Nursing Prioritization Strategies

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Questions and Answers

A patient presents with fatigue, headaches, and nutritional concerns. Which of the following actions is most appropriate based on the provided content?

  • Encourage the patient to increase their intake of iron-rich foods and monitor their symptoms closely. (correct)
  • Immediately refer the patient to a neurologist to rule out neurological causes for headaches.
  • Prioritize addressing the patient's fatigue over the headaches and nutritional concerns.
  • Suggest that the patient seek counseling to address potential stress as a contributing factor.

A patient presents with severe acute rib pain, causing difficulty breathing. Based on the content, which of the following takes priority in managing this situation?

  • Managing the patient's pain to improve their breathing. (correct)
  • Addressing the patient's anxiety about the pain.
  • Investigating the underlying cause of the rib pain.
  • Assessing the patient's ability to perform activities of daily living.

According to the content, which of the following is a first-level priority problem?

  • Limited mobility due to pain.
  • Elevated blood pressure. (correct)
  • Difficulty sleeping.
  • Poor appetite.

A patient presents with multiple health issues, including uncontrolled diabetes, recent weight loss, and ongoing back pain. Based on the content, what is the most appropriate approach to setting priorities?

<p>Prioritizing the issues based on their potential for harm and the patient's individual needs. (C)</p> Signup and view all the answers

Which of the following is an example of identifying patterns in patient assessment?

<p>Observing that a patient's blood pressure is consistently elevated throughout the day. (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of a third-level priority problem?

<p>Requires immediate attention. (A)</p> Signup and view all the answers

According to the content, when setting priorities for patient care, which of the following is NOT a factor to consider?

<p>The patient's religious beliefs. (E)</p> Signup and view all the answers

A patient has been admitted to the hospital with a severe respiratory infection. Which of the following situations would result in shifting the priority to airway management?

<p>The patient's oxygen saturation drops to 85%. (C)</p> Signup and view all the answers

Which of the following statements accurately reflects the current guidelines for chlamydia and gonorrhea screening in Canada?

<p>Opportunistic screening for sexually active individuals under 30 who are not at high risk for chlamydia and gonorrhea is recommended. (C)</p> Signup and view all the answers

What is the main reason for the variation in mammography and BSE guidelines across different provinces/territories in Canada?

<p>Diverse health priorities and resources available to different populations. (D)</p> Signup and view all the answers

Which of the following best exemplifies the principle of a 'life-cycle perspective' in health assessment?

<p>Tailoring assessments to the specific needs and developmental stage of each individual. (C)</p> Signup and view all the answers

Why is it crucial to consider social determinants of health in whole-person assessment?

<p>Understanding social determinants helps healthcare professionals address health inequities and provide culturally sensitive care. (C)</p> Signup and view all the answers

What is the significance of the Rourke Baby Record as mentioned in the text?

<p>It is a guide for community health nurses, providing evidence-informed recommendations. (C)</p> Signup and view all the answers

What does the term 'relational' primarily encompass in health assessment?

<p>The interplay of health, individuals, and broader societal contexts. (B)</p> Signup and view all the answers

Which aspect does NOT fall under the intrapersonal dimension of the relational approach?

<p>Interactions among different healthcare providers. (A)</p> Signup and view all the answers

In the context of health promotion, what is emphasized beyond treating illness?

<p>Empowering individuals to take control of their health determinants. (B)</p> Signup and view all the answers

How do social determinants of health play a role in health outcomes?

<p>They are as influential to health outcomes as medical factors. (C)</p> Signup and view all the answers

What is NOT a factor considered within the contextual dimension of health assessment?

<p>Emotional wellness of the patient. (C)</p> Signup and view all the answers

What is a characteristic feature of the complete database in health assessment?

<p>Contains a full health history and physical examination results. (B)</p> Signup and view all the answers

Which database type is most appropriate for assessing the progression of chronic health issues?

<p>Follow-up database. (B)</p> Signup and view all the answers

Which scenario best describes the use of an emergency database?

<p>Assessment during a significant health crisis, such as a suspected overdose. (D)</p> Signup and view all the answers

What is a key aspect of reflexivity in relational practice?

<p>Critically examining personal biases and interactions with patients. (D)</p> Signup and view all the answers

What does the frequency of assessment depend on?

<p>Various factors including age, gender, and wellness needs. (A)</p> Signup and view all the answers

What does evidence-informed practice (EIP) emphasize in clinical decision-making?

<p>Combining the best available evidence with clinical expertise and patient preferences (D)</p> Signup and view all the answers

Which of the following is a second-level priority problem requiring immediate intervention?

<p>Acute urinary problems (C)</p> Signup and view all the answers

What is a critical step in the evaluation phase of patient care?

<p>Assess actual outcomes against expected outcomes (C)</p> Signup and view all the answers

Why is the collection of comprehensive health assessment data crucial?

<p>To create an accurate picture of the patient's health status (D)</p> Signup and view all the answers

What characterizes collaborative priority problems in patient care?

<p>Involving multiple disciplines for resolution (D)</p> Signup and view all the answers

When developing a comprehensive plan of care, what is emphasized?

<p>Up-to-date records maintained through electronic health records (D)</p> Signup and view all the answers

What is a key aspect of patient-centered expected outcomes?

<p>Specific, measurable results with a time frame (C)</p> Signup and view all the answers

What approach does evidence-informed practice utilize?

<p>A lifelong problem-solving method for clinical decisions (D)</p> Signup and view all the answers

Regarding specific interventions, what is crucial to specify?

<p>Who performs the intervention, when, how often, and the method used (C)</p> Signup and view all the answers

How should actual patient outcomes be utilized after an evaluation?

<p>Adjustments must be made based on outcomes to improve care (B)</p> Signup and view all the answers

What is the primary rationale behind corroborating data with family members or friends during the data validation stage?

<p>To verify the accuracy and reliability of collected information. (D)</p> Signup and view all the answers

The nursing process emphasizes evaluation as a continuous element. How does evaluation relate to the other stages of the nursing process?

<p>Evaluation provides insights to adjust the nursing diagnosis, planning, or implementation stages. (C)</p> Signup and view all the answers

While drawing inferences and making hypotheses about a patient's health status, what are the main challenges nurses encounter?

<p>Insufficient knowledge and experience to interpret data and draw valid conclusions. (C)</p> Signup and view all the answers

In the context of the nursing assessment process, what is the primary goal of clustering related cues?

<p>To identify patterns and potential underlying issues that contribute to the patient's health status. (A)</p> Signup and view all the answers

What are the two main functions of the counter-clockwise arrows in the diagram representing the nursing process?

<p>To show the dynamic nature of the nursing process and the continuous feedback loop of evaluation. (B)</p> Signup and view all the answers

What is the purpose of identifying symptoms or signs that are abnormal in the assessment stage of the nursing process?

<p>To understand the patient's individual health status and determine the need for further investigation or interventions. (D)</p> Signup and view all the answers

What is the primary purpose of an organized assessment in diagnostic reasoning?

<p>To make informed judgments or diagnoses based on data. (C)</p> Signup and view all the answers

Which component is NOT part of the diagnostic reasoning process?

<p>Evaluating treatment outcomes. (A)</p> Signup and view all the answers

What is a cue in the context of diagnostic reasoning?

<p>A piece of information or symptom. (C)</p> Signup and view all the answers

Which phase of the nursing process is critical for observing and interpreting patient data?

<p>Assessment (D)</p> Signup and view all the answers

What does the nursing process fundamentally combine with critical thinking?

<p>Evidence-informed practice. (B)</p> Signup and view all the answers

What is a critical aspect of validating data during the assessment process?

<p>Repeating measurements for accuracy. (C)</p> Signup and view all the answers

Which of the following strategies is NOT recommended for identifying gaps in data collection?

<p>Ignoring inconsistent cues. (A)</p> Signup and view all the answers

When gathering data for diagnostic hypotheses, what must be prioritized?

<p>The patient's needs. (A)</p> Signup and view all the answers

What type of reasoning involves progressing from novice to expert through logical organization of skills?

<p>Critical thinking (B)</p> Signup and view all the answers

In the context of diagnostic reasoning, validating data relevance may involve which of the following?

<p>Checking for the influence of extraneous variables. (A)</p> Signup and view all the answers

Flashcards

Whole-Person Assessment

A comprehensive approach to healthcare that considers physical, mental, social, and emotional aspects of an individual's health, taking into account their life stage and social determinants. It emphasizes personalized care and focuses on preventing illness and promoting well-being.

Evidence-Based Guidelines

Guidelines and recommendations for preventative health assessments, like mammograms and immunizations, that vary depending on age, risk factors, and individual needs. These are reviewed and updated regularly based on the latest scientific evidence.

Social Determinants of Health

The factors that influence a person's health, beyond their individual choices. These can include social, economic, and environmental factors like income, education, housing, and access to healthcare.

Developmental Screening

The process of assessing the development of children and adolescents, using age-appropriate tools and techniques to identify any potential delays or concerns.

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Screening for Health Conditions

Using different screening tests and interventions to detect and address various health conditions at an early stage, improving treatment outcomes and preventing complications.

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Reflexivity

A process of critically examining your own assumptions, biases, and experiences to better understand how they influence your interactions with clients. A key part of building strong therapeutic relationships.

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Complete Health Database

A comprehensive collection of data about a client's current and past health status, including their physical, mental, social, and spiritual well-being.

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Episodic Database

A focused data collection focused on a specific health problem or concern. It's a smaller scope than the complete database, focusing on only relevant information.

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Follow-Up Database

An assessment conducted at regular intervals to monitor the progress or change in a client's health status. Provides ongoing evaluation of health problems and their management.

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Emergency Database

A rapid data collection process used in emergency situations, where swift and decisive action is crucial.

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Assessment (COVID)

The first step of the nursing process, involving gathering all relevant information about a patient.

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Nursing Diagnosis (AIF)

Analyzing data to identify health problems, risks, and strengths, and then formulating diagnostic statements.

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Implementation (RDISD)

Putting the nursing care plan into action, including reassessing the patient, implementing interventions, and documenting activities.

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Planning (PFI)

Prioritizing patient problems, setting goals and outcomes, and identifying specific nursing interventions.

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Evaluation (CCRDC)

The final step of the nursing process, which involves collecting data related to patient outcomes, analyzing the effectiveness of care, and adjusting the plan as needed.

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Distinguishing Normal vs. Abnormal

Examining the collected data to determine if symptoms or signs are abnormal, separating the essential from the less important.

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Inconsistency in Assessment

When a patient's reported symptoms or feelings don't match their physical signs or test results.

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Identifying Patterns

Looking for patterns in symptoms or data to make a more complete picture of the patient's health.

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Identifying Missing Information

Recognizing missing information to make a complete diagnosis.

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Promoting Health by Identifying Priorities

Prioritizing a patient's needs based on their overall health, social context, and potential risks.

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Diagnosing Actual and Potential Problems

Recognizing potential health problems and risks beyond the immediate symptoms.

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Setting Priorities for Multiple Health Issues

Setting priorities when a patient has multiple health problems, focusing on the most urgent needs first.

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First-Level Priority Problems (Immediate)

Airway, breathing, and circulation are the top priorities in any medical emergency.

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Second-Level Priority Problems

Problems that require immediate attention but aren't life-threatening, like mental status changes or untreated medical problems, are considered second-level priorities.

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What is Whole-Person Assessment?

A comprehensive approach to healthcare that considers physical, mental, social, and emotional aspects of an individual's health, taking into account their life stage and social determinants. It emphasizes personalized care and focuses on preventing illness and promoting well-being.

Signup and view all the flashcards

What are Evidence-Based Guidelines?

Guidelines and recommendations for preventative health assessments, like mammograms and immunizations, that vary depending on age, risk factors, and individual needs. These are reviewed and updated regularly based on the latest scientific evidence.

Signup and view all the flashcards

What are Social Determinants of Health?

The factors that influence a person's health, beyond their individual choices. These can include social, economic, and environmental factors like income, education, housing, and access to healthcare.

Signup and view all the flashcards

What is Developmental Screening?

The process of assessing the development of children and adolescents, using age-appropriate tools and techniques to identify any potential delays or concerns.

Signup and view all the flashcards

What is Screening for Health Conditions?

Using different screening tests and interventions to detect and address various health conditions at an early stage, improving treatment outcomes and preventing complications.

Signup and view all the flashcards

What is Reflexivity?

A process of critically examining your own assumptions, biases, and experiences to better understand how they influence your interactions with clients. A key part of building strong therapeutic relationships.

Signup and view all the flashcards

What is a Complete Health Database?

A comprehensive collection of data about a client's current and past health status, including their physical, mental, social, and spiritual well-being.

Signup and view all the flashcards

What is an Episodic Database?

A focused data collection focused on a specific health problem or concern. It's a smaller scope than the complete database, focusing on only relevant information.

Signup and view all the flashcards

What is a Follow-Up Database?

An assessment conducted at regular intervals to monitor the progress or change in a client's health status. Provides ongoing evaluation of health problems and their management.

Signup and view all the flashcards

What is an Emergency Database?

A rapid data collection process used in emergency situations, where swift and decisive action is crucial.

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Relational Approach

A health approach that considers the complex interplay of health, people, society, and nursing practice, including intrapersonal experiences, interpersonal interactions, and contextual factors.

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Intrapersonal Dimension

Looking at the individual's internal feelings, thoughts, and experiences, including their understanding of their health.

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Interpersonal Dimension

Observing how people interact and respond to situations, focusing on their communication and behavior.

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Contextual Dimension

Understanding how social and economic conditions, healthcare systems, and societal structures influence health.

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Diagnostic Reasoning

The process of gathering data and drawing conclusions to identify diagnoses. It involves collecting cues, formulating hypotheses, gathering relevant data, and evaluating those hypotheses to arrive at a final diagnosis.

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Cue

A piece of information, sign, symptom, or lab data that provides clues about a patient's condition during diagnosis.

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Hypothesis

A tentative explanation for a cue or set of cues, used for further investigation in diagnostic reasoning.

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Data Validation

The process of ensuring the accuracy and completeness of collected data by repeating measurements, identifying gaps, eliminating extraneous variables, and consulting experts when necessary.

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Nursing Process

A systematic and structured approach to patient care that involves five phases: assessment, nursing diagnosis, planning, implementation, and evaluation.

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Critical Thinking

The ability to think critically and apply knowledge to solve problems in a dynamic and flexible way, moving between phases of the nursing process.

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Identify Assumptions

Recognizing and questioning assumptions made during the assessment process to ensure accurate information gathering.

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Organized and Comprehensive Approach

A structured and comprehensive approach to assessment that prioritizes the patient's needs, covering all relevant aspects of their health.

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Study Notes

Assessment of the Whole Person

  • Nurses need to collect four different kinds of data:
    • Complete (Total Health) Database: A full health history and physical exam. This provides a baseline for current and past health states. Used in many settings.
    • Episodic or Problem-Centered Database: Focused on a short-term or limited problem. (e.g. 2 days after an admission for cough, shortness of breath, fatigue)
    • Follow-Up Database: Monitors identified problems. Used when evaluating whether or not problems are getting better or worse.
    • Emergency Database: Used for rapid data collection. Diagnoses must be swift and sure.
      • Example: Questions used include, "What did you take?", "How much did you take?","When did it start?", "How did it feel?", and "What symptoms did you feel?"

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