Hondros Nur 155 exam 1| 53 Questions and
Answers with complete solution.
Tanner's Model of Clinical Judgement
A "MODEL" based on how a nurse thinks. Explains 4 steps in the "CRITICAL
THINKING PROCESS" that nurses use to solve any problem:
*Noticing
*Interpreting
*Responding
*Reflecting
Nursing Process
Uses the Scientific Method to complete a Step-by-step approach to plan patient-
centered care:
"ADPIE"
*Assessment
*Diagnosis
*Planning/Outcomes
*Implementation
*Evaluation
Why do we study Critical Thinking?
To think with a purpose, and know why you do what you do.
A strict reasoning process that ensures a nurse is generating, implementing, and
evaluating approaches.
Benner's Theory of Stages and Clinical Competence
What theory of stages have 5 Stages?
The 5 stages:
Stage 1: Novice
Stage 2: Advanced Beginner
Stage 3: Competent
Stage 4: Proficient
Stage 5: Expert
Credit to nursing-theory.org
Stage 1: Novice
Nursing Students first year of clinical education; inexperienced, text book knowledge,
limited ability to predict what might happen in any situation.
Credit to nursing-theory.org
Stage 2: Advanced Beginner
Newly graduated in their first jobs; Nurses have more experience and are able to
recognize recurrent, meaningful components of a situation. They have the knowledge
and the knowhow but not the in-depth experience.
Credit to nursing-theory.org
, Stage 3: Competent
These nurses lack the speed and flexibility of proficient nurses, but they have some
mastery and can rely on advanced planning and organizational skills. Can recognize
patterns and nature of clinical situations more quickly and accurately than advanced
beginners.
Credit to nursing-theory.org
Stage 4: Proficient
At this level nurses are capable to see situations as wholes rather than parts.
"PROFICIENT" nurses learn from experience what events typically occur and are able
to modify plans in response to different events.
Credit to nursing-theory.org
Stage 5: Expert
Nurses that are able to recognize demands and resources in situations and attain their
goals. No longer do they rely solely on rules to guide actions under certain situations.
They area able to intuitively grasp the situation based on their deep knowledge and
experience.
Credit to nursing-theory.org
Noticing
First step of Tanner's model of clinical judgement.
1. Identifying signs and symptoms
2. Gathering complete and accurate data
3. Assessing systematically and comprehensively
4. Predicting and managing potential complications
5. Identifying assumptions
Noticing: (1) Identifying signs and symptoms
The ability to recognize that a situation is different, changed, or not a normal state.
Noticing: (2) Gathering complete and accurate data
Collecting relevant data from various sources. This data is used as the basis for
identifying issues/concerns, solving problems, and making decisions. Must verify that
the data is complete and accurate.
Noticing: (3) Assessing systematically and comprehensively
An organized manner to collect data to make sure nothing is omitted or forgotten.
Examining the whole, piece-by-piece in a thorough manner.
Noticing: (4) Predicting and managing potential complications
Looking at the "BIG PICTURE" to consider possible complications of the patient. You
must know common complications and consider individual differences.
In Noticing, you are predicting complications, which means you are identifying possible
problems.
Noticing: (5) Identifying assumptions
Taking something for granted or quickly arriving at a conclusion without supporting
evidence. (A Guess)
Nursing Process: Assessment
Observe and report to Charge Nurse or HCP. Determine risk for injury or infection.
Nursing Process: Diagnosis
Answers with complete solution.
Tanner's Model of Clinical Judgement
A "MODEL" based on how a nurse thinks. Explains 4 steps in the "CRITICAL
THINKING PROCESS" that nurses use to solve any problem:
*Noticing
*Interpreting
*Responding
*Reflecting
Nursing Process
Uses the Scientific Method to complete a Step-by-step approach to plan patient-
centered care:
"ADPIE"
*Assessment
*Diagnosis
*Planning/Outcomes
*Implementation
*Evaluation
Why do we study Critical Thinking?
To think with a purpose, and know why you do what you do.
A strict reasoning process that ensures a nurse is generating, implementing, and
evaluating approaches.
Benner's Theory of Stages and Clinical Competence
What theory of stages have 5 Stages?
The 5 stages:
Stage 1: Novice
Stage 2: Advanced Beginner
Stage 3: Competent
Stage 4: Proficient
Stage 5: Expert
Credit to nursing-theory.org
Stage 1: Novice
Nursing Students first year of clinical education; inexperienced, text book knowledge,
limited ability to predict what might happen in any situation.
Credit to nursing-theory.org
Stage 2: Advanced Beginner
Newly graduated in their first jobs; Nurses have more experience and are able to
recognize recurrent, meaningful components of a situation. They have the knowledge
and the knowhow but not the in-depth experience.
Credit to nursing-theory.org
, Stage 3: Competent
These nurses lack the speed and flexibility of proficient nurses, but they have some
mastery and can rely on advanced planning and organizational skills. Can recognize
patterns and nature of clinical situations more quickly and accurately than advanced
beginners.
Credit to nursing-theory.org
Stage 4: Proficient
At this level nurses are capable to see situations as wholes rather than parts.
"PROFICIENT" nurses learn from experience what events typically occur and are able
to modify plans in response to different events.
Credit to nursing-theory.org
Stage 5: Expert
Nurses that are able to recognize demands and resources in situations and attain their
goals. No longer do they rely solely on rules to guide actions under certain situations.
They area able to intuitively grasp the situation based on their deep knowledge and
experience.
Credit to nursing-theory.org
Noticing
First step of Tanner's model of clinical judgement.
1. Identifying signs and symptoms
2. Gathering complete and accurate data
3. Assessing systematically and comprehensively
4. Predicting and managing potential complications
5. Identifying assumptions
Noticing: (1) Identifying signs and symptoms
The ability to recognize that a situation is different, changed, or not a normal state.
Noticing: (2) Gathering complete and accurate data
Collecting relevant data from various sources. This data is used as the basis for
identifying issues/concerns, solving problems, and making decisions. Must verify that
the data is complete and accurate.
Noticing: (3) Assessing systematically and comprehensively
An organized manner to collect data to make sure nothing is omitted or forgotten.
Examining the whole, piece-by-piece in a thorough manner.
Noticing: (4) Predicting and managing potential complications
Looking at the "BIG PICTURE" to consider possible complications of the patient. You
must know common complications and consider individual differences.
In Noticing, you are predicting complications, which means you are identifying possible
problems.
Noticing: (5) Identifying assumptions
Taking something for granted or quickly arriving at a conclusion without supporting
evidence. (A Guess)
Nursing Process: Assessment
Observe and report to Charge Nurse or HCP. Determine risk for injury or infection.
Nursing Process: Diagnosis
