HONDROS, 200 EXAM 1 CRITICAL
THINKING EXAM 100% SOLVED
Complete assessment - ANSWERSA 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 - ANSWERSCompleted health history and physical examination, large store
or bank of info
clinical reasoning - ANSWERSis 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 - ANSWERSPsychological and social factors
evidence-based practice - ANSWERSclinical decision making that integrates the best
available research with clinical expertise and patient characteristics and preferences
1st method of data collection - ANSWERSInteriew patient, health history. Patient is your
primary source
Tanner's Model - ANSWERSNoticing
Interpreting
Responding
Reflecting
2nd method of data collection - ANSWERSPhysical examination ( guided by subjective
and objective)
noticing (tanners model) - ANSWERSidentify s/s, gather complete and accurate data,
assessing systematically and comprehensively, *predicting (and managing) potential
complications, identifying assumptions
Concepts of clinical judgment - ANSWERS1. Safety
2. Healthcare quality
, 3. Leadership
4. Patient education
5. Evidence
6. Professionalism
7. Care coordination
objective data (noticing) - ANSWERSinformation that is seen, heard, felt, or smelled by
an observer; signs
Analytic reasoning - ANSWERSSituation is unfamiliar
subjective data (noticing) - ANSWERSthings a person tells you about that you cannot
observe through your senses; symptoms
Intuitive reasoning - ANSWERSAble 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 - ANSWERSSituation to patient experience with illness.
Interpreting (tanners) - ANSWERScomparing 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 - ANSWERS1. 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) - ANSWERSbased on theoretical knowledge. nurse
makes a hypothesis or best guess about the pt care situation and then tests. typically
students and novice nurses
Interpreting - ANSWERSUnderstanding of the situation
intuitive reasoning (interpreting) - ANSWERSbased on unstated but understood
knowledge about the pt, the care giving context, and their previous experiences.
typically expert nurse.