Nursing Process, Critical Thinking, Decision Making, and Clinical Judgment

Flashcards based on the provided lecture notes on the nursing process, critical thinking, decision making, and clinical judgment.

What is critical thinking in nursing?

Skillful reasoning and logical thought to determine the merits of a belief or action.

Why is it important for nurses to validate obtained information?

To ensure the correctness of the information they obtain.

What is the Nursing Process?

A framework for decision making in nursing that includes Assessment, Diagnosis, Planning, Implementation, and Evaluation.

How are nursing diagnoses different from medical diagnoses?

Nursing diagnoses are selected based on definitions and defining characteristics, focusing on the patient's response to illness.

What steps are included in the planning phase of the nursing process?

Determining priorities

What is involved in the implementation phase of the nursing process?

Interventions

What action do you take during the Evaluation phase of the nursing process?

Reflect on Interventions

According to the American Nurses Association (ANA), who is responsible for all steps of the nursing process?

The Registered Nurse (RN)

In which steps of the nursing process does the LPN/LVN directly participate?

Planning, Intervention, and Evaluation

What are objective data?

Things that you can observe through your senses of hearing, sight, smell, and touch

What are subjective data?

Information that comes from feelings of the patient

What are the components of a physical assessment?

Inspection, Palpation, Auscultation, and Percussion

What is the importance of Maslow's hierarchy of human needs in nursing diagnosis?

Used for Prioritizing diagnoses

What is the purpose of Nursing Outcomes Classification (NOC)?

Contains a list of 500 nursing expected outcomes designed to coordinate with established NANDA-I diagnoses

What are the necessary elements in outcome statements?

A realistic, specific action to be taken by the patient; an action that the patient is willing and able to perform; an action that is measurable; a definite time frame for the action to be accomplished.

What is the Nursing Interventions Classification (NIC)?

A comprehensive, research-based, standardized classification of interventions that nurses perform.

Examples of direct care interventions?

Bathing, teaching, listening, and administering medications

Examples of indirect care interventions?

Documenting care, participating in care conferences, talking with the health-care provider.

What are the initial steps for implementation?

Checking the health-care provider’s order, Referring to facility procedures unless you already know them, Gathering needed equipment and supplies, Performing hand hygiene, Obtaining assistance if needed, Identifying your patient, Introducing yourself, Explaining the procedure

What nursing intervention requires a health-care provider’s order before they can be performed?

Dependent Intervention

What is the purpose of evaluation in the nursing process?

Evaluating whether nursing interventions brought about the desired outcomes.

Which type of nursing care plan provides daily nursing interventions that change as the patient improves?

Critical Pathway

Name the steps to take to prepare to care for patients prior to clinical experience.

Research, Potential Nursing Diagnoses, Expected Outcomes, Develop Interventions

Name the steps to take when caring for patients during the clinical experience.

Meet and Assess Patient, Evaluate Nursing Diagnoses, Implement Interventions, Evaluate Care Plan

What is another name for Concept Maps?

Mind Maps

How do concept maps assist in nursing?

Help to see relationships between nursing diagnoses and assessment data; Help to organize and plan nursing care

What is clinical judgement?

Taking critical thinking and turning it into nursing actions

Name the steps of clinical judgement.

Recognize cues and analyze them; Formulate a hypothesis, or possible explanation of what is happening; Take action by priority; Evaluate the effectiveness of your actions