NR 226 FUNDAMENTALS WEEK 1 EXAM 1 QUESTIONS WITH
COMPLETE SOLUTION
Clinical Judgment
in Nursing Practice
Registered nurses (RNs) are responsible for making accurate and appropriate clinical
decisions or judgments.
Nurses must learn to question, wonder, and explore different perspectives and
interpretations to find a solution that benefits the patient.
critical thinking
The ability to think in a systematic and logical manner with openness to question and
reflect on the reasoning process
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
Recognizing that an issue exists, analyzing information, evaluating information, and
drawing conclusions
Reflection
The ability to act on the basis of critical thinking comes with experience.
Turning over a subject in the mind and thinking about it seriously.
Is not intuitive.
reflection
When you care for patients, begin by thinking about previous situations and considering
relevant issues: What did I notice before? How did I act? What could I have done
differently? What should I do next time in the same situation?
Research shows that when nurses reflect on past experiences, they perceive that their
knowledge increases and their critical thinking moves to a higher level.
Reflection involves playing back a situation in your mind and taking time to honestly
review everything you remember about it.
Reflective reasoning improves the accuracy of making diagnostic conclusions.
By reviewing your previous actions you see successes and opportunities for
improvement.
,Always be cautious in using reflection.
Reliance on it can block thinking and not allow you to look at newer evidence or subtle
aspects of situations that you have not encountered.
levels of critical thinking
level 1 basic
level 2 complex
level 3 commitment
basic critical thinking
thinking is concrete and based on a set of rules or principles.
the nursing student uses a hospital procedure manual to confirm how to change an IV
dressing. You follow step by step.
complex critical thinking
begin to separate themselves from the experts ex. while inserting a feeding tube you
recognize that your pt. cannot swallow easily. thus you adapt how you insert it.
commitment critical thinking
you anticipat when to make choices without assistance from other and accept
accountability for decisons made.
components of critical thinking
specific knowledge base
experience
competencies
attitudes
standards
specific knowledge base
knowledge prepares yo to better anticipate and identify pts problem by understanding
their origin and nature
experience
clinical learning experiences are necessary to acquire clinical decision making skills
competencies
you will apply critical thinking componenets during each step of the nursing process.
attitudes
11 attitudes define the central features of a critical thinker and how successful critical
thinker approaches a problem
11 attitudes of critical thinking
confidence-belief in oneself, one's judgment and psychomotor skills and one's
possession of the knowledge and to think critcally and draw appropriate conclusions
thinking independently- dont accept another person's ideas without question
, fairness- deal with situations justly, no bias or prejudice enter into a decision
responsibility and accountability- correctly performing nursing care activities on the
basis of standards and practice.
risk taking-willingness to take risks when trying different ways to solve problems
discipline- miss few details and is orderly or systematic when collecting data, making
decisions, or taking action
perserverance- find effective solutions to pt care problems. especially when problems
remain unresolved or recur.
creativity- you find solutions outside the standard routine of care while still following
standards of practice
curiosity- favorite question Why? investigate a clinical situation so you get all the
information you need to make a decision
integrity- hones and willing to admit mistakes or inconsistencies.
humility- admit your limitations in your knowledge and skill. a pts safety are at risk
Critical Thinking Competencies
General critical thinking
Specific critical thinking
general critical thinking
Scientific method
Problem solving
Decision making
specific critical thinking
Diagnostic reasoning and inference
Clinical decision making
diagnostic reasoning
the analytical process for determining a pts health problems
inference
the process of drawing conclusions from related pieces of evidence and previous
experience with the evidence
A Critical Thinking Model for Clinical Decision Making
Specific knowledge base
Experience
Nursing process competency
Attitudes for critical thinking
Professional standards
clinical decison making
COMPLETE SOLUTION
Clinical Judgment
in Nursing Practice
Registered nurses (RNs) are responsible for making accurate and appropriate clinical
decisions or judgments.
Nurses must learn to question, wonder, and explore different perspectives and
interpretations to find a solution that benefits the patient.
critical thinking
The ability to think in a systematic and logical manner with openness to question and
reflect on the reasoning process
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
Recognizing that an issue exists, analyzing information, evaluating information, and
drawing conclusions
Reflection
The ability to act on the basis of critical thinking comes with experience.
Turning over a subject in the mind and thinking about it seriously.
Is not intuitive.
reflection
When you care for patients, begin by thinking about previous situations and considering
relevant issues: What did I notice before? How did I act? What could I have done
differently? What should I do next time in the same situation?
Research shows that when nurses reflect on past experiences, they perceive that their
knowledge increases and their critical thinking moves to a higher level.
Reflection involves playing back a situation in your mind and taking time to honestly
review everything you remember about it.
Reflective reasoning improves the accuracy of making diagnostic conclusions.
By reviewing your previous actions you see successes and opportunities for
improvement.
,Always be cautious in using reflection.
Reliance on it can block thinking and not allow you to look at newer evidence or subtle
aspects of situations that you have not encountered.
levels of critical thinking
level 1 basic
level 2 complex
level 3 commitment
basic critical thinking
thinking is concrete and based on a set of rules or principles.
the nursing student uses a hospital procedure manual to confirm how to change an IV
dressing. You follow step by step.
complex critical thinking
begin to separate themselves from the experts ex. while inserting a feeding tube you
recognize that your pt. cannot swallow easily. thus you adapt how you insert it.
commitment critical thinking
you anticipat when to make choices without assistance from other and accept
accountability for decisons made.
components of critical thinking
specific knowledge base
experience
competencies
attitudes
standards
specific knowledge base
knowledge prepares yo to better anticipate and identify pts problem by understanding
their origin and nature
experience
clinical learning experiences are necessary to acquire clinical decision making skills
competencies
you will apply critical thinking componenets during each step of the nursing process.
attitudes
11 attitudes define the central features of a critical thinker and how successful critical
thinker approaches a problem
11 attitudes of critical thinking
confidence-belief in oneself, one's judgment and psychomotor skills and one's
possession of the knowledge and to think critcally and draw appropriate conclusions
thinking independently- dont accept another person's ideas without question
, fairness- deal with situations justly, no bias or prejudice enter into a decision
responsibility and accountability- correctly performing nursing care activities on the
basis of standards and practice.
risk taking-willingness to take risks when trying different ways to solve problems
discipline- miss few details and is orderly or systematic when collecting data, making
decisions, or taking action
perserverance- find effective solutions to pt care problems. especially when problems
remain unresolved or recur.
creativity- you find solutions outside the standard routine of care while still following
standards of practice
curiosity- favorite question Why? investigate a clinical situation so you get all the
information you need to make a decision
integrity- hones and willing to admit mistakes or inconsistencies.
humility- admit your limitations in your knowledge and skill. a pts safety are at risk
Critical Thinking Competencies
General critical thinking
Specific critical thinking
general critical thinking
Scientific method
Problem solving
Decision making
specific critical thinking
Diagnostic reasoning and inference
Clinical decision making
diagnostic reasoning
the analytical process for determining a pts health problems
inference
the process of drawing conclusions from related pieces of evidence and previous
experience with the evidence
A Critical Thinking Model for Clinical Decision Making
Specific knowledge base
Experience
Nursing process competency
Attitudes for critical thinking
Professional standards
clinical decison making
