THINKING, HONDROS: Latest
2024 Questions and Answers
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A
VI
TU
Tanner's Clinical Judgement Model
Strengthens ability to make correct clinical judgment
Context=Situation
CRITICAL THINKING - ANSWER Noticing
IS
Interpreting
Responding
Reflecting
M
Notice (5)
The thinking process,
O
(Assessment) - ANSWER Identify S&S
Gathering Complete & Accurate Date
A
Assessing Systemically & Comprehensively
PREDICTING & Managing Potential Complications
Identifying Assumptions
N
Factors that influence noticing are:
JP
intrapersonal characters of nurse(nurse opinion)
theoretical and knowledge of nurse(nurse experience)
knowing patient
context or environment of care(pcp vs ortho doc)
Uses-nurse knowledge, experience, ethical perspective and knowing the patient to help
in assessment.
, Identify Signs and Symptoms (1/5) - ANSWER Indicates when a situation is normal,
abnormal or has changed.
Objective-what you're seeing-Measurable (vital signs).
Subjective: what they're telling you (only from the patient).
Gathering Complete & Accurate Data (2/5) - ANSWER Data collected from all
available sources is used as the basis for identifying issues, problems and concerns.
A
Information from neighbor, labs, medical records.
VI
Assessing Systemically & Comprehensively(3/5) - ANSWER Use a systematic
method of assessment so no important information is missed.
TU
Head to toe, ROS, Focused assessment, pain scale.
PREDICTING & Managing Potential Complications (4/5) - ANSWER "look at the big
picture" to prepare for potential future complications.
IS
Blood sugar may drop soon without dietary support. May fall d/t confusion.
Identifying Assumptions (5/5) - ANSWER Arriving at a conclusion without supporting
M
evidence.
O
Assuming patient is depressed d/t his wife's death.
Interpreting (9)
A
Making meaning of our findings (Diagnose & Plan) - ANSWER Comparing &
Contrasting
N
Clustering Related Information
Recognizing Inconsistencies
JP
Checking Accuracy & Reliability
Distinguishing Relevant from Irrelevant Information
Determining the Importance of Information
Judging How Much Ambiguity is Acceptable
Using Legal, Ethical and Professional Guidelines
Predicting & MANAGING Potential Complications