Nur 635 Final Exam Preparation Newest With
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Tanner's Model of Clinical Judgement - ANSWER-A model based on
how a nurse THINKS, it explains the 4 steps in the critical thinking
process that nurses use to solve any problem:
Noticing
Interpereting
Responding
Reflecting
Nursing Process - ANSWER-Uses the Scientific Method to complete a
Step by step approach to PROVIDE PATIENT centered care: ADPIE
Assessment
Diagnosis -RN only
Planning/Outcomes
Implementation
Evaluation
Why study Critical Thinking? - ANSWER-Thinking with a purpose,
know why you do what you do.
Discipline specific reasoning process that ensures a nurse is generating,
implementing, and evaluation approaches.
Benner's Theory of Stages of Clinical Competence - ANSWER-5 Stages
of developing nursing clinical competence:
Stage 1: Novice
Stage 2: Advanced Beginner
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Stage 3: Competent
Stage 4: Proficient
Stage 5: Expert
Credit to nursing-theory.org
Stage 1: Novice - ANSWER-Nursing Student in first year of clinical
education; limited and inflexible, rule based, limited ability to predict
what might happen in a particular situation.
Credit to nursing-theory.org
Stage 2: Advanced Beginner - ANSWER-New grads in their first jobs,
nurses have more experience and are able to recognize recurrent,
meaningful components of a situation. They have the knowledge and the
knowhow but not the in-depth experience.
Credit to nursing-theory.org
Stage 5: Expert - ANSWER-Nurses that are able to recognize demands
and resources in situations and attain their goals. No longer do they rely
solely on rules to guide actions under certain situations. They area able
to intuitively grasp the situation based on their deep knowledge and
experience.
Credit to nursing-theory.org
Noticing - ANSWER-First step of Tanner's model of clinical judgement.
1. Identifying signs and symptoms
2. Gathering complete and accurate data
3. Assessing systematically and comprehensively
4. Predicting and managing potential complications
5. Identifying assumptions
Noticing-1. Identifying signs and symptoms - ANSWER-The ability to
recognize that a situation is different, changed, and not of a normal state.
Indcates that something is different than expected.
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Noticing-2. Gathering complete and accurate data - ANSWERCollecting
pertinent data from various sources. This data is used as the basis for
identifying issues/concerns, solving problems, and making decisions.
Must verify that data is complete and accurate.
Noticing-3. Assessing systematically and comprehensively -
ANSWERAn organized manner to collect data to make sure nothing is
omitted or forgotten. Examining the whole, piece-by-piece in a thorough
manner.
Noticing-4.Predicting and managing potential complications -
ANSWER-Looking at the big picture to consider possible complications
for an individual patient. Must know common complications and
consider individual differences. In Noticing, you are predicting
complications, which means you are identifying possible problems.
Noticing-5. Identifying assumptions - ANSWER-Taking something for
granted or hastily arriving at a conclusion without supporting evidence.
A misconception.
Nursing Process Assessment - ANSWER-Observe and report to Charge
Nurse or HCP. Determine risk for injury or infection.
Nursing Process Diagnosis - ANSWER-Assist with accurate diagnosis.
Gather data to confirm or eliminate problems. Specific causes of safety
risk to an individual.
Nursing Process Planning/Outcomes Identifications - ANSWER-Assist
with setting priorities and goals, suggestions interventions. To prevent
threats to safety.
Nursing Process Implementation - ANSWER-Carry out planned
interventions. Interventions, education, environment/development
considerations.
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Nursing Process Evaluation - ANSWER-Assist with re-evaluation and
make suggestions. Compare response/results to the original goals, plan
of care.
Data Collection-Scope of Practice - ANSWER-LPN's collect data, RN's
complete Assessments.
Main Assessments - ANSWER-3 types:
Focus Assessment
Systemic Assessment
Head to Toe Assessment
Focus Assessment - ANSWER-Focusses on one body part.
example: Heart, Lung, Stomach, etc...
Systemic Assessment - ANSWER-Focusses on one body system.
example: Respiratory, Digestive, Cardiac, etc...
Head to Toe Assessment - ANSWER-Total body examination.
Parts of Clinical Thinking - ANSWER--Assess/learn/gain knowledge
-Understand and ask questions
-Store information/memorize
-Recall information/bring it back
-Know what to do when information isn't in memory (know where to
look it up)
-Draw your own conclusion
Humble Attitude - ANSWER-We don't know everything.
2 main types of data - ANSWER-Objective vs Subjective