Nursing 330 Exam 1 Questions with correct answers
Tanners Clinical Judgment Model Correct Answer-an interpretation or
conclusion about a patients needs, concerns, or health problems, and the
decision to take action (or not), use or modify standard approaches, or
improvise new ones as deemed appropriate by the patients response
Noticing Correct Answer--focused observation
-recognition of deviations from expected patterns
-information seeking from patient and family
Interpreting Correct Answer--developing sufficient understanding of
situation in order to determine an appropriate response
-involves making sense of data, prioritization, and develop intervention
Responding Correct Answer--appropriate action (may be none)
-result of clinical reasoning
-develop leadership, clear communication, well-planned/flexible
intervention, proficiency and mastery of nursing skills
Reflection Correct Answer--evaluation and analysis of choices and
decisions
-commitment to ongoing improvement of personal nursing practice
-reflection in action: attending to patients response while in process of
acting
,The Nursing Process Correct Answer-problem-solving approach to the
identification and treatment of pts. problems that is the foundation of
nursing practice. provides structure for the delivery of nursing care and
the knowledge, judgments, and actions the nurses use to achieve best
patient outcomes
Assessment Correct Answer-the collection of subjective and objective
patients information on which to base the plan of care
-data collection
Subjective Data Correct Answer-what you perceive, pt. states
Objective Data Correct Answer-assessment findings
Diagnosis Correct Answer--the act of analyzing the assessment data and
making a judgment about the nature of the data
-identifying and labeling human responses to actual or potential health
problems or life processes
Example of Diagnosis Correct Answer-NANDA-I Nursing Diagnosis ---
> Related to Factors ---> As Evidenced By
Planning Correct Answer-the nursing diagnosis directs the development
of patients outcomes or goals and identification of nursing interventions
to accomplish the outcomes
,Example of Planning Correct Answer--priorities
-nursing care plan: outcomes (NOC) and interventions (NIC)
Implementation Correct Answer--the activation of the plan with the use
of nursing interventions
-delegation
Example of Implementation Correct Answer-nurse and/or physician
initiated collaborative care
Evaluation Correct Answer--continual activity in the nursing process
-determined whether the patient outcomes have been met as a result of
nursing interventions
-if outcomes are not met, review of steps is necessary
Example of Evaluation Correct Answer--outcomes met?
-if not, re-evaluate data, etiologies, outcomes
American Nursing Associations Definition of Nursing Correct Answer-
nursing is the protection, promotion, and optimization of health and
abilities, prevention of illness and injury, alleviation of suffering through
the diagnosis and treatment of human response and advocacy in the care
of individuals, families, communities, and populations
, Evidence Based Practice Correct Answer--a problem solving approach
to clinical decision making
-involves the use of the best available experience in combination with
clinician expertise and patient preferences and values to achieve desired
patient outcomes
Importance to Nursing Practice Correct Answer-the delivery of the
highest quality of care for the best patient outcomes
Examples of the Role that the Nurse does in Patient Teaching Correct
Answer--health promotion, prevention of disease, management of
illness, and appropriate selection and use of treatment options
-every interaction with a patient and caregiver is a potential teachable
moment
-required competencies for a nurse as a teacher: knowledge of subject
matter and communication skills
3 Factors that Determine Teaching Strategies Correct Answer-1. patient
characteristics (age, educational background, culture)
2. Subject Matter
3. Available Resources
Discussion "Teach Back" Correct Answer-Discussion: purpose is to
exchange points of view about a topic
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