Exam 1 Nur 200 Critical thinking ANSWER KEY
identifying the piroblem, which is a labeling error
A nurse who uses an incorrect diagnostic
label is not accurately..........
clustering error
A nurse who selects a diagnostic label
based on incorrectly grouped clinical
criteria is making a
a.
Data on the chart can sometimes be documented in a biased manner
A new graduate nurse is working with an
experienced nurse to chart assessment
findings. The new nurse notes that the
physical therapist wrote on the chart that
the patient is lazy and did not want to
participate in assigned therapies this AM.
The experienced nurse asks the new nurse
what may be going on here. What is the
best explanation for this statement?
a.
Data on the chart can sometimes be
documented in a biased manne
b.
Data on the chart changes as the patient's
condition changes.
c.
Data on the chart is usually accurate and
can be verified from the patient.
d.
Reading the chart is not a wise use of time
as this can be time consuming and tedious.
- No experience
-lacks confidence to demonstrate
-requires verbal/ physical cues
Benners stages of Clinical competence - unable to use discretionary judgement
Stage 1: Novice (beginner) - practices in prolonged timing
- marginally acceptable performance
-prior experience in actual situations
-Skillful in parts of practice
Benners stages of clinical competence -Requires occasional cues
Stage 2: Advanced Beginner -Still developing knowledge
- may/ may not be within delayed timing
-2-3 years experience in situations
-demonstrates efficiency, coordination and confidence
-establishes plans on perspective
Benners stages of clinical competence -can base plans of conscious, abstract and analytical skills of problems
Stage 2: Competent -care completed in suitable time frame
- perceives situation as whole not choppy
-can perceive meaning in terms of long term goals
-experienced in what to expect in events and how to modify plans in response
Benners stages of clinical competence - holistic understanding helps the decision making
Stage 4: Proficient - knows what's more important in situations yielding less labor
-has intuitive grasp on each situation
-zeroes in with accuracy on problems
-doesn't waste time on unfruitful alternate diagnoses and solutions
Benners stages of clinical competence - deep understanding, fluid, flexible, highly proficient
Stage 5: the Expert - high skilled analytic abilities necessary when other nurses have had no experience
, Exam 1 Nur 200 Critical thinking ANSWER KEY
NOTICING
In ADPIE the "A" stands for assessment in The nurse would gather data, notice info and look for patterns
which the nurse will Gather, Review and
Verify data. She identifies patterns,
clustering or organizing data. In tanners
model this would be compared to....
INTERPRETING
In ADPIE the "D" and "P" stands for Where the nurse processes info, identifies problems, determine what data is
diagnoses and planning. The nurse will relevant and what's not she then makes deductions and forms opinion based off her
identify problems and risk, prioritize analysis
implementations and plan care to reach
goal/ outcome for the patient.
In tanners model this compares to
RESPONDING the nurse selects course of action, determines priorities, criteria to
In ADPIE the "I" stands for evaluate actions
IMPLEMENTATION in which the nurse
carries out the plans that were identified in
the planning stage in tanners this
compares to
REFLECTING in which the nurse collects evaluation data and determines if situation
In ADPIE the "E" stands for EVALUATION improved, what went wrong/ right or what she can change in the future
in which the nurse determines if the first 4
steps of process have met goals then she
reassess and revises if needed in Tanners
this compares to
refers to the nurses understandings of patient responses to nursing actions while
Reflection in action care is occurring
reflection on action happens after the patient care occurs
assessing and evaluating
he nurse is attending to a patient in a
coronary care unit. The nurse is revising
the care plan after evaluating the patient
outcomes. Which step of the nursing
process is the nurse performing? Select all
that apply. One, some, or all responses
may be correct.
a sense of oneself that is influenced by characteristics, norms, and values of the
nursing discipline, resulting in an individual thinking, acting, and feeling like a nurse.
Professional identity in nursing
Doing, being, acting ethically, flourishing and changing identities
The five attributes of professional identity
are
Incorporating The skill and professional codes and standards of that are part of the
nursing discipline
Doing
The nurses functionalistic approach to accomplishing goals
Adopting the attitudes and behaviors that reflect the value of how the professional
Being thinks, feels, and acts
acting ethically doing the right thing
Positive transformational growth necessary for professional identity to move past
flourishing initial phases
-engage with the professions public purpose
- Develop a strong professional identity
-see the world through the lens of the professions moral purpose and standards
qualities for substainable professional -use habits of response to patients, families and colleagues that are aligned with the
life(flourishing) professins standards and ideas
-contribute to the ethical quality of the profession
exemplars of professional identity integrity, compassion, courage, humility, advocacy, human flourishing
identifying the piroblem, which is a labeling error
A nurse who uses an incorrect diagnostic
label is not accurately..........
clustering error
A nurse who selects a diagnostic label
based on incorrectly grouped clinical
criteria is making a
a.
Data on the chart can sometimes be documented in a biased manner
A new graduate nurse is working with an
experienced nurse to chart assessment
findings. The new nurse notes that the
physical therapist wrote on the chart that
the patient is lazy and did not want to
participate in assigned therapies this AM.
The experienced nurse asks the new nurse
what may be going on here. What is the
best explanation for this statement?
a.
Data on the chart can sometimes be
documented in a biased manne
b.
Data on the chart changes as the patient's
condition changes.
c.
Data on the chart is usually accurate and
can be verified from the patient.
d.
Reading the chart is not a wise use of time
as this can be time consuming and tedious.
- No experience
-lacks confidence to demonstrate
-requires verbal/ physical cues
Benners stages of Clinical competence - unable to use discretionary judgement
Stage 1: Novice (beginner) - practices in prolonged timing
- marginally acceptable performance
-prior experience in actual situations
-Skillful in parts of practice
Benners stages of clinical competence -Requires occasional cues
Stage 2: Advanced Beginner -Still developing knowledge
- may/ may not be within delayed timing
-2-3 years experience in situations
-demonstrates efficiency, coordination and confidence
-establishes plans on perspective
Benners stages of clinical competence -can base plans of conscious, abstract and analytical skills of problems
Stage 2: Competent -care completed in suitable time frame
- perceives situation as whole not choppy
-can perceive meaning in terms of long term goals
-experienced in what to expect in events and how to modify plans in response
Benners stages of clinical competence - holistic understanding helps the decision making
Stage 4: Proficient - knows what's more important in situations yielding less labor
-has intuitive grasp on each situation
-zeroes in with accuracy on problems
-doesn't waste time on unfruitful alternate diagnoses and solutions
Benners stages of clinical competence - deep understanding, fluid, flexible, highly proficient
Stage 5: the Expert - high skilled analytic abilities necessary when other nurses have had no experience
, Exam 1 Nur 200 Critical thinking ANSWER KEY
NOTICING
In ADPIE the "A" stands for assessment in The nurse would gather data, notice info and look for patterns
which the nurse will Gather, Review and
Verify data. She identifies patterns,
clustering or organizing data. In tanners
model this would be compared to....
INTERPRETING
In ADPIE the "D" and "P" stands for Where the nurse processes info, identifies problems, determine what data is
diagnoses and planning. The nurse will relevant and what's not she then makes deductions and forms opinion based off her
identify problems and risk, prioritize analysis
implementations and plan care to reach
goal/ outcome for the patient.
In tanners model this compares to
RESPONDING the nurse selects course of action, determines priorities, criteria to
In ADPIE the "I" stands for evaluate actions
IMPLEMENTATION in which the nurse
carries out the plans that were identified in
the planning stage in tanners this
compares to
REFLECTING in which the nurse collects evaluation data and determines if situation
In ADPIE the "E" stands for EVALUATION improved, what went wrong/ right or what she can change in the future
in which the nurse determines if the first 4
steps of process have met goals then she
reassess and revises if needed in Tanners
this compares to
refers to the nurses understandings of patient responses to nursing actions while
Reflection in action care is occurring
reflection on action happens after the patient care occurs
assessing and evaluating
he nurse is attending to a patient in a
coronary care unit. The nurse is revising
the care plan after evaluating the patient
outcomes. Which step of the nursing
process is the nurse performing? Select all
that apply. One, some, or all responses
may be correct.
a sense of oneself that is influenced by characteristics, norms, and values of the
nursing discipline, resulting in an individual thinking, acting, and feeling like a nurse.
Professional identity in nursing
Doing, being, acting ethically, flourishing and changing identities
The five attributes of professional identity
are
Incorporating The skill and professional codes and standards of that are part of the
nursing discipline
Doing
The nurses functionalistic approach to accomplishing goals
Adopting the attitudes and behaviors that reflect the value of how the professional
Being thinks, feels, and acts
acting ethically doing the right thing
Positive transformational growth necessary for professional identity to move past
flourishing initial phases
-engage with the professions public purpose
- Develop a strong professional identity
-see the world through the lens of the professions moral purpose and standards
qualities for substainable professional -use habits of response to patients, families and colleagues that are aligned with the
life(flourishing) professins standards and ideas
-contribute to the ethical quality of the profession
exemplars of professional identity integrity, compassion, courage, humility, advocacy, human flourishing
