5 steps of the nursing process Correct Answer 1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Aim of documentation Correct Answer Complete, accurate,
concise, current, factual, and organized data communicated in a
timely and confidential manner to facilitate care coordination
and serve as a legal document
Assessment (SBAR) Correct Answer what do you think the
problem is?
autonomy Correct Answer the rights of pt.s or their surrogates
to healthcare decisions
Background (SBAR) Correct Answer The patients status (Ex:
A&O x 3, pale, on O2...)
Barriers to evidence based practice Correct Answer Lack of
knowledge
Limited time
Nursing shortage
Lack or resources
Lack of leadership support
Basic communication Correct Answer Sender - Receiver
, Benefience Correct Answer Benefits the pt.
Clinical judgement Correct Answer refers to the result
(outcome) of critical thinking or clinical reasoning; the
conclusion, decision, or opinion a nurse makes
Collaborative care Correct Answer development of
partnerships to achieve the best possible outcomes that reflect
the particular needs of the pt., family or community requiring
the understanding of what others have to offer
Communication Correct Answer Process of interaction
between people where symbols are used to create, exchange and
interpret messages about ideas, emotions, and mind states
Communication barriers Correct Answer Visually impaired,
hearing impaired, cognitively impaired, physical barrier,
unconscious, does not speak english
Communication- attributes Correct Answer Encoding and
decoding of messages
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.