Concept - Clinical Judgement Test
Questions and Correct Answers.
Clinical Judgement - definition - Answer An 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.
3 attributes of clinical judgement - Answer holistic view of the patient situation, process
orientation, reasoning an interpretation
Four key aspects of the Clinical Judgement Model and the sequence in which they occur. -
Answer Noticing, interpreting, responding, reflecting
3 components of knowledge from which the nurse's "noticing" of the clinical situation is
derived. - Answer The background of the nurse (including intrapersonal characteristics,
ethical grounding for what is right, previous experiences, and theoretical knowledge), the
nurse's relationship with the patient, and the context of care.
Responding - Answer Once the patient data have been sorted and interpreted, the nurse
uses his or her interpretation to respond to the particular patient issue through one or more
nursing interventions.
Interpreting - Answer Using the particular patient data as well as germane theoretical and
experiential knowledge, the nurse begins to assemble all the information to make sense of it.
Reflection-in-action - Answer Reflection-in-action refers to the nurse's understanding of
patient responses to nursing actions while care is occurring
Reflection-on-action - Answer Reflection-on-action is consideration of the situation after the
patient care occurs. In reflection-on-action, the nurse contemplates a situation and considers
what was successful and what was unsuccessful.
Example of Reflection-in-action - Answer the nurse chooses a pain medication dose based on
many factors; while administering the medication intravenously, the nurse is continually
assessing and reflecting on the patient's response to medication. This is an example of
reflecting-in-action. If the desired response is not achieved, the nurse may need to return to
interpreting the data in order to respond with a different intervention.
Example of Reflection-on-action - Answer the nurse may take some time at the end of his or
her shift to analyze why he or she intervened in a specific way for this particular patient and to
consider whether the intervention was successful. Reflection-on-action is when significant
, learning from practice occurs and it is important to the development of increasing skillfulness as
a nurse.
Antecedents of clinical judgement - Answer Sound judgement skills, analytical reasoning
skills, awareness of patient and self, creativity/inquisitiveness, sound knowledge base,
persistence
The nurse uses clinical judgment to compare actual nursing outcomes to the expected nursing
outcomes to: - Answer Determine if progress is made or to determine if revisions are
needed.
Nurses design interventions that are: - Answer Based on clinical reasoning and expected to
help the patient meet goals quickly
What does Tanner mean by "reflect"? - Answer Understanding of patient's responses while
the care is occurring (in observations and interactions with the patient the nurse determines the
patient's status and adjusts accordingly). Real time thinking during patient care. A critical step in
evaluating the patient's response to interventions.
Tanner's Model of Clinical Judgement - Answer 1. Noticing 2. Interpreting 3. Responding 4.
Reflecting
Interrelated concepts - clinical judgement - Answer safety, health care quality, leadership,
patient education, evidence, professionalism, care coordination
Elements of critical thinking - Answer problem solving, diagnostic reasoning, decision
making, clinical judgement (deciding course of action), nursing process
what is the rapid response team used for? - Answer assisting staff members in assessing and
stabilizing a patient's condition and organizing information to be communicated to the
physician.
who should report to a RRT? - Answer ER nurse, respiratory therapist, nursing supervisor,
charge nurse from the unit, the patient's nurse
SBAR - Answer situation, background, assessment, response/recommendations
failure to rescue - Answer the inability to save a patient's life after the development of a
complication (complication occurring after the 2nd day in hospital or after sx)
Questions and Correct Answers.
Clinical Judgement - definition - Answer An 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.
3 attributes of clinical judgement - Answer holistic view of the patient situation, process
orientation, reasoning an interpretation
Four key aspects of the Clinical Judgement Model and the sequence in which they occur. -
Answer Noticing, interpreting, responding, reflecting
3 components of knowledge from which the nurse's "noticing" of the clinical situation is
derived. - Answer The background of the nurse (including intrapersonal characteristics,
ethical grounding for what is right, previous experiences, and theoretical knowledge), the
nurse's relationship with the patient, and the context of care.
Responding - Answer Once the patient data have been sorted and interpreted, the nurse
uses his or her interpretation to respond to the particular patient issue through one or more
nursing interventions.
Interpreting - Answer Using the particular patient data as well as germane theoretical and
experiential knowledge, the nurse begins to assemble all the information to make sense of it.
Reflection-in-action - Answer Reflection-in-action refers to the nurse's understanding of
patient responses to nursing actions while care is occurring
Reflection-on-action - Answer Reflection-on-action is consideration of the situation after the
patient care occurs. In reflection-on-action, the nurse contemplates a situation and considers
what was successful and what was unsuccessful.
Example of Reflection-in-action - Answer the nurse chooses a pain medication dose based on
many factors; while administering the medication intravenously, the nurse is continually
assessing and reflecting on the patient's response to medication. This is an example of
reflecting-in-action. If the desired response is not achieved, the nurse may need to return to
interpreting the data in order to respond with a different intervention.
Example of Reflection-on-action - Answer the nurse may take some time at the end of his or
her shift to analyze why he or she intervened in a specific way for this particular patient and to
consider whether the intervention was successful. Reflection-on-action is when significant
, learning from practice occurs and it is important to the development of increasing skillfulness as
a nurse.
Antecedents of clinical judgement - Answer Sound judgement skills, analytical reasoning
skills, awareness of patient and self, creativity/inquisitiveness, sound knowledge base,
persistence
The nurse uses clinical judgment to compare actual nursing outcomes to the expected nursing
outcomes to: - Answer Determine if progress is made or to determine if revisions are
needed.
Nurses design interventions that are: - Answer Based on clinical reasoning and expected to
help the patient meet goals quickly
What does Tanner mean by "reflect"? - Answer Understanding of patient's responses while
the care is occurring (in observations and interactions with the patient the nurse determines the
patient's status and adjusts accordingly). Real time thinking during patient care. A critical step in
evaluating the patient's response to interventions.
Tanner's Model of Clinical Judgement - Answer 1. Noticing 2. Interpreting 3. Responding 4.
Reflecting
Interrelated concepts - clinical judgement - Answer safety, health care quality, leadership,
patient education, evidence, professionalism, care coordination
Elements of critical thinking - Answer problem solving, diagnostic reasoning, decision
making, clinical judgement (deciding course of action), nursing process
what is the rapid response team used for? - Answer assisting staff members in assessing and
stabilizing a patient's condition and organizing information to be communicated to the
physician.
who should report to a RRT? - Answer ER nurse, respiratory therapist, nursing supervisor,
charge nurse from the unit, the patient's nurse
SBAR - Answer situation, background, assessment, response/recommendations
failure to rescue - Answer the inability to save a patient's life after the development of a
complication (complication occurring after the 2nd day in hospital or after sx)
