Nursing Process Study
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, What is clinical judgment? utilization of processes that achieve desired pt outcomes
What are the requirements of nurses related to clinical recognize and interpret pt problems, prioritize a response, take action, evaluate
judgement? outcomes, and modify actions as needed
What are the different types of nursing knowledge? theoretical (knowing why), practical (knowing what and how to do it), self (be aware
of own self), and ethical (obligation to do what is right)
What are the three models of clinical judgement? Tanner, Lasater, National Council of State Board of Nursing
What are the four aspects of the Tanner model of clinical noticing (be on the look out), interpreting (analytical book vs intuitive vs narrative
judgement? "thinking and interpreting"), responding (course of action taken), reflections
What is the difference between analytical reasoning and analytical reasoning is often used by a novice nurse (rely on textbook information
intuitive reasoning? and limited pt encounters/experiences), where as intuitive reasoning is used by
experienced nurses
What is narrative reasoning? understanding people's illness as it relates to their particular life circumstances
What are reflections in action? during
What are reflections on action? after
What does the Lasater clinical judgement measure? measures each of the four aspects of Tanner's clinical judgement model
What does the Lasater clinical judgment categorizes as? beginning, developing, accomplished, and exemplary
What does the NCSBN clinical judgement model measures whether a test-taker has the established degree of clinical judgement and
measure? decision-making abilities to be a safer practitioner
What does the NCSBN clinical judgment help with? helps you to recognize, analyze, organize, prioritize, and use your knowledge to
make safe client care decisions
What are the five layers of the NCSBN clinical judgement layer 0 - clinical decisions made, layer 1 - comprises the outcome = clinical
model? judgement, layer 2 - form, refine hypotheses; evaluation, layer 3 - contains the
clinical judgement tasks (recognizes cues, analyze cues, prioritize, hypotheses,
generate solutions, take action, evaluate outcomes), layer 4 - context (individual
and environmental factors that impact thinking)