NUR 229 Exam 2 with 92 complete
solutions.
NUR 229 Exam 2 with 92 complete
solutions.
clinical judgement - ANSWER *the result or observed outcome of critical thinking & decision making
*AACN: "the skill of recognizing cues regarding a clinical situation, generating & weighing hypotheses,
taking action & evaluating outcomes for the purpose of arriving at a satisfactory clinical outcome"
clinical judgement example - ANSWER
critical thinking - ANSWER *"evidence-based descriptions of behaviors that demonstrate the knowledge,
characteristics, & skills that promote critical thinking in clinical practice"
*thinking that occurs within the clinical & education settings
*a skill that can be developed
*informed by experience
*adaptive decision-making process
*identify purpose or goal of your thinking
* make judgement about pt or situation & to make a decision about how best to intervene
*identify alternative judgements or decisions, weigh pros & cons of each, & reach a conclusion
examples of critical thinking - ANSWER *student assess the due dates/lengths of assignments along with
their other obligations & determines which 1 to start working on first
*a triage nurse analyzes the cases that have presented & decides the order by which the pt should be
treated
* nurse has a client with high HR & investigates the cause of the HR & implementing nursing actions to
help decrease the HR prior to calling the HCP
clinical reasoning - ANSWER * "thought process that allows HCP to arrive at a conclusion"
*deductive reasoning:
>backward reasoning
,NUR 229 Exam 2 with 92 complete
solutions.
>ex: based on research findings, hospital leaders determine pt recover more quickly if they receive
adequate rest. Hospital creates a policy for quiet zones at night by initiating no overhead paging,
promoting low-speaking voices by staff
*inductive reasoning:
>forward reasoning
>ex: nurse assesses a pt & finds surgical incision site is red, warm & tender to touch. nurse recognizes
these cues from a pattern of signs of infection & creates a hypothesis that the incision has become
infected. Provider is notified and a prescription is received
situational awareness - ANSWER *"perception of the elements in the environment w/in a volume of
time & space, comprehension of their meaning & the projection of their status in the near future"
*applied in health care by recognizing cues that show a client is deteriorating, recognizing implications
of these assessments, & implementing protocol(s) &/or notifying the health care team
*novice nurses have narrower focus that focuses on task & cues immediately available to them
*expert nurses use intuition & continuously study the envir. to prioritize their nursing actions
* cognitive load: amount of info a person can hold in their memory at one time
*SA needed before making decisions & using clinical judgement
situational awareness examples - ANSWER *protocols in EHR can help address safety issues
clinical judgement measurement model - ANSWER *not a true clinical judgement model but used more
for evaluating clinical judgement in NGN
*related to core elements of the nursing process; cyclical
Tanner's clinical judgement model steps - ANSWER *noticing
*interpreting
*responding
*reflecting (in-action, on-action)
core competencies for professional nursing education - ANSWER *knowledge for nursing practice
, NUR 229 Exam 2 with 92 complete
solutions.
*person-centered care
*population health
*scholarship for nursing practice
*quality & safety
* inter professional partnerships
*systems-based practice
*info & healthcare technologies
*professionalism
*personal, professional & leadership development
NCSBN's clinical judgement measurement model ex - ANSWER When identifying & responding to a
client's anxiety, the nurse has moved through the process of recognizing cues, analyzing cues,
prioritizing hypotheses, generating solutions, taking actions, & evaluating outcomes
Maslow's safety/security - ANSWER Physical safety & emotional security, ie: financial safety, freedom
from injury, safe neighborhood, & freedom from abuse
factors affecting safety - ANSWER *Developmental considerations
*Lifestyle
*Mobility
*Sensory perception
*Knowledge
*Ability to communicate
*Physical health state
*Psychosocial health state
risk factors: nursing history - ANSWER *assess for history of falls or accidents
*note assistive devices
solutions.
NUR 229 Exam 2 with 92 complete
solutions.
clinical judgement - ANSWER *the result or observed outcome of critical thinking & decision making
*AACN: "the skill of recognizing cues regarding a clinical situation, generating & weighing hypotheses,
taking action & evaluating outcomes for the purpose of arriving at a satisfactory clinical outcome"
clinical judgement example - ANSWER
critical thinking - ANSWER *"evidence-based descriptions of behaviors that demonstrate the knowledge,
characteristics, & skills that promote critical thinking in clinical practice"
*thinking that occurs within the clinical & education settings
*a skill that can be developed
*informed by experience
*adaptive decision-making process
*identify purpose or goal of your thinking
* make judgement about pt or situation & to make a decision about how best to intervene
*identify alternative judgements or decisions, weigh pros & cons of each, & reach a conclusion
examples of critical thinking - ANSWER *student assess the due dates/lengths of assignments along with
their other obligations & determines which 1 to start working on first
*a triage nurse analyzes the cases that have presented & decides the order by which the pt should be
treated
* nurse has a client with high HR & investigates the cause of the HR & implementing nursing actions to
help decrease the HR prior to calling the HCP
clinical reasoning - ANSWER * "thought process that allows HCP to arrive at a conclusion"
*deductive reasoning:
>backward reasoning
,NUR 229 Exam 2 with 92 complete
solutions.
>ex: based on research findings, hospital leaders determine pt recover more quickly if they receive
adequate rest. Hospital creates a policy for quiet zones at night by initiating no overhead paging,
promoting low-speaking voices by staff
*inductive reasoning:
>forward reasoning
>ex: nurse assesses a pt & finds surgical incision site is red, warm & tender to touch. nurse recognizes
these cues from a pattern of signs of infection & creates a hypothesis that the incision has become
infected. Provider is notified and a prescription is received
situational awareness - ANSWER *"perception of the elements in the environment w/in a volume of
time & space, comprehension of their meaning & the projection of their status in the near future"
*applied in health care by recognizing cues that show a client is deteriorating, recognizing implications
of these assessments, & implementing protocol(s) &/or notifying the health care team
*novice nurses have narrower focus that focuses on task & cues immediately available to them
*expert nurses use intuition & continuously study the envir. to prioritize their nursing actions
* cognitive load: amount of info a person can hold in their memory at one time
*SA needed before making decisions & using clinical judgement
situational awareness examples - ANSWER *protocols in EHR can help address safety issues
clinical judgement measurement model - ANSWER *not a true clinical judgement model but used more
for evaluating clinical judgement in NGN
*related to core elements of the nursing process; cyclical
Tanner's clinical judgement model steps - ANSWER *noticing
*interpreting
*responding
*reflecting (in-action, on-action)
core competencies for professional nursing education - ANSWER *knowledge for nursing practice
, NUR 229 Exam 2 with 92 complete
solutions.
*person-centered care
*population health
*scholarship for nursing practice
*quality & safety
* inter professional partnerships
*systems-based practice
*info & healthcare technologies
*professionalism
*personal, professional & leadership development
NCSBN's clinical judgement measurement model ex - ANSWER When identifying & responding to a
client's anxiety, the nurse has moved through the process of recognizing cues, analyzing cues,
prioritizing hypotheses, generating solutions, taking actions, & evaluating outcomes
Maslow's safety/security - ANSWER Physical safety & emotional security, ie: financial safety, freedom
from injury, safe neighborhood, & freedom from abuse
factors affecting safety - ANSWER *Developmental considerations
*Lifestyle
*Mobility
*Sensory perception
*Knowledge
*Ability to communicate
*Physical health state
*Psychosocial health state
risk factors: nursing history - ANSWER *assess for history of falls or accidents
*note assistive devices
