Adult Nursing

Card Set Information

Adult Nursing
2013-09-15 12:12:10

Exam 1
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  1. IOM & TJC
    The joint Commission & Institute of Medicine
  2. QSEN
    • quality
    • safety
    • education
    • nursing
  3. KSA
    • knowledge 
    • skills
    • attitude
  4. Lasix
    Furosemide, treats fluid retention R/T CHF side effects
  5. Patient Centered Care:
    pt is source of control; respect for pt values and beliefs
  6. Needs Theory
    • all ppl have same basic needs
    • physiological
    • safety & security
    • love & belonging
    • self-esteem
    • self-actualization
  7. critical thinking
    intentional higher level thinking process
  8. critical anaylsis
    set of questions to a situation to determine essential information and discard superfluous information
  9. socratic questioning
    techniques to look beneath the surface, recognize & examine assumptions, search inconsistencies
  10. inductive reasoning
    generalizations formed from a set of facts or observations
  11. deductive reasoning
    reasoning from general premise to specific conclusion
  12. facts
    • can be verified through investigation 
    • eg... BP affected by blood volume
  13. inferences
    • conclusions drawn from facts, going beyond facts to make a statement about something not currently know 
    • eg...if blood volume is decreased BP will drop
  14. Judgements
    • evaluation of facts or info that reflects values or a type of opinion
    • is harmful to health if BP drops too low
  15. opinions
    • beliefs formed over time; judgments that may fit facts or be in error
    • eg...nursing intervention can assist in maintaining clients BP WNL
  16. independence
    examine beliefs in the light of new evidence
  17. fair-mindedness
    assessing all viewpoints with the same standards, not basing judgment on personal or group prejudice
  18. insight into egocentricity
    examine their own biases & bring them to awareness before making decisions
  19. intellectual humility
    awareness of the limits of ones own knowledge
  20. intellectual courage
    attitude of courage, nurse examines fairly his/hers own ideas or views, especially those with strongly negative reactions
  21. integrity
    individuals apply the same rigorous standards of proof to their own knowledge
  22. perseverance
    finding effective solutions to client and nursing problems
  23. confidence
    well reasoned thinking will lead to trustworthy conclusions
  24. nursing process
    systematic rational method of planning & providing individualized nursing care
  25. clarity
    what is an example of this
  26. accuracy
    how can i find out if that is true
  27. precision
    can i be more specific?
  28. relevance
    how does that help me with the issue?
  29. depth
    what makes this a difficult problem
  30. breadth
    do I need to consider another point of view?
  31. logic
    does that follow from the evidence
  32. significance
    which of these facts is most important?
  33. fairness
    am i considering the thinking of others?
  34. How can one know whether ones thinking is critical thinking?
    Thinkers use universal standards as a guide in thinking to achieve excellence; thinking is conscious and systematic.
  35. (CBE) charting by exception
    • only abnormal or significant findings are recorded
    • uses 3 key elements:
    • flow sheets, standards of nursing care & bedside assess to chart forms
  36. variance
    a goal that is not met
  37. hand off communication or change of shift report
    info about patient is communicated in a consistent manner including an opportunity to ask & respond to questions
  38. IPASS the BATON
    • intro, patient, assessment, situation, safety/concerns
    • background, action, timing, ownership & next
  39. I-SBAR
    intro, situation, background, assessment, recommendation
  40. PACE
    patient/problem, assessment/actions, continuing, evaluation/changes
  41. The five P's
    patient, plan, purpose, precautions, physicians
  42. 12 Human Needs
    • O2
    • safety, elimination, f & e, nutrition
    • comfort, sensory, rest, activity
    • human interaction, learning, spirituality & sexuality
  43. (SOR) source oriented record
    traditional client record
  44. narrative charting
    written notes, routine care, normal findings & client problems
  45. (POMR) problem oriented medical record
    data arranged according to the problem the client has
  46. SOAP
    subjective data, objective data, assessment, plan
  47. SOAP - IER
    interventions, evaluation & revision
  48. PIE
    problem, intervention & evaluation
  49. flow sheet
    specific assessment criteria in a particular format, such as, human needs or functional health patterns
  50. focus charting
    makes the clients concerns & strengths the focus of care