And Answers
/. 5 Sub Sets of Noticing (Step 1 of Tanner's Model) - Answer-✅1. Identifying Signs and
Symptoms
2. Gathering Complete&Accurate Data
3. Assessing Systematically&Comprehensively
4. Predicting&Managing Potential Complications
5. Identifying Assumptions
/.What does "Identifying Signs and Symptoms" mean? - Answer-✅Identifying objective
and subject signs and symptoms that indicate a situation is different, changed, and not
of a normal state.
**The ability to recognize a situation is different
/.Examples of signs and symptoms - Answer-✅Abnormal vital signs
Chest Pain
Fever
/.Objective Signs and Symptoms - Answer-✅Something you can see/something
measurable (change in vital signs, blood in the stool, fever, vomiting)
/.Subjective Signs and Symptoms - Answer-✅Something the patient feels ("I feel
nauseous, I feel sad, I feel anxious")
/.What does "Gathering Complete and Accurate Data" mean? - Answer-✅Data is
collected from all available sources. Both primary and secondary
/.What is a primary source? - Answer-✅Data gathered directly from the patient (pt.
interview)
Every other source is a secondary source
/.What is a secondary source? - Answer-✅Anything that is not spoken directly from the
pt.
-Chart/medical records
-lab works/any tests done
-Family interview
_pt. history
/.What does "Assessing systematically and comprehensively" mean? - Answer-✅-It is
an organized manner to collect data and make sure nothing is omitted or forgotten.
, -Everyone uses the same system to make sure you don't forget anything
**Examining the whole, piece by piece, in a thorough manner**
/.Examples of Assessing systematically and comprehensively - Answer-✅-head to toe
assessment
-focused assessment (problem oriented)
-Following a routine that is exactly the same every time
/.What does "predicting and managing potential complications" mean? - Answer-✅-
looking at the big picture to consider possible complications for an individual pt.
-Predicting complications which means you're identifying possible problems
-Identifying individuals more at risk for certain situations
**Think--what makes that particular pt more at risk than someone else in the same
exact situation?**
/.Examples of predicting and managing potential complications - Answer-✅Two pts
come out of the same exact surgery. One is a 19yr old athlete with no negative medical
history. The other is a 65 yr old who has smoked daily for 40 yrs and has COPD. Who is
more at risk for complications and why?
/.Factors that influence a PN's ability to use "predicting and managing potential
complications - Answer-✅1. Environmental context
2. Experience
3. Recognizing patterns
/.What does "Identifying Assumptions" mean? - Answer-✅taking something for granted
or hastily arriving at a conclusion without the supporting evidence--This is what you do
not want to do.
-Always check the evidence and data first before arriving at a conclusion
/.Examples of Identifying Assumptions - Answer-✅A drug addict comes in with
abdominal pain, you automatically assume he is just seeking drugs. He actually has a
bowel obstruction.
/.What are the four steps in Tanner's Model? - Answer-✅1. Noticing
2. Interpreting
3. Responding
4. Reflecting
/.Step 1. Tanner's Model: Noticing (What does it mean?) - Answer-✅Collect all pertinent
data/info on your pt.
-critical step to making an effective judgement to address a pt issue
-Mirror step in the nursing process is --collecting data