2024 NURSING 155 HONDROS
FINAL EXAM WITH CORRECT
ANSWERS
Checking accuracy and reliability - CORRECT-ANSWERSrealizing that
something doesn't seem quite right and taking action to determine if it is
accurate or not, sounds suspicious and looking further into it
Nursing Process - CORRECT-ANSWERSstep by step approach directed at
planning and providing pt care.
Data collection(assessment), Planning, Implementation, Evaluation
Nursing process D - CORRECT-ANSWERSData collection- gather and review
info about the pt, assessment
Nursing process P - CORRECT-ANSWERSPlanning- development of a nursing
dx, goals, and interventions for a pt plan of care.
Nursing process I - CORRECT-ANSWERSimplementation of planned
interventions
actually carrying out the orders
Nursing process E - CORRECT-ANSWERSEvaluation- comparing actual
outcomes with expected outcomes
Tanner's Model of Clinical Judgement - CORRECT-ANSWERSA model based on
how a nurse thinks, it explains the 4 steps in the critical thinking process that
nurses use to solve any problem:
Noticing
Interpereting
Responding
Reflecting
Step 1 Noticing - CORRECT-ANSWERS-Identifying signs and symptoms
-gathering complete and accurate data
-assessing systematically and comprehensivly
-predicting and (managing) potential complications
-identifying assumptions
, Identifying signs and symptoms - CORRECT-ANSWERSIndicates when a
situation is normal, abnormal, or has changed, something is different than
expected
Gathering complete and accurate data - CORRECT-ANSWERSData collected
from all available sources is used as the basis for identifying issues,
problems, concerns. Must verify that data is complete and accurate
Assessing systematically and comprehensively - CORRECT-ANSWERSA
method of assessing information or data so nothing is omitted or forgotten.
Focused, head to toe, body systems
Predicting (and managing) potential complications - CORRECT-ANSWERSLook
at the big picture to prepare for potential future complications for an
individual pt, you are predicting complications which means you are
identifying possible problems. What will put our pt at risk
ex.recognize that all pt have risk for atelectasis after surgery
Identifying assumptions - CORRECT-ANSWERSRecognize information taken
for granted, hastily arriving at a conclusion without supporting evidence, a
misconception. EVIDENCE
ex. all thin people are healthy
Step 2- Interpreting - CORRECT-ANSWERS-clustering related information
-recognizing inconsistencies
-checking accuracy and reliability
-Distinguishing relevant from irrelevant
-determining the importance of information
-comparing and contrasting
-(predicting) and managing potential complications
-judging how much ambiguity is acceptable
-using legal, ethical and professional
HERE WE- PLANNING, PRIORITIZE, DESICIONS
WHAT ARE YOU GOING DO WITH THE DATA YOU RECIEVE, MAKE SENCE OF
THE DATA*
Clustering related information - CORRECT-ANSWERSGrouping together
information with a common theme. A method of organizing data so that you
put .things together in order to understand the situation, what is alike
ex. headache-clustering orther related sx-sleepy, hit head, dizziness
Recognizing inconsistencies - CORRECT-ANSWERSdoes the objective data
match the subjective data
ex. pt says they aren't in pain but face is telling you diff. they are grimacing,
clinching fists, tearful, holding their side
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