Test Bank Winningham s Critical
Thinking Cases in Nursing Medical
Surgical Pediatric Maternity and
Psychiatric Latest Edition With All
Complete Solutions
Complete assessment - ANSWER-A review and physical examination of all body
systems, for stable patients only
clinical judgment - ANSWER-"Thinking Like A Nurse". integral to the Safety of pt.
Interpretation or conclusion about a patient's needs, concerns, or health problems,
and/or the decision to take action (or not), use or modify standard approaches, or
improvise new ones as deemed appropriate by the patient's response.
Database - ANSWER-Completed health history and physical examination, large store or
bank of info
clinical reasoning - ANSWER-is the thinking process by which a nurse reaches a clinical
judgement. an iterative process of noticing, interpreting, and responding- reasoning in
transition with a fine attunement to the patient and how the patient responds to the
nurses action
Psychosocial history - ANSWER-Psychological and social factors
evidence-based practice - ANSWER-clinical decision making that integrates the best
available research with clinical expertise and patient characteristics and preferences
1st method of data collection - ANSWER-Interiew patient, health history. Patient is your
primary source
Tanner's Model - ANSWER-Noticing
Interpreting
Responding
Reflecting
2nd method of data collection - ANSWER-Physical examination ( guided by subjective
and objective)
,noticing (tanners model) - ANSWER-identify s/s, gather complete and accurate data,
assessing systematically and comprehensively, *predicting (and managing) potential
complications, identifying assumptions
Concepts of clinical judgment - ANSWER-1. Safety
2. Healthcare quality
3. Leadership
4. Patient education
5. Evidence
6. Professionalism
7. Care coordination
objective data (noticing) - ANSWER-information that is seen, heard, felt, or smelled by
an observer; signs
Analytic reasoning - ANSWER-Situation is unfamiliar
subjective data (noticing) - ANSWER-things a person tells you about that you cannot
observe through your senses; symptoms
Intuitive reasoning - ANSWER-Able to recognize the situation immedialy. Pattern based
factors that influence "Noticing" - ANSWER--intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
Narrative reasoning - ANSWER-Situation to patient experience with illness.
Interpreting (tanners) - ANSWER-comparing and contrast data, clustering related
information, recognizing inconsistencies, checking accuracy, distinguishing relevant
from irrelevant, determine importance of info, judge how much ambiguity is acceptable
(ie b/p dt condition), determine legal ethical professional guidelines, (predicting and)
*managing potential complications
Noticing - ANSWER-1. Identify signs and symptoms
2. Complete and accurate date
3. Assessing systemically and comprehensively
4. Predicting and managing patient complications
5. Identifying assumptions
analytic reasoning (interpreting) - ANSWER-based on theoretical knowledge. nurse
makes a hypothesis or best guess about the pt care situation and then tests. typically
students and novice nurses
Interpreting - ANSWER-Understanding of the situation
, intuitive reasoning (interpreting) - ANSWER-based on unstated but understood
knowledge about the pt, the care giving context, and their previous experiences.
typically expert nurse.
Responding - ANSWER-Based on what you interpreted the nurse will determine
appropriate actions
narrative reasoning (interpreting) - ANSWER-way of making sense of a situation
through telling and interpreting stories. nurse hears pt stories of past medical
experiences, helps nurse understand specific pt experiences, setting the stage for
individualized care
Reflection in action - ANSWER-Observing patient reaction to the action the nurse chose
and deciding if the situation was fixed
responding (tanners) - ANSWER-taking action, ability to carry out nursing skills and
effective communication, delegating, setting priorities
Reflection on action - ANSWER-Patient responses to the outcomes. Nursing refelection
after the situation was solved
reflecting (tanners) - ANSWER-pt outcomes, evaluating data- complete actions then
reassessment data is collected again used to determine if interventions were effective
or any further actions needed, evaluating and correcting thinking.
Novice nurse - ANSWER-Uses analytic reasoning. Uses textbook in a systemic analysis
of a situation
reflecting-in-action (reflect) - ANSWER-understanding of patients response to nursing
actions while care is occurring. "real time" during pt care. determine pt statues and
adjust care accordingly.
Expert nurse - ANSWER-Uses intuitive reasoing. Recognizes patterns immediatly. Able
to look at the big picture
reflecting-on-action (reflect) - ANSWER-consideration of situation after the care occurs.
contemplate a situation and decide what was and wasn't successful. critical for
development of knowledge.
Assessment - ANSWER-Collecting and analyzing data from the patient, family
members, health care team
interrelated concepts of clinical judgment - ANSWER-
Who does the initial assessment - ANSWER-RN
Thinking Cases in Nursing Medical
Surgical Pediatric Maternity and
Psychiatric Latest Edition With All
Complete Solutions
Complete assessment - ANSWER-A review and physical examination of all body
systems, for stable patients only
clinical judgment - ANSWER-"Thinking Like A Nurse". integral to the Safety of pt.
Interpretation or conclusion about a patient's needs, concerns, or health problems,
and/or the decision to take action (or not), use or modify standard approaches, or
improvise new ones as deemed appropriate by the patient's response.
Database - ANSWER-Completed health history and physical examination, large store or
bank of info
clinical reasoning - ANSWER-is the thinking process by which a nurse reaches a clinical
judgement. an iterative process of noticing, interpreting, and responding- reasoning in
transition with a fine attunement to the patient and how the patient responds to the
nurses action
Psychosocial history - ANSWER-Psychological and social factors
evidence-based practice - ANSWER-clinical decision making that integrates the best
available research with clinical expertise and patient characteristics and preferences
1st method of data collection - ANSWER-Interiew patient, health history. Patient is your
primary source
Tanner's Model - ANSWER-Noticing
Interpreting
Responding
Reflecting
2nd method of data collection - ANSWER-Physical examination ( guided by subjective
and objective)
,noticing (tanners model) - ANSWER-identify s/s, gather complete and accurate data,
assessing systematically and comprehensively, *predicting (and managing) potential
complications, identifying assumptions
Concepts of clinical judgment - ANSWER-1. Safety
2. Healthcare quality
3. Leadership
4. Patient education
5. Evidence
6. Professionalism
7. Care coordination
objective data (noticing) - ANSWER-information that is seen, heard, felt, or smelled by
an observer; signs
Analytic reasoning - ANSWER-Situation is unfamiliar
subjective data (noticing) - ANSWER-things a person tells you about that you cannot
observe through your senses; symptoms
Intuitive reasoning - ANSWER-Able to recognize the situation immedialy. Pattern based
factors that influence "Noticing" - ANSWER--intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
Narrative reasoning - ANSWER-Situation to patient experience with illness.
Interpreting (tanners) - ANSWER-comparing and contrast data, clustering related
information, recognizing inconsistencies, checking accuracy, distinguishing relevant
from irrelevant, determine importance of info, judge how much ambiguity is acceptable
(ie b/p dt condition), determine legal ethical professional guidelines, (predicting and)
*managing potential complications
Noticing - ANSWER-1. Identify signs and symptoms
2. Complete and accurate date
3. Assessing systemically and comprehensively
4. Predicting and managing patient complications
5. Identifying assumptions
analytic reasoning (interpreting) - ANSWER-based on theoretical knowledge. nurse
makes a hypothesis or best guess about the pt care situation and then tests. typically
students and novice nurses
Interpreting - ANSWER-Understanding of the situation
, intuitive reasoning (interpreting) - ANSWER-based on unstated but understood
knowledge about the pt, the care giving context, and their previous experiences.
typically expert nurse.
Responding - ANSWER-Based on what you interpreted the nurse will determine
appropriate actions
narrative reasoning (interpreting) - ANSWER-way of making sense of a situation
through telling and interpreting stories. nurse hears pt stories of past medical
experiences, helps nurse understand specific pt experiences, setting the stage for
individualized care
Reflection in action - ANSWER-Observing patient reaction to the action the nurse chose
and deciding if the situation was fixed
responding (tanners) - ANSWER-taking action, ability to carry out nursing skills and
effective communication, delegating, setting priorities
Reflection on action - ANSWER-Patient responses to the outcomes. Nursing refelection
after the situation was solved
reflecting (tanners) - ANSWER-pt outcomes, evaluating data- complete actions then
reassessment data is collected again used to determine if interventions were effective
or any further actions needed, evaluating and correcting thinking.
Novice nurse - ANSWER-Uses analytic reasoning. Uses textbook in a systemic analysis
of a situation
reflecting-in-action (reflect) - ANSWER-understanding of patients response to nursing
actions while care is occurring. "real time" during pt care. determine pt statues and
adjust care accordingly.
Expert nurse - ANSWER-Uses intuitive reasoing. Recognizes patterns immediatly. Able
to look at the big picture
reflecting-on-action (reflect) - ANSWER-consideration of situation after the care occurs.
contemplate a situation and decide what was and wasn't successful. critical for
development of knowledge.
Assessment - ANSWER-Collecting and analyzing data from the patient, family
members, health care team
interrelated concepts of clinical judgment - ANSWER-
Who does the initial assessment - ANSWER-RN
