Nursing Process
Grab Bag
Clinical Judgement
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100

What is the first step in the nursing process?

What is assessment?


100

Which step in the nursing process is examination?

What is assessment?

100

What are the 6 functions of clinical judgement?

What is recognizing cues-(assessment), analyze cues-(analysis), prioritize hypotheses-(planning), generate solutions-(implementation), take action-(evaluation), evaluate outcomes-(did it help). 


100

An important ongoing part of education for a patient at risk for falls would be?

What is the use of the call bell?

100

If a patient is found with a pressure ulcer, the nurse should first?

What is, make sure the patient is positioned off the area at risk for impaired skin integrity?
 

200

What is the NCSBN acronym for the nursing process? 

What is A,A,P,I,E.

Assessment, Analyze, Plan, Implement, Evaluate?

200

When a patient has several nursing diagnoses, how would we prioritize them?

What is according to Maslow's hierarchy of needs?

200

Noticing, interpreting, responding, and reflecting combine what three models?

What are 

1. Tanners Clinical Judgement model,

2. Nursing Process (ADPIE), 

3. NCSBN Clinical Judgement model?

200

What type of nursing diagnosis takes highest priority?

What is Ineffective airway?

200

When the nurse is unsure how to perform an action, what should the nurse review?

What is, the facilities policy and procedures manual? 

300

What is the first step during the evaluation phase of the nursing process?

What is Reassessment?

300

What does a nursing care plan consist of?

What is Nursing orders with specific individualized interventions? 

300

What is the purpose of the admission assessment?

What is, to identify the patient's major problems and/or concerns?

300

What is the proper way to chart a patient's refusal of care?

What is, Patient refused to take medication; states "I am not sick", Doctor notified?

300

What is the proper way to correct an error made when writing a nursing note in a patient's chart?

What is, draw a single line through the error, write "error" or "mistaken entry" , and sign with date and time? 

400

A wife is providing you with information about her husband who is your patient, which type of information is this?

What is secondary subjective information.

400

What patient takes first priority: patient with chest pain or patient bleeding from three areas?

What is a patient with chest pain?

400

When performing nursing care, why do we use scientific problem-solving?

What is, to improve patient outcomes?

400

If a patient complains of a headache, this is called what kind of data?

What is subjective data?

400

How would we arrange a patients environment who is visually impaired  and at risk for falls?

What is, clear pathways?

500

How can objective data be verified?

What is examination? 

500

When a nurse checks outcomes of medication or treatments what is the nurse doing?

What is evaluating?

500

What are the 6 steps taken in the NCSBN Clinical Judgement Measurement Model?

What is, Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate solutions, take actions, and evaluate outcomes.

500

When caring for a patient with an IV, what tasks should the nurse perform every shift?

What is, check the order for the IV, assess the IV site, check all labels on the IV against the order, confirm flow rate? 

500

What are the 3 sections of a nursing diagnosis?

What is, problem, etiology, and symptom?