Chapter 1: Evidence-Based Assessment

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Shira
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283519
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Chapter 1: Evidence-Based Assessment
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2014-09-20 23:45:51
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Nursing
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  1. What patient says about him/herself during history taking.
    Subjective Data
  2. Observed when inspecting, percussing, palpating, and auscultating patient during physical examination.
    Objective Data
  3. Formed from subjective and objective data, plus patient's record and laboratory studies.
    Data Base
  4. Clinical Reasoning Models
    • Diagnostic Reasoning
    • Nursing Process
    • Critical Thinking
  5. 4 Steps of Diagnostic Reasoning
    • Attend to initially available cues
    • Formulate diagnostic hypotheses
    • Gather data relative to tentaive hypotheses
    • Evaluate each hypothesis with new data collected to arrive at final diagnosis
  6. What are the 6 steps in the Nursing Process?
    • Assessment
    • Diagnosis
    • Outcome Identification
    • Planning
    • Implementation
    • Evaluation
  7. Which of the steps in the nursing process involves collecting data (interview, health history, physical examination, etc.)?
    Assessment
  8. Which of the steps in the nursing process involves interpreting data (identify clusters of cues, make interferences)?
    Diagnosis
  9. Which of the steps in the nursing process involves validating interferences?
    Diagnosis
  10. Which of the steps in the nursing process involves comparing clusters of cues with definitions and defining characteristics?
    Diagnosis
  11. Which of the steps in the nursing process involves identifying related factors?
    Diagnosis
  12. Which of the steps in the nursing process involves documenting the diagnosis?
    Diagnosis
  13. Which of the steps in the nursing process involves identifying expected outcomes?
    Outcome Identification
  14. Which of the steps in the nursing process involves individualizing the patient?
    Outcome Identification
  15. Which of the steps in the nursing process involves ensuring outcomes are realistic and measurable?
    Outcome Identification
  16. Which of the steps in the nursing process involves including a time frame?
    Outcome Identification
  17. Which of the steps in the nursing process involves establishing priorities and identifying interventions?
    Planning
  18. Which of the steps in the nursing process involves developing outcomes and setting time frames for outcomes?
    Planning
  19. Which of the steps in the nursing process involves documenting plan of care?
    Planning
  20. Which of the steps in the nursing process involves determining patient readiness and reviewing planned interventions?
    Implementation
  21. Which of the steps in the nursing process involves collaborating with other team members and supervising by delegating appropriate responsibilities?
    Implementation
  22. Which of the steps in the nursing process involves involving patient in health care and counseling patient and significant others?
    Implementation
  23. Which of the steps in the nursing process involves referring for continuing care and documenting care provided?
    Implementation
  24. Which of the steps in the nursing process involves referring to established outcomes?
    Evaluation
  25. Which of the steps in the nursing process involves evaluating individual's condition and compare actual outcomes with expected results and identifying reasons for failure to achieve expected outcomes?
    Evaluation
  26. Which of the steps in the nursing process involves summarizing results of evaluation?
    Evaluation
  27. Which of the steps in the nursing process involves taking corrective action to modify plan of care and documenting evaluation in plan of care?
    Evaluation
  28. Which of the steps in the nursing process involves picking apart the different types of information that a nurse may come across (has to do with the other steps)?
    Critical Thinking
  29. What are the four types of data collected by a nurse?
    • Complete total health data base
    • Episodic or problem-centered data base
    • Follow-up data base
    • Emergency data base
  30. Which of the types of data involves health history and physical assessment?
    Complete total health data base
  31. Which of the types of data involves limited or short term problems and mainly focuses on one thing?
    Episodic or problem-centered data base
  32. Which of the types of data involves evaluating whether problem is getting better or worse and noting any changes?
    Follow-up data base
  33. Which of the types of data involves rapid collection if data and swift diagnosis?
    Emergency data base

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