Critical thinking nur 200 Hondros, 200 exam 1 critical thinking Questions And Answers Rated A+ New Update Assured Satisfaction

Complete assessment - A review and physical examination of all body systems, for stable patients only clinical judgment - "Thinking Like A Nurse". integral to the Safety of pt. Interpretation or conclusion about a patient's needs, concerns, or health problems, and/or the decision to take action (or not), use or modify standard approaches, or improvise new ones as deemed appropriate by the patient's response. Database - Completed health history and physical examination, large store or bank of info clinical reasoning - is the thinking process by which a nurse reaches a clinical judgement. an iterative process of noticing, interpreting, and responding- reasoning in transition with a fine attunement to the patient and how the patient responds to the nurses action Psychosocial history - Psychological and social factors evidence-based practice - clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences 1st method of data collection - Interiew patient, health history. Patient is your primary source Tanner's Model - Noticing Interpreting Responding Reflecting 2nd method of data collection - Physical examination ( guided by subjective and objective)noticing (tanners model) - identify s/s, gather complete and accurate data, assessing systematically and comprehensively, *predicting (and managing) potential complications, identifying assumptions Concepts of clinical judgment - 1. Safety 2. Healthcare quality 3. Leadership 4. Patient education 5. Evidence 6. Professionalism 7. Care coordination objective data (noticing) - information that is seen, heard, felt, or smelled by an observer; signs Analytic reasoning - Situation is unfamiliar subjective data (noticing) - things a person tells you about that you cannot observe through your senses; symptoms Intuitive reasoning - Able to recognize the situation immedialy. Pattern based factors that influence "Noticing" - -intrapersonal characteristics of the nurse -theoretical and experiential knowledge of the nurse -knowing the patient -context or environment of care Narrative reasoning - Situation to patient experience with illness. Interpreting (tanners) - comparing and contrast data, clustering related information, recognizing inconsistencies, checking accuracy, distinguishing relevant from irrelevant, determine importance of info, judge how much ambiguity is acceptable (ie b/p dt condition), determine legal ethical professional guidelines, (predicting and) *managing potential complicationsNoticing - 1. Identify signs and symptoms 2. Complete and accurate date 3. Assessing systemically and comprehensively 4. Predicting and managing patient complications 5. Identifying assumptions analytic reasoning (interpreting) - based on theoretical knowledge. nurse makes a hypothesis or best guess about the pt care situation and then tests. typically students and novice nurses Interpreting - Understanding of the situation intuitive reasoning (interpreting) - based on unstated but understood knowledge about the pt, the care giving context, and their previous experiences. typically expert nurse. Responding - Based on what you interpreted the nurse will determine appropriate actions narrative reasoning (interpreting) - way of making sense of a situation through telling and interpreting stories. nurse hears pt stories of past medical experiences, helps nurse understand specific pt experiences, setting the stage for individualized care