Caputi Chapter 1
In this model the nurse
Recognize Cues
Analyze Cues
Prioritize Hypotheses
Generate Solutions
Take Actions
Evaluate Outcomes
What is NCLEX clinical judgement measurement model?
The patient would have what type of assessment when coming in for a specific problem?
What is a focused assessment; for example a patient makes an appointment at the PCP office for a respiratory infection. The assessment will only pertain to the current complaint.
If the patient states " I had a headache all day, and I felt feverish all night", this is an example of what type of data?
What is subjective data?
Leading questions are not appropriate for use in healthcare settings. Give an example of this type of question and why it is not used.
What is " you must be very unhappy about having surgery today'?
This question tells the patient what answer is expected.
What does -Megaly mean?
What is enlargement of
Ex- Hepatomegaly (enlarged liver)
What the drug does to the body
What is Pharmacodynamics?
independent thinkers who can explain their thinking, determine what thinking needs to be employed in a particular situation, then apply their thinking to arrive at a sound decision
What is a self directed thinker?
How would you describe an Emergency assessment?
An emergency assessment is a rapid collection of data, used to stabilize or offer life-sustaining measures.
When a patient dies due to complications that were
not managed or prevented
What is Failure to rescue?
A critical conversation between you and your teacher/preceptor which provides a critique about your thinking.
What is debriefing?
Define -Sclerosis
Hardening of
These are the components of pharmacokinetics
What are
1.Absorption
2.Distribution
3.Metabolism
4.Excretion
"the capacity to accurately perceive and
respond well to stressful situations"
Resilience or being resilient
A complete assessment would be done for what circumstance?
A patient admitted to the hospital, a yearly physical or new patient office exam, ect.
The nurse observes edema on the BLE of a patient. This person also has adventious lung sounds, the nurse knows that this is what type of data?
What is Objective?
Making a decision that is based on the situation in
which it is occurring
What is situation based thinking?
Define -centesis
What is a surgical puncture to remove fluid
IE- Paracentesis- removal of fluid in the abdomen
Name 5 different medication that may be given via an IV
What are •antibiotics •biologics •blood factors
•chemotherapy •corticosteroids •antibiotics
•immunotherapy treatments •biologics
•blood factors •chemotherapy
•corticosteroids •growth hormone
•immunotherapy treatments
•vitamins and minerals
•liquid nutritional supplements
•heart medications
•vitamins and minerals
•liquid nutritional supplements
•heart medications
The nurse can uses this along with the clinical judgement framework "Assessment, diagnosis, planning, implementation, evaluation"
ADPIE- Nursing process
What is a second visit for additional assessment of a previous illness or post-op condition?
The nurse has determined that the patient is alert and oriented, this is what type of data?
What is Objective?
The nurse uses these 5 components when initially seeing the patient
What is "Getting the Information" (or in nursing process assessment)?
What does -oma mean?
The nurse assesses redness or tenderness at the site of the tip of the catheter or along the path of the vein and notes it is 'puffy' over the vein
What is phlebitis?
"the ability to focus and be fully present in the
moment"
What is mindfulness?
When a patient dies due to complications that were
not managed or prevented
What is failure to rescue?
The client states I feel bloated, nauseated in the morning and I am overdue for my menses?
What is subjective?
Rrefers to looking ahead—determining what to think
about as you anticipate patient needs and prevent problems before they occur
What is clinical forethought?
What does -emia mean?
What is Blood
The unintentional leakage of vesicant fluids or medications from the vein into the surrounding tissue
What is Extravasation ?