Jarvis Chapter 1 Flashcards

Questions and Answers

What type of database is most appropriate when rapid collection of data is required and often compiled concurrently with lifesaving measures?

focused

follow up

emergency (correct)

complete

What's the most important step in the critical-thinking process?

clustering subjective and objective data

prioritizing health concerns

using evidence based assessment techniques (correct)

analyzing health data

An example of subjective data is

arthritis

crepitation in left knee joint

left knee has been swollen and hot for past 3 days (correct)

decreased range of motion

What type of database is most appropriate for an individual who is admitted to a long-term care facility?

complete Signup and view all the answers

Which of the following is an example of objective data?

alert and oriented Signup and view all the answers

An example of objective data is

crepitation in the left knee joint Signup and view all the answers

Which of the following is an example of subjective data?

Pain rated at 7 out of 10 Signup and view all the answers

A complete database is

used to perform a thorough or comprehensive health history and physical examination Signup and view all the answers

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?

Impaired gas exchange Signup and view all the answers

Which of the following actions/behaviors in the critical-thinking process are important for the novice nurse to remember? (Select all that apply)

avoid making assumptions Signup and view all the answers

The concept of health and healing has evolved in recent years. Which is the best description of health?

Health depends on an interaction of mind, body, and spirit within the environment Signup and view all the answers

Which would be included in the database for a new patient admission to a surgical unit?

all subjective and objective data, data gathered from a patient, and the results of any laboratory or diagnostic studies completed Signup and view all the answers

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

data cluster Signup and view all the answers

A patient in the emergency department with nausea and vomiting. Which would you include in the database?

a diet and GI history Signup and view all the answers

A patient has recently received health insurance and would like to know how often he should visit the provider. How do you respond?

"Your visits may vary, depending on your level of wellness" Signup and view all the answers

You are reviewing concepts related to steps in the nursing process for determining prioritization and developing patient outcomes. To what are these actions attributed?

planning Signup and view all the answers

Which best describes evidence based nursing practice?

combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patient's values and circumstances Signup and view all the answers

What can be determined when the nurse clusters data as part of the critical thinking process?

the nurse recognizes relevant information among the data Signup and view all the answers

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?

subjective Signup and view all the answers

The expert nurse differs from the novice nurse by acting without consciously thinking about the actions. This is referred to as

intuition Signup and view all the answers

Which would be considered a risk diagnosis?

identifying potential problems the individual may develop Signup and view all the answers

Which would be included in a holistic model of assessment?

a patient's perception of his or her health status Signup and view all the answers

The nurse uses health promotion activities with a new patient. What would this focus include?

the nurse would empower the patient to choose a healthier lifestyle Signup and view all the answers

Which is an example of objective data?

2- x 5 cm scar present on the right forearm Signup and view all the answers

During the evaluation phase of the nursing process, which action would be included?

including the patient and family members Signup and view all the answers

___________________ is the collection of subjective and objective data about a patient's health.

assessment Signup and view all the answers

_________________ data consists of info provided by the affected individual.

subjective Signup and view all the answers

_______________ data includes information obtained by the health care provider through observation and inspecting, percussing, palpating, and auscultating during the physical examination.

objective Signup and view all the answers

The ____________ is the totality of information available about the patient, including subjective data, objective data, and the patient's medical record and laboratory studies.

database Signup and view all the answers

The purpose of assessment is to make a judgement or _________________.

diagnosis Signup and view all the answers

is the process of analyzing health data and drawing conclusions to identify diagnoses. (consists of attending to cues, formulating hypothesis, gathering data, and diagnosis)

diagnostic reasoning Signup and view all the answers

The nursing process includes six phases which can be remembered using the acronym "____________________".

ADOPIE Signup and view all the answers

ADOPIE stands for:

assessment, diagnosis, outcome identification, planning, implementation, evaluation Signup and view all the answers

_ __ is the multidimensional thinking process needed for sound diagnostic reasoning and clinical judgment.

critical thinking Signup and view all the answers

_____________ level priority problems are emergent, life threatening, and immediate, such as establishing an airway or supporting breathing.

first Signup and view all the answers

___________ level priority problems require prompt intervention to prevent further deterioration and may include mental status change, acute pain, or abnormal laboratory values.

second Signup and view all the answers

_____________-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.

third Signup and view all the answers

_____________________ problems are certain physiologic conditions in which the approach to treatment involves multiple disciplines.

collaborative Signup and view all the answers

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.

holistic Signup and view all the answers

A ______________ database includes a complete health history and full physical examination, yielding the first diagnosis.

complete Signup and view all the answers

A _______________ database is used for a limited or short-term problem. It is smaller in scope and more targeted than the complete database.

focused Signup and view all the answers

A _______________ database evaluates the status of any identified problem at regular intervals (short term and chronic).

follow up Signup and view all the answers

_ _______ 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.

evidence based practice Signup and view all the answers

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

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

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!