Compare and contrast critical thinking and nursing process. Give applications of critical thinking on clinical decision-making.
What are the clinical applications of critical thinking? What are the roles and responsibilities of the LVN/LPN in clinical decision-making?
What are the steps in the nursing process? How do you apply these steps in the nursing process in clinical decision-making? What are the standards and the ethical codes that guide clinical judgments?
State the principles in the form of a question and facilitate discussion on the potential clinical applications. Identify nursing strategies that make the most of the human potential. How does the nurse compensate for problems created by illness? What are ways and measures to constantly re-evaluate, self-correct, and strive to improve nursing actions?
A 52-year-old patient is admitted with complaints of colicky right upper quadrant abdominal pain. She has not eaten for the last 3 days, and has light-colored stools. She indicates that the pain was aggravated by meals. Vital signs: BP 140/90, HR 90, RR 20, T 100 ° F. Her abdomen is tender to touch. What are some nursing considerations? What are potential learning experiences for the nursing student? What procedures would require a nursing instructor to supervise?
Based on a patient’s primary clinical complaint, discuss how the nurse can: Collect data Verify data Look for gaps in the information Analyze data Examples: Patient complains of general weakness and fatigue Patient was admitted for painful urination Patient seeks medical consult on bouts of nausea and vomiting
Identify clinical situations that: Demonstrate how the attitudes and communication skills positively/negatively affected nursing care. How did the nurse realize these positive/negative influences? What were the appropriate nursing measures to address these positive/negative influences?
Discuss applications of the fundamental beliefs that are the bases of the nursing process. Recall Maslow’s Theory of Hierarchy of Needs. What are the applications of the theory in nursing care? Identify how the nurse can provide “high quality of care” in the practice settings.
Define “patient-centered approach.” Give examples of how nursing focuses on: Maintaining health Preventing disease Helping the sick and injured
What comprise the complete database? A complete database includes a thorough health history, physical assessment, psychosocial assessment, and cultural and spiritual assessment. Compare and contrast actual nursing diagnosis and risk nursing diagnosis. Define “planning,” “implementation,” and “evaluation.”
Compare and contrast data collection and assessment. Give examples of subjective and objective data. How does the nurse gather subjective and objective data?
Review assessment forms and discuss the types of data. Compare and contrast primary and secondary source. What is the medication reconciliation form? What are the advantages and disadvantages of the form?
Give specific examples of the various types of physical assessments. Describe specific nursing considerations when assessing the older adult and/or the pediatric patient.
Describe how the nurse can best utilize patient information. What do you find in the various sections of the medical record? History Physical examination Progress notes Diagnostic tests
What are the ethical and legal implications of LVN/LPN assessments and data collection?
Identify specific health conditions associated with abnormal laboratory findings.
Compare and contrast medical diagnosis and nursing diagnosis. What are the components of the actual nursing diagnosis? Give specific examples. Give a specific example of a three-part nursing diagnosis.
Give examples of actual and potential problems.
Discuss Maslow’s Hierarchy of Needs. Discuss specific examples of how to apply the theory in setting priorities. Give exemptions.
Why is it important to set a realistic, measurable, and time-referenced outcome statement? Give an example of a realistic, measurable, and time-referenced outcome statement.
A patient with a history of diabetes mellitus complains of moderate leg pains with increased ambulation. A possible nursing diagnosis would be: Give an example of a complete expected outcome.
List nursing interventions for a patient with complaints of moderate leg pains. What are independent nursing interventions? What are collaborative nursing interventions?
What are the differences in the scope of practice of the LVN/LPN and the RN? How do the nursing staff communicate the plan of care? What constitutes a complete shift report?
Discuss how the nurse evaluates the effectiveness of nursing interventions and achievement of expected outcomes. What are appropriate nursing actions to help achieve unmet expected outcomes? Give examples.