144 Questions and Answers(A+ Solution guide)
Complete assessment - -A review and physical examination of all body systems, for
stable patients only
clinical judgment - -"Thinking Like A Nurse". integral to the Safety of pt. Interpretation
or conclusion about a patient's 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 patient's response.
Database - -Completed health history and physical examination, large store or bank
of info
clinical reasoning - -is the thinking process by which a nurse reaches a clinical
judgement. an iterative process of noticing, interpreting, and responding- reasoning in
transition with a fine attunement to the patient and how the patient responds to the nurses
action
Psychosocial history - -Psychological and social factors
evidence-based practice - -clinical decision making that integrates the best
available research with clinical expertise and patient characteristics and preferences
1st method of data collection - -Interiew patient, health history. Patient is your
primary source
Tanner's Model - -Noticing
Interpreting
, Critical thinking nur 200 exam 1 critical thinking Exam |
144 Questions and Answers(A+ Solution guide)
Responding
Reflecting
2nd method of data collection - -Physical examination ( guided by subjective and
objective)
noticing (tanners model) - -identify s/s, gather complete and accurate data,
assessing systematically and comprehensively, *predicting (and managing) potential
complications, identifying assumptions
Concepts of clinical judgment - -1. Safety
2. Healthcare quality
3. Leadership
4. Patient education
5. Evidence
6. Professionalism
7. Care coordination
objective data (noticing) - -information that is seen, heard, felt, or smelled by an
observer; signs
Analytic reasoning - -Situation is unfamiliar
, Critical thinking nur 200 exam 1 critical thinking Exam |
144 Questions and Answers(A+ Solution guide)
subjective data (noticing) - -things a person tells you about that you cannot observe
through your senses; symptoms
Intuitive reasoning - -Able to recognize the situation immedialy. Pattern based
factors that influence "Noticing" - --intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
Narrative reasoning - -Situation to patient experience with illness.
Interpreting (tanners) - -comparing and contrast data, clustering related information,
recognizing inconsistencies, checking accuracy, distinguishing relevant from irrelevant,
determine importance of info, judge how much ambiguity is acceptable (ie b/p dt
condition), determine legal ethical professional guidelines, (predicting and) *managing
potential complications
Noticing - -1. Identify signs and symptoms
2. Complete and accurate date
3. Assessing systemically and comprehensively
4. Predicting and managing patient complications
5. Identifying assumptions