ANSWERS 100% CORRECT!!!
, What is clinical judgment - ANSWER - consist of both opinions and decisions based on
theoretical knowledge and experience
- a nurse knows what to look for, draws valid conclusions about what the signs mean,
and knows what to do about it.
Clinical reasoning - ANSWER Refers to ways of thinking about patient care issues
- determining, preventing, managing patient problems
Nursing Process: Assessment - ANSWER Collect and analyze date about a client, first
step in delivering nursing care. Includes physiological data, psychological, sociocultural,
spiritual, economic, and lifestyle factors as well.
ex: fearful, refusal to eat
Nursing Process: Diagnosis - ANSWER The nurses clinical judgement about the clients
response to actual or potential health conditions or needs.
ex: respiratory infection
Nursing process: outcomes/ planning - ANSWER Based on assessment and diagnosis,
nurse sets measurable and achievable short-and long range goals for this patient that
might include moving from bed to chair at least 3 times per day.
Nursing Process: Implementation - ANSWER Nursing care is implemented according to
the care plan, so continuity of care for the patient during hospitalization and in
preparation for discharge needs to be assured.
Nursing Process: Evaluation - ANSWER Both the patients status and the effectiveness
of the nursing care must be continuously evaluated, and the care plan modified as
needed.
Subjective data - ANSWER things a person tells you about that you cannot observe
through your senses; symptoms
Objective data - ANSWER information that is seen, heard, felt, or smelled by an
observer; signs
ex: physical exam results, laboratory testing, medical histories
Nursing process - ANSWER A scientific, clinical reasoning approach to client care that
includes assessment, analysis, planning, implementation and evaluation.
Assessment purpose - ANSWER To establish a database about the clients response to
health concerns or illness and the ability to manage healthcare needs