Answers
Clinical judgement The observed outcome of critical thinking and decision making
the nursing process Assessment
Diagnosis
Planning
Implementation
Evaluation
6 functions of clinical judgement 1. recognize cues ( what matters most)
2. analyze cues (what does it mean)
3. prioritize hypotheses (where do i start)
4. generate solutions (what can i do)
5. take action (what will i do)
6. evaluate outcomes (did it help)
communication process the steps between a source and a receiver that result in the transfer and
understanding of meaning
what are some factors that affect communication? Personal space, body position, language, culture, attitude, and emotion.
communication model source, message, channel, receiver
Example of a source communication attitudes, knowledge
example of a message content, elements, treatment
, example of a channel hearing, seeing, touching
example of a receiver knowledge, attitudes (nurse)
8 ways in which people communicate nonverbally appearance, posture, gait, facial expressions, eye contact, gestures, sounds,
territoriality, personal space
what are some barriers to effective communication asking irrelevant personal questions, offering personal opinions, giving advice,
giving false reassurance, minimizing feelings, changing the topic, asking "why",
offering value judgments, excessive questioning, and responding approvingly or
disapprovingly
what is a stressor? examples •is an external influence that threatens to disrupt equilibrium that is needed for
homeostasis
What is coping? efforts to master, reduce, or tolerate the demands created by stress
what are the 3 stages of stress? alarm, resistance, exhaustion
alarm stage example A nurse hears a patient's monitor alarm suddenly → heart races, attention sharpens
Resistance stage of stress Body tries to recover from the alarm stage- body may become tired
Vital signs slightly elevated
Irritability or fatigue
Continued focus and effort
studying for a week
exhaustion stage stress - At this point, individual becomes more susceptible to illness and medical
conditions; organ systems begin deteriorating and in extreme cases death
Chronic nursing burnout after months in a stressful unit
chronic stress stress associated with long-term problems that are beyond a person's control
chronic stress examples •Eating disorders
• PTSD
• Somatic symptom disorders
• Exacerbate chronic illnesses such as hypertension and colitis