Critical Thinking, Clinical Judgement, Nursing Process
Speaking up for a patient, refraining from gossiping about a patient, and valuing truth
What is Intellectual Integrity
A systemic approach that uses current evidence to make decisions about patient care
What is Evidence-Based Practice
Bathing a patient, obtaining vital signs on a stable patient, feeding a patient and transferring a patient from bed to chair.
What tasks can the LPN delegate to unlicensed assistive personnel?
A health belief system that focuses on the need for balance and harmony of the body and spirit with nature and commonly uses folk remedies. (If the nurse accepts their beliefs, they are more likely to share information.)
What is the holistic belief system?
Loose watery stools that occur more frequently that can be a major cause of dehydration.
What is diarrhea?
Part of the clinical judgement process in which you must decide what bits of information are most relevant (is there pain, what is the pain on a scale of 0-10, etc).
What is identifying and analyzing cues
Step 1: Ask the burning question
Step 2: Search for evidence
Step 3: Think critically
Step 4: Measure outcomes
Step 5: Make it happen
Step 6: Evaluate the practice change
What is the Evidence-Based Practice Process?
Contains laws that define the scope of practice for nurses and help in delegation.
What is the Nurse Practice Act?
A therapy used in addition to a conventional modality.
What is a complementary modality?
An abnormal facial muscle twitch that occurs when the facial nerve is gently tapped in front of the ear.
What is the Chvostek sign?
Used to prevent failure to communicate (I am Concerned! I am Uncomfortable! This is a Safety issue!)
What is the CUS acronym
PICOT: Population, Intervention, Comparison, Outcome, Time
What is the mnemonic to describe the five elements of a good searchable and answerable question?
An ethical theory based on duty. Under this theory, the moral worth of an action should not be judged solely on the consequences of the action but on whether the action itself is right or wrong.
Deontology
A sympathomimetic agent used as a stimulant or weight loss supplement that is banned by the FDA.
What is Ephedra?
Changes in heart rate, decreased blood pressure, mental status change, hyperactive deep tendon reflexes, and increased GI motility, including diarrhea and abdominal cramping.
What are signs and symptoms of hypocalcemia?
It determines what the nurse does after thinking about a problem.
What is Clinical Judgment
The weakest level of nursing evidence.
What is expert opinion (level VII)
Getting to know the patient, being kind, being attentive, offering support, saying good morning, listening, smiling, respecting the patient's privacy.
What are ways to show compassion?
The question, asked by a nurse during admission, helps assess the patient's cultural approach to family roles in healthcare decision-making.
Who do you include when making medical decisions?
A nasogastric tube connected to suction, third-spacing, fluid volume excess, excessive sweating, near-drowning, and patients who are NPO.
What are high-risk conditions for hyponatremia?
Basic fundamental needs include food, water, sleep, exercise, elimination, shelter, and sexual expression.
What are the physiological needs of Maslow's Hierarchy of Needs?
This is done before any widespread change in practice to determine whether the change will be as effective as intended when implemented across the agency. (Hint: Step 4 of ASKMME)
What is a pilot study?
Working with other members of the healthcare team, such as case management, chaplain, dietitian, social worke,r and HCP.
What is collaborative care?
A family does not appear saddened at the bedside of a dying patient. Instead of assuming they are not saddened, a nurse should recognize this factor.
What is the family's culture may express grief differently than expected.
These positions allow greater lung expansion and aid in respiratory effort in patients with fluid excess.
What are Semi-fowlers' or high fowlers' positions?