NSE 13A/B- Final Exam Guide - Comprehensive Notes for the exam ( 136 pages long!)

330 views136 pages
1 Dec 2017
Department
Course
Professor

For unlimited access to Study Guides, a Grade+ subscription is required.

Ryerson
NSE 13A/B
FINAL EXAM
STUDY GUIDE
Unlock document

This preview shows pages 1-3 of the document.
Unlock all 136 pages and 3 million more documents.

Already have an account? Log in
Unlock document

This preview shows pages 1-3 of the document.
Unlock all 136 pages and 3 million more documents.

Already have an account? Log in
NSE 13
JARVIS
CHAPTER 1 &3
WEEK 1 READING
1. Describe expectations of students related to professional behavior
2. 2. Describe the assessment phase of the nursing process and its relation to setting
priorities and diagnostic reasoning in clinical judgement and critical thinking
3. 3. Describe relational practice and trauma-informed practice and how they relate
to health assessment
4. 4. Identify the association between assessment and evidence-informed practice
5. 5. Describe the expanding concept of health and health promotion
6. 6. Describe the central concepts of cultural and social considerations, cultural
sensitivity, competence and safety
7. 7. Discuss demographic profile of Canada and enthnocultural diversity of the
Canadian population
8. 8. Describe health care practice (including spirituality and health), guidelines for
clinical practice and how to connect across differences with clients.
9. 9. Describe subjective and objective data and identify the association between the
two
10. 10. Describe the four types of databases and frequency of assessment
Introduction
Nurses must be able to:
Conduct high-quality health assessments and examinations
Must respect the whole person to avoid objectifying people
Example of thorough assessment (yellow box)
Filtered through information -> which info to refer to, which to treat, and identified the
diagnoses
Note that the data goes beyond physical - also includes cognitive, psychosocial, and behavioral
data
Assessment: Point of Entry in an Ongoing Process
Assessment: collection of data about individual's health state
Subjective vs. Objective Data
Sub: What person says about himself or herself during history taking (what pt feels)
Obj: What hc provider can observe by [inspecting, palpating, and auscultating, during physical
find more resources at oneclass.com
find more resources at oneclass.com
Unlock document

This preview shows pages 1-3 of the document.
Unlock all 136 pages and 3 million more documents.

Already have an account? Log in
examination** Together, forms the DATABASE - thus, purpose of assessment stems
from making a clinical judgement on the basis of the database (aka various sources)not
sure about final diagnosis
Diagnostic Reasoning
Diagnostic Reasoning: process of analyzing health data + drawing conclusions to identify
diagnoses
Four major components include…
A. Attending to initially available cues
B. Formulating diagnostic hypotheses
C. Gathering data relative to the tentative/unconfirmed hypotheses
D. Evaluating e/a hypothesis w the new data collected (arriving at final diagnosis)
Cue: piece of info (could be sign or symptom, laboratory data, etc.)
Hypothesis: unconfirmed explanation for cue or set of cues, can be basis for further
investigation
Diagnostic hypotheses are activated very early in reasoning processes - why? Hunches help
diagnosticians filter through information and cluster cues into meaningful groups
After completing data collection…
Develop list of significant s and s + all pt needs (note: less formal, no particular order)
Cluster meaningful groups of data that appear to be associated w one another
Validate data to ensure accuracy (find missing info - looking for gaps)
Critical Thinking and Diagnostic Process
The nursing process (problem-solving approach to clinical judgements) includes:
1. Assessment
2. Diagnosis
3. Outcome Identification
Used to be viewed as chronological/linear process, presently, more dynamic and interactive
(nurses more back and forth between steps)
Way in which nurse applies process depends on level and experience
Novice: no experience thus, uses rules to guide performance (note: takes time - approx 2 to 3
years - to achieve competency: nurses see actions based off of achieving goals for pt)
find more resources at oneclass.com
find more resources at oneclass.com
Unlock document

This preview shows pages 1-3 of the document.
Unlock all 136 pages and 3 million more documents.

Already have an account? Log in

Get access

Grade+
$10 USD/m
Billed $120 USD annually
Homework Help
Class Notes
Textbook Notes
40 Verified Answers
Study Guides
1 Booster Class