Ch 7 and Ch 15
A holistic model for nursing that suggests that conscious intention to care promotes healing and wholeness
What is Watsons Theory of caring?
Assessment, diagnosis, planning, implementation and evaluation.
What is the Nursing Process?
Clinical judgement about the human response to health conditions/life processes or vulnerabilities of patients that a nurse is licensed and competent to treat.
What is a nursing diagnosis?
4th step in the nursing process, begins after the development of the plan of care and is the act of caring out the interventions in the care plan.
What is implementation?
Box-21-1 page 282
What are the competencies of a novice registered nurse?
Effective communication with your patients
Table 7-1 pg. 84
What is a way to develop a helping, trusting, human caring relationship with your patient?
Patient, Family or significant others, health care team, medical records and scientific literature.
What are sources of data for the nurse about their patient?
Acute Pain r/t surgical incision AEB patient states a pain level of 8 out of 10.
What is a NANDA nursing diagnosis?
Direct care and indirect care.
What are types of intervention classifications?
Box 21-6 page 288
What are the 5 rights of delegation?
Providing a presence, touch, listening, knowing the patient, spiritual caring, family care and relieving symptoms and suffering.
What are ways nurses can show caring in their practice?
Observation that a clients body language tells the nurse that the patient is in pain.
What is the observing technique with your patient?
The third step on the nursing process, the nurse collaborates with the patient, family, and health care to identify and establish goals of care to treat patient identified problems.
What is the planning part of the nursing process?
The final step in the nursing process and crucial to the plan of care. It determines the success of goals and expected outcomes of the care plan.
What is Evaluation?
*Assessments:
Initial first assessments of patients
assessments on a patient with a health status change
assessments of patients ambulating for the first time after a procedure
*Others things:
First set of vital signs
First time receiving IV antibiotics
*Also refer to your handout from class
What are task that a RN should not delegate?
Table 15-1 Page 198
What are critical thinking and clinical judgment skills?
a question that prompts a patient to describe a situation in more detail.
What is open-ended questioning?
Goals should be
S-specific and singular
M-measurable
A-attainable
R-Realistic
T-Timed
What is SMART?
What happens when it has been determined that the patient outcomes and goals have been met.
What is discontinuing of the care plan?
Feed patients, obtain vital signs and application of TED hose
*See handout from class
What is a Nurse Aide 1 task?
A process of thinking about a previous experience and asking what you could have done differently. Also what can you learn from that situation that might help another patient in a similar situation.
What is reflection?
"What else is bothering you?"
What is a probing question?
Independent and Dependent
What are types of interventions?
Modifying the care plan. Rather it is establishing the interventions need to be revised or if the goal needs to be revised or if the nursing diagnosis was not appropriate.
What happens when it has been determined that the patient outcomes have not been met?
Change a sterile dressing that is over 48 hours old.
Discontinue Iv's
*Refer to handout from class
What is the role of a Nurse Aide II?