Test Bank For Nursing Health Assessment A Clinical
Judgment Approach 4th Edition
Clinical Judgment - ANSWER The ability to observe, think, prioritize, plan, act
and evaluate within the context of patient care
Clinical Judgement Model - ANSWER Recognize cues
Analyze cues
Prioritize hypotheses
Generate solutions
Take action
Evaluate outcomes
Environmental Factors influencing Clinical Judgment - ANSWER Complexity
Time
Interruptions
Speciality Area
Autonomy
The Nursing Process (In Order) - ANSWER The scientific problem solving
method:
Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment - ANSWER Includes data collection of primary and secondary data.
Primary data is obtained via patient interview. Subjective data includes symptoms
and health history. Objective data includes signs, physical exam findings, lab and
diagnostic test results.
Diagnosis - ANSWER Organizing and cluster related data and identify the priority
nursing diagnoses. Supporting data includes etiology, signs, and symptoms.
Planning - ANSWER Prioritize nursing diagnoses and personalize the nursing
plan of care. Identify short-term and long-term goals.
Implementation - ANSWER Nursing interventions are implemented. These
interventions can be independent, dependent, collaborative, direct, or indirect. Care
plans include clinical pathways, protocols, and standing orders. (Think reassess)
Evaluation - ANSWER Care plan evaluation includes identifying goal/outcome
attainment and determining whether the care plan should be continued,
revised/adapted, or discontinued.
Recognize cues - ANSWER What Matters Most?
, Determining what client findings are significant, most important, and of immediate
concern to the nurse (relevant cues)
Analyze cues - ANSWER What could it mean?
Organizing and linking the relevant cues with client conditions/problems
Prioritize hypothesis - ANSWER Where do I start?
Ranking client conditions/problems according to urgency, complexity, and time
Generate solutions - ANSWER What can I do?
Identifying interventions that meet desired outcomes for the client; can include
collecting additional assessment data
Take action - ANSWER What will I do?
Implementing the solution(s) that are most appropriate and address the client's
priority conditions/problems
Evaluate outcomes - ANSWER Did it help?
Comparing actual client outcomes with desired client outcomes to determine
effectiveness of care
Requirements for Clinical Judgment - ANSWER Critical thinking
Application of knowledge and experience to identify patient problems and to direct
clinical judgments and actions that result in positive patient outcomes.
Clinical reasoning:
Ability to focus and filter clinical data into recognize what is most and least important,
so the nurse can identify if an actual problem is present.
Attributes Required for Successful Clinical Judgment - ANSWER Strong
knowledge base and technical skills
Early problem recognition
Effective communication and trusting relationships with the patient
Experience
Reflection
Strategies to develop strong clinical judgment - ANSWER Case studies
Literature review
Clinical application of knowledge and simulation
Concept mapping
Collaborative learning
Judgment Approach 4th Edition
Clinical Judgment - ANSWER The ability to observe, think, prioritize, plan, act
and evaluate within the context of patient care
Clinical Judgement Model - ANSWER Recognize cues
Analyze cues
Prioritize hypotheses
Generate solutions
Take action
Evaluate outcomes
Environmental Factors influencing Clinical Judgment - ANSWER Complexity
Time
Interruptions
Speciality Area
Autonomy
The Nursing Process (In Order) - ANSWER The scientific problem solving
method:
Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment - ANSWER Includes data collection of primary and secondary data.
Primary data is obtained via patient interview. Subjective data includes symptoms
and health history. Objective data includes signs, physical exam findings, lab and
diagnostic test results.
Diagnosis - ANSWER Organizing and cluster related data and identify the priority
nursing diagnoses. Supporting data includes etiology, signs, and symptoms.
Planning - ANSWER Prioritize nursing diagnoses and personalize the nursing
plan of care. Identify short-term and long-term goals.
Implementation - ANSWER Nursing interventions are implemented. These
interventions can be independent, dependent, collaborative, direct, or indirect. Care
plans include clinical pathways, protocols, and standing orders. (Think reassess)
Evaluation - ANSWER Care plan evaluation includes identifying goal/outcome
attainment and determining whether the care plan should be continued,
revised/adapted, or discontinued.
Recognize cues - ANSWER What Matters Most?
, Determining what client findings are significant, most important, and of immediate
concern to the nurse (relevant cues)
Analyze cues - ANSWER What could it mean?
Organizing and linking the relevant cues with client conditions/problems
Prioritize hypothesis - ANSWER Where do I start?
Ranking client conditions/problems according to urgency, complexity, and time
Generate solutions - ANSWER What can I do?
Identifying interventions that meet desired outcomes for the client; can include
collecting additional assessment data
Take action - ANSWER What will I do?
Implementing the solution(s) that are most appropriate and address the client's
priority conditions/problems
Evaluate outcomes - ANSWER Did it help?
Comparing actual client outcomes with desired client outcomes to determine
effectiveness of care
Requirements for Clinical Judgment - ANSWER Critical thinking
Application of knowledge and experience to identify patient problems and to direct
clinical judgments and actions that result in positive patient outcomes.
Clinical reasoning:
Ability to focus and filter clinical data into recognize what is most and least important,
so the nurse can identify if an actual problem is present.
Attributes Required for Successful Clinical Judgment - ANSWER Strong
knowledge base and technical skills
Early problem recognition
Effective communication and trusting relationships with the patient
Experience
Reflection
Strategies to develop strong clinical judgment - ANSWER Case studies
Literature review
Clinical application of knowledge and simulation
Concept mapping
Collaborative learning
