HESI A2 Critical Thinking
What are the 5 steps of the Nursing Process? - ANS Assessment, Diagnosing/Analyzing data
gained from assessing/Planning (including outcome identification), Implementing (according to
priority), evaluating...did it work?
The nursing process is... - ANS overlapping and dynamic
What does P-I-E stand for? - ANS Problem, Implement, Evaluate
What is the acronym COVD used for? - ANS Used during assessing?
Collecting Data
Organizing Data
Validating
Documenting Data
What are the sources of data that you retrieve during assessment? - ANS patient, support
peoples, client records
What type of client records could you get data from? - ANS Other healthcare professionals,
nursing and scientific literature
What are the two types of data you will take from the patient? - ANS Subjective and Objective
data
What is subjective data? - ANS Data that only the subject or "patient" can feel and will tell you.
Usually in a statement.
What is objective data? - ANS What you observe and can measure
Besides measurable data for your objective data, what other objective data should you collect? -
ANS What you see, hear, and smell.
What do you do with your data sometimes if it is off or you are to sure of it? - ANS VALIDATE
How do you record subjective data? - ANS In clients, "own words."
,What does the diagnoses do? - ANS Describes the patients health problem in nursing
terminology - NOT medical.
What are some qualifiers for diagnoses? - ANS deficient, impaired, decreased, ineffective or
compromised
What is etiology? - ANS The "related to" part....it is NURSE FIXABLE?
What does the etiology or "related to" part do? - ANS Directs the nursing intervention
What does the correctly stated nursing problem have....PES....? - ANS Problem Statement
(NANDA) only, Etiology "related to", and the supporting data (subj. obj assessment findings)
What is planning? - ANS involved determining pt goals/outcomes
You cannot have an intervention.... - ANS without a goal.
You cannot have a goal... - ANS without an intervention
A goal is a direct result of an... - ANS intervention
When planning what do you always want to do? - ANS BE SPECIFIC...WHO, WHAT, WHEN,
HOW OFTEN, HOW MUCH
For every nursing diagnoses....the nurse... - ANS must write atleast one desired outcome
The purpose of an intervention... - ANS is a goal!
What is an evaluation mean? - ANS A patient response to an intervention
Risk Factors - ANS do not have defining characteristics....they are not specific
Between an intervention and a goal...there is... - ANS TEACHING
In a care plan... - ANS there is always a reference in APA format
Actual nursing diagnoses - ANS a client problem present at time of assessment
Risk nursing diagnoses - ANS clinical judgement that problem doesn't exist, but presence of
risk factors indicates problem may develop
Wellness - ANS readiness for enhancement
,The etiology is always... - ANS nurse fixable
Standing Orders - ANS written documentation authorizing nurse to carry out specific actions
under ceratin circumstance
standardized care plan - ANS formal plan that specifies nursing care for a group of clients with
common needs
Individual care plans - ANS tailored to meet unique needs of pt
What are the five components of the goal? - ANS Subject, Verb, Criteria, Condition, Time
The client, will ambulate, fifty feet in the hall, one time with assistance, by 4pm.
What can you do by for your goals! - ANS BMAT...behavior, measure, condition, time
About Rationales - ANS By each nursing intervention...put page number of rationale...
When evaluating, what do you think about? - ANS What it effective, ineffective, were goals met,
not met, partially met?
Critical Thinking - ANS Is an active, organized, cognitive process used to examine one's
thinking and the thinking of others.
Evidenced-based knowledge - ANS Based on research or clinical expertise
Identify the concepts and behaviors of a critical thinker.
Truth seeking: - ANS Seek the true meaning of a situation
Identify the concepts and behaviors of a critical thinker.
Open-mindedness: - ANS Be tolerant of different views and own prejudices
Identify the concepts and behaviors of a critical thinker.
Analyticity: - ANS Anticipate possible results or consequences
Identify the concepts and behaviors of a critical thinker.
Systematicity: - ANS Be organized
Identify the concepts and behaviors of a critical thinker.
Self-confidence: - ANS Trust in your own reasoning processes
Identify the concepts and behaviors of a critical thinker.
Inquisitiveness: - ANS Be eager to acquire new knowledge and value learning
, Identify the concepts and behaviors of a critical thinker.
Maturity: - ANS Reflect upon your own judgments
Name Three levels of critical thinking. - ANS Basic, Complex, Commitment
Describe the Basic Level of Critical Thinking. - ANS Trust that experts have the right answers
for every problem; thinking is concrete and based on a set of rules or principles
Describe the Complex Level of Critical Thinking. - ANS Begin to separate themselves from
authorities, analyze and examine choices more independently.
Describe the Commitment Level of Critical Thinking. - ANS Anticipate the need to make choices
without assistance from others, accountability
Scientific method - ANS Systematic, ordered approach to gathering data and problem solving
Problem Solving - ANS Evaluating the solution over time to make sure it is effective
Decision making - ANS Focuses on problem resolution
Diagnostic reasoning - ANS Determining a client's health status after you have assigned
meaning to the behaviors and symptoms presented
Inference - ANS Process of drawing conclusions from related pieces of evidence
Clinical decision making - ANS Careful reasoning so that the best options are chosen for the
best outcomes
Nursing process - ANS Five-step clinical decision-making approach
List the five components of critical thinking - ANS Knowledge, Experience, Critical Thinking
Competencies, Attitudes, Standards
Critical Thinking Attitudes.
Confidence: - ANS Speak with conviction and always be prepared to perform care safely
Critical Thinking Attitudes.
Thinking independently: - ANS Reads the Nursing Literature
Critical Thinking Attitudes.
Fairness: - ANS Listen to both sides in any discussion
Critical Thinking Attitudes.
Responsibility: - ANS Refer to policy and procedure manual to review steps of a skill