Nursing 330 Exam 1 With Complete Solutions 100% 2024
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 Advantages: active exchange of information non threat format can use peers to teach Limitations: may require additional time
Lecture- Discussion - correct answer Description: lecture portion is short (discussion teach back follows)
Advantages: combo short lecture with time for a discussion. printed material useful and recommended
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