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2024 HONDROS NUR 155 EXAM 1 WITH CORRECT ANSWERS
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2024 HONDROS NUR 155 EXAM 1 WITH CORRECT ANSWERS
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2024 HONDROS NUR 155 EXAM 1WITH CORRECT ANSWERS
Tanner's Model of Clinical Judgement - CORRECT-ANSWERSA "MODEL" based
on how a nurse thinks. Explains 4 steps in the "CRITICAL THINKING PROCESS"
that nurses use to solve any problem:
*Noticing
*Interpreting
*Responding
*Reflecting
Nursing Process - CORRECT-ANSWERSUses the Scientific Method to complete
a Step-by-step approach to plan patient-centered care:
"ADPIE"
*Assessment
*Diagnosis
*Planning/Outcomes
*Implementation
*Evaluation
Noticing - CORRECT-ANSWERSFirst step of Tanner's model of clinical
judgement.
1. Identifying signs and symptoms
2. Gathering complete and accurate data
3. Assessing systematically and comprehensively
4. Predicting and managing potential complications
5. Identifying assumptions
Noticing: (1) Identifying signs and symptoms - CORRECT-ANSWERSThe ability
to recognize that a situation is different, changed, or not a normal state.
Noticing: (2) Gathering complete and accurate data - CORRECT-
ANSWERSCollecting relevant data from various sources. This data is used as
the basis for identifying issues/concerns, solving problems, and making
decisions. Must verify that the data is complete and accurate.
, Noticing: (3) Assessing systematically and comprehensively - CORRECT-
ANSWERSAn organized manner to collect data to make sure nothing is
omitted or forgotten. Examining the whole, piece-by-piece in a thorough
manner.
Noticing: (4) Predicting and managing potential complications - CORRECT-
ANSWERSLooking at the "BIG PICTURE" to consider possible complications of
the patient. You must know common complications and consider individual
differences.
In Noticing, you are predicting complications, which means you are
identifying possible problems.
Noticing: (5) Identifying assumptions - CORRECT-ANSWERSTaking something
for granted or quickly arriving at a conclusion without supporting evidence.
(A Guess)
Nursing Process: Assessment - CORRECT-ANSWERSObserve and report to
Charge Nurse or HCP. Determine risk for injury or infection.
Nursing Process: Diagnosis - CORRECT-ANSWERSAssist with accurate
diagnosis. Gather data to confirm or eliminate problems. Specific causes of
safety risk to an individual.
Nursing Process: Planning/Outcomes Identifications - CORRECT-
ANSWERSAssist with setting priorities and goals, suggestions interventions.
To prevent threats to safety.
Nursing Process: Implementation (putting a decision or plan into effect) -
CORRECT-ANSWERSCarry out planned interventions. Interventions,
education, environment/development considerations.
Nursing Process: Evaluation - CORRECT-ANSWERSAssist with re-evaluation
and make suggestions. Compare response/results to the original goals, plan
of care.
Data Collection-Scope of Practice - CORRECT-ANSWERSLPN's collect data,
RN's complete Assessments.
Main Assessments - CORRECT-ANSWERS3 types:
*Focus Assessment
*Systemic Assessment
*Head to Toe Assessment
(FOCUS) Assessment - CORRECT-ANSWERSFocusses on one body part.
example: Heart, Lung, Stomach, etc...
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