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HONDROS N155 CRITICAL
THINKING FINAL, 200 EXAM 1
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CRITICAL THINKING
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QUESTIONS AND CORRECT
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VERIFIED ANSWERS LATEST
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UPDATE
,clinical judgment - ANS "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.
clinical reasoning - ANS 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
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evidence-based practice - ANS clinical decision making that integrates the best
available research with clinical expertise and patient characteristics and preferences
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Tanner's Model - ANS Noticing
Interpreting
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Responding
Reflecting
noticing (tanners model) - ANS identify s/s, gather complete and accurate data,
assessing systematically and comprehensively, *predicting (and managing) potential
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complications, identifying assumptions
factors that influence "Noticing" - ANS -intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
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-context or environment of care
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analytic reasoning (interpreting) - ANS based on theoretical knowledge. nurse makes a
hypothesis or best guess about the pt care situation and then tests. typically students
and novice nurses
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intuitive reasoning (interpreting) - ANS based on unstated but understood knowledge
about the pt, the care giving context, and their previous experiences. typically expert
nurse.
narrative reasoning (interpreting) - ANS way of making sense of a situation through
telling and interpreting stories. nurse hears pt stories of past medical experiences, helps
nurse understand specific pt experiences, setting the stage for individualized care
,reflecting-in-action (reflect) - ANS understanding of patients response to nursing
actions while care is occurring. "real time" during pt care. determine pt statues and
adjust care accordingly.
reflecting-on-action (reflect) - ANS consideration of situation after the care occurs.
contemplate a situation and decide what was and wasn't successful. critical for
development of knowledge.
interrelated concepts of clinical judgment - ANS
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critical thinking - ANS ability to think in a systematically and logical manner with
openness to question and reflect on the reasoning process. ask "why, what am i
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missing"
critical thinking in nursing process - ANS go hand in hand in making quality decisions
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about patient care. knowledge, standards, attitudes, experience
nursing process - ANS Assessment
Diagnosis
Planning
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Implementation
Evaluation
assessment (nursing process) - ANS 1- collection of info from primary source (pt) and
secondary (family, friends, health professionals, medical record).
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2- interpretation and validation of data to ensure a complete data base
subjective and objective
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Cue and Inference (assessment) - ANS Cue is information that you obtain through use
of senses. Inference is your judgment or interpretation of these cues.
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diagnosis (nursing process) - ANS clinical judgment concerning a human response to
health conditions/ life process, or vulnerability. Educated judgment about health
concern. use NANDA. used to make care plan
Types of Nursing Diagnoses (diagnosis) - ANS Actual
Risk
Possible
Wellness
Syndrome
, 3 part nursing diagnosis (diagnosis) - ANS P:problem; ex impaired physical mobility
E: etiology/ related factor; ex incisional pain
S: symptom or defining characteristics; ex evidence by restricted turning and positioning
planning (nursing process) - ANS collaborates with pt, family, and the rest of the health
care team to determine the urgency of the identified problems and prioritizes patients
needs.
care plan (planning) - ANS Assessment, nursing diagnosis, interventions, evaluation
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care plan for each diagnosis. patients involved with planning. increase communication
between staff. goals and expected outcomes need to be S.M.A.R.T specific,
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measurable, attainable, realistic, timed.
goal (planning) - ANS broad statement that describes a desired change in a pt
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conditions, perception, or behavior. ex "pt will understand postoperative risks"
expected outcome (planning) - ANS is the measurable change (pt behavior, physical
state, or perception) that must be achieved to reach a goal. sometimes several
expected outcome need to be met for a single goal. "measure how many out of 3
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questions the pt answers correct for infection identification"
interventions (care plan) - ANS independent- a nurse initiates, dependent- require and
order, collaborative- require the combined knowledge, skill, and expertise of multiple
providers.
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Includes; actions, frequency, quantity, method, and person to perform them
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implementation (nursing process) - ANS putting plan into action. reassessing, review
and revise care plan,
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standing order - ANS preprinted document containing orders for routine therapies,
monitoring guidelines, and or diagnostic procedures for specific patients with identical
problems.
delegation (implementation) - ANS transferring to a competent individual the authority
to perform a selected nursing task. assess, plan, supervise, and evaluate
evaluation (nursing process) - ANS determine if the plan is successful. if the pt is
improving. reassessment. care plan revision, discontinue/modify. document results.