AND CORRECT ANSWERS
Clinical Judgement - CORRECT ANSWER *interpretations and inferences that influence
actions in clinical practice
- An interpretation or conclusion about a patients needs, concerns, or health problems, and/or the
decision to take action(or not), use or modify standard approaches, or improvise new ones as deemed
appropriate by the patients response.
Clinical reasoning - CORRECT ANSWER the thinking process by which a nurse reaches a
clinical judgement
-TANNERS
Clinical judgement requires - CORRECT ANSWER nurse recognize the unique situation of the
patient using deep knowledge
-profund understanding of clinical situation
Scope of clinical judgment - CORRECT ANSWER Standards based approach
Evidence based practice and clinical judgment
Interpretivist perspective
Standards-based approaches and clinical judgement - CORRECT ANSWER Nurse uses
ALGORITHMS
-novice nurse typically uses this
-provides clear cut guidance
USED IN CRISIS/EMERGENCIES (think how to do CPR)-algorithm
CONS
-Does not allow change in professional calls (cannot think creatively)
, Evidence-based practice and clinical judgement - CORRECT ANSWER BASED ON
RESEARCH= BETTER OUTCOMES
Combines best available scientific evidence with best available patient and practitioner experiential
evidence - interested in optimal outcomes
-nurse must accurately perform these
ex: Handwashing , sterile procedures, BP assessment, No foley when incontinent (all set acceptable
expectations)
Interpretivist Perspective - CORRECT ANSWER Understands nursing care is not linear
-considers multiple complex variables for clinical reasoning.
-uses life experiences and culture when giving care
Nursing process and clinical judgement - CORRECT ANSWER ADPIE
-what nurses DO
TANNERS (clinical judgement)
-how nurses THINK
Attributes and Criteria - CORRECT ANSWER -holistic view of patient situation
-process orientation
-reasoning and interpretation
-Ethical comportment
Holistic view of patient situation - CORRECT ANSWER Nurse must consider all factors
involved in patient care
VIEW PATIENT AS A WHOLE
ex: patients belief system, socioeconomic status
Process orientation - CORRECT ANSWER Clinical judgment is circular NOT LINEAR
-nurse moves from interpretation to responding to reflecting and back to responding