Reasoning And Clinical Judgement A Practical Approach
7th Edition, by Rosalinda Alfaro-LeFevre (Author) All
Chapters 1-7
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 - ANSWERCritical Thinking
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
- ANSWERClinical Reasoning
Is nursing care linear - ANSWERno
what must one consider for clinical reasoning - ANSWERmultiple complex variables
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. - ANSWERnursing
process
Why do we need to think critically - ANSWERto solve problems and find solutions,
plan care, seek knowledge and make clinical decisions and problem solve, be able to
think creatively when planning care
inductive reasoning, deductive reasoning, critical analysis, socratic questioning,
Differentiating facts from opinions, Making valid inferences - ANSWERTechniques in
critical thinking
Application of a set of questions to a particular situation to discard unimportant
ideas - ANSWERcritical analysis
Technique to search for inconsistencies, examine multiple points of view, separate
the known from beliefs - ANSWERsocratic questioning
from specific to general - ANSWERinductive reasoning
from general to specific - ANSWERdeductive reasoning
The credibility of information sources
, Unclear concepts
Assumptions
Bias
Failure to consider the total situation
Impatience - ANSWERPotential Errors in Decision Making
Strategies to Enhance Critical Thinking - ANSWERIntentional Thinking, Problem
Solving (Trial and error,
Scientific, Intuitive)
what will you need to ask yourself to enhance critical thinking - ANSWERWhat do I
really know about this nursing situation
How do I know this
What options are available to me
Attributes That Foster Critical Thinking - ANSWERIndependence, Fair mindedness,
Insight, Intellectual humility, Intellectual courage, Integrity, Perseverance,
Confidence, Curiosity
Nursing Process acronym - ANSWERADPIE
Systematic, Collaborative, Client-centered & outcome oriented, Individualized, Cyclic
& dynamic, Requires critical thinking, Universally applicable - ANSWERkey points of
nursing process
Identify client's health status and actual or potential health care problems or needs
Establish plans to meet needs
Deliver specific interventions - ANSWERpurpose of nursing process
What is the first step of the nursing process - ANSWERAssessment
The collection of data about the health status of the client is systematic and
continuous. The data are accessible, communicated, and recorded -
ANSWERassessment
what does assessment involve - ANSWERcommunication, data collection, validating
data, organizing data, documenting data
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 - ANSWERSubjective data (Symptoms or Covert Data)
Detectable by an observer
Can be measured or tested against an accepted standard
Can be seen, heard, felt, or smelled