Answers
Question: What is clinical decision making?
Correct Answer: -a process nurses use in the clinical setting to evaluate and select the best actions to meet
desired goals -decisions may not always be clear -based on who, what, when, where and why -may need to
choose alternative action for positive patient outcome
Question: what is critical thinking in nursing?
Correct Answer: A combination of: Reasoned thinking Openness to alternatives Ability to reflect A desire
to seek truth -using evidence based practice -need to be flexible, nonjudgmental, inquisitive, honest and
interested in finding the truth
Question: how is problem solving used in nursing?
Correct Answer: it is used to consider an issue and attempt to find suitable solution for the best outcome
Question: clinical reasoning in nursing
Correct Answer: : -reflective, concurrent, and creative thinking about patients and their care -reasoning is
logical thinking linking thoughts together to create meaning -it is part of the nursing process
Question: clinical judgement
Correct Answer: : -interpretive thinking about patient needs or concerns -allows the nurse to tailor
interventions and care around patient response to prior care. -clinical reasoning to make clinical
judgements. -decision making after evaluation of effects from prior care decisions implemented
Question: What is Berner's Model?
Correct Answer: -a process by which a nurse acquires clinical skills and judgement -helps guide the idea
that expertise is a personal application of knowledge -progression is not automatic -model assumes that
improvement of skill and judgement aligns with knowledge to clinical situation -take in information from
multiple sources and notice the slight changes
Question: 5 stages of the Benner's model
Correct Answer: : Novice: onset of education. minimal clinical experience, task oriented, focused on rules
and written processes Advanced beginner: Average new grad level. Begins to focus on more aspects of
clinical situation and application of facts Competence: achieved after 2-3 years of practice. gained
experience, can handle patient load, complexity and prioritize. Proficient: can take in all aspects of the
situation and immediately give meaning to assessment data. Expert- Able to see what needs to be achieved
and how. Trust in and use intuition while utilizing deep understanding of the situation
Question: What can community refer to?
Correct Answer: -can refer to a site where healthcare is available or recipients of healthcare -healthcare or
rehabilitative services performed outside of the hospital setting. 3 approaches: -community health nursing
-public health nursing -community- oriented nursing
Question: community health nursing
Correct Answer: : nursing practice in the community, with the primary focus on the health care of
individuals, families, and groups in a community. The goal is to preserve, protect, promote, or maintain
, health
Question: public health nursing
Correct Answer: : focuses on community as a whole and how the community health status effects
individuals, families and groups -goal: prevent individual disease and disability along with promoting and
protecting overall health -needs to possess many skills -gov based agency usually
Question: community oriented nursing
Correct Answer: -combines parts of community and public health nursing. -focuses on health promotion,
illness prevention, early detection, and treatment in the community setting. -evidence- based and
collaborative with many community health disciplines -comprehensive view of individual, family, and
community
Question: Primary interventions
Correct Answer: : Educate collaborate lobby
Question: Secondary Interventions
Correct Answer: -screenings to reduce the impact of disease process with early detection and treatment
Question: Tertiary Intervention
Correct Answer: -halt disease progression or restore function to pre-disease state -clinically apparent and
patient debilitation is likely without intervention -require collaboration with other members of the
healthcare team
Question: standard of care
Correct Answer: : -what a reasonable and prudent nurse would do in the same or similar scenario derived
from: -Nurse Practice Act -Professional Organizations -The Joint Commission
Question: criminal law
Correct Answer: : -an offence against society
Question: tort law
Correct Answer: Law that deals with harm to a person or a person's property.
Question: Quasi-intentional torts
Correct Answer: -Breach of confidentiality -Defamation of character
Question: slander
Correct Answer: oral defamation of character
Question: libel
Correct Answer: written defamatory statements
Question: false imprisonment
Correct Answer: restraining an individual or restricting an individual's freedom
Question: What is substance use disorder?
Correct Answer: Use of a substance in amounts that are harmful to self or others and impacts individual,
family, and community.