NURS100 QUIZ 4 QUESTIONS AND
ANSWERS
Clinical Judgement - ANSWER-A conclusion about a Pt. needs, concerns, or health problems, and/ or the
decision to take action or not.
Critical Components - Making Clinical Decision - ANSWER--Specific Knowledge Base
-Experience
-Nursing Process Competency
-Attitudes for Critical Thinking
-Professional Standards
Attitudes of a Critical Thinker - ANSWER--Confidence
-Independent
-Fairness
-Risk Taker
-Responsibility
-Discipline
-Perseverance
-Creativity
-Curiosity
-Integrity
-Humility
Tanners Model of Clinical Judgement - ANSWER-Noticing - Interpreting - Responding - Reflecting
Noticing - ANSWER-A nurse notices things about a patient in the context of the nurse's background and
experience, context of environment, and knowing the patient.
A nurse is looking for patterns that are consistent with previous experiences and uses that information to
guide care.
Interpreting - ANSWER-The process of assembling information to make sense of it. Reasoning patterns
vary by the experience of the nurse.
Novice Nurse - ANSWER-Tend to rely on analytic reasoning.
Expert Nurse - ANSWER-Draws from a variety of reasoning patterns - analytic, intuitive, and narrative.
Responding - ANSWER-Implementation and interventions based on patient needs.
- Depending on RN level, they may or may not be able to judge the effectiveness of the intervention
before initiating it.
Reflecting - ANSWER-Process of thinking and learning from experiences. Reflecting is critical for
development of knowledge and improvement in reasoning.
2 Types of Reflection (Clinical Judgement) - ANSWER-1. Reflection-in-Action - Happens in real time, while
care is occurring (during).
2. Reflection-on-Action - Happens after the patient care occurs (post).
Nursing - ANSWER-To diagnose and treat human responses to health and illness.
Benefits of the Nursing Process - ANSWER--Promotes collaboration, communication.
-Prevents errors
-Expedites diagnosis and treatments of health problems.
-Improves continuity of care,
-Improves communication of client needs and preferences to other care-givers.
-Achieves a scientifically based, holistic, individualized care.
, Developing a Nurse-Patient Relationship for (Data collection) - ANSWER-Sources of Data (assessment)
-Patient (interview, observation, physical exam.)- The best.
-Family, significant others (obtain Pt. permission)
-Health care team (collaborative)
-Medical Records
-Scientific literature
-Database
Database - ANSWER-To establish a database about the Pts. perceived needs, health problems and
responses to these problems.
2 Types of Data - ANSWER-Subjective - Patients verbal descriptions of their health problems.
Objective - Observable, or measurable data about the patients health status.
Critical Thinking + Nursing Process - ANSWER-A quality decision about patient care.
Comprehensive Assessment Approaches - ANSWER--Use of a structured database format, based on an
accepted theoretical framework or practice standard
-Problem oriented approach (focuses the problem)
-Assessment moves from general to specific
ex: Gordon's model of functional health patterns
Assessment - ANSWER-Collection of data and interpreting and validating the information to form a
complete database.
2 Stages of Assessment - ANSWER-1. Collection/Verification of data
2. Analysis of data
Process of Assessment - ANSWER-1. Collect
2. Cluster data, make inferences (interpretation), identify patters and problem areas.
-Critically Anticipate
-Have supporting cues for prior to your inferences
~Knowing how to probe and frame your questions is a skill that grows with experience~
Assessment tools - ANSWER--Physical Examination (investigation of the body to determine its state of
health)
-Observations (verbal vs. nonverbal)
-Diagnostics and laboratory data
-Interpreting and validating assessment data
Patient History - Assessment - ANSWER--Biographical Information
-Reason for seeking health care
-Health History
-Environmental History
-Spiritual Health
-Patient Expectations
-Present illness / concerns
-Family History
-Psychosocial History
-Review of systems
-Documentations of findings
Concept Mapping - ANSWER-A visual representation that allows nurses to graphically illustrate the
connections between a Pts. health problems.
Diagnostics - ANSWER-Provides a precise definition of a Pts. problem that gives nurses and other
members of the health care team a common language for understanding patient's needs.
Types of Diagnosis - ANSWER-1. Medical - Identification of a disease condition based on SPECIFIC
EVALUATION of signs and symptoms.
ANSWERS
Clinical Judgement - ANSWER-A conclusion about a Pt. needs, concerns, or health problems, and/ or the
decision to take action or not.
Critical Components - Making Clinical Decision - ANSWER--Specific Knowledge Base
-Experience
-Nursing Process Competency
-Attitudes for Critical Thinking
-Professional Standards
Attitudes of a Critical Thinker - ANSWER--Confidence
-Independent
-Fairness
-Risk Taker
-Responsibility
-Discipline
-Perseverance
-Creativity
-Curiosity
-Integrity
-Humility
Tanners Model of Clinical Judgement - ANSWER-Noticing - Interpreting - Responding - Reflecting
Noticing - ANSWER-A nurse notices things about a patient in the context of the nurse's background and
experience, context of environment, and knowing the patient.
A nurse is looking for patterns that are consistent with previous experiences and uses that information to
guide care.
Interpreting - ANSWER-The process of assembling information to make sense of it. Reasoning patterns
vary by the experience of the nurse.
Novice Nurse - ANSWER-Tend to rely on analytic reasoning.
Expert Nurse - ANSWER-Draws from a variety of reasoning patterns - analytic, intuitive, and narrative.
Responding - ANSWER-Implementation and interventions based on patient needs.
- Depending on RN level, they may or may not be able to judge the effectiveness of the intervention
before initiating it.
Reflecting - ANSWER-Process of thinking and learning from experiences. Reflecting is critical for
development of knowledge and improvement in reasoning.
2 Types of Reflection (Clinical Judgement) - ANSWER-1. Reflection-in-Action - Happens in real time, while
care is occurring (during).
2. Reflection-on-Action - Happens after the patient care occurs (post).
Nursing - ANSWER-To diagnose and treat human responses to health and illness.
Benefits of the Nursing Process - ANSWER--Promotes collaboration, communication.
-Prevents errors
-Expedites diagnosis and treatments of health problems.
-Improves continuity of care,
-Improves communication of client needs and preferences to other care-givers.
-Achieves a scientifically based, holistic, individualized care.
, Developing a Nurse-Patient Relationship for (Data collection) - ANSWER-Sources of Data (assessment)
-Patient (interview, observation, physical exam.)- The best.
-Family, significant others (obtain Pt. permission)
-Health care team (collaborative)
-Medical Records
-Scientific literature
-Database
Database - ANSWER-To establish a database about the Pts. perceived needs, health problems and
responses to these problems.
2 Types of Data - ANSWER-Subjective - Patients verbal descriptions of their health problems.
Objective - Observable, or measurable data about the patients health status.
Critical Thinking + Nursing Process - ANSWER-A quality decision about patient care.
Comprehensive Assessment Approaches - ANSWER--Use of a structured database format, based on an
accepted theoretical framework or practice standard
-Problem oriented approach (focuses the problem)
-Assessment moves from general to specific
ex: Gordon's model of functional health patterns
Assessment - ANSWER-Collection of data and interpreting and validating the information to form a
complete database.
2 Stages of Assessment - ANSWER-1. Collection/Verification of data
2. Analysis of data
Process of Assessment - ANSWER-1. Collect
2. Cluster data, make inferences (interpretation), identify patters and problem areas.
-Critically Anticipate
-Have supporting cues for prior to your inferences
~Knowing how to probe and frame your questions is a skill that grows with experience~
Assessment tools - ANSWER--Physical Examination (investigation of the body to determine its state of
health)
-Observations (verbal vs. nonverbal)
-Diagnostics and laboratory data
-Interpreting and validating assessment data
Patient History - Assessment - ANSWER--Biographical Information
-Reason for seeking health care
-Health History
-Environmental History
-Spiritual Health
-Patient Expectations
-Present illness / concerns
-Family History
-Psychosocial History
-Review of systems
-Documentations of findings
Concept Mapping - ANSWER-A visual representation that allows nurses to graphically illustrate the
connections between a Pts. health problems.
Diagnostics - ANSWER-Provides a precise definition of a Pts. problem that gives nurses and other
members of the health care team a common language for understanding patient's needs.
Types of Diagnosis - ANSWER-1. Medical - Identification of a disease condition based on SPECIFIC
EVALUATION of signs and symptoms.
