Lincoln Memorial University School of Nursing Nursing 115 UNIT II LESSON PLAN Nursing Process and Roles DATES TIMES See Class Schedule OBJECTIVES Upon completion of Unit II the student will demonstrate mastery of the following objectives in the clinical campus laboratory in individual and group conferences and on written materials 1 Define critical thinking and discuss its importance in nursing 2 Define and describe the five steps of the nursing process 3 Summarize the use of the nursing process in assisting patients in problemsolving 4 Discuss the components of the nursing assessment 5 Identify the various types of nursing assessments 6 List and discuss the steps of the nursing diagnosis process 7 Compare objective and subjective data 8 Describe how to write a nursing diagnosis statement three part and two part 9 Explain what makes a written nursing diagnosis correct or incorrect 10 List the purpose and benefits of the nursing care plan 11 Describe the process of planning identifying goal statements and prioritizing patient needs 12 Discuss the differences between dependent independent and interdependent interventions 13 Describe evaluation its purpose and its relation to other steps in the nursing process 14 Compare quality assurance and quality improvement detailing its importance as a part of the evaluation process 15 Describe the interrelationship between communication and the nursing process 16 Describe the role communication plays in the performance of nursing care measures 17 Distinguish a social relationship from a therapeutic relationship 18 Identify the various methods of documentation 19 Discuss the role of recording and reporting in health team communication 20 Identify the abbreviations and symbols commonly used for charting 21 Describe the purpose of patient records and the legal guidelines for effective documentation 22 Identify ways to maintain confidentiality 23 Discuss HIPAA and its impact on healthcare 24 Compare and contrast therapeutic versus nontherapeutic communication 25 Describe the purpose of discharge planning as well as the components of discharge planning used in providing continuity of care Revised 8 2007 kw Page 1 26 Discuss basic teaching learning principles 27 Compare teaching strategies appropriate to domains of learning and ageappropriateness 28 Differentiate the factors that determine the readiness to learn from the ability to learn 29 Explain what is involved in creating and implementing a teaching plan 30 Compare the teaching learning process with the nursing process 31 Identify appropriate teaching methods when teaching patients in the clinical area 32 Describe the core competencies essential to nursing practice 33 Identify habits which assist in the development of technical competencies 34 Recognize common lab and diagnostic terms as well as standard values TOPICAL OUTLINE I CRITICAL THINKING II NURSING PROCESS UTILIZING THE ROY ADAPTATION MODEL A Assessment 1 General condition in assessment a behavior b stimuli 2 Lab and diagnostic test values in assessment B Nursing Diagnosis C Planning D Implementation E Evaluation III COMMUNICATION A Methods of communicating with Health Team Members 1 Report a Shift b Physician 2 Documentation 3 Care Plans B Therapeutic Communication IV TEACHING AND LEARNING A Definitions and Purposes B Basic Learning Principles C Basic Teaching Principles V DOSAGE CALCULATIONS A Metric Apothecary and Household Systems of Measurement B Drug Preparations and Equipment to Measure Doses C Calculations of Oral Medications Solids and Liquids Revised 8 2007 kw Page 2 REQUIRED READINGS Ackley B Ladwig G 2005 Nursing diagnosis handbook A guide to planning care 7th ed St Louis Mosby Ch 1 Buchholz S 2006 Henke s med math dosage calculation preparation administration 5th ed Philadelphia Lippincott Williams Wilkins Ch 4 6 Fischbach F Dunning III M 2006 Common laboratory diagnostic tests 4th ed Philadelphia Lippincott Pgs 208 215 251 256 573 586 Taylor D Lillis C LeMone P 2008 Fundamentals of nursing The art science of nursing care 6th ed Philadelphia Lippincott Ch 9 11 17 21 22 pp 236237 344 345 359 360 Taylor D Lillis C LeMone P 2008 Study guide to accompany fundamentals of nursing The art science of nursing care 6th ed Philadelphia Lippincott Ch 11 17 21 22 CLINICAL CAMPUS LABORATORY SKILLS 1 Utilize the nursing process to provide care to selected patients experiencing common health problems 2 Utilize the nursing process to write a nursing care plan applying the Roy Adaptation Model of Nursing 3 Utilize critical thinking principles in the planning delegation and prioritization of nursing care 4 Identify principles of learning 5 Utilize opportunities to teach 6 Utilize basic therapeutic communication skills 7 Utilize appropriate channels and methods of communication 8 Utilize basic skills of observation recording and reporting with assistance 9 Correctly document nursing assessments and interventions utilizing appropriate abbreviations and or symbols 10 Create a teaching plan reflective of the patient s needs age culture and religion 11 Recognize common lab values Ex CBC electrolytes urinalysis etc Revised 8 2007 kw Page 3 THERAPEUTIC COMMUNICATION TECHNIQUES Therapeutic Technique Example Using Silence Accepting Yes Uh Hmm I follow what you said nodding Giving Recognition Good Morning Mr S You ve tooled a leather Wallet I notice that you ve combed your hair Offering Self I ll sit with you awhile I ll stay here with you I m interested in your comfort Giving Broad Openings Is there something you d like to talk about Where would you like to begin Offering General Leads Go on And then Tell me about it Placing the Event in Time Or Sequence What seemed to lead up to When did this happen Making Observations You appear tense Are you uncomfortable when you It makes me uncomfortable when you Encouraging Description Of Perceptions Tell me when you feel anxious What is happening What does the voice seem to be saying Encouraging Comparison Was this something like Have you had Similar experiences Restating Patient I can t sleep I stay awake all night Nurse You have difficulty sleeping Reflecting Patient Do you think I should tell the doctor Nurse Do you think you should Patient My brother spends all my money and then has the nerve to ask for more Nurse This causes you to feel angry Focusing This point seems worth looking at more closely Revised 8 2007 kw Page 4 Exploring Tell me more about that Would you describe it more fully Giving