NUR 226 - MOD 1 (Interviewing, Health History, Mental Status Exam) A+ Guaranteed.

Discuss the role of assessment as the starting point of all models of clinical reasoning. correct answers Assessment is the collection of data about the individual's health state. subjective data = what a person says about his/her health objective data = what a health professional observes during examination *an organized assessment is the starting point of diagnostic reasoning - must be factual & complete database correct answers subjective data + objective data + lab studies; from this you make a clinical judgement/diagnosis novice practitioner correct answers has no experience with a specified patient population and uses rules to guide performance proficient practitioner correct answers has more time and experience; understands a patient situation as a whole rather than a list of tasks; can see long-term goals for the patient expert practitioner correct answers can bypass earlier steps and arrive at a clinical judgement; has an intuitive grasp of a clinical situation and zeroes in on the accurate solution Describe the use of critical thinking in diagnostic reasoning and clinical judgement correct answers -helps us move from novice to expert -means by which we learn to assess & modify, before acting -critical thinking is required for sound diagnostic reasoning and clinical judgement case studies & simulations encourage critical thinking with students -requires you to put important assessment clues together to determine the most likely cause of a clinical problem and develop a solution diagnostic reasoning correct answers = process of analyzing health data and drawing conclusions to identify diagnosis; involves hypothesis forming and deductive reasoning critical thinking correct answers - goes beyond knowing the pathophysiology of a disease process and requires putting important assessment cues together to determine the cause of a problem and develop a solution; a multidimensional thinking process, not linear 1st level priority problems correct answers emergent, life-threatening, and immediate; check ABC's (cardiac, airway, circulation) 2nd level priority problems correct answers requires prompt intervention to forestall further deterioration; would see changed mental status, acute pain, abnormal lab values