Hondros N155 Critical Thinking Final & 200 Exam 1 Critical Thinking Questions, Exams of Nursing

Download Hondros N155 Critical Thinking Final & 200 Exam 1 Critical Thinking Questions and more Exams Nursing in PDF only on Docsity! Hondros N155 Critical Thinking Final, 200 exam 1 critical thinking Hondros N155 Critical Thinking Final & 200 Exam 1 Critical Thinking Questions (88 Terms) with Correct Solutions 2023- 2024. Hondros N155 Critical Thinking Final, 200 exam 1 critical thinking SPICES - Answer: Tool to obtain the information necessary to prevent alterations in the older adult patient clinical judgment - Answer: "Thinking Like A Nurse". integral to the Safety of pt. Interpretation or conclusion about a patient's needs, concerns, or health problems, and/or the decision to take action (or not), use or modify standard approaches, or improvise new ones as deemed appropriate by the patient's response. S in SPICES - Answer: Sleep disorders clinical reasoning - Answer: is the thinking process by which a nurse reaches a clinical judgement. an iterative process of noticing, interpreting, and responding- reasoning in transition with a fine attunement to the patient and how the patient responds to the nurse’s action P in SPICES - Answer: Problems with eating or feeding evidence-based practice - Answer: clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences I in SPICES - Answer: Incontinence Hondros N155 Critical Thinking Final, 200 exam 1 critical thinking Reflect - Answer: Evaluating data, escalating and correcting thinking intuitive reasoning (interpreting) - Answer: based on unstated but understood knowledge about the pt, the care giving context, and their previous experiences. typically, expert nurse. Identifying signs and symptoms (notice) - Answer: An ability to identify signs and symptoms indicating a situation is different, changed, and not of normal state. narrative reasoning (interpreting) - Answer: way of making sense of a situation through telling and interpreting stories. nurse hears pt stories of past medical experiences, helps nurse understand specific pt experiences, setting the stage for individualized care Gathering complete and accurate data (notice) - Answer: Data is collected from all sources available to the nurse, data is used as the basis for identifying issues, problems, concerns...solving problems and making decisions. responding (tanners) - Answer: taking action, ability to carry out nursing skills and effective communication, delegating, setting priorities Assessing systematically and comprehensively (notice) - Answer: Used as systematic approach applied to all areas of nursing. To assess patients as body Hondros N155 Critical Thinking Final, 200 exam 1 critical thinking systems head to toe, focused assessment, so no areas are forgotten. Gather all patient data to ensure important areas of information are noted reflecting (tanners) - Answer: pt outcomes, evaluating data- complete actions then reassessment data is collected again used to determine if interventions were effective or any further actions needed, evaluating and correcting thinking. Predicting and managing potential complications (notice) - Answer: Look at big picture predict potential complications that may exist for individual patient. Know common complications related to patients condition they consider individual difference that may produce additional concerns for the patient. reflecting-in-action (reflect) - Answer: understanding of patient’s response to nursing actions while care is occurring. "Real time" during pt care. determine pt statues and adjust care accordingly. Identifying Assumptions (notice) - Answer: Making assumptions refers to taking something for granted or hastily arriving at a conclusion without supporting evidence. reflecting-on-action (reflect) - Answer: consideration of situation after the care occurs. contemplate a situation and decide what was and wasn't successful. critical for development of knowledge. interrelated concepts of clinical judgment - Answer: Hondros N155 Critical Thinking Final, 200 exam 1 critical thinking Clustering related data (interpreting) - Answer: Grouping together information with a common theme, used to determine patients’ issues, problems or concerns that require action by nurse. Recognizing inconsistencies (interpreting) - Answer: The beginning points of problem solving is assessment, throughout assessment both subjective and objective data are collected, in reviewing the data the nurse are cognizant of any inconsistencies that may indicate addition problems critical thinking - Answer: ability to think in a systematically and logical manner with openness to question and reflect on the reasoning process. ask "why, what am i missing" Checking accuracy and reliability (interpreting) - Answer: Nurses must make judgements about the accuracy and reliability of information. Decision about what nursing actions to take are based on this information. critical thinking in nursing process - Answer: go hand in hand in making quality decisions about patient care. knowledge, standards, attitudes, experience Compare and contrast (interpreting) - Answer: Compare and contrast details of information about two similar situations provides practice with determining nuances between the cases. Nuances refer to subtle differences in situations. Hondros N155 Critical Thinking Final, 200 exam 1 critical thinking 3 part nursing diagnosis (diagnosis) - Answer: P:problem; ex impaired physical mobility E: etiology/ related factor; ex incisional pain S: symptom or defining characteristics; ex evidence by restricted turning and positioning Setting priorities (respond) - Answer: Prioritizing can be a simple or complex task that involves comparing and contrasting data and sitting relevant from irrelevant information. Determine what's most important. planning (nursing process) - Answer: collaborates with pt, family, and the rest of the health care team to determine the urgency of the identified problems and prioritizes patients needs. Delegating (respond) - Answer: Engage in critical thinking skills and strategies. Transferring to a competent individual the authority to perform a selected nursing task in a selected situation. care plan (planning) - Answer: Assessment, nursing diagnosis, interventions, evaluation care plan for each diagnosis. patients involved with planning. increase communication between staff. goals and expected outcomes need to be S.M.A.R.T specific, measurable, attainable, realistic, timed. Hondros N155 Critical Thinking Final, 200 exam 1 critical thinking goal (planning) - Answer: broad statement that describes a desired change in a pt conditions, perception, or behavior. ex "pt will understand postoperative risks" Evaluating data (reflect) - Answer: Once actions have been preformed, assessment data is again collected. Used for bars of determining if interventions were effective. Evaluating and correcting thinking (reflect) - Answer: After using critical thinking to resolve a problem, make a decision, or pan patient care it is important to evaluate the thinking that occurred. Evaluation thinning means reflecting on what just happened,how the situation was handled, and what lesson can be learned for use in similar situations in future expected outcome (planning) - Answer: is the measurable change (pt behavior, physical state, or perception) that must be achieved to reach a goal. sometimes several expected outcome need to be met for a single goal. "measure how many out of 3 questions the pt answers correct for infection identification" Epworth sleepiness scale (ESS) - Answer: An effective instrument used to measure average daytime sleepiness. interventions (care plan) - Answer: independent- a nurse initiates, dependent- require and order, collaborative- require the combined knowledge, skill, and expertise of multiple providers. Includes; actions, frequency, quantity, method, and person to perform them Hondros N155 Critical Thinking Final, 200 exam 1 critical thinking Maslow Hierarchy of needs - Answer: Physiological - water,food,warmth, rest Safety Needs - security,safety Belongingness and love- intimate relationships, friends Esteem needs- prestige and feeling of accomplishment Self actualization- achieving one's full potential,including creative activities implementation (nursing process) - Answer: putting plan into action. reassessing, review and revise care plan, Benners Therory - Answer: Teaching and nurses learning at different levels. Novice, advanced beginner, competent, proficient, expert standing order - Answer: preprinted document containing orders for routine therapies, monitoring guidelines, and or diagnostic procedures for specific patients with identical problems. Nursing process - Answer: Assess - gather information about patients condition Diagnose-identifying patients problems Plan & identify-set goal of care &desired outcomes and identifying appropriate nursing actions Implement -perform the nursing actions identified in planning Evaluate-find out if goals are met and outcomes achieved Hondros N155 Critical Thinking Final, 200 exam 1 critical thinking Fulmer SPICES tool - Answer: assessing older adults that focuses on six common "marker conditions": sleep problems, problems with eating and feeding, incontinence, confusion, evidence of falls, and skin breakdown. S: Sleep disorders. P: Problems with eating or feeding. I: Incontinence. C: Confusion E: Evidence of falls. S: Skin breakdown. Epworth Sleepiness Scale (ESS) - Answer: An index of sleepiness during the day as perceived by patients, derived from the answers to 8 questions Maslow's Hierarchy of Needs - Answer: basic human needs (level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization knowing the patient (clinical judgement) - Answer: in depth knowledge of a patients patterns of response within a clinical situation and knowing the pt as a person. components of critical thinking - Answer: -knowledge -experience -competence -attitudes Hondros N155 Critical Thinking Final, 200 exam 1 critical thinking -standards knowledge base (critical thinking) - Answer: prepares you to better anticipate and identify patients problems by understanding their origin and nature. varies according to education, initiative, experience. experience (critical thinking) - Answer: necessary to acquire clinical decision making skills. learn from observing, sensing, talking with patients and families, and reflecting actively on all experiences. competency (critical thinking) - Answer: in practice you will apply critical thinking components during each step of the nursing process. general critical thinking, specific critical thinking- nursing process attitudes (critical thinking) - Answer: guidelines for how to approach a problem or decision making situation. confidence, independence, fairness, responsibility, risk taking, discipline, perseverance, creativity, curiosity, integrity, humility standards (critical thinking) - Answer: intellectual standards- a principle for rational thought- used for nursing process Professional standard- ethical criteria for nursing judgement, evidence based criteria used for evaluation, and criteria for professional responsibility Hondros N155 Critical Thinking Final, 200 exam 1 critical thinking ANA Standards of Professional Nursing Practice - Answer: standard of care provided to patients. - Includes identifying and acknowledging expertise of those inside and outside nursing profession - Includes referring client to others in order to meet client's needs priority setting of patient care - Answer: is the ordering of nursing diagnosis or patient problems using notions of urgency and importance to establish a preferential order for nursing interventions. "Treat the cause before the symptom." RRT (Rapid Response Team) - Answer: prevent/ minimize deterioration of a pt