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35 Cards in this Set

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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
Interpretation
Analysis
Evaluation
Inference
Explanation
Self Regulation
Critical Thinking Model (5 points)
Knowledge Base
Experience
Competencies
Attitudes
Standards
6 Critical Thinking Competencies
Scientific Method
Problem Solving
Decisio Making
Diagnostic Reasoning and Inferences
Clinical Decisioin Making
Nursing Process
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
Professional Responsibility
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
Assessment
Nursing Diagnosis
Planning
Implementation
Evaluation
Assessment
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.
Planning
Establishing client-centered boals and expected outcomes
Selecting nursing interventions to achieve the goals and outcomes.
Implementation
Nursing behavior in which the actions necessary for achieving the goals and expected outcomes are initiated and completed.
Evaluation
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
Components
Skills
Competencies
Attitudes
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)
Client/patient
Families/significant others
Health care team members
Medical records/other records
Literature review
Nursing experience
Strategies for Effective Communication
Silence,
Attentive listening
Clarifying
Focusing
Stating Observations
Summarizign
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
Data/Cue Clustering
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?
3-4
Types of nursing diagnosis
ACTUAL
RISK
Possible
Syndrome
Wellness
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
Not Goals
Not Interventions