Health Assessment Chapter 1
|Identify the 6 phases in the Nursing Process:||1. assessment 2. diagnosis 3. outcome identification 4. planning 5. implementation 6. evaluation|
|Differentiate 1st level, 2nd level, and 3rd level priorities:|| 1st level: "ABC's plus V" |
2nd level: prompt intervention to forestall further deterioration
3rd level: important to patient's health but can be addressed after urgent care.
|Another name for 'symptoms:'||subjective data|
|Another name for 'signs:'||objective data|
|Differentiate between a novice, a proficient, and an expert nurse:|| novice - no experience; uses rules to guide performance. |
proficient - understands patient situation as a whole rather then a list of tasks.
expert - has an intuitive grasp of a clinical situation and zeroes in on the accurate solution.
|What are the 17 'Critical Thinking' Skills:||1. identify assumptions 2. organized and comprehensive approach to assessment |
3. validation 4. distinguishing between normal and abnormal 5. making inferences
6. clustering related cues 7. distinguishing relevant from irrelevant
8. recognizing inconsistencies 9. identifying patterns 10. identifying missing info 11. promoting health
12. diagnosing potential and actual risk problems
13. setting priorities 14. patient-centered outcomes 15. specific interventions 16. 'evaluation and correcting' thinking 17. comprehensive plan
|Contrast medical diagnosis and nursing diagnosis:||the medical diagnosis is used to evaluate the etiology of the disease; the nursing diagnosis is used to evaluate the response of the whole person to actual or potential health problems.|
|What is diagnostic reasoning?||the process of analyzing health data and drawing conclusions to identify diagnoses.|
|List the barriers to evidence-based practice, both on an individual level and an organizational level:||individual level - nurses lack research skills, isolated from individuals with an expertise in research, and lack confidence to implement change. |
organizational level - nurses lack time to read and research, healthcare institutions have inadequate library research holdings, and organizational support decreases when nurses wish to implement change in patient care.
|What is the starting point of diagnostic reasoning?||an organized assessment|