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Sara-Fundamentals 1C Unit 2

AB
Difference in good nurse and great nurse..good=meets minimal standards; great=going above and beyond minimalization
Cognitive process involves these 5 things...1. proglem solving (things to help pain) 2.Decision making (review information to make decision) 3. Diagnostic reasoning (collect data and compose to standards) 4. Scientific method (make hypothesis, test it, accept or reject) 5. nursing process
Describe blooms taxonomy from lowest level to highest level of thinking...knowledge, comprehension, application, analysis, synthesis, evaluation
This is thinking about one's thinking, knowing what your personal learning experiences are and what you know describes...metacognition
Five factors that affect thinking...1. self efficacy (make positive talk not negative) 2. anxiety (preparation helps decrease anxiety 3. dualism vs. relativism (one right way to do something vs. many ways) 4. intuition (having a feeling about something 5. relfection
Nursing Process (use ADOPIE)Assess, Diagnose, Outcomes, Plan, Implement, Evaluate
Data collection comes through doing these three things...observation, interview, physical exam
Primary data source...patient
Secondary data sources...family, chart, healthcare personnel, literature review
Goal of medical diagnosis...treat the disorder
Aspects of a nursing diagnosis...independent and autonomous, to meet client centered goals, have specific labels in NANDA, also have defining characteristics and related factors (etiology) listed in NANDA
These are the three types of diagnostic statements found in NANDA...Actual, Risk, and Wellness
Patient outcomes should be written to keep the SMART mneumonic in mind...Specific, Measurable, Attainable, Realistic, Time oriented
The planning stage of the nursing process develops this...Therapeutic nursing interventions to direct patient care, prevent complications, resolve problems,and assist patients in promoting wellness, knowledge and self care
List the National Patient Safety Goals for long-term care...ID resident correctly, use meds safely (6 rights), prevent infection, prevent residents from falling, prevent pressure ulcers
Priority setting follows this order...high-emergent (ABCs); Intermediate-acute (pain/suffering); Low-rehab, prevention, education)
Prioritize: new diabetic, needs to learn to give own insulin shots; patient with pain 5/10; post-op with nausea; post-op asking for water4,1,2,3
Prioritize: patient with pain 6/10; diabetic patient with FSBS 82; UAP reports patient;s pulse is 122; patient on O2 at 2L with no complaints2,4,1,3
Choose nursing interventions based on this...etiology of patient's problem and how it will effect the outcome
This is when documentation occurs...in all phases of the nursing process
Do these things during implementation..reassess, organize and prioritize, initiate, prevent complications, and document
Do these things during evaluation...judge effect of care, measure outcomes, document, revise plan, restart nursing process PRN


Martinsburg, WV

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