Exam 1 Nur 200 Critical thinking
Questions & Correct Solutions
identifying the problem, which is a labeling error - correct answer ✔✔A nurse who uses an
incorrect diagnostic label is not accurately..........
clustering error - correct answer ✔✔A nurse who selects a diagnostic label based on incorrectly
grouped clinical criteria is making a
a.
Data on the chart can sometimes be documented in a biased manner - correct answer ✔✔A
new graduate nurse is working with an experienced nurse to chart assessment findings. The
new nurse notes that the physical therapist wrote on the chart that the patient is lazy and did
not want to participate in assigned therapies this AM. The experienced nurse asks the new
nurse what may be going on here. What is the best explanation for this statement?
a.
Data on the chart can sometimes be documented in a biased manne
b.
Data on the chart changes as the patient's condition changes.
c.
Data on the chart is usually accurate and can be verified from the patient.
d.
Reading the chart is not a wise use of time as this can be time consuming and tedious.
- No experience
-lacks confidence to demonstrate
,-requires verbal/ physical cues
- unable to use discretionary judgement
- practices in prolonged timing - correct answer ✔✔Benners stages of Clinical competence
Stage 1: Novice (beginner)
- marginally acceptable performance
-prior experience in actual situations
-Skillful in parts of practice
-Requires occasional cues
-Still developing knowledge
- may/ may not be within delayed timing - correct answer ✔✔Benners stages of clinical
competence
Stage 2: Advanced Beginner
-2-3 years experience in situations
-demonstrates efficiency, coordination and confidence
-establishes plans on perspective
-can base plans of conscious, abstract and analytical skills of problems
-care completed in suitable time frame - correct answer ✔✔Benners stages of clinical
competence
Stage 2: Competent
- perceives situation as whole not choppy
-can perceive meaning in terms of long term goals
-experienced in what to expect in events and how to modify plans in response
- holistic understanding helps the decision making
, - knows what's more important in situations yielding less labor - correct answer ✔✔Benners
stages of clinical competence
Stage 4: Proficient
-has intuitive grasp on each situation
-zeroes in with accuracy on problems
-doesn't waste time on unfruitful alternate diagnoses and solutions
- deep understanding, fluid, flexible, highly proficient
- high skilled analytic abilities necessary when other nurses have had no experience - correct
answer ✔✔Benners stages of clinical competence
Stage 5: the Expert
NOTICING
The nurse would gather data, notice info and look for patterns - correct answer ✔✔In ADPIE the
"A" stands for assessment in which the nurse will Gather, Review and Verify data. She identifies
patterns, clustering or organizing data. In tanners model this would be compared to....
INTERPRETING
Where the nurse processes info, identifies problems, determine what data is relevant and
what's not she then makes deductions and forms opinion based off her analysis - correct answer
✔✔In ADPIE the "D" and "P" stands for diagnoses and planning. The nurse will identify
problems and risk, prioritize implementations and plan care to reach goal/ outcome for the
patient.
In tanners model this compares to
RESPONDING the nurse selects course of action, determines priorities, criteria to evaluate
actions - correct answer ✔✔In ADPIE the "I" stands for IMPLEMENTATION in which the nurse
carries out the plans that were identified in the planning stage in tanners this compares to
Questions & Correct Solutions
identifying the problem, which is a labeling error - correct answer ✔✔A nurse who uses an
incorrect diagnostic label is not accurately..........
clustering error - correct answer ✔✔A nurse who selects a diagnostic label based on incorrectly
grouped clinical criteria is making a
a.
Data on the chart can sometimes be documented in a biased manner - correct answer ✔✔A
new graduate nurse is working with an experienced nurse to chart assessment findings. The
new nurse notes that the physical therapist wrote on the chart that the patient is lazy and did
not want to participate in assigned therapies this AM. The experienced nurse asks the new
nurse what may be going on here. What is the best explanation for this statement?
a.
Data on the chart can sometimes be documented in a biased manne
b.
Data on the chart changes as the patient's condition changes.
c.
Data on the chart is usually accurate and can be verified from the patient.
d.
Reading the chart is not a wise use of time as this can be time consuming and tedious.
- No experience
-lacks confidence to demonstrate
,-requires verbal/ physical cues
- unable to use discretionary judgement
- practices in prolonged timing - correct answer ✔✔Benners stages of Clinical competence
Stage 1: Novice (beginner)
- marginally acceptable performance
-prior experience in actual situations
-Skillful in parts of practice
-Requires occasional cues
-Still developing knowledge
- may/ may not be within delayed timing - correct answer ✔✔Benners stages of clinical
competence
Stage 2: Advanced Beginner
-2-3 years experience in situations
-demonstrates efficiency, coordination and confidence
-establishes plans on perspective
-can base plans of conscious, abstract and analytical skills of problems
-care completed in suitable time frame - correct answer ✔✔Benners stages of clinical
competence
Stage 2: Competent
- perceives situation as whole not choppy
-can perceive meaning in terms of long term goals
-experienced in what to expect in events and how to modify plans in response
- holistic understanding helps the decision making
, - knows what's more important in situations yielding less labor - correct answer ✔✔Benners
stages of clinical competence
Stage 4: Proficient
-has intuitive grasp on each situation
-zeroes in with accuracy on problems
-doesn't waste time on unfruitful alternate diagnoses and solutions
- deep understanding, fluid, flexible, highly proficient
- high skilled analytic abilities necessary when other nurses have had no experience - correct
answer ✔✔Benners stages of clinical competence
Stage 5: the Expert
NOTICING
The nurse would gather data, notice info and look for patterns - correct answer ✔✔In ADPIE the
"A" stands for assessment in which the nurse will Gather, Review and Verify data. She identifies
patterns, clustering or organizing data. In tanners model this would be compared to....
INTERPRETING
Where the nurse processes info, identifies problems, determine what data is relevant and
what's not she then makes deductions and forms opinion based off her analysis - correct answer
✔✔In ADPIE the "D" and "P" stands for diagnoses and planning. The nurse will identify
problems and risk, prioritize implementations and plan care to reach goal/ outcome for the
patient.
In tanners model this compares to
RESPONDING the nurse selects course of action, determines priorities, criteria to evaluate
actions - correct answer ✔✔In ADPIE the "I" stands for IMPLEMENTATION in which the nurse
carries out the plans that were identified in the planning stage in tanners this compares to
