Unfolding Clinical Reasoning Case
Study Mandy Gray
Ventral Septal Defect
, Ventral Septal Defect UNFOLDING Reasoning
Mandy Gray, 2 months old
Primary Concept
Perfusion
Interrelated Concepts (In order of emphasis)
Gas Exchange
Clinical Judgment
Patient Education
Communication
NCLEX Client Need Categories Percentage of Items from Each Covered inCase
Category/Subcategory Study
Safe and Effective Care Environment
Management of Care 17-23%
Safety and Infection Control 9-15%
Health Promotion and Maintenance 6-12%
Psychosocial Integrity 6-12%
Physiological Integrity
Basic Care and Comfort 6-12%
Pharmacological and Parenteral Therapies 12-18%
Reduction of Risk Potential 9-15%
Physiological Adaptation 11-17%