NUR 155 NARRATIVE EXAM
QUESTIONS & ANSWERS (RATED A+)
What are the 4 stages of Tanner's Model? - ANSWER1. Noticing
2. Interpreting
3. Responding
4. Reflecting
What are the thinking skills for Noticing in Tanner's Model? - ANSWER1. 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 thinking skill *PREDICTING (AND MANAGING) POTENTIAL
COMPLICATIONS* - ANSWERLooking 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 thinking skill *IDENTIFYING ASSUMPTIONS* - ANSWERTaking something
for granted or hastily arriving at a conclusion without supporting evidence. A
misconception.
What is an abnormal ESS score? - ANSWERA sum of 9 or more from the eight
individual scores reflects above normal daytime sleepiness and need for further
evaluation.
What is incident reporting? - ANSWERAn incident report is a tool that documents
any event that may or may not have caused injuries to a person or damage to a
company asset. It is used to capture injuries and accidents, near misses, property
and equipment damage, health and safety issues, security breaches and workplace
misconduct.
What is the importance of incident reporting? - ANSWERIncident reporting can act
as a "heads up" to management that helps identify potential problem areas that need
to be fixed. Prompt reporting provides management with a historic record of the facts
when the incident occurs. As time passes facts become clouded, and recollection of
details fades.
What are the thinking skills for Interpreting in Tanner's model? - ANSWER1.
Clustering related information
2. Recognizing inconsistencies
3. Checking accuracy
, 4. Separating relevant and irrelevant data
5. Judging how much ambiguity is acceptable
6. Following legal and professional guidelines
Interpreting thinking skill *CLUSTERING RELATED INFORMATION* -
ANSWERGrouping together information with a common theme. A method of
organizing data so that you put related things together in order to better understand
the situation.
Interpreting thinking skill *RECOGNIZING INCONSISTENCIES* -
ANSWERIdentifying mismatched data. Seeing if subjective data and objective data
support each other.
Interpreting thinking skill *CHECKING ACCURACY AND RELIABILITY* -
ANSWERRealizing that something doesn't seem quite right and taking action to
determine if it is accurate or not. Sounds suspicious and looking further into it.
Interpreting thinking skill *DISTINGUISHING RELEVANT FROM IRRELEVANT* -
ANSWERDeciding which information is pertinent or connects to the matter at hand.
Nurses sort out what information relates to the current problem or situation.
Interpreting thinking skill *DETERMINING THE IMPORTANCE OF INFORMATION* -
ANSWERNurses must be about to sort through clinical noise, act on important
information, and disregard what's not important. Evaluate information to identify a
possible new issue/problem that was not previously identified. Figure out what is new
or what has changed.
Interpreting thinking skill *COMPARING AND CONTRASTING* - ANSWERLooking
at two similar cases, identifying the subtle differences, and acting on them.
Interpreting thinking skill *(PREDICTING AND) MANAGING POTENTIAL
COMPLICATIONS* - ANSWERLooking at the big picture to consider possible
complications for an individual patient. Must know common complications and
consider individual differences. In interpreting, you are planning interventions to help
manage or reduce the risk of complications.
Interpreting thinking skill *JUDGING HOW MUCH AMBIGUITY IS ACCEPTABLE* -
ANSWERAmbiguity refers to an unclear, uncertain, or vague situation. How much
wiggle room do you have when applying a rule to a particular situation? The nurse
looks at a patient situation and assessment data to determine if assessment
measures are acceptable for that specific patient.
Interpreting thinking skill *USING LEGAL, ETHICAL & PROFESSIONAL
GUIDELINES* - ANSWERNurses must consider legal, ethical, and professional
guidelines when providing care. Nurses must work within the legal guidelines of the
state's nurse practice act, as well as make judgments based on ethical and
professional guidelines.
What are the thinking skill(s) for Responding in Tanner's model? - ANSWER1.
Setting priorities and delegating them
QUESTIONS & ANSWERS (RATED A+)
What are the 4 stages of Tanner's Model? - ANSWER1. Noticing
2. Interpreting
3. Responding
4. Reflecting
What are the thinking skills for Noticing in Tanner's Model? - ANSWER1. 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 thinking skill *PREDICTING (AND MANAGING) POTENTIAL
COMPLICATIONS* - ANSWERLooking 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 thinking skill *IDENTIFYING ASSUMPTIONS* - ANSWERTaking something
for granted or hastily arriving at a conclusion without supporting evidence. A
misconception.
What is an abnormal ESS score? - ANSWERA sum of 9 or more from the eight
individual scores reflects above normal daytime sleepiness and need for further
evaluation.
What is incident reporting? - ANSWERAn incident report is a tool that documents
any event that may or may not have caused injuries to a person or damage to a
company asset. It is used to capture injuries and accidents, near misses, property
and equipment damage, health and safety issues, security breaches and workplace
misconduct.
What is the importance of incident reporting? - ANSWERIncident reporting can act
as a "heads up" to management that helps identify potential problem areas that need
to be fixed. Prompt reporting provides management with a historic record of the facts
when the incident occurs. As time passes facts become clouded, and recollection of
details fades.
What are the thinking skills for Interpreting in Tanner's model? - ANSWER1.
Clustering related information
2. Recognizing inconsistencies
3. Checking accuracy
, 4. Separating relevant and irrelevant data
5. Judging how much ambiguity is acceptable
6. Following legal and professional guidelines
Interpreting thinking skill *CLUSTERING RELATED INFORMATION* -
ANSWERGrouping together information with a common theme. A method of
organizing data so that you put related things together in order to better understand
the situation.
Interpreting thinking skill *RECOGNIZING INCONSISTENCIES* -
ANSWERIdentifying mismatched data. Seeing if subjective data and objective data
support each other.
Interpreting thinking skill *CHECKING ACCURACY AND RELIABILITY* -
ANSWERRealizing that something doesn't seem quite right and taking action to
determine if it is accurate or not. Sounds suspicious and looking further into it.
Interpreting thinking skill *DISTINGUISHING RELEVANT FROM IRRELEVANT* -
ANSWERDeciding which information is pertinent or connects to the matter at hand.
Nurses sort out what information relates to the current problem or situation.
Interpreting thinking skill *DETERMINING THE IMPORTANCE OF INFORMATION* -
ANSWERNurses must be about to sort through clinical noise, act on important
information, and disregard what's not important. Evaluate information to identify a
possible new issue/problem that was not previously identified. Figure out what is new
or what has changed.
Interpreting thinking skill *COMPARING AND CONTRASTING* - ANSWERLooking
at two similar cases, identifying the subtle differences, and acting on them.
Interpreting thinking skill *(PREDICTING AND) MANAGING POTENTIAL
COMPLICATIONS* - ANSWERLooking at the big picture to consider possible
complications for an individual patient. Must know common complications and
consider individual differences. In interpreting, you are planning interventions to help
manage or reduce the risk of complications.
Interpreting thinking skill *JUDGING HOW MUCH AMBIGUITY IS ACCEPTABLE* -
ANSWERAmbiguity refers to an unclear, uncertain, or vague situation. How much
wiggle room do you have when applying a rule to a particular situation? The nurse
looks at a patient situation and assessment data to determine if assessment
measures are acceptable for that specific patient.
Interpreting thinking skill *USING LEGAL, ETHICAL & PROFESSIONAL
GUIDELINES* - ANSWERNurses must consider legal, ethical, and professional
guidelines when providing care. Nurses must work within the legal guidelines of the
state's nurse practice act, as well as make judgments based on ethical and
professional guidelines.
What are the thinking skill(s) for Responding in Tanner's model? - ANSWER1.
Setting priorities and delegating them
