QUESTIONS AND CORRECT ANSWERS |
GRADED AND THE LATEST SERIES
clinical judgment
Ans: "Thinking Like A Nurse". integral to the Safety of pt. 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 response.
Question: clinical reasoning
Ans: is the thinking process by which a nurse reaches a clinical judgement. an
iterative process of noticing, interpreting, and responding- reasoning in transition
with a fine attunement to the patient and how the patient responds to the nurses
action
Question: evidence-based practice
Ans: clinical decision making that integrates the best available research with
clinical expertise and patient characteristics and preferences
Question: Tanner's Model
Ans: Noticing
Interpreting
Responding
Reflecting
Question: noticing (tanners model)
, Ans: identify s/s, gather complete and accurate data, assessing systematically
and comprehensively, *predicting (and managing) potential complications,
identifying assumptions
Question: factors that influence "Noticing"
Ans: -intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
Question: analytic reasoning (interpreting)
Ans: based on theoretical knowledge. nurse makes a hypothesis or best guess
about the pt care situation and then tests. typically students and novice nurses
Question: intuitive reasoning (interpreting)
Ans: based on unstated but understood knowledge about the pt, the care giving
context, and their previous experiences. typically expert nurse.
Question: narrative reasoning (interpreting)
Ans: way of making sense of a situation through telling and interpreting stories.
nurse hears pt stories of past medical experiences, helps nurse understand specific
pt experiences, setting the stage for individualized care
Question: reflecting-in-action (reflect)
Ans: understanding of patients response to nursing actions while care is
occurring. "real time" during pt care. determine pt statues and adjust care
accordingly.
,Question: reflecting-on-action (reflect)
Ans: consideration of situation after the care occurs. contemplate a situation and
decide what was and wasn't successful. critical for development of knowledge.
Question: interrelated concepts of clinical judgment
Ans:
Question: critical thinking
Ans: ability to think in a systematically and logical manner with openness to
question and reflect on the reasoning process. ask "why, what am i missing"
Question: critical thinking in nursing process
Ans: go hand in hand in making quality decisions about patient care.
knowledge, standards, attitudes, experience
Question: nursing process
Ans: Assessment
Diagnosis
Planning
Implementation
Evaluation
Question: assessment (nursing process)
, Ans: 1- collection of info from primary source (pt) and secondary (family,
friends, health professionals, medical record).
2- interpretation and validation of data to ensure a complete data base
subjective and objective
Question: Cue and Inference (assessment)
Ans: Cue is information that you obtain through use of senses. Inference is your
judgment or interpretation of these cues.
Question: diagnosis (nursing process)
Ans: clinical judgment concerning a human response to health conditions/ life
process, or vulnerability. Educated judgment about health concern. use NANDA.
used to make care plan
Question: Types of Nursing Diagnoses (diagnosis)
Ans: Actual
Risk
Possible
Wellness
Syndrome
Question: 3 part nursing diagnosis (diagnosis)
Ans: P:problem; ex impaired physical mobility
E: etiology/ related factor; ex incisional pain
S: symptom or defining characteristics; ex evidence by restricted turning and
positioning