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26 Cards in this Set
- Front
- Back
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What are the five stages of the nursing process
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assessment, diagnosis, planning, implementation, and evaluation
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Explain how critical thinking is used in the nursing process.
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-nursing is a problem solving process that uses critical thinking
-throughout the nursing process we must make changes based on evaluation, assessment, and critical thinking |
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What are the 4 concepts of Full-spectrum nursing?
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-thinking (critical thinking and theoretical knowledge)
-doing (practical knowledge and nursing process) -caring (self knowledge and ethical knowledge -patient situation |
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List critical thinking skills.
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-objectively gather info
-recognize the need for more info -evaluates credibility -recognizes gaps -listens carefully and reads thoughtfully -makes inferences about the data collected -visualize potential solutions to problems -explores consequences of actions -clusters cues |
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list critical thinking attitudes
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-independent thinking
-intellectual courage, empathy, humility, curiosity, perseverance -fair mindedness |
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In which stage of the nursing process does the nurse collect data?
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assessment
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Which stage of the nursing process involves problem identification?
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diagnosis
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What does the nurse do in the evaluation step of the nursing process?
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evaluates how the patient responded to the implementation of an action
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An RN is preparing her patient for surgery. The patient complains of a HA, and the RN notes his last recorded bp was 170/90. Yesterday his bp was 130/70. He is prescribed an anithypertensive medication. The unit was very demanding when the RN reported for her shift. Two regular staff members were absent because of illness, so an LPN from a different unit was assigned to administer medications on the RN's unit today. Cathy is concerned the patient may not have received his medication this morning. The RN is demonstrating which of the following?
a. intellectual curiosity b. practical knowledge c. critical thinking d. full-spectrum nursing |
c. critical thinking
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Roberts, a 24 year old woman, is admitted for treatment of burns to her left hand. She has some areas of blistering, and most of her hand is very red. She is able to move her fingers but reports severe pain with movement. The burns occurred when Roberta checked the bath water that she had prepared for her 2 year old child. The nurse admitting Roberta notices that she has a sad expression, occasionally wipes at tears, and is very quiet. In the admitting database, the nurse notes that Roberta asked if her baby would be taken away from her. The nurse asks Roberta if she is worried about the accident. This attitude represents which of the following?
a. intellectual curiosity b. intellectual empathy c. intellectual courage d. fair-mindedness |
b. intellectual empathy
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The RN is assigning the care of patients to her team members: another RN, an LPN, and two NAPs. Mr. Bonn, a new patient, is scheduled for an angiogram later that day. He is diabetic and speaks only spanish. The only staff member who speaks spanish is one of the NAPs. The RN assigns Mr. Bonn to the other RN on the team. The RN makes this decision based on which of the following?
a. personal knowledge b. theoretical knowledge c. fair mindedness d. ethical knowledge |
b. theoretical knowledge
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George Mint, RN, has been assigned to the care of a 66 year old female patient. Her diagnosis is congestive heart failure. Her bp during the previous shift was in the normal range. The NAP reports a very high current reading. Which of the following demonstrates the use of critical thinking skills?
a. George checks her bp himself, and he considers the possible causes if it remains elevated b. George has the NAP record the bp, and he plans to discuss the case with the charge nurse later in the shift c. George calls the doctor immediately to report these findings d. George instructs the NAP to check the bp in an hour and to notify him immediately if it remains elevated |
a. George checks the bp himself, and he considers the possible causes if it remains elevated
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Jose, a 47 year old male, is brought to the ED by ambulance. He is reported to have fallen and his his head at his construction work site today. He is accompanied by an EMT and a coworker. The coworker has a copy of the accident report completed by the company's RN. To obtain credible information for the nursing assessment, the nurse should gather data from which of the following?
a. EMT b. coworker c. Patient d. accident report e. all of the above |
e. all of the above
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You are assigned to the care of Ms. Sims for the 7pm to 7am shift. She was admitted 6 hours ago with dehydration, nausea, vomiting, and a fever of 101F. The NAP reports her vital signs as temp 99F, bp 120/60, pulse 80 bpm, 20 breaths/min, her intake as 500ml and her output as 100ml. She is currently sleeping. This is an example of which of the following components of the nursing process?
a. evaluation b. implementation c. assessment d. planning:intervention |
c. assessment
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A set of interrelated concepts is a __________.
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model
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Full spectrum nursing is a unique blend of __________ and __________ that translates caring into action
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thinking and doing
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T or F: The nursing process is linear, flowing from one step to the next?
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false
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T or F: Students should disregard their current learning skills in order to learn the skill of critical thinking?
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False
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T or F: Being inquisitive, open minded, and systematic are traits of critical thinkers
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True
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Critical thinking and the nursing process have which of the following in common? Both:
a. are important to use in nursing practice b. use an ordered series of steps c. are patient-specific processes d. were developed specifically for nursing |
a. are important to use in nursing practice
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In which step of the nursing process does the nurse analyze data and identify client problems?
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diagnosis
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In which phase of the nursing process does the nurse decide whether her actions have successfully treated the client's health problem?
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evaluation
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What is the most basic reason that self-knowledge is important for nurses? Because it helps the nurse to:
a. identify personal biases that may affect his thinking and actions b. identify the most effective interventions for a patient c. communicate more efficiently with colleagues, patients, and families d. learn and remember new procedures and techniques |
a. identify personal biases that may affect his thinking and actions
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Arrange the steps of the nursing process in the sequence in which they generally occur.
a. assessment b. evaluation c. planning outcomes d. planning interventions e. diagnosis |
a, e, c, d, b
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How are critical thinking skills and critical thinking attitudes similar? Both are...
a. influences on the nurse's problem solving and decision making b. like feelings rather than cognitive activities c. cognitive activities rather than feelings d. applicable in all aspects of a person's life |
a. influences on the nurse's problem solving and decision making
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The nurse is preparing to admit a patient from the ED. The transferring nurse reports that the patient with chronic lung disease has a 30+ year history of tobacco use. The nurse used to smoke a pack of cigarettes a day at one time and worked very hard to quit smoking. She immediately thinks to herself, "I know i tend to feel negatively about people who use tobacco, especially when they have a serious lung condition; I figure if i can stop smoking, they should be able to. I must remember how physically and psychologically difficult that is, and be very careful not to be judgmental of this patient" This best illustrates:
a. theoretical knowledge b. self-knowledge c. using reliable resources d. use of the nursing process |
b. self-knowledge
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