NUR 200 UPDATED ACTUAL Questions and CORRECT Answers
necessary for quality of care
more complex needs
changes in med reimbursement
Critical thinking
increase in complexity of healthcare environments
re-prioritize client needs and patient care
Expectation of a nurse
Question info
Identify Problems
Driven by patient and family needs
Critical thinkers based on Nursing process
use logic based on knowledge skills and experience
guided by professional standard
continuous improvement
Assessment = noticing
Diagnosis and planning = interpreting
implementation = responding
evaluation = reflecting
Clinical Direct observation of patient in healthcare setting
judgement interpretation you make that influences action
an interpretation or conclusion about a patient's needs,
clinical judgment concerns, or health problems, and/or the decision to take
action
Why do we need clinical judgement to provide safe, competent patient centered care
5 levels of skill nurse passes through acquisition and de-
Benners stages of clinical competence
velopment of skill
Beginner, no experience, lacks confidence, unable to use
Stage 1: novice
discretionary judgement
Stage 2: Advanced Beginner
, Demonstrates marginally acceptable performance. Rec-
ognizes the meaningful "aspects" of a real situation. Has
experienced enough real situations to make judgments
about them.
Has 2 or 3 years of experience. Demonstrates organi-
zational and planning abilities. Differentiates important
Stage 3: Competent
factors from less important aspects of care. Coordinates
multiple complex care demands.
At this level nurses are capable to see situations as wholes
rather than parts. They learn from experience what events
Stage 4: Proficient
typically occur and are able to modify plans in response to
different events.
Performance is fluid, flexible, and highly proficient; no
longer requires rules, guidelines, or maxims to connect
an understanding of the situation to appropriate action.
Stage 5: Expert
Demonstrates highly skilled intuitive and analytic ability in
new situations. Is inclined to take a certain action because
"it felt right."
identifying signs and symptoms
gather complete and accurate data
Tanner's: Noticing assessing systemically and comprehensively
predicting and managing potential complications
identifying assumptions
Indicates when a situation is normal, abnormal, or has
Identifying signs and symptoms
changed.
Collecting subjective and objective data
examples of identifying signs and symptoms
Ex: vitals
Data collected from all available sources is used as the
Gathering complete and accurate data
basis for identifying issues, problems, and concerns
examples of gathering complete and accurate data 2/5
necessary for quality of care
more complex needs
changes in med reimbursement
Critical thinking
increase in complexity of healthcare environments
re-prioritize client needs and patient care
Expectation of a nurse
Question info
Identify Problems
Driven by patient and family needs
Critical thinkers based on Nursing process
use logic based on knowledge skills and experience
guided by professional standard
continuous improvement
Assessment = noticing
Diagnosis and planning = interpreting
implementation = responding
evaluation = reflecting
Clinical Direct observation of patient in healthcare setting
judgement interpretation you make that influences action
an interpretation or conclusion about a patient's needs,
clinical judgment concerns, or health problems, and/or the decision to take
action
Why do we need clinical judgement to provide safe, competent patient centered care
5 levels of skill nurse passes through acquisition and de-
Benners stages of clinical competence
velopment of skill
Beginner, no experience, lacks confidence, unable to use
Stage 1: novice
discretionary judgement
Stage 2: Advanced Beginner
, Demonstrates marginally acceptable performance. Rec-
ognizes the meaningful "aspects" of a real situation. Has
experienced enough real situations to make judgments
about them.
Has 2 or 3 years of experience. Demonstrates organi-
zational and planning abilities. Differentiates important
Stage 3: Competent
factors from less important aspects of care. Coordinates
multiple complex care demands.
At this level nurses are capable to see situations as wholes
rather than parts. They learn from experience what events
Stage 4: Proficient
typically occur and are able to modify plans in response to
different events.
Performance is fluid, flexible, and highly proficient; no
longer requires rules, guidelines, or maxims to connect
an understanding of the situation to appropriate action.
Stage 5: Expert
Demonstrates highly skilled intuitive and analytic ability in
new situations. Is inclined to take a certain action because
"it felt right."
identifying signs and symptoms
gather complete and accurate data
Tanner's: Noticing assessing systemically and comprehensively
predicting and managing potential complications
identifying assumptions
Indicates when a situation is normal, abnormal, or has
Identifying signs and symptoms
changed.
Collecting subjective and objective data
examples of identifying signs and symptoms
Ex: vitals
Data collected from all available sources is used as the
Gathering complete and accurate data
basis for identifying issues, problems, and concerns
examples of gathering complete and accurate data 2/5
