Intro to Professional Nursing Quiz 3 and Answers

Intro to Professional Nursing Quiz 3 and Answers Steps in the Nursing Process ADPIE (A Delicious PIE) 1. Assessment 2. Diagnosis (also known as Analysis) 3. Planning 4. Implementation 5. Evaluation Assessment -Collect and organize data about a patient (interview and physical exam) -Physiological, psychological, sociocultural, spiritual, economic, life-style information about the patient, family, caregivers, community, environment -Objectives: establish communication, conduct patient interview, collect objective data, collect subjective data; organize and document Diagnosis -Analyze the assessment data to determine actual or potential diagnoses, problems, and issues -Utilize nursing diagnoses (or similar concepts) to reflect clinical judgement about the patient's response to actual or potential health conditions or needs -Provides the basis for the care plan -Objectives: identify and define the problem and risk factors, analyze the data, develop a hypothesis or theory, establish nursing diagnoses Planning -Create a care plan by setting measurable and achievable short- and long-term goals for the patient (agreed upon by the nurse and the patient) -Prioritize nursing diagnoses and develop SMaRT goals (specific and measurable, relevant, time-bound; you could also consider the a as representative of achievable) -Objectives: establish goals/expected outcomes and identify interventions that will help achieve these, document the care plan Implementation -Initiate interventions; act out the care plan -Objectives: ongoing assessment and prioritization, allocation of resource, documentation of interventions and patient responses Evaluation -Continuously evaluate outcomes/response and modify the care plan as needed -Objectives: determine effectiveness of nursing interventions, verify quality of nursing care provided, promote accountability and continuity of care Characteristics of critical thinkers Curiosity/inquisitiveness Self-informed/finds own answers Analytic/confident in reasoning Open-minded Flexible Fair-minded Self-aware Prudent/sound in judgement Clear about issues Orderly/organized Persistent Reasonable Focused on truth Empathy the ability to understand and share the feelings of another by imagining what it would be like to be in their shoes - compassion blended with understanding rather than pity Responsibilities of an effective interdisciplinary team member In general: -Learn about other team member's roles -Communicate and collaborate with other team members in an appropriately timely manner for shared decision making -Coordinate smooth transitions across settings for care processes -Listening -Conflict resolution As a nurse specifically: -Promote health and prevent disease -Provide comfort and care to clients -Make informed decisions -Act as a client advocate and ensure client-centered care -Lead and manage the nursing team -Communicate effectively to the patient and team members -Act as a resource -Recognize own limitations and seek help as needed 5 rights of delegation 1. Right task 2. Right circumstance 3. Right person 4. Right direction and communication 5. Right supervision (feedback) Acute illness characterized by severe symptoms that are relatively short-lived Examples: -Common cold -Acute appendicitis as potentially life-threatening -Acute myocardial infarction leading to chronic conditions -Spinal cord injury and life changes Chronic illness develops gradually, requires ongoing medical attention, and may continue for the duration of the individual's life Evidence-based practice and implications for practice/how we use it in nursing -Evidence-based practice is an element of critical thinking and a good means of improving clinical judgment -Focusing on evidence of effective interventions helps prevent nursing practice from deteriorating into routine or traditional care -An important focus of professional nursing education is to learn how to seek out and critique research findings to implement best practices in one's own nursing practice -from online, not the powerpoint: (1) identify knowledge gaps, (2) formulate relevant questions, (3) conduct an efficient literature search, (4) apply rules of evidence to determine the validity of studies, (5) apply the literature findings appropriately to the patient's problem, and (6) appropriately involve the patient in the clinical decision making IRB Institutional Review Board; board that reviews research proposals for ethical violations/procedural errors Participant rights in human research Research that is not based on or is not related to previous work may have inadvertent violations of human participants' rights Nursing research systematic investigation of phenomena related to improving patient care What agency funds nursing research? -National Institute of Health (NIH) only funds nurses with PhDs, although other funding sources are open to nurses with other doctoral degrees -Doctor of philosophy or other doctoral degree nurses are more favorably positioned to receive research funding than nurses without doctorates Methods for disseminating research (understanding that disseminating involves getting the information to another person or persons) sharing useful research findings with colleagues