Our growth and development synchronous processes?
Yes → happen together, are interdependent
What does growth and development depend on?
Physiological and environmental influences
Is growth qualitative or quantitative?
Quantitative aspect of individuals increase in physical measurements
Ex. Height, weight teeth, bone structures, sexual characteristics…
Is genetics the only determinant of growth?
No → has other Influences = contextual factors like social economic status
Is development, qualitative or quantitative?
Qualitative (descriptive) → hard to measure
Results of complex interactions between biological and environmental influences
Progressive and continuous process of change
What are the the three main factors that influence growth and development?
1 → genetics
2-Environment
3→ interaction
What is the McGill model of nursing?
Focusses on strength based nursing. →
Focus on health → maintain, strengthen, and develop health
Family centric approach → family is primary unit of care
Collaborative partnership → nurses work with patients and family
Learning and development → nurses create a learning environment to help patients discover and apply their own capabilities to improve their health
What is the first level of critical thinking?
Basic critical thinking
Concrete and based on set of rules and principles → robot nursing
Follow step-by-step without adjustments
Black and white
What is the second level of critical thinking, complex critical thinking?
Start to consider other options when complex situations develop
Learn to weigh benefits and risk risks of situations
Analyze choices, more independently
Thinking looks beyond expert opinion
More creative initiative, and patient centred thinking
What is the third level of critical thinking, commitment critical thinking?,
Nurse anticipates needing to make choices without the help of other professional professionals
They assume responsibility and accountability for their choice choices
Choices are made with experience and knowledge of complex situations and based on similar experiences
When does the process of diagnostic reasoning and clinical inference start?
. As soon as the nurse receives patient information
What does the diagnostic reasoning in clinical inference process involve?.
Collecting analyzing and interpreting patient data
Identifying patterns, themes and context inpatient data
Drawing conclusions from related pieces of evidence
What is nursing clinical decision-making?
Process of identifying, patient problems and choosing appropriate nursing actions
Requires nurse to
Recognize key aspects of the situation
Interpret their meaning
Decide on a course of action
And we reflect on outcomes
What are the five steps of the nursing process?
Acts as blue print for organizing pt care - continuous cycle
A 62-year-old patient with newly diagnosed hypertension tells the nurse I know I should exercise more but I already walk my dog every day and enjoy gardening. The nurse responds by discussing how these activities support cardiovascular health and asks how the patient would like to build on them
Which model of nursing is the nurse applying?
A) The McGill model
B) Deficit based nursing approach
C) strengths based nursing model
D critical thinking model
C) - strengths based nursing model is based on the foundations of the McGill model
A nurse caring for an older adult reviews vital signs medication history, recent lab results and the patient’s report of dizziness. The nurse begins identifying patterns and considers possible causes before deciding what information is still missing.
What critical thinking competency is the nurse demonstrating?
A) Diagnostic reasoning and clinical inference
B) Scientific method
C) Decision-making
D) commitment, level critical thinking
A
* Scientific model is more about gathering data, not considering patterns *
A novice nurse follows a wound care procedure exactly outlined in the hospital policy without adjusting the approach for the patient’s comfort or preferences. Which level of critical thinking is the nurse demonstrating?
A) commitment critical thinking
B) complex critical thinking
C) reflective practice
D) Basic critical thinking
D → following step by step
A 70 year old patient is admitted following a fall at home. The patient reports dizziness lives alone and states that they were worried about losing independence.
The nurse gathers information about the patient’s living situation, medication’s mobility and concerns about independence an
Which step of the nursing process is in a nurse performing?
A) Nursing diagnosis
B) Planning
C ) assessment
D) Evaluation
C
A seven-year-old patient is admitted following a fall at home. The patient reports dizziness lives alone and states that they’re worried about losing their independence.
The nurse collaborates with the patient to set a goal of improving home safety while maintaining independence and discuss the strategies. The patient feels confident using.
Which principle is most reflected in this interaction?
A) Problem-solving
B) Patient centred strength base care
C) deficit based nursing care
D) Clinical decision-making
B - maintain independence + focus on promoting what they care about