Clinical Decision Making Practice Test Questions and Correct Answers

What does ADPIE stand for? Assess, Diagnose, Plan, Implement, Evaluate What do we do when "assessing" a patient? Conduct interview, collect nursing health history, Perform vital signs and physical assessment, and document assessment data. What do we do when "diagnosing" a patient? Analyze database, Determine conclusions, assign diagnostic labels, determine causative factors, formulate the diagnostic statement. What do we do when "planning" a patients care? establish priorities, establish goals, formulate expected outcomes, identify nursing interventions, formulate the plan of care. How do we "implement" patent care? start with the assessment, organize and be specific when writing out interventions, each intervention should include who, what, why, when, and how often. How do we "evaluate" the patients care plan? review the outcome criteria, collect data related to outcome criteria, compare data and determine wether outcomes were attained, summarize inferences regarding the evaluation, take appropriate action based on evaluation outcomes. What does decision making require? critical thinking and the nursing process. Decision making skills separate professional nurses from _________ and ___________. technical and ancillary staff. Patients often have problems for which no ___________ answers exist. textbooks Nurses need to seek _________, act ________, and make __________ clinical decisions. Knowledge, quickly, sound. What is critical thinking? A continuous process characterized by open-mindedness, continual inquiry, and perseverance, combined with a willingness to look at each unique patient situation and determine which identified assumptions are true and relevant What are key requirements to becoming a critical thinker? maintain questioning attitude, use "why" statements, developing good habits of inquiry/ know rationales, healthy skepticism.