A nurse is applying Tanner's clinical judgment model in the care of a postpartum client. Which action by the nurse will constitute the first step in this
... [Show More] process? - Noticing the significant aspects of the client's condition.
A hospital client who requires assistance with hygiene has expressed a preference for receiving a bed bath after lunch rather than in the morning. The nurse has consequently changed the nursing care plan. The nurse's action reflects which QSEN competency? - Client centered care
A novice nurse is conscientious to integrate QSEN competencies into care. What area(s) will the nurse emphasize? Select all that apply. - Safety, Evidence based practice, informatics, Client centered care, quality improvement
A nurse is reading a journal article about the nursing process. Which information is the nurse likely to find in the article about the nursing process? - A rational reasoning approach to client care
An experienced nurse has received a new client and will apply the principles of inductive reasoning in the care-planning process. What action will the nurse perform first when applying this form of clinical reasoning? - Gather objective and subjective assessment data
The nurse is applying Tanner's Clinical Judgment Model in the care of a client. Building off the context and background information, place the components of the model in the correct sequence. Use all options. - Noticing, interpreting, responding, reflecting
A novice nurse has witnessed the value of critical thinking in planning and responding to clients. Which principle should inform the nurse's practice? - Critical thinking is a skill that can be learned and developed
The nurse is preparing to interview a client who demonstrates significant abdominal pain and rates the pain at 10 on a 0 to 10 pain scale. What action by the nurse can improve the outcome of the interview? - Administer prescribed pain medication prior to conducting the interview
A client rates their leg pain at 8/10 on a 10-point pain scale. What type of cue is the client's description of pain in the right leg? - Subjective
The nurse is performing an admission assessment. Which are considered objective data? Select all that apply. - 38 year old man Height 6ft
weight 195 lb
A client is receiving home care due to complex needs involving orthostatic hypotension. Which nursing intervention is a priority? - Assess the client's blood pressure
The nurse is gathering subjective data from a client during an interview after a suicide attempt. Which assessment data gathered by the nurse would be documented as subjective data? Select all that apply. - Client states " I feel so sad all of the time" Client states " I am in pain"
Which is the best source of information for the nurse when collecting data for an assessment? - Client
When the nurse inspects a postoperative incision site for infection, which type of assessment is the nurse performing? - Focused
Focused assessments - The nurse determines whether the problem still exists; the status of the problem is also assessed as well as precise details in its improvement or worsening.
A time-lapse assessment - Allows the nurse to reassess a client and condition that is already known to reevaluate its status. [Show Less]