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1. Critical Thinking The active, organized, cognitive process used to carefully examine one's thinking
and the thinking of others. It requires the nurse to: observe, decide what is impor-
tant, look for patterns & relationships, identify the problem, transfer the knowledge
from one situation to another, apply knowledge, and evaluate according to criteria.
2. Problem Solving A systematic approach resulting in formation of a solution.
3. Decision Making The process of choosing among alternatives; does not have to be related to a
problem.
4. Clinical Judgment The ability to safely and competently care for clients, "the process by which the
nurse decides on data to be collected about a client, makes an interpretation of
the data, arrives at a nursing diagnosis and identifies appropriate nursing actions:
this involves problem solving, decision making, and critical thinking"
5. What are the Clarity, accuracy, precision, relevance, depth, breadth, logic, significance, fairness,
standards of criti- maturity
cal thinking?
6. Clarity Thinking clearly is central to understanding. Can you explain clearly what you
learned?
EX: Abbreviations may lead to error
7. Accuracy Using reliable resources and evidence-based practice. Accurate interpretation of
evidence and data.
EX: Medication calculations
8. Precision Exactness and details.
EX: Errors in patient care occur when the nurse takes short cuts.
9. Relevance Discriminate between pertinent and non-pertinent information. The mind be-
comes cluttered with irrelevant facts.
EX: Which patient symptoms/observations are important and which are not
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10. Depth Go beyond the surface - recognize the complexities and visualize relationship
among various aspects.
Ex. Using FORM model, care for patient as a person
F - Family
O - Occupation
R - Recreation
M - Message (more willing to listen)
11. Breadth Thinking from several different points of view (POV) and considering different POV
before making a decision.
EX: Differing POV occur frequently in health care.
12. Logic Conclusion is based on evidence and assumptions must be valid. Ask yourself, does
this make sense?
EX: Nursing procedures need to be performed in a logical order.
13. Significance Determining which facts are most important and what information is critical to the
situation.
14. Fairness Being open to others' ideas or information, and avoiding bias. Allowing biases can
compromise the integrity of the thinking process.
EX: Listen to both sides in any discussion. If a patient or family member complains
about a co-worker, listen to the story and then speak with the co-worker as well.
If a staff member labels a patient uncooperative, assume the care of that patient
with openness and a desire to meet that patient's needs.
15. Maturity Putting focus on the client, not self (develops over time).
16. What are the pit- Illogical process: "Obviously" "It is true because it is so."
falls in critical Appeal to tradition: "We've always done it this way."
thinking? Hasty generalizations without considering all the evidence.
Bias: can cause errors in care
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