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BASIC SKILLS VNSG 1423 VOCATIONAL NURSING EXAM 3 BLUEPRINT
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BASIC SKILLS VNSG 1423VOCATIONAL NURSING EXAM 3
BLUEPRINT
Critical Thinking (Definition)- ANSWER: Critical thinking is essential to
successfully use the nursing process.
Critical thinking necessitates cautious judgment.•
Critical thinking is a directed, deliberate mental process that evaluates ideas,
creates plans, and achieves desired objectives.
Essential for evaluation purposes.
Clinical reasoning.
Charting by exception - ANSWER uses established standards and norms to
capture only significant assessment care.
Source-oriented, ANSWER charting focuses on the client's condition.
Focus charting - ANSWER concentrates on the patient from a positive
standpoint.
POMR charting (Problem-oriented medical record (POMR) charting) -
ANSWER concentrates on patient problems caused by illness or the nursing
diagnoses that reflect such problems.
POMR charting (Problem-oriented medical record (POMR) charting) -
ANSWER The original SOAP approach is classified under which form of
documentation?
Revision of the nursing care plan includes: - ANSWER inactivating fixed
problems.
,Before implementing a specific intervention in the patient's plan of care, a nurse
should: - Determine the purpose for the intervention.
Determine the rationale behind the intervention.
Determine the customary standard of care.
Identify any potential hazards.
Priority Setting - ANSWER Priority setting is the process of ranking nursing
diagnoses or interventions in terms of importance.
Life-threatening conditions take priority.
Problems that jeopardize health or coping capacity are considered medium
priority.
Problems that will not have a significant impact if not addressed that day or
week are considered low priority.
When faced with two or more patient needs, first assess the repercussions of
each.
Critical thinking skills include good reading, writing, listening, and
communicating.
Priority setting in the delivery of care entails choosing the least invasive
treatment first.
Nursing process components include ANSWER assessment, nursing diagnosis,
planning, implementation, and evaluation.
Assessment is the process of collecting, organizing, documenting, and
validating a patient's health data. Data is gathered from the patient (physical
assessment and interview), the family, the physician, and the patient's medical
, record. Data from other health professionals and diagnostic tests are also
included in the assessment.
Nursing diagnosis - ANSWER The process of sorting and interpreting
assessment data to detect probable health concerns. •concerns found throughout
the process are specific nursing diagnoses. •Nursing diagnoses are prioritized
and placed into the nursing care plan.
Planning is a series of steps in which the nurse and the patient establish
priorities and goals to eliminate, reduce, or control identified problems. Goals
should be stated with specific outcomes. The nurse and the patient collaborate
to select specific interventions to enable the patient to meet the specific
outcomes listed in the plan of care.
Implementation is the process of carrying out nursing interventions that were
prioritized during the planning process. Some interventions may be assigned or
carried out by other members of the health care team.
Evaluation - ANSWER •Assessing the patient to assess his or her ANSWER to
nursing interventions. •ANSWERs are compared to expected outcomes to
determine whether the outcomes were met. •Based on the evaluation results, the
nursing plan of care may need to be modified.
Applying problem-solving and critical thinking - ANSWER
Applying problem-solving and critical thinking - ANSWER
Components of the nursing process, page 49, Box 4-1 - ANSWER
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