200 Exam 1 critical thinking
QUESTIONS AND ANSWERS
ALREADY PASSED!!
A
VI
Complete assessment - ANSWER A review and physical examination of all body
systems, for stable patients only
TU
clinical judgment - ANSWER "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
IS
improvise new ones as deemed appropriate by the patient's response.
Database - ANSWER Completed health history and physical examination, large
M
store or bank of info
clinical reasoning - ANSWER is the thinking process by which a nurse reaches a
O
clinical judgement. an iterative process of noticing, interpreting, and responding-
reasoning in transition with a fine attunement to the patient and how the patient
A
responds to the nurses action
N
Psychosocial history - ANSWER Psychological and social factors
evidence-based practice - ANSWER clinical decision making that integrates the best
JP
available research with clinical expertise and patient characteristics and preferences
1st method of data collection - ANSWER Interiew patient, health history. Patient is
your primary source
Tanner's Model - ANSWER Noticing
Interpreting
Responding
Reflecting
, 2nd method of data collection - ANSWER Physical examination ( guided by
subjective and objective)
noticing (tanners model) - ANSWER identify s/s, gather complete and accurate data,
assessing systematically and comprehensively, *predicting (and managing) potential
complications, identifying assumptions
Concepts of clinical judgment - ANSWER 1. Safety
A
2. Healthcare quality
3. Leadership
VI
4. Patient education
5. Evidence
6. Professionalism
TU
7. Care coordination
objective data (noticing) - ANSWER information that is seen, heard, felt, or smelled
by an observer; signs
IS
Analytic reasoning - ANSWER Situation is unfamiliar
subjective data (noticing) - ANSWER things a person tells you about that you cannot
M
observe through your senses; symptoms
O
Intuitive reasoning - ANSWER Able to recognize the situation immedialy. Pattern
based
A
factors that influence "Noticing" - ANSWER -intrapersonal characteristics of the
nurse
N
-theoretical and experiential knowledge of the nurse
-knowing the patient
JP
-context or environment of care
Narrative reasoning - ANSWER Situation to patient experience with illness.
Interpreting (tanners) - ANSWER 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 complications