Clinical Judgment
Clinical judgement
Communication tool: Template used to communicate with MD or other nurses
SBAR
is a serious criminal offense, such as murder, falsifying medical records, insurance fraud, and stealing narcotics
Felony
skin that has been rubbed away by friction
Abrasion
What is the acronym all nursing language stems from
ADPIE
____________ ___________ is the thinking process by which a nurse reaches a clinical judgment.
Clinical Reasoning
positive and negative ideas and feeling are expressed in an open and direct way.
Assertive
A group of nurses who work at a large, long-term care facility have become embroiled in controversy over a large number of residents who are refusing a seasonal influenza vaccination. Specifically, there is controversy around the appropriate amount of influence that nurses can exercise when encouraging residents to become immunized. A teleological perspective on this issue would prioritize what consideration?
The greatest good for the greatest number
A nurse has explained the purpose and procedure for a comprehensive assessment and has directed the client to an appropriate position on the bed. The nurse has also provided a drape with which to cover the client. What is the primary purpose of providing a drape during the assessment process?
Modesty
The nurse prepares and administers prescribed medications during which phase of the nursing process?
Which reasoning process is most likely used by the novice or expert nurse who encounters an unfamiliar patient situation?
Analytic reasoning
This is defined as a process of interaction between people in which symbols are used to create, exchange, and interpret messages about ideas, emotions, and mind states
Communication
A nurse is caring for a client with hypertension whose blood pressure has increased from 154/78 mm Hg to 196/98 mm Hg with a heart rate of 110 beats per minute during the past hour. The nurse goes to lunch without reporting the change to the healthcare provider, and the client suffers a cardiac arrest. What principle has the nurse violated?
negligence
The nurse is performing a physical assessment of an older adult female client. The nurse documents scoliosis as part of the spinal assessment. What is scoliosis?
Lateral curvature of the spine
A patient with Parkinsons disease with a shuffling gait will have a priority nursing diagnosis of
Risk for falls/Injury
Which type of reasoning process is used when nurses make sense of patient situations through telling and interpreting stories?
Narrative
Communication competence in nursing means that communication is both ________________________ and _________________________.
effective, appropriate
A nurse is called to a deposition for a malpractice charge that has resulted in the death of a client. As the chart is reviewed, the prosecuting attorney questions the nurse about several defaming comments written in the medical record about the client. What charges can be filed against the nurse due to these comments?
Libel
A nurse is performing the diagnostic positions test to observe extraocular movements on a client during a routine eye exam. Which of the findings would the nurse expect to observe?
coordinated movement of both eyes
The nursing student demonstrates accurate application of the assessment phase of the nursing process by performing which action?
Head to toe assessment, checking VS, asking the client if he/she has any cultural preferences
Novice nurses rely on this to do clinical judgement
analytic reasoning
The use of electronic health records as a communication tool is essential. What is the most significant barrier to using electronic health records?
The potential for personal health care information to be accessed by those who do not have the right to access it.
A client with a bone infection had a central venous catheter ordered for the long-term administration of antibiotics. The intravenous line was inserted at the bedside by a qualified nurse, but the nurse was observed to make a serious lapse in aseptic technique and the client developed sepsis. What type of law most directly addresses this situation?
Civil law
The nurse notes low-pitched, soft breath sounds over the posterior middle lobes with intermittent, high-pitched, popping sounds in the posterior lower lobes, primarily during inspiration. What is the nurse's correct interpretation of these findings?
crackles
A nurse is interviewing an asthmatic client who has a high respiratory rate and is having difficulty breathing. what is a good nursing diagnosis
Impaired Verbal Communication related to the breathing problem