Clinical Judgment
The thinking process by which a nurse reaches a clinical judgment is known as what?
Clinical reasoning.
This is a holistic framework for assessment of any health problem is:
Gordon's functional patterns.
Wearing scrubs in a public setting is what type of communication?
Paralinguistic.
What is a practice standard?
A standard for care for a specific population of patients, developed by the facility using the best evidence available.
A patient is complaining of shortness of breath. What strategy will you use to prioritize care?
ABC + VL
Data that is gathered through observations or measurements is known as what?
Objective data.
What makes a goal attainable?
A single action that is realistic and is based on the patient's capabilities and limitations.
A client doesn't speak English. How does this affect communication?
It can be a barrier to communication.
What should the nurse do first after recognizing a medical error was made.
Assess the patient.
Which is more concerning?
T: 101.1 P: 107 BP 116/80
Temperature
What does an independent intervention require?
A physician's order.
Describe expected outcome.
A measurable change in the client that must be achieved to reach a goal.
Communication competence is:
Effective and appropriate.
What are some of the benefits from using an electronic health record?
It is a digital record, timely transmission of accurate information is available to providers, it is a legal document, it is a major means of communication among the healthcare team.
The nurse is concerned about a client that had a fever. When delegating the vital signs, what additional information should be provided to the UAP?
When/what to report to the nurse.
The nurse is assessing a client with a cultural background that the nurse is unfamiliar with. What is appropriate for the nurse to do?
Be respectful about the client's beliefs and values.
In the nursing process what is the next step after the Nursing Diagnosis?
Plan.
True or False. Poor communication is frequently the cause of errors.
True.
This type of event leads to death or serious physical harm.
Sentinel event.
COPD patient has a Temp of 101.1 O2 sat of 90%. What would your priority recommendation be?
When making clinical decisions, what should the nurse consider?
Consider what is important in a given situation.
Priority for client with complaints of shortness of breath, productive cough with phlegm, coarse crackles throughout.
Airway
The nurse communicates during the assessment includes what methods:
Visual, tactile, and auditory.
This kind of specific direct care activity involves protecting a violent client from injury.
Lifesaving.
An effective team knows that it is able to count on all members when needs arise.
True.