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Exam (elaborations)

NUR 155 Exam 2 Study Guide 2023 With Complete Solution 100%Correct Answers.

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NUR 155 Exam 2 Study Guide 2023 With Complete Solution 100%Correct Answers. Foundations of Nursing: Exam 2 Ch. 10 – Critical Thinking Critical thinking skills  Analyzing – separating/ breaking whole into parts  Applying standards – judging according to established personal  Discriminating - recognizing differences  Information seeking – search for evidence  Logical reasoning – drawing inferences  Predicting – envision a plan  Transforming knowledge – changing/converting the condition, nature, form/function of concepts Problem-solving Process  Trial & error  Intuition  Research process  Examples of problem solving situations: safety/infection o Everything we do as a nurse is backed up by research (evidence-based practice) Decision-making Process  Choosing the best actions to meet a desired goal o Make value decisions time management decisions o Scheduling decisions o Priority decisions Ch. 11-14 - Nursing Process *The nursing process is client centered  Assessment o Collect data  Database – contains all the information about the client  Subjective (symptoms/what client says)  Objective (signs/vital signs, chart – can be seen, heard, felt, smelled or observed by physical examination)  Sources of data  Observing/Interviewing  Closed ended questions  Open ended questions  Don’t ask, “Why?”  Instead say, “tell me about…” 1 o Organize data o Validate data o Document data  Nursing Diagnosis o Analyze data o Identify health problems, risks, and strengths o Formulate diagnostic statements  Types of diagnoses:  Actual diagnosis  Risk diagnosis  Health promotion diagnosis  Wellness diagnosis  NANDA-1 nursing diagnoses  Prioritization – Maslow’s Hierarchy of Needs  Planning o Prioritize problems/diagnoses o Formulate goals/desired outcomes o Select nursing interventions o Write nursing interventions  Implementation o Reassess the client o Determine the nurse’s need for assistance o Implement the nursing interventions o Supervise delegated care o Document nursing activities  Evaluation o Collect data related to outcomes o Compare data with outcomes o Related nursing actions to client goals/outcomes o Draw conclusions about problem status o Continue, modify or terminate the client’s care plan  Writing Nursing Diagnoses o Basic Two-Part Statement (at risk) 2 part  Problem (P)  Etiology (E) o Basic Three-Part Statement (actual) 3 part  Problem (P)  Etiology (E)  Signs and symptoms (S) **If the goal is not met, always go back and re-assess** 2 Ch. 49 - Fecal Elimination  Defecations is the process of elimination of waste from the digestive system o Feces or stool.

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