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NUR |! 155 |! EXAM |! 1 |! with |! accurate |!
solutions
4 |! Steps |! of |! Tanner's |! Clinical |! Judgement |! model |! - |! Correct |! answer |! ✔Noticing, |! reflecting, |! responding |! and |! interpreting Critical |! thinking |! - |! Correct |! answer |! ✔uses |! principles |! of |! nursing |! process |! and |! evidence |! based |! practice APIE |! - |! Correct |! answer |! ✔assessment, |! planning, |! implementation, |! evaluation Assessing |! systematically |! and |! comprehensively |! - |! Correct |! answer |! ✔piece |! by |! piece, |! body |! systems, |! head |! to |! toe |! and |! focused |! assesment Objective |! - |! Correct |! answer |! ✔signs |! (seen, |! heard, |! felt) Evidence-based |! practice |! - |! Correct |! answer |! ✔means |! that |! everything |! we |! do |! in |! nursing |! is |! trial |! and |! error |! before |! we |! use |! in |! practice Subjective |! - |! Correct |! answer |! ✔symptoms |! (verbal |! statements)
Primary |! source |! - |! Correct |! answer |! ✔Patient Secondary |! source |! - |! Correct |! answer |! ✔Sources |! other |! than |! the |! patient NIRR |! - |! Correct |! answer |! ✔Noticing, |! interpreting, |! responding |! and |! reflecting Outlines |! of |! what |! we |! are |! allowed |! to |! do |! as |! nurses |! - |! Correct |! answer |! ✔Scope |! of |! Practice, |! Nurse |! Practice |! Act, |! Standard |! of |! Practice "Think |! with |! a |! purpose" |! (4 |! words) |! - |! Correct |! answer |! ✔Stop, |! think, |! ask |! and |! assess Definition |! for |! Tanner's |! Model |! - |! Correct |! answer |! ✔dynamic |! process |! that |! accounts |! for |! changes |! in |! the |! situation |! as |! they |! occur Putting |! a |! plan |! in |! place |! - |! Correct |! answer |! ✔Interpreting "Identifying |! assumptions" |! - |! Correct |! answer |! ✔No |! supporting |! evidence, |! jumping |! to |! conclusions, |! how |! do |! you |! know, |! what |! do |! you |! know |! and |! based |! on |! WHAT |! evidence
What's |! the |! identifying |! assumption |! thinking |! skill? |! - |! Correct |! answer |! ✔Arriving |! at |! a |! conclusion |! without |! any |! or |! enough |! evidence What's |! the |! protocol |! for |! restraints? |! - |! Correct |! answer |! ✔Bruises, |! Pain, |! Circulation |! and |! Documentation What |! do |! we |! do |! if |! there |! is |! any |! change |! in |! the |! patient? |! - |! Correct |! answer |! ✔Gather |! more |! information |! to |! see |! why |! it's |! changed Predict |! and |! Manage |! potential |! complications |! - |! Correct |! answer |! ✔identifying |! risks |! that |! the |! patient |! might |! encounter Clinical |! Judgement |! - |! Correct |! answer |! ✔gives |! safe |! complete |! patient- centered |! care therapeutic |! responses |! - |! Correct |! answer |! ✔ask |! open-ended |! questions, |! gather |! more |! information Thinking |! skill |! from |! noticing |! - |! Correct |! answer |! ✔identifying |! signs |! and |! symptoms Difference |! between |! Tanner's |! and |! Nursing |! Process |! - |! Correct |! answer |! ✔Planning |! to |! provide |! care |! is |! nursing |! process, |! Tanner's |! is |! the |! THINKING |! behind |! it, |! "why |! we |! provide |! care."
Sources |! of |! data |! collection |! - |! Correct |! answer |! ✔family |! member, |! previous |! care |! team, |! medical |! records Primary |! - |! Correct |! answer |! ✔Patient 3 |! things |! that |! could |! affect |! your |! thinking |! when |! predicting? |! - |! Correct |! answer |! ✔Environmental, |! experience |! and |! recognizing |! the |! patterns How |! to |! gather |! more |! information |! for |! drug |! seeking |! patients? |! - |! Correct |! answer |! ✔Review |! medical |! records |! & |! focused |! pain |! assessment How |! to |! prevent |! skin |! breakdown? |! - |! Correct |! answer |! ✔Float |! heels, |! air |! mattress What |! do |! we |! make |! sure |! of |! when |! moving |! a |! patient? |! - |! Correct |! answer |! ✔Non-skid |! slippers/socks, |! provide |! wide |! base |! of |! support, |! proper |! body |! mechanism When |! leaving |! a |! patients |! room, |! what |! do |! we |! make |! sure |! they |! have? |! - |! Correct |! answer |! ✔Call |! light |! near |! them, |! side |! rails, |! bed |! in |! low |! position.. |! ask |! them |! if |! they |! need |! anything
If |! a |! patient |! is |! dizzy |! (subjective |! or |! objective) |! - |! Correct |! answer |! ✔subjective If |! a |! patient |! is |! having |! chest |! pain |! (subjective |! or |! objective) |! - |! Correct |! answer |! ✔subjective If |! you |! can |! see |! a |! patient |! is |! having |! diarrhea |! (subjective |! or |! objective) |! - |! Correct |! answer |! ✔objective Spices |! is |! important.. |! - |! Correct |! answer |! ✔to |! determine |! any |! risks |! & |! what |! they |! are |! at |! risk |! for Order |! of |! steps |! in |! Tanner's |! Model |! - |! Correct |! answer |! ✔Noticing, |! Interpret, |! Respond, |! Reflect What |! does |! the |! E |! (evaluate) |! in |! APIE |! go |! with? |! - |! Correct |! answer |! ✔Reflect Who |! does |! the |! nursing |! diagnosis? |! - |! Correct |! answer |! ✔RN If |! a |! patient |! is |! complaining |! about |! pain |! during |! range |! of |! motion |! activities.. |! - |! Correct |! answer |! ✔STOP |! MOVING
What |! is |! critical |! thinking |! and |! nursing |! process |! based |! on? |! - |! Correct |! answer |! ✔Evidence Responding |! goes |! to... |! - |! Correct |! answer |! ✔Implementing What |! would, |! "looking |! at |! patients |! chart, |! and |! talking |! with |! their |! family" |! be |! considered |! - |! Correct |! answer |! ✔Gathering |! complete |! and |! accurate |! data What |! would |! we |! do |! for |! a |! confused |! patient? |! - |! Correct |! answer |! ✔Move |! closer |! to |! nursing |! station |! & |! frequent |! checks If |! we |! assumed |! that |! a |! man |! and |! wife |! were |! married, |! that |! would |! be |! considered |! as... |! - |! Correct |! answer |! ✔identifying |! assumptions Which |! step |! goes |! with |! nursing? |! - |! Correct |! answer |! ✔Assessment A |! new |! mom |! is |! considered |! as.. |! - |! Correct |! answer |! ✔novice If |! someone |! was |! to |! mow |! grass |! the |! day |! before |! bad |! weather |! was |! expected, |! they |! are |! using... |! - |! Correct |! answer |! ✔clinical |! judgement
What |! are |! safety |! risks? |! - |! Correct |! answer |! ✔Falls Medication |! errors Wrong |! identification Electrical |! burns/injuries Pressure |! ulcers Allergic |! reactions Chemical |! spills Workplace |! violence Lack |! of |! communication Most |! at |! risk.. |! - |! Correct |! answer |! ✔Immobile Unsteady |! gait |! belt Elderly Visual |! impairment Hearing |! impairment Cognitive |! issues What |! do |! we |! document? |! - |! Correct |! answer |! ✔EVERYTHING!!! Bias |! is |! considered |! as.. |! - |! Correct |! answer |! ✔YOUR |! OWN |! OPINION
When |! we |! are |! in |! doubt, |! we |! want |! to.. |! - |! Correct |! answer |! ✔ask |! more |! questions, |! gather, |! assess, |! document
