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What type of database is most appropriate when rapid collection of data is required and often compiled concurrently with lifesaving measures?
What type of database is most appropriate when rapid collection of data is required and often compiled concurrently with lifesaving measures?
What's the most important step in the critical-thinking process?
What's the most important step in the critical-thinking process?
An example of subjective data is
An example of subjective data is
What type of database is most appropriate for an individual who is admitted to a long-term care facility?
What type of database is most appropriate for an individual who is admitted to a long-term care facility?
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Which of the following is an example of objective data?
Which of the following is an example of objective data?
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An example of objective data is
An example of objective data is
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Which of the following is an example of subjective data?
Which of the following is an example of subjective data?
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A complete database is
A complete database is
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A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. Which problem is a first-level priority?
A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. Which problem is a first-level priority?
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Which of the following actions/behaviors in the critical-thinking process are important for the novice nurse to remember? (Select all that apply)
Which of the following actions/behaviors in the critical-thinking process are important for the novice nurse to remember? (Select all that apply)
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The concept of health and healing has evolved in recent years. Which is the best description of health?
The concept of health and healing has evolved in recent years. Which is the best description of health?
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Which would be included in the database for a new patient admission to a surgical unit?
Which would be included in the database for a new patient admission to a surgical unit?
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You are reviewing assessment data of a 45-year-old male patient and note pain of 8 on a scale of 10, labored breathing, and pale skin color on the electronic health record. This documentation is an example of
You are reviewing assessment data of a 45-year-old male patient and note pain of 8 on a scale of 10, labored breathing, and pale skin color on the electronic health record. This documentation is an example of
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A patient in the emergency department with nausea and vomiting. Which would you include in the database?
A patient in the emergency department with nausea and vomiting. Which would you include in the database?
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A patient has recently received health insurance and would like to know how often he should visit the provider. How do you respond?
A patient has recently received health insurance and would like to know how often he should visit the provider. How do you respond?
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You are reviewing concepts related to steps in the nursing process for determining prioritization and developing patient outcomes. To what are these actions attributed?
You are reviewing concepts related to steps in the nursing process for determining prioritization and developing patient outcomes. To what are these actions attributed?
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Which best describes evidence based nursing practice?
Which best describes evidence based nursing practice?
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What can be determined when the nurse clusters data as part of the critical thinking process?
What can be determined when the nurse clusters data as part of the critical thinking process?
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A patient says she is very nervous and nauseated, and she feels as if she will vomit. This data would be what type of data?
A patient says she is very nervous and nauseated, and she feels as if she will vomit. This data would be what type of data?
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The expert nurse differs from the novice nurse by acting without consciously thinking about the actions. This is referred to as
The expert nurse differs from the novice nurse by acting without consciously thinking about the actions. This is referred to as
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Which would be considered a risk diagnosis?
Which would be considered a risk diagnosis?
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Which would be included in a holistic model of assessment?
Which would be included in a holistic model of assessment?
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The nurse uses health promotion activities with a new patient. What would this focus include?
The nurse uses health promotion activities with a new patient. What would this focus include?
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Which is an example of objective data?
Which is an example of objective data?
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During the evaluation phase of the nursing process, which action would be included?
During the evaluation phase of the nursing process, which action would be included?
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___________________ is the collection of subjective and objective data about a patient's health.
___________________ is the collection of subjective and objective data about a patient's health.
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_________________ data consists of info provided by the affected individual.
_________________ data consists of info provided by the affected individual.
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_______________ data includes information obtained by the health care provider through observation and inspecting, percussing, palpating, and auscultating during the physical examination.
_______________ data includes information obtained by the health care provider through observation and inspecting, percussing, palpating, and auscultating during the physical examination.
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The ____________ is the totality of information available about the patient, including subjective data, objective data, and the patient's medical record and laboratory studies.
The ____________ is the totality of information available about the patient, including subjective data, objective data, and the patient's medical record and laboratory studies.
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The purpose of assessment is to make a judgement or _________________.
The purpose of assessment is to make a judgement or _________________.
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__________________ __________________ is the process of analyzing health data and drawing conclusions to identify diagnoses. (consists of attending to cues, formulating hypothesis, gathering data, and diagnosis)
__________________ __________________ is the process of analyzing health data and drawing conclusions to identify diagnoses. (consists of attending to cues, formulating hypothesis, gathering data, and diagnosis)
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The nursing process includes six phases which can be remembered using the acronym "____________________".
The nursing process includes six phases which can be remembered using the acronym "____________________".
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ADOPIE stands for:
ADOPIE stands for:
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_____________ ______________ is the multidimensional thinking process needed for sound diagnostic reasoning and clinical judgment.
_____________ ______________ is the multidimensional thinking process needed for sound diagnostic reasoning and clinical judgment.
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_____________ level priority problems are emergent, life threatening, and immediate, such as establishing an airway or supporting breathing.
_____________ level priority problems are emergent, life threatening, and immediate, such as establishing an airway or supporting breathing.
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___________ level priority problems require prompt intervention to prevent further deterioration and may include mental status change, acute pain, or abnormal laboratory values.
___________ level priority problems require prompt intervention to prevent further deterioration and may include mental status change, acute pain, or abnormal laboratory values.
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_____________-level priority problems are important to the patient's health but can be addressed after more urgent problems. Examples include lack of knowledge or family coping.
_____________-level priority problems are important to the patient's health but can be addressed after more urgent problems. Examples include lack of knowledge or family coping.
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_____________________ problems are certain physiologic conditions in which the approach to treatment involves multiple disciplines.
_____________________ problems are certain physiologic conditions in which the approach to treatment involves multiple disciplines.
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The ______________ health model assesses the whole person because it views the mind, body, and spirit as interdependent and functioning as a whole within the environment.
The ______________ health model assesses the whole person because it views the mind, body, and spirit as interdependent and functioning as a whole within the environment.
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A ______________ database includes a complete health history and full physical examination, yielding the first diagnosis.
A ______________ database includes a complete health history and full physical examination, yielding the first diagnosis.
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A _______________ database is used for a limited or short-term problem. It is smaller in scope and more targeted than the complete database.
A _______________ database is used for a limited or short-term problem. It is smaller in scope and more targeted than the complete database.
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A _______________ database evaluates the status of any identified problem at regular intervals (short term and chronic).
A _______________ database evaluates the status of any identified problem at regular intervals (short term and chronic).
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_____________ ______________ _________________ is a systematic approach to practice that uses research evidence, clinical expertise, clinician knowledge, and the patient's preferences and values to make decisions about care and treatment.
_____________ ______________ _________________ is a systematic approach to practice that uses research evidence, clinical expertise, clinician knowledge, and the patient's preferences and values to make decisions about care and treatment.
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Study Notes
Evidence-Based Assessment Overview
- Emergency Database: Utilized for rapid data collection during lifesaving measures.
- Critical Thinking in Nursing: Most vital step is employing evidence-based assessment techniques.
Types of Data
- Subjective Data: Information provided by the patient; e.g., feelings of nausea.
- Objective Data: Measurable or observed data; e.g., "alert and oriented" or physical exam findings.
Database Types
- Complete Database: Comprehensive health history and physical examination. Used for thorough evaluations.
- Focused Database: Targeted for specific short-term or limited issues.
- Follow-Up Database: Evaluates ongoing status of identified problems.
Nursing Priorities
- First-Level Priority: Life-threatening issues needing immediate attention; e.g., impaired gas exchange.
- Second-Level Priority: Problems requiring prompt intervention to prevent worsening; e.g., mental status changes.
- Third-Level Priority: Important but less urgent issues; e.g., knowledge deficits.
Evidence-Based Practice
- Integrates clinical expertise with research and patient values to guide care decisions.
Nursing Process Phases
- Acronym ADOPIE stands for Assessment, Diagnosis, Outcome identification, Planning, Implementation, Evaluation.
Holistic Model of Assessment
- Considers the interdependent nature of mind, body, and spirit, along with environmental factors.
Data Clustering and Critical Thinking
- Involves recognizing relevant information among collected data to identify problems effectively.
Roles of Data in Assessment
- Assessment Purpose: To gather subjective and objective data for accurate diagnosis.
- Types of Assessments: Can include health histories, physical exams, and lifestyle factors.
Importance of Patient Perception
- A patient's health perception is critical in the holistic assessment process.
Actions in Evaluation Phase
- Involving patients and families in evaluation enhances care effectiveness and addresses their concerns.
Risk Diagnoses
- Focus on identifying potential future problems for patients based on current conditions and behaviors.
Application of Data in Clinical Settings
- Objective data informs clinical judgments, while subjective data reflects patient experiences and concerns.
Summary of Key Concepts
- Health is a dynamic state of well-being involving psychological, physical, and social aspects.
- Critical thinking is essential for effective diagnostic reasoning and clinical judgment in nursing practice.
Studying That Suits You
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Description
Test your knowledge on evidence-based assessment with these flashcards from Jarvis Chapter 1. This quiz focuses on critical thinking and data collection methods essential for effective nursing practice. Challenge yourself and reinforce your learning!
