and Clinical Judgment A Practical Approach 7th Edition
by Rosalinda Alfaro-LeFevre
Discuss the following terms as used in critical thinking, clinical Reasoning and Clinical
Judgement?
Critical Thinking - ANSWER:An intentional HIGHER LEVEL REASONING PROCCESS that
is intellectually delineated by ones worldview, knowledge, and experience with skills,
attitudes, and standards as a GUIDE FOR RATIONAL JUDGEMENT AND ACTION
Clinical Reasoning - ANSWER:an 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 respons
no - ANSWER:Is nursing care linear
multiple complex variables - ANSWER:what must one consider for clinical reasoning
nursing process - ANSWER:The traditional critical thinking competency that allows
nurses to make clinical judgments (thinking strategies) and take actions based on
reason.
It is a cognitive process that uses thinking strategies
It is a systematic method of planning and providing care to clients.
to solve problems and find solutions, plan care, seek knowledge and make clinical
decisions and problem solve, be able to think creatively when planning care -
ANSWER:Why do we need to think critically
Techniques in critical thinking - ANSWER:inductive reasoning, deductive reasoning,
critical analysis, socratic questioning, Differentiating facts from opinions, Making
valid inferences
critical analysis - ANSWER:Application of a set of questions to a particular situation to
discard unimportant ideas
socratic questioning - ANSWER:Technique to search for inconsistencies, examine
multiple points of view, separate the known from beliefs
inductive reasoning - ANSWER:from specific to general
deductive reasoning - ANSWER:from general to specific
, Potential Errors in Decision Making - ANSWER:The credibility of information sources
Unclear concepts
Assumptions
Bias
Failure to consider the total situation
Impatience
Intentional Thinking, Problem Solving (Trial and error,
Scientific, Intuitive) - ANSWER:Strategies to Enhance Critical Thinking
What do I really know about this nursing situation
How do I know this
What options are available to me - ANSWER:what will you need to ask yourself to
enhance critical thinking
Independence, Fair mindedness, Insight, Intellectual humility, Intellectual courage,
Integrity, Perseverance, Confidence, Curiosity - ANSWER:Attributes That Foster
Critical Thinking
ADPIE - ANSWER:Nursing Process acronym
key points of nursing process - ANSWER:Systematic, Collaborative, Client-centered &
outcome oriented, Individualized, Cyclic & dynamic, Requires critical thinking,
Universally applicable
purpose of nursing process - ANSWER:Identify client's health status and actual or
potential health care problems or needs
Establish plans to meet needs
Deliver specific interventions
Assessment - ANSWER:What is the first step of the nursing process
assessment - ANSWER:The collection of data about the health status of the client is
systematic and continuous. The data are accessible, communicated, and recorded
communication, data collection, validating data, organizing data, documenting data -
ANSWER:what does assessment involve
Subjective data (Symptoms or Covert Data) - ANSWER:Apparent only to the person
affected
Can be described only by person affected
Includes sensations, feelings, values, beliefs, attitudes, and perception of personal
health status & life situations
Objective Data (Signs or Overt Data) - ANSWER:Detectable by an observer
Can be measured or tested against an accepted standard