Jarvis Ch. 1-4: Evidence based
Assessment, Cultural competence, the
interview, the health history
Assessment (Definition) - Answers -The collection of subjective and objective data
about a patient's health
Subjective Data (Definition) - Answers -Information provided by the affected individual
Objective Data (Definition) - Answers -Info obtained by the healthcare provider through
inspection, palpation, percussion, and auscultation during the physical examination
Database (Definition) - Answers -The totality of information available about a patient,
including subjective and objective data, as well as the patient's medical record and lab
studies
What is the Purpose of the Database? - Answers -To make a judgement or diagnosis
Diagnostic Reasoning (Definition) - Answers -The process of analyzing health data and
drawing conclusions to identify diagnoses
How many components does diagnostic reasoning have? - Answers -4
What are the 4 components of Diagnostic reasoning? - Answers -1.) Attending to initially
available cues
2.) Formulating diagnostic hypothesis
3.) Gathering data relevant to the tentative hypothesis
4.) Evaluating each hypothesis with the new data collected, which leads to the final
diagnosis
What is a cue? - Answers -A piece of information.
What are three examples of cues? - Answers -Signs, Symptoms, Laboratory data
What are the 6 phases of the Nursing Process (in order) - Answers -1.) Assessment
2.) Diagnosis
3.) Outcome Identification
4.) Planning
5.) Implementation
6.) Evaluation
, ADOPIE
What is meant by a 'novice nurse'? - Answers -A nurse who has no experience with a
particular patient population and uses rules to guide performance
What is meant by a 'proficient nurse'? - Answers -A nurse who understands a patient
situation as a whole, rather than a list of tasks. Who attends to an assessment data
pattern, and acts without consciously labelling it
What is meant by a 'expert nurse'? - Answers -A nurse with an intuitive grasp of a
clinical situation, who zeroes in on the accurate solution
Critical Thinking (Definition) - Answers -The multidimensional thinking process needed
for sound diagnostic reasoning and clinical judgement.
What does the process of critical thinking include? (4) - Answers -1.) Identifying relevant
information
2.) Gathering clinical cues
3.) Completing an assessment
4.) Setting Priorities
What is a first level priority problem (definition) - Answers -Emergent, life threatening,
and immediate, such as establishing an airway or supporting breathing.
What is a second level priority problem? - Answers -Require prompt intervention to
prevent further deterioration and may include a mental status change, acute pain, or
abnormal lab values
That is a third level priority problem? (Definition) - Answers -Problems important to the
patient's health but can be addressed after more urgent problems, examples include
lack of knowledge, or family coping.
What is a collaborative problem? - Answers -A problem for which the treatment involves
multiple disciplines
What is evidence based practice? - Answers -A systemic approach to practice that uses
best evidence, the clinician's experience, and the patient's preferences and values to
make decisions about care and treatment
What is a Complete (or total) health database? - Answers -A database that includes a
complete health history, and a full physical examination, yielding a first diagnosis.
What is a focused (or problem centered) database? - Answers -A database used for a
limited or short term problem, it is smaller in scope and more targeted than a complete
database
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