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35 Cards in this Set
- Front
- Back
critical thinking
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The use of the mind in forming conclusions, making decisions, drawing inferences, and reflecting.
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3 Levels of Critical Thinking
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Basic (only one right answer exists)
Complex - More independent, risks are weighed Commitment - Makes choices independently, assumes accountability |
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6 Critical Thinking Skills
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Interpretation
Analysis Evaluation Inference Explanation Self Regulation |
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Critical Thinking Model (5 points)
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Knowledge Base
Experience Competencies Attitudes Standards |
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6 Critical Thinking Competencies
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Scientific Method
Problem Solving Decisio Making Diagnostic Reasoning and Inferences Clinical Decisioin Making Nursing Process |
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Critical Thinking Competencies
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Intellectual processes used to make decisions
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Nursing Process
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5-step problem solving process specific to nursing
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Clinical Decision Making
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Choosing the best approach for reaching desired goal.
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3 Critical Thinking Standards
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Ethical Criteria
Criteria for Evaluation Professional Responsibility |
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Critical Thinking Synthesis
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Non-linear (not an exact order of steps. It's dynamic)
A meshing of knowledge, experience, standards, and attitudes. |
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Purpose of the Nursing Process (4 things)
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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 |
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5 Steps to the Nursing Process
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Assessment
Nursing Diagnosis Planning Implementation Evaluation |
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Assessment
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Collecting, verifying, analyzing and communicating information/data about a client
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Nursing Diagnosis (or label)
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A statement that describes the client's actual or potential response to a health problem.
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Planning
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Establishing client-centered boals and expected outcomes
Selecting nursing interventions to achieve the goals and outcomes. |
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Implementation
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Nursing behavior in which the actions necessary for achieving the goals and expected outcomes are initiated and completed.
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Evaluation
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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)
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Important concepts in the Nursing Process
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Levels of critical thinking
Components Skills Competencies Attitudes |
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Assessment - Data Collection
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Data collection must be acurate, complete, descriptive and appropriate
Avoid inferences and opinions Obtain confirmation of the data |
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Types of Data
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Subjective data (symptoms)
Objective data (signs) |
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Assessment Sources of data (6)
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Client/patient
Families/significant others Health care team members Medical records/other records Literature review Nursing experience |
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Strategies for Effective Communication
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Silence,
Attentive listening Clarifying Focusing Stating Observations Summarizign |
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Types of Assessments
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Comprehensive -entire body
Focused - one system only |
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11 Functional Health Patterns
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Health Perception, Nutrition, Elimination, Activity, Cognitive, Sleep, Self Perception, Role, Sexuality, Coping, Values
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2 ways to formulate nursing judgements
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Data interpretation
Data/Cue Clustering |
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Nursing Diagnosis
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A description of the CLIENT'S RESPONSE to an actual or potential health proglem
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Purpose of the nursing diagnosis
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Identifies health problems in clients, families, communities
Provides direction for nursing care Takes into account the data obtained during the assessment. |
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NANDA - North American Nursing Diagnosis Asociation
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Wrote the guidelines for nursing diagnosis
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Data Cluster
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a set of signs and symptoms that are grouped together in a logical order.
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The diagnosis should contain how many defining characteristics?
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3-4
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Types of nursing diagnosis
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ACTUAL
RISK Possible Syndrome Wellness |
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3 parts to a diagnostic statement
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Problem or diagnostic label
Etiology (Cause) - something we can fix Signs and Symptoms |
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What can't be used in the etiology?
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The medical diagnosis
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What is the format of a diagnostic statement?
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Nursing diagnosis related to ETIOLOGY as evidenced by SIGNS and SYMPTOMS
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5 NOT's in the Nursing Diagnosis
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Not the medical diagnosis
Not the nurse's problem Not equipment problems Not Goals Not Interventions |