EXAM 2

Cognitive Skills for Clinical Judgement

Recognizing cues, analyzing cues, prioritizing hypotheses, generating solutions, taking action, evaluating outcomes.

Recognize Cues

Assessment of subjective and objective data to identify patient issues.

Analyze Cues

Evaluation of patient problems focusing on abnormalities and positive aspects.

Prioritize Hypotheses

Establishing planning based on the urgency of potential patient issues.

Generate Solutions

Developing interventions in the planning phase.

Take Action

Implementing planned interventions for patient care.

Evaluate Outcomes

Assessing if the patient met established health goals.

Nursing Process

A systematic, patient-centered approach used to assess, diagnose, plan, implement, and evaluate care.

Assessment Step

The first step in the nursing process involving data collection and analysis.

Diagnosis Step

Identifying patient problems based on assessed data.

Planning Step

Setting measurable goals and developing specific interventions for patient care.

Implementation Step

Carrying out the interventions as planned.

Evaluation Step

Determining the effectiveness of interventions and whether patient goals were met.

Cues and Goal Attainment

Identifying and analyzing cues helps in recognizing patient needs which guides goal-setting for interventions.

Importance of Planning

Planning organizes care, individualizes it for patients, and directs towards measurable goals.

Prioritizing Hypotheses in Clinical Judgement

Focusing on the most pressing patient problems to tailor interventions effectively.

Care Plan Modification

Adjusting care plans as needed for ongoing improvement in patient care quality.

Five Rights of Delegation

Right Task, Right Circumstance, Right Person, Right Direction/Communication, Right Supervision/Evaluation.

Professional Communication Categories

Includes therapeutic, interpersonal communication, and documentation aimed at effective patient care.

Phases of Professional Relationships

Orientation, Working, and Termination phases in establishing professional relationships.

Impact of Technology on Health Care

Improves accuracy, accessibility, efficiency, and enhances communication within healthcare.

Uses of Technology in Health Care

Electronic health records, telemedicine, patient monitoring, diagnostic tools, and data analytics.

Standardized Terminologies in EHR

Ensures clear communication and interoperability across healthcare systems.

SBAR in Healthcare

A structured communication tool representing Situation, Background, Assessment, Recommendation.

Sensory Perception

The process of detecting, interpreting, and responding to sensory stimuli from the environment.

Risk Factors for Impaired Sensory Perception

Include aging, chronic illnesses, neurological disorders, medications, trauma, and environmental factors.

Signs of Impaired Sensory Perception

Difficulty in seeing or hearing, balance issues, social withdrawal, confusion or delayed sensory responses.

Nursing Interventions for Sensory Perception

Assessing sensory function, promoting safety, providing assistive devices, and collaborating with specialists.