Nurses role in assessment

subjective

information a pt tells you, it cant be measured

objective

information the nurse can observe and measure

“my pain is a 8/10”

subjective

BP is 120/80

objective

The type of assessment used during a life-threatening situation is the

focused assessment

what are the parts of the clinical judgment model

recognize cues, analyze cues, prioritize hypotheses, generate solutions, take actions, evaluate outcomes

recognize cues

gather you data identify important pt information

analyze cues

cluster the data and connect it, understand what the information means

prioritize hypotheses

determine whats the most important, wha the most urgent problem is

generate solutions

predict outcomes and plan possible interventions

take action

do the things perform the right interventions

evaluate outcomes

determine whether the interventions worked or not. Did we meet out goal?

How does a nurse learn what interventions are within the legal scope of practice for nurses?

your states nurse practice act

the nurse patient relationship

Something around which all nursing practice could be said to revolve around; defining feature of discipline of nursing

what are the 4 principles of biomedical ethics

nonmaleficene, beneficence, autonomy, justice

nonmaleficence

do no harm

beneficence

promoting good for the client, doing good and acting in the best interest of the patient

autonomy

client can make their own decisions or refuse care, requires decision making capacity

justice

equality and fairness in care and access to care