Clinical Judgment NSG 100 Exam 2025

Clinical judgement - Correct Answer-an 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 critical thinking - Correct Answer-the ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process (this would be how a nurse makes a clinical judgment) Reflection - Correct Answer-Your ability to use critical thinking as a nurse improves with experience *thinking about a prior experience and how you made decisions in that situation can improve critical thinking clinical reasoning - Correct Answer-the process by which clinicians collect signs, process information, understand the patient's medical situation or problem, plan and implement appropriate medical interventions, evaluate outcomes, and learn from this entire process Clinical reasoning is also known as.... - Correct Answer-Clinical judgement Clinical judgement - Correct Answer-the conclusion or enlightened opinion at which a nurse arrives following a process of observation, reflexion and analysis of observable or available information or data List the 4 interpretations of Tanner's Model of Clinical Judgment - Correct Answer-1. Noticing 2. Interpreting 3. Responding 4. Reflecting Looking for patterns that are consistent with previous experiences and uses that info to guide care - Correct Answer-Noticing Noticing is a sense of.... - Correct Answer-What is happening in the patient situation Using logical reasoning to gain understanding about a situation and determine appropriate actions - Correct Answer-Interpreting Taking actions- analyzing a situation and choosing the best source of action - Correct Answer-Responding Thinking about a prior experience (clinical situation) and the decisions made- can improve critical thinking - Correct Answer-Reflection The 2 types of reflection are... - Correct Answer-Reflection-in-action Reflection-on-action happens in real time while care is occurring - Correct Answer-Reflection in action happens after the patient care occurs - Correct Answer-Reflection on action Compare and contrast tanner's clinical judgment model with the nursing process - Correct Answer- Tanner's Model of Clinical Judgement involves: - Correct Answer-prior to knowledge and skill, noticing, interpreting, responding, reflecting (in action and on action) Nursing process involves: - Correct Answer-Assessment, diagnosis, planning, implementation, evaluation What is the nurse process? - Correct Answer-*The systematic method of critical thinking used by professional nurses to develop individualized plans of care and provide care for patients *Problem solving model based on scientific method (a critical thinking process specific to nursing which is used to make clinical judgment) What are the 5 phases of the nursing process? - Correct Answer-Assessment Diagnosis Planning Interventions Evaluation Purpose of Nursing Assessment (step 1) - Correct Answer-*To establish a database about the patient's perceived needs, health problems, and responses to these problems GATHER PATIENT CARE DATA THROUGH OBSERVATION, INTERVIEWS, PHYSICAL ASSESSMENT *reveal related goals, experiences, health practices, values and expectations (the art and science of truly seeing people) Sources of data for assessment: - Correct Answer-Primary/Secondary Who are the Primary sources:?? - Correct Answer-*the patient (thru interview, observation, physical examination) Usually the best source! *family & significant others (HIPPA- obtain pt's agreement first) *other health care team members *medical records *Scientific literature Primary sources for infants and children: - Correct Answer-Family Types of data: - Correct Answer-subjective and objective Subjective data: - Correct Answer-things a person tells you about that you cannot observe through your senses; symptoms "I am having trouble breathing" Objective data: - Correct Answer-information that is seen, heard, felt, or smelled by an observer; signs "respiratory rate 32, skin warm and dry" Types of assessment: - Correct Answer-1.Focus Assessment 2. Initial (comprehensive) Assessment 3. Emergency Assessment FOCUS ASSESSMENT When is a brief physical exam conducted? - Correct Answer-*at the beginning of an ACUTE CARE SETTING work shift *When signs indicate a change in a patient's condition or development of complication What are signs that would indicate a change in pt's condition/development complication - Correct Answer-Vital signs Pain level Pulse oximetry Examination of the client from head to toe Any IV lines or tubes and any health concerns What is an initial (comprehensive) assessment - Correct Answer-*A thorough patient-centered interview *A nursing health history *Review of systems *Other include lab and other diagnostic tests