CCRN- Professional Caring and Ethical Practices (Barron's) study guide

clinical judgment CORRECT ANSWER-the ability to synthesize and interpret multiple pieces of data, critical thinking. At the expert level of practice, the nurse interprets multiple, sometimes conflicting, data and makes decisions based on a grasp of the whole picture; can anticipate problems based on previous experience. helps the pt and family see the "big picture"; takes time to develop advocacy and moral agency CORRECT ANSWER-works on behalf of others; represents concerns of others, including pt/family and other nurses; able to identify and help resolve ethical issues. at expert level of practice, the nurse advocates from the pt/family perspective, even when different from personal values. the integrity of the family system is crucial to the long-term pt outcome, i.e., the pt support system is always considered in the plan of care; empowers the pt/family to speak for themselves clinical judgment CORRECT ANSWER-what is this an example of? when caring for a pt with multisystem organ dysfunction with comorbidities, the less-experienced nurse will focus solely on the immediate physiologic instability of the pt. This will be reflected in pt/family communication. The expert nurse will address the physiologic instability but also realize the impact of the comorbidities and include this when communicating with the pt and family advocacy and moral agency CORRECT ANSWER-what is this an example of? if the wife of an unresponsive ventilator pt requests to use an herbal remedy ointment known to be a cure in their culture, the less-experienced nurse might tactfully explain it is not allowed and support the rules. The expert nurse would understand the importance to the wife and explain that she/he would consult a pharmacist to see if the ointment is safe. If it is safe to use, the expert nurse will allow the wife to apply it under supervision