT ANSWER-PROBLEMS with Eating or Feeding SPICES: I - CORRECT ANSWER-Incontinence bowel and/or bladder SPICES: C - CORRECT ANSWER-Confusion SPICES: E - CORRECT ANSWER-EVIDENCE of Falls SPICES: S(2) - CORRECT ANSWER-SKIN Breakdown Epworth Sleepiness Scale - CORRECT ANSWER-Tool used to measure average daytime sleepiness. determines if person is getting enough sleep. Scored 0-6: healthy 7-8 borderline 9-10 seek medical attention! (Most nursing students) Advanced Nursing Knowledge - CORRECT ANSWER-What type of "knowledge" uses 6 Questions that Critical Thinkers use? 1. What are you on alert for with this patient? 2. What are important assessments to make? *Focus *Systemic *Head-to-Toe 3. A. What complications may occur? B. What could go wrong? 4. What interventions will prevent complications? 5. How will you prioritize implementation of nursing interventions? Explain why? 6. What actions will you take for each complication, should it occur? Maslow's Hierarchy of Needs Theory - CORRECT ANSWER-Name the theory that has 5 1. Physiological 2. Safety 3. Belonging 4. Self-Esteem 5. Self-actualization 1. Physiological - CORRECT ANSWER-Breathing, sustenance, water, exertion, sex, sleep, homeostasis. 2. Safety - CORRECT ANSWER-Body, home, employment, family, health, property. 3. Belonging - CORRECT ANSWER-a feeling of having friends, family, and sexual intimacy.