Online Exam 1
Exemplars- Clinical Judgement
Clinical Skills (Assessing Wound/Dressing Decisions Timing and Clustering of Daily
Care)
Urgent/Emergent Situations (Start Oxygen, Recognize Anaphylaxis, Failure to Rescue,
Rapid Response Team)
Medication Management
When to Contact Physician or Other Health Care Provider
Objectives-
Discuss (including definitions) the context, background, and relationship factors per
Tanner's model in terms of their impact on nurses' clinical reasoning patterns in the
clinical environment.
Describe the three (3) components of knowledge as described by Tanner from which the
nurse's "expectation" or "noticing" of the clinical situation is derived.
Explain the terms "interpreting" and "responding" as defined by Tanner.
Discuss "reflection-in-action" and "reflection-on-action" as described by Tanner.
Explain the application of Clinical Judgment to the exemplars Clinical Skills,
Urgent/Emergent Situations, Medication Management, and When to Contact Physician
or Other Health Care Provider
Vocabulary-
Critical Thinking- Thinking carefully before you act. Look at all info, think of different
options and choose the best solution
Ex; A pt says they feel off. Instead of ignoring you
● Ask questions
● Check vitals
● Review history
Clinical Judgement- Included in Critical thinking. Deciding what to do for THIS pt in
THIS situation
Ex; Two pts with the same diagnosis but one is sicker, you adjust care for the sicker pt
Nursing Process- ADPIE
Assess- Gather info
Diagnose- identify pts problems
Plan- set goals of care and desired outcomes
Implement- perform the nursing actions identified in the plan
Evaluate- Determine if goals and expected outcomes are achieved
, Tanners 4 Domains of Clinical Judgement-
Noticing- What do I see?
● Changes in vitals
● Behavior
● Symptoms
● Patients complaints “something doesnt’t feel right”
Interpreting- What does it mean?
● Analyze date
● Connect symptoms
● Figure out the problem “Why is this happening”
Responding- What will I do?
● Give meds
● Intervene
● Educate
● Call the provider "Here's my action”
Reflecting- How did I do?
● Did it work?
● What could I improve?
● What did I learn/ Do better next time?
Exemplar Delegation-
Objectives-
Explain the correlation between delegation to the concept of Leadership and Management
(including compromised antecedents, deficit measurement in attributes, a list of negative
consequences, and the interrelated concepts which may be involved).
● Leadership with delegation reflects being able to empower team members, build
trust, and communicate responsibilities clearly (influences others)
● Management with delegation organizes workflow and helps distribute workFLOW
which makes the unit more efficient (organizes work)
Analyze conditions in which the professional nurse utilizes and/or experiences leadership
and management resulting in delegation.
● When workload is high
● Team members have different skills
● Patient acuity varies
● Organizational goals require efficiency
Exemplars- Clinical Judgement
Clinical Skills (Assessing Wound/Dressing Decisions Timing and Clustering of Daily
Care)
Urgent/Emergent Situations (Start Oxygen, Recognize Anaphylaxis, Failure to Rescue,
Rapid Response Team)
Medication Management
When to Contact Physician or Other Health Care Provider
Objectives-
Discuss (including definitions) the context, background, and relationship factors per
Tanner's model in terms of their impact on nurses' clinical reasoning patterns in the
clinical environment.
Describe the three (3) components of knowledge as described by Tanner from which the
nurse's "expectation" or "noticing" of the clinical situation is derived.
Explain the terms "interpreting" and "responding" as defined by Tanner.
Discuss "reflection-in-action" and "reflection-on-action" as described by Tanner.
Explain the application of Clinical Judgment to the exemplars Clinical Skills,
Urgent/Emergent Situations, Medication Management, and When to Contact Physician
or Other Health Care Provider
Vocabulary-
Critical Thinking- Thinking carefully before you act. Look at all info, think of different
options and choose the best solution
Ex; A pt says they feel off. Instead of ignoring you
● Ask questions
● Check vitals
● Review history
Clinical Judgement- Included in Critical thinking. Deciding what to do for THIS pt in
THIS situation
Ex; Two pts with the same diagnosis but one is sicker, you adjust care for the sicker pt
Nursing Process- ADPIE
Assess- Gather info
Diagnose- identify pts problems
Plan- set goals of care and desired outcomes
Implement- perform the nursing actions identified in the plan
Evaluate- Determine if goals and expected outcomes are achieved
, Tanners 4 Domains of Clinical Judgement-
Noticing- What do I see?
● Changes in vitals
● Behavior
● Symptoms
● Patients complaints “something doesnt’t feel right”
Interpreting- What does it mean?
● Analyze date
● Connect symptoms
● Figure out the problem “Why is this happening”
Responding- What will I do?
● Give meds
● Intervene
● Educate
● Call the provider "Here's my action”
Reflecting- How did I do?
● Did it work?
● What could I improve?
● What did I learn/ Do better next time?
Exemplar Delegation-
Objectives-
Explain the correlation between delegation to the concept of Leadership and Management
(including compromised antecedents, deficit measurement in attributes, a list of negative
consequences, and the interrelated concepts which may be involved).
● Leadership with delegation reflects being able to empower team members, build
trust, and communicate responsibilities clearly (influences others)
● Management with delegation organizes workflow and helps distribute workFLOW
which makes the unit more efficient (organizes work)
Analyze conditions in which the professional nurse utilizes and/or experiences leadership
and management resulting in delegation.
● When workload is high
● Team members have different skills
● Patient acuity varies
● Organizational goals require efficiency
