NURS 309 Exam #1 Study Guide
Questions and Answers 2024
possiblea
Nurs 309
8/28/24
, NURS 309 Exam #1 Study Guide 2024
Identify characteristics of evidence-based practice. - -1850s: historical evolution of
"research" evidence began w/ Florence Nightingale
-best evidence from critical review of literature (research articles)
-clinical expertise
-patient preferences
-clinical knowledge (physical assessment)
Identify characteristics of diagnostic reasoning. - -attend to available cues (pick up on
pieces of info pt. gives you)
>ex: pt. alert and oriented when first came in, now confused and clammy
-formulate diagnostic hypothesis (make a guess about what is happening)
>ex: pt. diabetic, maybe low blood sugar?
-gather data relative to hypothesis
>ex: take blood sugar
-evaluate each hypothesis w/ new data collected to arrive at final diagnosis
>ex: give orange juice and food, see if blood sugar went up and plan worked
Identify characteristics of nursing process. - -Assessment: collect all info, health hx, diet
assessment, risk assessment
-Diagnosis: cluster data, identify what pt. needs are
-Outcome Identification: if pt. has impaired skin integrity, outcome is to have
reduction/healing of wound
-Planning: set timeline, specific type of dressing, reposition frequently
-Implementation: document what you do, coordinate w/ other HC workers
-evaluation: see if it is working, sometimes they don't work and need to come up w/
different plan
Identify characteristics of critical thinking. - -novice: starting out in learning, uses rules to
guide performance
-competent: building on 2-3 years of clinical experience, see actions in context of pt.
goals or plans
-proficient: adding time to experience, understands pt. situation as a whole rather than
individual parts - apply long term goals
-expert: attained mastery of an area of learning, performs clinical judgement using
ituitive analysis
What different types of data should be gathered during an assessment? - -complete
(total health) database: all health hx, physical assessment, creating database for initial
stage of care (ex: brand new pt, new hospital admit)
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