Dynamic Study Module -The Concept of Clinical Decision Making Questions and Correct Answers

The nurse with 15 years of obstetric experience is caring for a patient in labor who is reporting extreme pain. The nurse knows that the patient is likely getting very close to delivery but asks the provider to come and evaluate the patient. Which decision-making process is reflected in this situation? Intuition The nurse manager is preparing an annual performance appraisal for a staff nurse who has worked on a medical-surgical care area for 2 years. The manager determines that the staff nurse's level of proficiency is competent. Which action by the staff nurse prompts the manager to make this decision? Focused on a specific patient problem when planning care Which clinical situation best exemplifies the nurse who is choosing between alternatives when making a clinical decision? The nurse administers an intravenous (IV) narcotic instead of an oral narcotic. The nurse auscultates a patient's breath sounds after the patient receives an albuterol nebulizer treatment secondary to wheezing. The nurse finds that the patient is still wheezing despite the therapy. Which aspect of Tanner's clinical judgment model is the nurse displaying? Noticing The nurse is looking at ways to help infants in the healthcare process. Which intervention is appropriate for this age group? Place cots for parents to stay over in all patient rooms. The nurse educator is reviewing Tanner's clinical decision-making model and asks the students about the purpose of reflecting. Which response by a student is correct? "To learn from actions in order to make adjustments to future practice" The nurse manager is looking at models of clinical judgment to use as an employee assessment tool. The nurse manager wishes to use a model that can evaluate clinical competence in the workplace. Which is best suited for the job? Benner's skill acquisition model The nurse is beginning a new shift and is reviewing the report given by the previous nurse.