HONDROS, 200 EXAM 1 CRITICAL
THINKING QUESTIONS AND
ANSWERS (LATEST)
Complete assessment - ANSWERS-A review and physical
examination of all body systems, for stable patients only
clinical judgment - ANSWERS-"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 - ANSWERS-Completed health history and physical
examination, large store or bank of info
clinical reasoning - ANSWERS-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 - ANSWERS-Psychological and social factors
,evidence-based practice - ANSWERS-clinical decision making that
integrates the best available research with clinical expertise and
patient characteristics and preferences
1st method of data collection - ANSWERS-Interiew patient, health
history. Patient is your primary source
Tanner's Model - ANSWERS-Noticing
Interpreting
Responding
Reflecting
2nd method of data collection - ANSWERS-Physical examination (
guided by subjective and objective)
noticing (tanners model) - ANSWERS-identify s/s, gather complete
and accurate data, assessing systematically and comprehensively,
*predicting (and managing) potential complications, identifying
assumptions
Concepts of clinical judgment - ANSWERS-1. Safety
2. Healthcare quality
3. Leadership
4. Patient education
5. Evidence
6. Professionalism
, 7. Care coordination
objective data (noticing) - ANSWERS-information that is seen, heard,
felt, or smelled by an observer; signs
Analytic reasoning - ANSWERS-Situation is unfamiliar
subjective data (noticing) - ANSWERS-things a person tells you
about that you cannot observe through your senses; symptoms
Intuitive reasoning - ANSWERS-Able to recognize the situation
immedialy. Pattern based
factors that influence "Noticing" - ANSWERS--intrapersonal
characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
Narrative reasoning - ANSWERS-Situation to patient experience with
illness.
Interpreting (tanners) - ANSWERS-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