#of incorrect topics\tTopic\t3 Critical Points \tReflection on critical points using the 6 Cognitive Functions
\nManagement of Care (3 items)
\nAdvocacy\tcultural and spiritual nursing care: Discharge teaching for a client who doesn\u2019t speak same language as the nurse \t1.\tUse only a facility approved medical interpreter. Do not use the client’s family or friends.
\n2.\tSpeak clearly and slowly and avoid using metaphors.
\n3.\tGet feedback from the client throughout the conversation. \tTake Action: I implemented discharge teaching with an approved interpreter for a client who does not speak the same language as me.
\nEstablishing Priorities \tCritical thinking and clinical judgment : Caring for a client who has nausea \t1.\tDo not jump into conclusions but instead use reasons to guide decisions.
\n2.\tDifferentiate between relevant and irrelevant data.
\n3.\tIdentify goals and outcomes for client care. \tPrioritize 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.
\nLegal Rights and Responsibilities \tLegal responsibilities: identifying torts \t1.\tThere are 3 categories of torts; Unintentional torts, quasi-intentional torts, and intentional torts.
\n2.\tProfessional negligence is the failure of a person who has a professional training to act in a reasonable and prudent matter.
\n3.\t Nurses must ensure that clients understand their rights, and must protect their client\u2019s rights.\tRecognize Cues: As I reflected the 3 categories of identifying torts, I missed the question about identifying negligence.
\nSaftey and Infection Control (5 items)
\nErgonomic Principles\tErgonomic principles: Teaching a caregiver how to avoid injury when repositioning a client \t1.\tUse smooth movements when lifting and moving clients to prevent injury.
\n2.\tUsing good body mechanics when positioning and moving clients promotes safety for the client and staff.
\n3.\tHave one or more staff members assist with positioning clients. \tGenerate solutions: I noted that it is best to plan ahead for clients who need assistance moving or transferring from bed to ask others who will be available to assist.
\nSafe use of equipment \tHome Safety: Client teaching about electrical equipment safety\t1.\tRemove items that could cause the client to trip such as throw rugs and loose carpets.
\n2.\tPlace electrical cords and extension cords against a wall behind furniture.
\n3.\tEnsure lighting is adequate inside and outside the home and remove clutter. \tTake Action: I implemented that ensuring a safe environment for home is necessary to modify to ensure no injury occurs for a client at home.
\nStandard precautions\/ transmission based precautions\/surgical asepsis\tInfection control: Caring for a client who is immunocompromised\t1.\tUse frequent and effective hand hygiene before and after care.
\n2.\tTeach and use of respiratory hygiene\/cough etiquette.
\n3.\tUse of aseptic technique and proper personal protective equipment.
\nInfection control: identifying the source of an infection
\nUse of Restraints\/safety devices \tClient safety: planning care for a client who has a prescription for restraints
\nHealth Promotion and Maintenance (3 items)
\nDevelopmental stages and transitions \tOlder adults (65 years old):Identify expected changes in development
\nHealth promotion\/disease prevention \tHygiene: bathing a client who has dementia
\nHealth screening \tHead and neck: assessing visual activity using as snellen chart
\nPsychosocial Integrity (3 items)
\nCoping mechanisms \tCoping:Priority interventions for a client who has terminal illness
\nEnd-of-life Care \tGrief, loss, and palliative care: providing end of life care
\nTherapeutic communication \tGrief, loss, and palliative care: Therapeutic communication with a partner of a client who has a DNR order
\nBasic Comfort and Care ( 4 items)<\/p>\n
Mobility \/immobility \tMobility and immobility:preventing a plantar flexion contracture
\nElimination \tUrinary Elimination: application of a condom Catheter
\nNon- pharmacological comfort intervention \tComplementary and alternative therapies: contraindications for receiving acupuncture
\nRest and sleep \tRest and Sleep:identify findings that indicate sleep deprivation
\nPharmalogical and Parental Therapies (1 item)
\nMedication administration \tPharmacokinetics and routes of administration: teaching about self administration of clotrimazole suppositories
\nReducation of risk potential (5 items)
\nchanges\/abnormalities in vital signs \tvital signs: palpating systolic blood pressure
\nPotential for complications of diagnostic tests\/treatments\/procedures \tIntravenous therapy: actions to take for fluid overload
\nNasogastric intubation and external feedings: preparing to administer feedings
\nTherapuetic Procedures \tGastrointestinal diagnostic procedures: education regarding alanine aminotransferase
\nPreoperative nursing care: providing preoperative teaching to a client
\nPhysiological Adaptation
\nPathophysiology\tGrief, loss, and Palliative care: Manifestations of Cheyne- stokes respiration
\nAlterations in body systems\tPressure injury, wounds, and wound management: Performing a dressing change<\/p>\n
Clinical Judgment (2 items)
\nAnalyze cues \telectrolyte imbalances: reviewing a client\u2019s laboratory results
\nUrinary elimination: caring for a client who has an ileostomy<\/p>\n","protected":false},"excerpt":{"rendered":"
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