NUR 380 CRITICAL THINKING,
DOCUMENTATION 2024/2025 PREP
EXAM 2 WITH CORRECT ANSWERS
Critical thinking - CORRECT-ANSWERSProcess to sift through information to find
what is relevant and decide on care using EVIDENCE-based practice.
Used in the nursing process and developing a care plan
Clinical Reasoning - CORRECT-ANSWERSUses critical thinking and decision making
when caring for a client. Think about a situation as it is happening and apply nursing
principles.
What is a common disease classification system? - CORRECT-ANSWERSICD and
NMDS
International classification of disease
Nursing minimum data set
critical pathways - CORRECT-ANSWERSTools used in managed care that incorporate
the treatment interventions of caregivers from all disciplines who normally care for
a patient. Designed for a specific care type, a pathway is used to manage the care
of a patient throughout a projected length of stay.
Automation bias - CORRECT-ANSWERSThe tendency to depend excessively on
automated systems which can lead to erroneous automated information overriding
correct decisions.
,Client data should include past and current health problems. (T/F) - CORRECT-
ANSWERSTrue
Informatics - CORRECT-ANSWERSuse information and technology to
1) communicate
2) manage knowledge
3) mitigate errors
4) support decision making
Example: MAR
What is our CSP computer assisted instruction? - CORRECT-ANSWERSATI
What does HIPAA stand for? - CORRECT-ANSWERSHealth Insurance Portability and
Accountability Act
Computer assisted instruction - CORRECT-ANSWERSComputer-assisted instruction
(CAI) is an interactive instructional technique whereby a computer is used to
present the instructional material and monitor the learning that takes place. CAI
uses a combination of text, graphics, sound and video in enhancing the learning
process.
Example: ATI for our nursing program.
CPOE - CORRECT-ANSWERSComputerized Provider Order Entry
For medication orders, lab services, imaging studies, and other services.
, The Joint Commission - CORRECT-ANSWERSAn independent, non-profit organization
that evaluates and accredits healthcare organizations
Provides up-to-date guidance about acceptable medical abbreviations and symbols.
You can go to The Joint Commission's Fact Sheets database and search for the Do
Not Use List.
Assessment (and data collection)- collecting information about a client's present
health status to identify NEEDS; differentiating between relevant data not just
everything said by patient. ORGANIZING data, categorizing, and finally reaching a
conclusion/DIAGNOSIS. The nurse must VALIDATE data as well.
Analysis- Interpreting or monitoring the collected data. Reaching nursing judgment.
Detect inferences, identify clusters and cues, but avoid making snap judgments.
recognizing the actual problem or risk.
Planning- establishing PRIORITIES and optimal outcomes of care. Selecting nursing
interventions in the plan of care to promote, maintain, or restore health.
determining the appropriate strategies and interventions for inclusion in plan, will
you need a teaching plan?
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