NR 224 FUNDAMENTALS QUESTIONS AND ANSWERS/ A+ GRADE
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Course
NR 224
Institution
NR 224
NR 224 FUNDAMENTALS QUESTIONS AND ANSWERS/ A+ GRADE
-confidence
-thinking
-fairness
-responsibility and authority
-risk taking
-discipline
-perseverance
-creativity
-curiosity
-integrity
-humility
critical thinking attitudes in nursing practice
the nurse, gaining more experience i...
NR 224 FUNDAMENTALS QUESTIONS AND ANSWERS/ A+ GRADE
-confidence
-thinking
-fairness
-responsibility and authority
-risk taking
-discipline
-perseverance
-creativity
-curiosity
-integrity
-humility
critical thinking attitudes in nursing practice
the nurse, gaining more experience in reasoning and decision making, does not
hesitate to disagree and be troubled, thereby acting as a role model to
colleagues. Speak with conviction to a patient when you begin an intervention.
Do not lead a patient to think that you are unable to perform care safely. Always
be well prepared before performing a nursing activity. Encourage a patient to ask
questions
confidence
As you acquire new knowledge and experiences, examine your beliefs under new
evidence. Be open-minded about different interventions. Read the scientific
literature, especially when there are different views on the same subject. Talk with
other nurses and share ideas about nursing interventions
thinking
Listen to both sides of a discussion. If a patient or family member complains
about a co-worker, listen to the story and speak with the co-worker as well. If a
staff member labels a patient uncooperative, assume the care of that patient with
openness and a desire to meet the patient's needs
fairness
Ask for help if you are uncertain about how to perform a nursing skill. Refer to a
policy and procedure manual to review steps of a skill. Report any problems
immediately. Follow standards of practice in your care
responsibility and authority
If your knowledge causes you to question a health care provider's order, do so.
Be willing to recommend alternative approaches to nursing care when colleagues
are having little success with patients, especially if your ideas are supported with
scientific evidence
risk taking
Be thorough in whatever you do. Use known scientific and practice-based criteria
for activities such as assessment and evaluation. Take time to be thorough and
manage your time effectively
perseverance
,Look for different approaches if interventions are not working for a patient. For
example, a patient in pain may need a different positioning or distraction
technique. When appropriate, involve the patient's family in adapting your
approaches to care methods used at home
creativity
Always ask why. Be willing to challenge tradition. A clinical sign or symptom
often indicates a variety of problems. Explore and learn more about a patient so
as to make appropriate clinical judgments
curiosity
Recognize when your opinions conflict with those of a patient; review your
position and decide how best to proceed to reach outcomes that will satisfy
everyone. Do not compromise nursing standards or honesty in delivering nursing
care
integrity
Recognize when you need more information to make a decision. When you are
new to a clinical division, ask for an orientation to the area. Ask registered nurses
(RNs) regularly assigned to the area for assistance with approaches to care
humility
-basic
-complex
-commitment
levels of critical thinking
-trusts that experts have all the answers, thinking is concrete and based on a set
of rules/principles, do not have enough experience to anticipate how to
individualize the procedure when problems arise, answers to complex questions
are seen as right or wrong and there is only a single solution to the
problem, learns to accept the diverse opinions and values of experts
-Using a manual to change an IV dressing
basic
-rely less on experts and trust their own decisions more, analyze the clinical
situation and examine choices more independently, critical thinking and
creativity= flexibility, able to generate ideas and quickly and change viewpoints,
create original problem solutions, learn that alternative and conflicting solutions
exist, each solution has benefits and risks that you weigh before making a final
decision, thinking becomes innovative, considers different options from routine
procedures , gather additional information and take a variety of different
approaches for the same therapy
-Not having to refer to manual for proper inhaler use
-complex
anticipate when to make choices w/o assistance from others and accept
accountability for decisions made, choose an action or belief that is based on
alternatives and support it, your decision to act or delay based off knowledge and
experience, since you are accountable - you consider the results of the decision
and determine whether it was appropriate
commitment
, -analyze the diagnosis/ problems
-consider the time
-consider the resources
-involve the patients, family, and SO
-decide how to combine activities for best ---
-resolution
-discuss complex cases with other HC members for smooth transition
clinical decision making for groups of patients
-Nurses should take advantage of educational and self-help programs for stress
management. Programs such as BREATHE focus on areas of nursing stress that
nurses could address either by changing the way they view stressors, changing
how they respond to stress, or, when possible, changing the stressful situation.
-Exercises on grieving and coping with the demands of caring for dying patients
can minimize stress and improve overall care of patients who are terminally or
critically ill.
-Nurses should learn assertive communication, conflict resolution, and problem
solving strategies to reduce the stress associated with different interactions with
other nurses or health care providers.
managing stress in nurses
-Collection of information from a primary source (a patient) and secondary
sources (family/caregiver/SO)
-The interpretation and validation of data to determine whether more data is
needed or if the database is complete
steps in the nursing assessment process
-While gathering data form a patient, you synthesize relevant knowledge, recall
prior clinical experiences, apply critical thinking standards and attitudes, and use
prof standards of practice to direct your assessment in a meaningful and
purposeful way
-Apply knowledge from physical, biological, and social sciences to ask relevant
questions and complete a hx and physical
-Ultimate goal in assessment is to gather all of the information necessary to
reveal a patient's health care needs
-Decisions made influence their effectiveness in clinical practice and make an
impact on a patient's lives and experiences with HC in any setting in which they
practice
components of critical thinking and the assessment process
primary source for data
patient
secondary source for data
family, care giver, SO
-admission nursing Hx form
-patient care summary
-care plans
-discharge summary
electronic health record forms
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