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Nursing Process and clinical judgement

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Nursing Process and clinical judgement

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Nursing Process and clinical judgement (questions
and correct answers)


Assessment findings: Timing - ANSWER-data should be
reported verbally immediately whenever assessment findings
reveal a critical change in pt's health status that necessitates
the involvement of other nurses/HCP


Assessment sources of data - ANSWER-pt, family+partner, pt
record, med history physical exam progress notes,
consultations, reports of lab+diagnostic studies, reports of
therapies by other healthcare profs


ADPIE - ANSWER-assessment- obtaining sub/objective data,
prepare data collection, report+record data


diagnosis- your analysis of what the pt health need is
(actual/potential)


planning- goals


implementation- intervention

,evaluation- did pt meet their goal


Assessment findings: Documentaton - ANSWER-pt's initial
database is entered into computer on the same day pt is
admitted to facility




Assessment: problems related to data collection - ANSWER-
inappropriate organization of data base, exclusion of
appropriate data, inclusion of irrelevant data,
misinterpreted/inaccurate data, failure to establish
rapport/trusting relationship w pt, recording+interpretation
of data rather than observed behavior, failure to update data
base


Clinical judgement - ANSWER-refers to the result (outcome)
of critical thinking or clinical reasoning; the conclusion,
decision, or opinion a nurse makes


Clinical judgement is - ANSWER-the result or observed
outcome of critical thinking+decision making

, Clinical reasoning - ANSWER-a specific term usually referring
to ways of thinking about patient care issues (determining,
preventing, and managing patient problems); for reasoning
about other clinical issues (e.g., teamwork, collaboration, and
streamlining work flow); nurses usually use critical thinking


Clinical reasoning cycle - ANSWER-look, collect, process,
decide, plan, act, evaluate, reflect


Clinical reasoning is grounded in - ANSWER-specific
knowledge, skills, and experiences


Cognitive load - ANSWER-The amount of a person's cognitive
resources needed to carry out a particular cognitive task.


Competency - ANSWER-the ability to do something
successfully or efficiently


Complete nursing assessment - ANSWER-complete as much
as possible, identify all pt data needed to understand a pt
health problem + develop a care plan to maximize pt's
health+well being

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Uploaded on
July 25, 2024
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Written in
2023/2024
Type
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