Nursing Process, CJMM, Prioritization, and Med Math (Video)

Practice flashcards covering key concepts from the lecture notes on the nursing process, CJMM, data types, prioritization frameworks, and basic med-math principles.

What does NP stand for in nursing practice as discussed in the notes?

Nursing Process (NP).

What are the first two steps of the nursing process described in Chapter 1, and what happened to nursing diagnoses?

Assessment and analysis; the term 'nursing diagnoses' is obsolete.

What model does the nursing process coincide with, and what is its purpose in exams?

Clinical Judgment Measurement Model (CJMM); used to test critical thinking and safe care by recognizing and analyzing cues.

How is critical thinking described for nurses compared to the general population?

Nurses apply knowledge, reflect on data, and make patient-centered judgments; thinking about thinking; data-driven and evidence-based.

Define clinical judgment in nursing as per the notes.

The observed outcome of critical thinking and decision making; identifying and prioritizing concerns and generating goals and solutions.

What is the difference between primary data and secondary data?

Primary data come from the patient (subjective and objective); secondary data come from records, tests, and other sources like family.

What is subjective data versus objective data?

Subjective data are what the patient reports; objective data are observed or measured (signs, vitals, exam findings).

What are the three types of assessment data discussed in the notes?

Initial, ongoing, and focused assessments.

Why is data accuracy and completeness crucial in nursing assessment?

Because accurate data guide diagnoses and interventions; poor data can lead to wrong care and outcomes, and documentation supports communication and legal protection.

What does 'trending' mean in the CJMM context and why is it important?

Tracking changes in patient data over time (e.g., vitals) to identify patterns and guide decisions.

What does validating data involve in assessment?

Verifying data by comparing with multiple sources (e.g., rechecking temperature with another device).

What is Maslow's hierarchy of needs and its relevance to nursing prioritization?

Physiological needs at the base; then safety, love/belonging, self-esteem, and self-actualization; physiological needs must be met first.

List the ABCDE priority-setting framework.

A: Airway; B: Breathing; C: Circulation; D: Disability; E: Environment/Exposure.

How are acute and chronic conditions treated in priority setting?

Acute conditions take priority because they are sudden and potentially life-threatening; chronic conditions are long-standing and typically managed after acute issues.

Differentiate between 'urgent' and 'non-urgent' priorities.

Urgent requires prompt action to prevent harm; non-urgent can wait without immediate risk.

Explain 'stable' versus 'unstable' in priority decisions with an example.

Unstable indicates sudden deterioration (e.g., respiratory distress); stable means not in immediate danger, guiding who is seen first.

What does 'least restrictive' mean in patient care?

Use the least invasive or restrictive interventions first (e.g., one-on-one sitter before restraints).

Describe the mass casualty triage color codes and the gray status as mentioned.

Red: immediate; Yellow: potentially life-threatening but can wait; Green: walking wounded; Gray: expectant/palliative; not likely to survive.

What is the difference between signs and symptoms with examples?

Signs are objective data observed or measured (e.g., fever, wheeze); symptoms are subjective data reported by the patient (e.g., pain, dizziness).

What is the purpose of scanning the environment in CJMM?

To gather information using senses about the patient’s surroundings and potential hazards affecting care.

What is clustering in data analysis (CJMM)?

Grouping cues by a common theme to form a hypothesis (e.g., infection indicators).

Why is documentation and record-keeping emphasized in nursing assessment?

Communicates data to the health team and provides legal protection; ensures accuracy and completeness.

What is a baseline assessment and why is it important?

The initial comprehensive data set used for future comparison to detect changes over time.

Explain Newman rounding rules for decimals in med math.

If the number is less than 1, round to the nearest hundredth; if 1 or greater, round to the nearest tenth, looking at the next decimal place.

What does percent mean and how do you convert decimals to percent?

Percent means per 100; convert by moving the decimal two places to the right or multiplying by 100.

What does a 1% medication concentration mean?

For every 100 mL, there is 1 gram of the drug (1 g per 100 mL).