NMNC 1110 exam 2 UPDATED ACTUAL Questions and CORRECT
Answers
Clinical judgment an essential skill that involves the interpretation of a patient's needs, concerns, or
health problems and the decision to take action or not, to use or modify standard
approaches, or to improvise new approaches on the basis of a patient's response
Attitudes for clinical judgement confidence, thinking independently, fairness, responsibility and authority, risk
taking, discipline, perseverance, creativity, curiosity, integrity, and humility.
Confidence Learn how to introduce yourself to a patient; speak with conviction when you
begin a treatment or procedure. Do not lead a patient to think that you are unable
to perform care safely. Always be well prepared before performing a nursing
activity. Encourage a patient to ask questions.
Thinking independently Read the nursing literature, especially when there are different views on the same
subject. Talk with other nurses and share ideas about nursing interventions.
Fairness Listen to both sides in any discussion. If a patient or family member complains
about a co-worker, listen to the story and 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 the patient's needs
Responsibility and authority Ask for help if you are uncertain about how to perform a nursing skill. Refer to a
policy and procedure manual to review steps of a skill. Report any problems
immediately. Follow standards of practice in your care.
Risk taking If your knowledge causes you to question a health care provider's order, do so.
Be willing to recommend alternative approaches to nursing care when colleagues
are having little success with patients.
, Discipline Be thorough in whatever you do. Use known scientific and practice-based criteria
for activities such as assessment and evaluation. Take time to be thorough and
manage your time effectively.
Perseverance Be cautious of an easy answer. If co-workers give you information about a patient
and some fact seems to be missing, clarify the information or talk to the patient
directly. If problems of the same type continue to occur on a nursing division,
bring co-workers together, look for a pattern, and find a solution.
Creativity Look for different approaches if interventions are not working for a patient. For
example, a patient in pain may need a different positioning or distraction
technique. When appropriate, involve the patient's family in adapting your
approaches to care methods used at home
Curiosity Always ask why. A clinical sign or symptom often indicates a variety of problems.
Explore and learn more about a patient so as to make appropriate clinical
judgments.
Integrity Recognize when your opinions conflict with those of a patient; review your
position and decide how best to proceed to reach outcomes that will satisfy
everyone. Do not compromise nursing standards or honesty in delivering nursing
care.
Humility Recognize when you need more information to make a decision. When you are
new to a clinical division, ask for an orientation to the area. Ask registered nurses
(RNs) regularly assigned to the area for assistance with approaches to care.
Skills for clinical judgement Interpretation, analysis, inference, evaluation, explanation, self- regulation
Interpretation Be orderly in collecting data about patients. Apply reasoning while looking for
patterns. Categorize the data (e.g., nursing diagnoses). Gather additional data or
clarify any data if uncertain.
Analysis Be open-minded as you look at information about a patient. Do not make careless
assumptions. Does the data reveal a problem or trend that you believe is true, or
are there other options?
Inference Look at the meaning and significance of findings. Are there relationships among
findings? Does the data about the patient help you see that a problem exists?
Evaluation Look at all situations objectively. Use criteria (e.g., expected outcomes, pain
characteristics, learning objectives) to determine results of nursing actions. Reflect
on your own behavior.
Explanation Support your findings and conclusions. Use knowledge and experience to
choose strategies to use in the care of patients.
Self-regulation Reflect on your experiences. Be responsible for connecting your actions with
outcomes. Identify the ways you can improve your own performance. What will
make you believe that you have been successful?
Answers
Clinical judgment an essential skill that involves the interpretation of a patient's needs, concerns, or
health problems and the decision to take action or not, to use or modify standard
approaches, or to improvise new approaches on the basis of a patient's response
Attitudes for clinical judgement confidence, thinking independently, fairness, responsibility and authority, risk
taking, discipline, perseverance, creativity, curiosity, integrity, and humility.
Confidence Learn how to introduce yourself to a patient; speak with conviction when you
begin a treatment or procedure. Do not lead a patient to think that you are unable
to perform care safely. Always be well prepared before performing a nursing
activity. Encourage a patient to ask questions.
Thinking independently Read the nursing literature, especially when there are different views on the same
subject. Talk with other nurses and share ideas about nursing interventions.
Fairness Listen to both sides in any discussion. If a patient or family member complains
about a co-worker, listen to the story and 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 the patient's needs
Responsibility and authority Ask for help if you are uncertain about how to perform a nursing skill. Refer to a
policy and procedure manual to review steps of a skill. Report any problems
immediately. Follow standards of practice in your care.
Risk taking If your knowledge causes you to question a health care provider's order, do so.
Be willing to recommend alternative approaches to nursing care when colleagues
are having little success with patients.
, Discipline Be thorough in whatever you do. Use known scientific and practice-based criteria
for activities such as assessment and evaluation. Take time to be thorough and
manage your time effectively.
Perseverance Be cautious of an easy answer. If co-workers give you information about a patient
and some fact seems to be missing, clarify the information or talk to the patient
directly. If problems of the same type continue to occur on a nursing division,
bring co-workers together, look for a pattern, and find a solution.
Creativity Look for different approaches if interventions are not working for a patient. For
example, a patient in pain may need a different positioning or distraction
technique. When appropriate, involve the patient's family in adapting your
approaches to care methods used at home
Curiosity Always ask why. A clinical sign or symptom often indicates a variety of problems.
Explore and learn more about a patient so as to make appropriate clinical
judgments.
Integrity Recognize when your opinions conflict with those of a patient; review your
position and decide how best to proceed to reach outcomes that will satisfy
everyone. Do not compromise nursing standards or honesty in delivering nursing
care.
Humility Recognize when you need more information to make a decision. When you are
new to a clinical division, ask for an orientation to the area. Ask registered nurses
(RNs) regularly assigned to the area for assistance with approaches to care.
Skills for clinical judgement Interpretation, analysis, inference, evaluation, explanation, self- regulation
Interpretation Be orderly in collecting data about patients. Apply reasoning while looking for
patterns. Categorize the data (e.g., nursing diagnoses). Gather additional data or
clarify any data if uncertain.
Analysis Be open-minded as you look at information about a patient. Do not make careless
assumptions. Does the data reveal a problem or trend that you believe is true, or
are there other options?
Inference Look at the meaning and significance of findings. Are there relationships among
findings? Does the data about the patient help you see that a problem exists?
Evaluation Look at all situations objectively. Use criteria (e.g., expected outcomes, pain
characteristics, learning objectives) to determine results of nursing actions. Reflect
on your own behavior.
Explanation Support your findings and conclusions. Use knowledge and experience to
choose strategies to use in the care of patients.
Self-regulation Reflect on your experiences. Be responsible for connecting your actions with
outcomes. Identify the ways you can improve your own performance. What will
make you believe that you have been successful?
