NUR 130 EXAM 1 QUESTIONS WITH 100% CORRECT
ANSWERS Latest Verified Edition
-Cognitive process used for the analysis of an issue or problem
-Knowledge-based
Critical thinking
-How we think through a situation, prioritize what needs to
be done first, and think about patients' outcomes
-Interpretation and conclusion about a patient's needs, concerns, or health
Clinical judgement problems
-To either take action, improvise new ones, using or modify
standard approaches deemed appropriate for the patient
Environmental factors -Limited staff and equipment
IMPORTANT Nursing -Stat med vs routine med
knowledge is NOT an
environmental factor IMPORTANT
Increased respiratory rate First sign of sepsis
-Holistic view of the client situation
-Process orientation
Defining attributes of clinical
-Reasoning and interpretation
judgement
-Ethical comportment
Holistic view of client Looking at the whole person, mind, body and spirit
-Asking the patient questions to lead to an answer
Process orientation -Ability to reflect on something after it is done
-Having goals during the shift
Reasoning and interpretation Help to get to the decision
Ethical comportment -What is right and what is wrong
- Own values and beliefs
Morals
-The culture that one grew up in
A problem solving approach to clinical decision making that combines the
best
Evidence based practice available scientific evidence with best available patient and
practitioner experiential evidence toward optimal healthcare
outcomes
-Best evidence to inform practice
ADPIE
Assessment (see, hear, feel)
(what meds do you take? why are you here? Did anything happen
in the past couple of days) (ex: headache just developed after a
Nursing process IMPORTANT
car accident)
Diagnosis (analysis) (ex: head injury)
, Planning (Telling the doctor the patient may need a CT scan)
Implementation (Start IV and get ready for CT) (Taking action)
Evaluation (Gets CT and gives medicine to have less of a headache)
Happens during the care of the patient
Reflection in action -Observing a patients reaction and deciding if that action has
helped with the primary concern
1. Nurse's knowledge. experience, ethical perspective, and knowing the
patient
Tanner clinical judgement model 2. Noticing (assessment) do not use your family or your symptoms as a
basis
3. Interpreting (analyzing and planning)
4. Responding (implementation)
5. Reflecting (evaluation)
Happens after the patient care occurs
Reflection on action -To see what went well or what could be better after the fact
-Usually with other people and usually about performance improvement
-Layer 0 through 2 is the basis of how the clinical judgment is made
Clinical judgement measurement
model -Layer 3 and 4 is what one expects from a nurse during study or in the
room
ANSWERS Latest Verified Edition
-Cognitive process used for the analysis of an issue or problem
-Knowledge-based
Critical thinking
-How we think through a situation, prioritize what needs to
be done first, and think about patients' outcomes
-Interpretation and conclusion about a patient's needs, concerns, or health
Clinical judgement problems
-To either take action, improvise new ones, using or modify
standard approaches deemed appropriate for the patient
Environmental factors -Limited staff and equipment
IMPORTANT Nursing -Stat med vs routine med
knowledge is NOT an
environmental factor IMPORTANT
Increased respiratory rate First sign of sepsis
-Holistic view of the client situation
-Process orientation
Defining attributes of clinical
-Reasoning and interpretation
judgement
-Ethical comportment
Holistic view of client Looking at the whole person, mind, body and spirit
-Asking the patient questions to lead to an answer
Process orientation -Ability to reflect on something after it is done
-Having goals during the shift
Reasoning and interpretation Help to get to the decision
Ethical comportment -What is right and what is wrong
- Own values and beliefs
Morals
-The culture that one grew up in
A problem solving approach to clinical decision making that combines the
best
Evidence based practice available scientific evidence with best available patient and
practitioner experiential evidence toward optimal healthcare
outcomes
-Best evidence to inform practice
ADPIE
Assessment (see, hear, feel)
(what meds do you take? why are you here? Did anything happen
in the past couple of days) (ex: headache just developed after a
Nursing process IMPORTANT
car accident)
Diagnosis (analysis) (ex: head injury)
, Planning (Telling the doctor the patient may need a CT scan)
Implementation (Start IV and get ready for CT) (Taking action)
Evaluation (Gets CT and gives medicine to have less of a headache)
Happens during the care of the patient
Reflection in action -Observing a patients reaction and deciding if that action has
helped with the primary concern
1. Nurse's knowledge. experience, ethical perspective, and knowing the
patient
Tanner clinical judgement model 2. Noticing (assessment) do not use your family or your symptoms as a
basis
3. Interpreting (analyzing and planning)
4. Responding (implementation)
5. Reflecting (evaluation)
Happens after the patient care occurs
Reflection on action -To see what went well or what could be better after the fact
-Usually with other people and usually about performance improvement
-Layer 0 through 2 is the basis of how the clinical judgment is made
Clinical judgement measurement
model -Layer 3 and 4 is what one expects from a nurse during study or in the
room
