Test One
Chapters 1-8
BSN Assessment 3106
The test will be 50 multiple choice questions types of data: subjective data- what the patient says about themselves (ex. im feeling nauseous) objective data- what one can observe about the patient. can observe visually, by inspecting, palpating, percussing, and auscultating during a physical exam. what makes up a database: the subjective and objective information acquired along with patients record and laboratory files novice versus expert nurse: novice- a nurse that has no experience with a specified patient population and uses rules to guide performance expert nurse- a nurse that arrives at a clinical judgment in one leap. has a intuitive grasp of patterns and can attend to a pattern of assessment data and ac without consciously labeling it. evidence based practice: a systematic approach to practice that emphasizes the use of the best evidence in combination with the clinicians experience, as well as the patients preferences and values, to make decisions about care and treatment. clinical decision making depends on all four factors:
in 1972, a British epidemiologist and early proponent of EBP, Archie Cochrane, identified a pressing need for systematic reviews of randomized clinical trials. PAGE 6 it usually takes up to 17 years for research findings to be implemented priority level: when there is more than one diagnosis, one must set priorities. first level priority problems: are those that are emergent, life threatening. and immediate. Such as establishing an airway or supporting breathing. second-level priority problem: are those that are next in urgency- those requiring your prompt intervention to forestall further deterioration, for example, mental status change, acute pain, acute urinary elimination problems, untreated medical problems, abnormal laboratory values, risks of infection, or risk to safety or security. Ellen has abnormal physical signs that fit in the