set with Questions and correct/verified
Answers
Checking accuracy and reliability - ANSWER-realizing that something doesn't seem quite right and taking
action to determine if it is accurate or not, sounds suspicious and looking further into it
Nursing Process - ANSWER-step by step approach directed at planning and providing pt care.
Data collection(assessment), Planning, Implementation, Evaluation
Nursing process D - ANSWER-Data collection- gather and review info about the pt, assessment
Nursing process P - ANSWER-Planning- development of a nursing dx, goals, and interventions for a pt
plan of care.
Nursing process I - ANSWER-implementation of planned interventions
actually carrying out the orders
Nursing process E - ANSWER-Evaluation- comparing actual outcomes with expected outcomes
Tanner's Model of Clinical Judgement - ANSWER-A model based on how a nurse thinks, it explains the 4
steps in the critical thinking process that nurses use to solve any problem:
Noticing
Interpereting
Responding
Reflecting
Step 1 Noticing - ANSWER--Identifying signs and symptoms
-gathering complete and accurate data
-assessing systematically and comprehensivly
-predicting and (managing) potential complications
-identifying assumptions
Identifying signs and symptoms - ANSWER-Indicates when a situation is normal, abnormal, or has
changed, something is different than expected
Gathering complete and accurate data - ANSWER-Data collected from all available sources is used as the
basis for identifying issues, problems, concerns. Must verify that data is complete and accurate
Assessing systematically and comprehensively - ANSWER-A method of assessing information or data so
nothing is omitted or forgotten. Focused, head to toe, body systems
, Predicting (and managing) potential complications - ANSWER-Look at the big picture to prepare for
potential future complications for an individual pt, you are predicting complications which means you
are identifying possible problems. What will put our pt at risk
ex.recognize that all pt have risk for atelectasis after surgery
Identifying assumptions - ANSWER-Recognize information taken for granted, hastily arriving at a
conclusion without supporting evidence, a misconception. EVIDENCE
ex. all thin people are healthy
Step 2- Interpreting - ANSWER--clustering related information
-recognizing inconsistencies
-checking accuracy and reliability
-Distinguishing relevant from irrelevant
-determining the importance of information
-comparing and contrasting
-(predicting) and managing potential complications
-judging how much ambiguity is acceptable
-using legal, ethical and professional
HERE WE- PLANNING, PRIORITIZE, DESICIONS
WHAT ARE YOU GOING DO WITH THE DATA YOU RECIEVE, MAKE SENCE OF THE DATA*
Clustering related information - ANSWER-Grouping together information with a common theme. A
method of organizing data so that you put .things together in order to understand the situation, what is
alike
ex. headache-clustering orther related sx-sleepy, hit head, dizziness
Recognizing inconsistencies - ANSWER-does the objective data match the subjective data
ex. pt says they aren't in pain but face is telling you diff. they are grimacing, clinching fists, tearful,
holding their side
Distinguishing relevant from irrelevant - ANSWER-decidingco what information is pertinent or connects
to the matter at hand, sort out what info relates to the current problem
ex. pt tells cardiologist my back hurts
may be important to pt overall care but not the current problem
Comparing and contrasting - ANSWER-looking at 2 similar cases, identifying the subtle differences, and
acting on them