Reflection Questions
1
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Explain how the nurse can use critical thinking skills to identify patient factors that could affect information gathering during the assessment.
2
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Describe how the nurse would move through the steps of the CJMM when caring for a patient with dementia who is not able to provide a reliable history.
3
.
You are caring for an 81-year-old patient in the ER. When you come into the room and introduce yourself, the patient smiles but does not verbally acknowledge you. As you start to ask questions, you notice that the patient is turning their head to the side and leaning slightly toward you. You check the patient’s chart and note that they were fitted for hearing aids six months ago, but they do not appear to be wearing them, and you don’t see them in the room. Describe what steps you would take to assess the patient’s needs.
4
.
You are about to start a comprehensive history and physical assessment on a new patient who has just arrived in your unit. You received your ISBAR report, and the nurse told you that the patient does not speak English. The patient has a spouse with them who speaks English. How would you begin your assessment?
5
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Explain why medication reconciliation is an important component of the patient’s history, regardless of their chief complaint.
6
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The family member of a patient who is paralyzed after a stroke expresses concerns about caring for them at home. What would you specifically want to cover in the assessment to mitigate risks for the patient at home?