NURS 8026 Exam 1 Questions and Correct
Answers
whats the diagnostic process
- a dynamic thinking process that leads to the identification of a hypothesis that best explains
the clinical evidence
- method of exploring a patient problem using a systematic and organized approach, resulting
in the generation of a hypothesis
- process develops as you grow from a novice to expert clinician
what are 2 factors that affect clinical reasoning
patient driven factors and clinician driven factors
examples of patient driven factors that affect diagnostic reasoning
- increasing acuity
- poor historian
- altered mentation
- acute vs chronic multisystem disease
- multiple complaints
examples of provider driven factors that affect diagnostic reasoning
- limited experience
- knowledge base
- continuous review of data
,- uncertainty of data
- demands for cost effectiveness and speed
what is explicit knowledge
- the foundation of reasoning
- knowledge that is described, analyzed, measured and taught (what is learned in your
didactic courses)
what is tacit knowledge
- knowledge unconsciously learned through observation, built through quantitative and
qualitative experiences over time and assists in the ability to make rapid decisions
- acquired through association with other people; requires joint and/or shared activities to be
imparted from one to another
in your didactic courses, you learn what type of knowledge
explicit knowledge
in your clinicals, you learn what type of knowledge
tacit knowledge
what are the 3 types of diagnostic reasoning
probabilistic, causal, deterministic
what is probabilistic reasoning
the likelihood that A+B+C=D, based on associations between clinical data that trigger
potential presence of disease
what is causal reasoning
, cause and effect relationship between clinical data
what is deterministic reasoning
knowledge that exists as an unambiguous rule, uses diagnostic algorithms, list of rules
diagnostic reasoning skills depend on
- knowledge of condition states/disease
- knowledge of epidemiology, pathology, clinical manifestations
- expert knowledge of association between conditions and how they present
- ability to recognize s/s of disease
what is pattern recognition
the ability to recall the pattern of s/s of disease and to distinguish manifestations of diseases
from each other
example of pattern recognition:
pt with dysuria, hematuria, and urgency may lead you to think of what dx
cystitis
example of pattern recognition:
pt with hx URI, now with high fever, cough and dyspnea, this may lead you to think of
what dx
pneumonia
example of pattern recognition:
sexually active young woman with late period, breast tenderness, urinary frequency,
fatigue, this may lead you to think of what dx
pregnancy
Answers
whats the diagnostic process
- a dynamic thinking process that leads to the identification of a hypothesis that best explains
the clinical evidence
- method of exploring a patient problem using a systematic and organized approach, resulting
in the generation of a hypothesis
- process develops as you grow from a novice to expert clinician
what are 2 factors that affect clinical reasoning
patient driven factors and clinician driven factors
examples of patient driven factors that affect diagnostic reasoning
- increasing acuity
- poor historian
- altered mentation
- acute vs chronic multisystem disease
- multiple complaints
examples of provider driven factors that affect diagnostic reasoning
- limited experience
- knowledge base
- continuous review of data
,- uncertainty of data
- demands for cost effectiveness and speed
what is explicit knowledge
- the foundation of reasoning
- knowledge that is described, analyzed, measured and taught (what is learned in your
didactic courses)
what is tacit knowledge
- knowledge unconsciously learned through observation, built through quantitative and
qualitative experiences over time and assists in the ability to make rapid decisions
- acquired through association with other people; requires joint and/or shared activities to be
imparted from one to another
in your didactic courses, you learn what type of knowledge
explicit knowledge
in your clinicals, you learn what type of knowledge
tacit knowledge
what are the 3 types of diagnostic reasoning
probabilistic, causal, deterministic
what is probabilistic reasoning
the likelihood that A+B+C=D, based on associations between clinical data that trigger
potential presence of disease
what is causal reasoning
, cause and effect relationship between clinical data
what is deterministic reasoning
knowledge that exists as an unambiguous rule, uses diagnostic algorithms, list of rules
diagnostic reasoning skills depend on
- knowledge of condition states/disease
- knowledge of epidemiology, pathology, clinical manifestations
- expert knowledge of association between conditions and how they present
- ability to recognize s/s of disease
what is pattern recognition
the ability to recall the pattern of s/s of disease and to distinguish manifestations of diseases
from each other
example of pattern recognition:
pt with dysuria, hematuria, and urgency may lead you to think of what dx
cystitis
example of pattern recognition:
pt with hx URI, now with high fever, cough and dyspnea, this may lead you to think of
what dx
pneumonia
example of pattern recognition:
sexually active young woman with late period, breast tenderness, urinary frequency,
fatigue, this may lead you to think of what dx
pregnancy
