Hondros Nur 200 Questions
and Answers 100% correct
Solutions Provided
A
VI
TU
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
IS
improvise new ones as deemed appropriate by the patient's response.
clinical reasoning - ANSWER is the thinking process by which a nurse reaches a
M
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
O
evidence-based practice - ANSWER clinical decision making that integrates the best
A
available research with clinical expertise and patient characteristics and preferences
Tanner's Model - ANSWER Noticing
N
Interpreting
Responding
JP
Reflecting
noticing (tanners model) - ANSWER identify s/s, gather complete and accurate data,
assessing systematically and comprehensively, *predicting (and managing) potential
complications, identifying assumptions
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
analytic reasoning (interpreting) - ANSWER based on theoretical knowledge. nurse
makes a hypothesis or best guess about the pt care situation and then tests. typically
students and novice nurses
intuitive reasoning (interpreting) - ANSWER based on unstated but understood
knowledge about the pt, the care giving context, and their previous experiences.
A
typically expert nurse.
VI
narrative reasoning (interpreting) - ANSWER way of making sense of a situation
through telling and interpreting stories. nurse hears pt stories of past medical
experiences, helps nurse understand specific pt experiences, setting the stage for
TU
individualized care
reflecting-in-action (reflect) - ANSWER understanding of patients response to
nursing actions while care is occurring. "real time" during pt care. determine pt statues
and adjust care accordingly.
IS
reflecting-on-action (reflect) - ANSWER consideration of situation after the care
occurs. contemplate a situation and decide what was and wasn't successful. critical for
M
development of knowledge.
O
interrelated concepts of clinical judgment - ANSWER
critical thinking - ANSWER ability to think in a systematically and logical manner
A
with openness to question and reflect on the reasoning process. ask "why, what am i
missing"
N
critical thinking in nursing process - ANSWER go hand in hand in making quality
JP
decisions about patient care. knowledge, standards, attitudes, experience
nursing process - ANSWER Assessment
Diagnosis
Planning
Implementation
Evaluation
,assessment (nursing process) - ANSWER 1- collection of info from primary source
(pt) and secondary (family, friends, health professionals, medical record).
2- interpretation and validation of data to ensure a complete data base
subjective and objective
Cue and Inference (assessment) - ANSWER Cue is information that you obtain
through use of senses. Inference is your judgment or interpretation of these cues.
diagnosis (nursing process) - ANSWER clinical judgment concerning a human
A
response to health conditions/ life process, or vulnerability. Educated judgment about
health concern. use NANDA. used to make care plan
VI
Types of Nursing Diagnoses (diagnosis) - ANSWER Actual
Risk
TU
Possible
Wellness
Syndrome
3 part nursing diagnosis (diagnosis) - ANSWER P:problem; ex impaired physical
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mobility
E: etiology/ related factor; ex incisional pain
S: symptom or defining characteristics; ex evidence by restricted turning and positioning
M
planning (nursing process) - ANSWER collaborates with pt, family, and the rest of
O
the health care team to determine the urgency of the identified problems and prioritizes
patients needs.
A
care plan (planning) - ANSWER Assessment, nursing diagnosis, interventions,
evaluation
N
care plan for each diagnosis. patients involved with planning. increase communication
between staff. goals and expected outcomes need to be S.M.A.R.T specific,
JP
measurable, attainable, realistic, timed.
goal (planning) - ANSWER broad statement that describes a desired change in a pt
conditions, perception, or behavior. ex "pt will understand postoperative risks"
expected outcome (planning) - ANSWER is the measurable change (pt behavior,
physical state, or perception) that must be achieved to reach a goal. sometimes several
expected outcome need to be met for a single goal. "measure how many out of 3
questions the pt answers correct for infection identification"
, interventions (care plan) - ANSWER independent- a nurse initiates, dependent-
require and order, collaborative- require the combined knowledge, skill, and expertise of
multiple providers.
Includes; actions, frequency, quantity, method, and person to perform them
implementation (nursing process) - ANSWER putting plan into action. reassessing,
review and revise care plan,
A
standing order - ANSWER preprinted document containing orders for routine
therapies, monitoring guidelines, and or diagnostic procedures for specific patients with
VI
identical problems.
delegation (implementation) - ANSWER transferring to a competent individual the
TU
authority to perform a selected nursing task. assess, plan, supervise, and evaluate
evaluation (nursing process) - ANSWER determine if the plan is successful. if the pt
is improving. reassessment. care plan revision, discontinue/modify. document results.
IS
RN responsibilities - ANSWER Safety,
PT outcomes,
PT education
M
nursing process compared to tanners model - ANSWER 1. assessment= noticing
O
2. nursing diagnosis
& planning= interpretation
3. implementation= responding
A
4. evaluation= reflecting
N
Benners stages of clinical competence - ANSWER links the concepts of
professional identity
JP
Stage 1: Novice
Stage 2: Advanced Beginner
Stage 3: Competent
Stage 4: Proficient
Stage 5: Expert
Stage 1; novice (benners) - ANSWER beginner, no experience. lacks confidence.
continual verbal and physical cues. takes a prolonged time, unable to use discretionary
judgment.