Critical thinking, 200, Hondros
Study online at https://quizlet.com/_ggaq0u
1. clinical judgment: "Thinking Like A Nurse". integral to the Safety of pt. Interpre-
tation 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.
2. clinical reasoning: 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
3. evidence-based practice: clinical decision making that integrates the best avail-
able research with clinical expertise and patient characteristics and preferences
4. Tanner's Model: Noticing
Interpreting
Responding
Reflecting
5. noticing (tanners model): identify s/s, gather complete and accurate data, as-
sessing systematically and comprehensively, *predicting (and managing) potential
complications, identifying assumptions
6. factors that influence "Noticing": -intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
7. analytic reasoning (interpreting): based on theoretical knowledge. nurse
makes a hypothesis or best guess about the pt care situation and then tests. typically
students and novice nurses
8. intuitive reasoning (interpreting): based on unstated but understood knowl-
edge about the pt, the care giving context, and their previous experiences. typically
expert nurse.
9. narrative reasoning (interpreting): 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
10. reflecting-in-action (reflect): understanding of patients response to nursing
actions while care is occurring. "real time" during pt care. determine pt statues and
adjust care accordingly.
11. reflecting-on-action (reflect): consideration of situation after the care occurs.
contemplate a situation and decide what was and wasn't successful. critical for
development of knowledge.
12. interrelated concepts of clinical judgment:
, Critical thinking, 200, Hondros
Study online at https://quizlet.com/_ggaq0u
13. critical thinking: 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"
14. critical thinking in nursing process: go hand in hand in making quality deci-
sions about patient care. knowledge, standards, attitudes, experience
15. nursing process: Assessment
Diagnosis
Planning
Implementation
Evaluation
16. assessment (nursing process): 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
17. Cue and Inference (assessment): Cue is information that you obtain through
use of senses. Inference is your judgment or interpretation of these cues.
18. diagnosis (nursing process): 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
19. Types of Nursing Diagnoses (diagnosis): Actual
Risk
Possible
Wellness
Syndrome
20. 3 part nursing diagnosis (diagnosis): P:problem; ex impaired physical mobility
E: etiology/ related factor; ex incisional pain
S: symptom or defining characteristics; ex evidence by restricted turning and posi-
tioning
21. planning (nursing process): collaborates with pt, family, and the rest of the
health care team to determine the urgency of the identified problems and prioritizes
patients needs.
22. care plan (planning): Assessment, nursing diagnosis, interventions, evaluation
care plan for each diagnosis. patients involved with planning. increase communica-
Study online at https://quizlet.com/_ggaq0u
1. clinical judgment: "Thinking Like A Nurse". integral to the Safety of pt. Interpre-
tation 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.
2. clinical reasoning: 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
3. evidence-based practice: clinical decision making that integrates the best avail-
able research with clinical expertise and patient characteristics and preferences
4. Tanner's Model: Noticing
Interpreting
Responding
Reflecting
5. noticing (tanners model): identify s/s, gather complete and accurate data, as-
sessing systematically and comprehensively, *predicting (and managing) potential
complications, identifying assumptions
6. factors that influence "Noticing": -intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
7. analytic reasoning (interpreting): based on theoretical knowledge. nurse
makes a hypothesis or best guess about the pt care situation and then tests. typically
students and novice nurses
8. intuitive reasoning (interpreting): based on unstated but understood knowl-
edge about the pt, the care giving context, and their previous experiences. typically
expert nurse.
9. narrative reasoning (interpreting): 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
10. reflecting-in-action (reflect): understanding of patients response to nursing
actions while care is occurring. "real time" during pt care. determine pt statues and
adjust care accordingly.
11. reflecting-on-action (reflect): consideration of situation after the care occurs.
contemplate a situation and decide what was and wasn't successful. critical for
development of knowledge.
12. interrelated concepts of clinical judgment:
, Critical thinking, 200, Hondros
Study online at https://quizlet.com/_ggaq0u
13. critical thinking: 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"
14. critical thinking in nursing process: go hand in hand in making quality deci-
sions about patient care. knowledge, standards, attitudes, experience
15. nursing process: Assessment
Diagnosis
Planning
Implementation
Evaluation
16. assessment (nursing process): 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
17. Cue and Inference (assessment): Cue is information that you obtain through
use of senses. Inference is your judgment or interpretation of these cues.
18. diagnosis (nursing process): 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
19. Types of Nursing Diagnoses (diagnosis): Actual
Risk
Possible
Wellness
Syndrome
20. 3 part nursing diagnosis (diagnosis): P:problem; ex impaired physical mobility
E: etiology/ related factor; ex incisional pain
S: symptom or defining characteristics; ex evidence by restricted turning and posi-
tioning
21. planning (nursing process): collaborates with pt, family, and the rest of the
health care team to determine the urgency of the identified problems and prioritizes
patients needs.
22. care plan (planning): Assessment, nursing diagnosis, interventions, evaluation
care plan for each diagnosis. patients involved with planning. increase communica-
