#of incorrect topics Topic 3 Critical Points Reflection on critical points using the 6 Cognitive Functions
Management of Care (3 items)
Advocacy cultural and spiritual nursing care: Discharge teaching for a client who doesn’t speak same language as the nurse 1. Use only a facility approved medical interpreter. Do not use the client’s family or friends.
2. Speak clearly and slowly and avoid using metaphors.
3. Get feedback from the client throughout the conversation. Take Action: I implemented discharge teaching with an approved interpreter for a client who does not speak the same language as me.
Establishing Priorities Critical thinking and clinical judgment : Caring for a client who has nausea 1. Do not jump into conclusions but instead use reasons to guide decisions.
2. Differentiate between relevant and irrelevant data.
3. Identify goals and outcomes for client care. Prioritize Hypothese: : I analyzed that it is necessary to use direct inferences and to avoid making sudden judgements without fully identifying clusters and cues for the client;s case.
Legal Rights and Responsibilities Legal responsibilities: identifying torts 1. There are 3 categories of torts; Unintentional torts, quasi-intentional torts, and intentional torts.
2. Professional negligence is the failure of a person who has a professional training to act in a reasonable and prudent matter.
3. Nurses must ensure that clients understand their rights, and must protect their client’s rights. Recognize Cues: As I reflected the 3 categories of identifying torts, I missed the question about identifying negligence.
Saftey and Infection Control (5 items)
Ergonomic Principles Ergonomic principles: Teaching a caregiver how to avoid injury when repositioning a client 1. Use smooth movements when lifting and moving clients to prevent injury.
2. Using good body mechanics when positioning and moving clients promotes safety for the client and staff.
3. Have one or more staff members Help with positioning clients. Generate solutions: I noted that it is best to plan ahead for clients who need Helpance moving or transferring from bed to ask others who will be available to Help.
Safe use of equipment Home Safety: Client teaching about electrical equipment safety 1. Remove items that could cause the client to trip such as throw rugs and loose carpets.
2. Place electrical cords and extension cords against a wall behind furniture.
3. Ensure lighting is adequate inside and outside the home and remove clutter. Take Action: I implemented that ensuring a safe environment for home is necessary to modify to ensure no injury occurs for a client at home.
Standard precautions/ transmission based precautions/surgical asepsis Infection control: Caring for a client who is immunocompromised 1. Use frequent and effective hand hygiene before and after care.
2. Teach and use of respiratory hygiene/cough etiquette.
3. Use of aseptic technique and proper personal protective equipment.
Infection control: identifying the source of an infection
Use of Restraints/safety devices Client safety: planning care for a client who has a prescription for restraints
Health Promotion and Maintenance (3 items)
Developmental stages and transitions Older adults (65 years old):Identify expected changes in development
Health promotion/disease prevention Hygiene: bathing a client who has dementia
Health screening Head and neck: assessing visual activity using as snellen chart
Psychosocial Integrity (3 items)
Coping mechanisms Coping:Priority interventions for a client who has terminal illness
End-of-life Care Grief, loss, and palliative care: providing end of life care
Therapeutic communication Grief, loss, and palliative care: Therapeutic communication with a partner of a client who has a DNR order
Basic Comfort and Care ( 4 items)
Mobility /immobility Mobility and immobility:preventing a plantar flexion contracture
Elimination Urinary Elimination: application of a condom Catheter
Non- pharmacological comfort intervention Complementary and alternative therapies: contraindications for receiving acupuncture
Rest and sleep Rest and Sleep:identify findings that indicate sleep deprivation
Pharmalogical and Parental Therapies (1 item)
Medication administration Pharmacokinetics and routes of administration: teaching about self administration of clotrimazole suppositories
Reducation of risk potential (5 items)
changes/abnormalities in vital signs vital signs: palpating systolic blood pressure
Potential for complications of diagnostic tests/treatments/procedures Intravenous therapy: actions to take for fluid overload
Nasogastric intubation and external feedings: preparing to administer feedings
Therapuetic Procedures Gastrointestinal diagnostic procedures: education regarding alanine aminotransferase
Preoperative nursing care: providing preoperative teaching to a client
Physiological Adaptation
Pathophysiology Grief, loss, and Palliative care: Manifestations of Cheyne- stokes respiration
Alterations in body systems Pressure injury, wounds, and wound management: Performing a dressing change
Clinical Judgment (2 items)
Analyze cues electrolyte imbalances: reviewing a client’s laboratory results
Urinary elimination: caring for a client who has an ileostomy
