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Exam (elaborations)

Hondros Nur 155 final Questions and Answers Latest [100% correct answers] 2024

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Tanner's Model of Clinical Judgement - Answer-A model based on how a nurse THINKS, it explains the 4 steps in the critical thinking process that nurses use to solve any problem: Noticing Interpereting Responding Reflecting Nursing Process - Answer-Uses the Scientific Method to complete a Step by step approach to PROVIDE PATIENT centered care: ADPIE Assessment Diagnosis -RN only Planning/Outcomes Implementation Evaluation Why study Critical Thinking? - Answer-Thinking with a purpose, know why you do what you do. Discipline specific reasoning process that ensures a nurse is generating, implementing, and evaluation approaches. Benner's Theory of Stages of Clinical Competence - Answer-5 Stages of developing nursing clinical competence: Stage 1: Novice Stage 2: Advanced Beginner Stage 3: Competent Stage 4: Proficient Stage 5: Expert Credit to Stage 1: Novice - Answer-Nursing Student in first year of clinical education; limited and inflexible, rule based, limited ability to predict what might happen in a particular situation.Credit to Stage 2: Advanced Beginner - Answer-New grads in their first jobs, nurses have more experience and are able to recognize recurrent, meaningful components of a situation. They have the knowledge and the knowhow but not the in-depth experience. Credit to Stage 5: Expert - Answer-Nurses that are able to recognize demands and resources in situations and attain their goals. No longer do they rely solely on rules to guide actions under certain situations. They area able to intuitively grasp the situation based on their deep knowledge and experience. Credit to Noticing - Answer-First step of Tanner's model of clinical judgement. 1. Identifying signs and symptoms 2. Gathering complete and accurate data 3. Assessing systematically and comprehensively 4. Predicting and managing potential complications 5. Identifying assumptions Noticing-1. Identifying signs and symptoms - Answer-The ability to recognize that a situation is different, changed, and not of a normal state. Indcates that something is different than expected. Noticing-2. Gathering complete and accurate data - Answer-Collecting pertinent data from various sources. This data is used as the basis for identifying issues/concerns, solving problems, and making decisions. Must verify that data is complete and accurate. Noticing-3. Assessing systematically and comprehensively - Answer-An organized manner to collect data to make sure nothing is omitted or forgotten. Examining the whole, piece-by-piece in a thorough manner. Noticing-4.Predicting and managing potential complications - Answer-Looking at the big picture to consider possible complications for an individual patient. Must know common complications and consider individual differences. In Noticing, you are predicting complications, which means you are identifying possible problems.Noticing-5. Identifying assumptions - Answer-Taking something for granted or hastily arriving at a conclusion without supporting evidence. A misconception. Nursing Process Assessment - Answer-Observe and report to Charge Nurse or HCP. Determine risk for injury or infection.

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