Glossary of Nursing 114
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- critical thinking
- The use of the mind in forming conclusions, making decisions, drawing inferences, and reflecting.
- 3 Levels of Critical Thinking
- Basic (only one right answer exists)
Complex - More independent, risks are weighed
Commitment - Makes choices independently, assumes accountability
- 6 Critical Thinking Skills
- Critical Thinking Model (5 points)
- Knowledge Base
- 6 Critical Thinking Competencies
- Scientific Method
Diagnostic Reasoning and Inferences
Clinical Decisioin Making
- Critical Thinking Competencies
- Intellectual processes used to make decisions
- Nursing Process
- 5-step problem solving process specific to nursing
- Clinical Decision Making
- Choosing the best approach for reaching desired goal.
- 3 Critical Thinking Standards
- Ethical Criteria
Criteria for Evaluation
- Critical Thinking Synthesis
- Non-linear (not an exact order of steps. It's dynamic)
A meshing of knowledge, experience, standards, and attitudes.
- Purpose of the Nursing Process (4 things)
- Enables the nurse to
Organize and deliver nursing care
Identify, diagnose and treat HUMAN RESPONSES to illness and health
It is dynamic and continuous as the client's needs change
- 5 Steps to the Nursing Process
- Collecting, verifying, analyzing and communicating information/data about a client
- Nursing Diagnosis (or label)
- A statement that describes the client's actual or potential response to a health problem.
- Establishing client-centered boals and expected outcomes
Selecting nursing interventions to achieve the goals and outcomes.
- Nursing behavior in which the actions necessary for achieving the goals and expected outcomes are initiated and completed.
- Measures the client's response to the nursing action and the client's progress toward achieving goals. (if evaluation is negative, start at assessment again)
- Important concepts in the Nursing Process
- Levels of critical thinking
- Assessment - Data Collection
- Data collection must be acurate, complete, descriptive and appropriate
Avoid inferences and opinions
Obtain confirmation of the data
- Types of Data
- Subjective data (symptoms)
Objective data (signs)
- Assessment Sources of data (6)
Health care team members
Medical records/other records
- Strategies for Effective Communication
- Types of Assessments
- Comprehensive -entire body
Focused - one system only
- 11 Functional Health Patterns
- Health Perception, Nutrition, Elimination, Activity, Cognitive, Sleep, Self Perception, Role, Sexuality, Coping, Values
- 2 ways to formulate nursing judgements
- Data interpretation
- Nursing Diagnosis
- A description of the CLIENT'S RESPONSE to an actual or potential health proglem
- Purpose of the nursing diagnosis
- Identifies health problems in clients, families, communities
Provides direction for nursing care
Takes into account the data obtained during the assessment.
- NANDA - North American Nursing Diagnosis Asociation
- Wrote the guidelines for nursing diagnosis
- Data Cluster
- a set of signs and symptoms that are grouped together in a logical order.
- The diagnosis should contain how many defining characteristics?
- Types of nursing diagnosis
- 3 parts to a diagnostic statement
- Problem or diagnostic label
Etiology (Cause) - something we can fix
Signs and Symptoms
- What can't be used in the etiology?
- The medical diagnosis
- What is the format of a diagnostic statement?
- Nursing diagnosis related to ETIOLOGY as evidenced by SIGNS and SYMPTOMS
- 5 NOT's in the Nursing Diagnosis
- Not the medical diagnosis
Not the nurse's problem
Not equipment problems
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