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1. what is critical thinking? -critical thinking: specific knowledge + expertise
and experience; use EBPs
-critical thinking ’clinical judgement ’clinical de-
cision making
2. critical thinking model 1. basic (trust instructor, thinking based on rules,
answers seem right and wrong)
2. complex (trust own instincts, use creativity -
consider different options from routine)
3. commitment: Anticipates when to make deci-
sions independently, considers the decision and
determines if it was appropriate
-cmpts for critical thinking: experience, compe-
tencies (skills you are learning), attitudes, stan-
dards
3. medical diagnosis -medical diagnosis: focuses on what is wrong
with patient (disease process); language med-
ical practitioners use to communicate a patient's
health problem and associated treatments and
response
platform to dvlp nursing diagnoses
ex. stroke
ex. diabetes - doctor will order various medica-
tions and tests such as a hemoglobin to test BS
levels
4. nursing diagnosis -response to medical diagnosis; actions to help
pts live with their diagnosis; holistic (the foun-
dation of nursing practice) independent (don't
need doctor's orders)
, NUR 3028 - exam 1
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-concise term or phrase that represents a pattern
of related cues (assess data/define characteris-
tics)
ex. activity intolerance
5. examples of nursing diagnoses acute pain, activity intolerance, ROI, impair-
ment to skin/oral mucosa, nutrition imbalances,
knowledge deficiency, anxiety, social isolation
6. Review the following nursing diag- answer: 2,4
noses and identify the diagnoses that 1 offers an intervention to the problem
are stated correctly. (Select all that ap- 3 is a related factor to a medical diagnosis that a
ply.) nurse cannot directly treat
1. Offer frequent skin care because of 5 describes a procedure, not the reaction to the
Impaired Skin Integrity actual procedure
2. Risk of Infection
3. Chronic Pain related to osteoarthri-
tis
4. Activity Intolerance related to physi-
cal de-conditioning
5. Lack of Knowledge related to laser
surgery
7. collaborative problem Knowing the scope of practice and abilities of
each team member, uses both medical and
nursing diagnoses
8. what does collaboration lead to shorter recovery/rehab time, reduced hospital-
izations, greater pt satisfaction
9. nursing process (nursing diagnostic !!! systemic method of critical thinking
process) put terminology into terms everyone can under-
stands; systematic method of critical thinking;
, NUR 3028 - exam 1
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follow NANDA
ADPIE
-assessment (subjective and objective data, clus-
ter)
-diagnosis (actual, risk, health promotion)
-planning (cultural sensitivity and NOC and NIC
- outcomes and interventions classification)
-implementation
-evaluation
-goes hand in hand with components for critical
thinking: experience, competencies, attitudes,
standards
10. planning: NOC and NIC NOC: nursing outcomes classification: attain-
ment towards a goal
NIC: nursing interventions classification: inter-
ventions
11. A nurse is assigned to a new patient 1. Review assessment data, noting objective and
admitted to the medical unit. The nurse subjective clinical information
collects a nursing history and inter- 2. cluster
views the patient. Place the following 3. nursing diagnosis
steps for making a nursing diagnosis in 4. Consider the context of patient's health prob-
the correct order lem and select a related factor
5. Identify appropriate assessment findings for
diagnosis
12. 3 nursing diagnosis 1. actual: thing happening right now: wound/cut
(PES)
2. risk: condition that may dvlp later: infection
from that wound, or fall risk
, NUR 3028 - exam 1
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3. health promotion: based off of educational
deficit; enhance the public's knowledge
13. diagnosis label concise term or phrase that represents a pat-
tern/clustered data (the problem in the nursing
diagnosis)
14. components for nursing diagnosis diagnosis label (P)
related factors or risk factors (E) r/t
defining characteristics (S) symptoms and signs
15. nursing diagnosis statement: actual PES
P - problem: the nursing diagnosis (assessment
data)
ex. activity intolerance
E - etiology "related to" (r/t) cause to the prob-
lem
ex. r/t imbalance in oxygen supply and demand
S - signs (obj) and symptoms (subj) defining
characteristics
ex. abnormal HR, dyspnea, pt reports fatigue
!!!nursing diagnosis statement:
activity intolerance r/t imbalance in oxygen sup-
ply and demand
evidenced by:
subjective symptoms: verbal reports of fatigue
"difficult to breathe and walk"
objective signs: circumoral cyanosis, O2 sat of
89%
16. nursing diagnosis statement: health Problem (nursing diagnosis): knowledge deficit,
promotion readiness for self-help management