exam 1 critical thinking Exam
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\.Complete assessment - Answer-✔A review and physical examination of all body systems, for
stable patients only
\.clinical judgment - Answer-✔"Thinking Like A Nurse". integral to the Safety of pt.
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.
\.Database - Answer-✔Completed health history and physical examination, large store or bank
of info
\.clinical reasoning - Answer-✔is the thinking process by which a nurse reaches a clinical
judgement. an iterative process of noticing, interpreting, and responding- reasoning in
transition with a fine attunement to the patient and how the patient responds to the nurses
action
\.Psychosocial history - Answer-✔Psychological and social factors
,\.evidence-based practice - Answer-✔clinical decision making that integrates the best available
research with clinical expertise and patient characteristics and preferences
\.1st method of data collection - Answer-✔Interiew patient, health history. Patient is your
primary source
\.Tanner's Model - Answer-✔Noticing
Interpreting
Responding
Reflecting
\.2nd method of data collection - Answer-✔Physical examination ( guided by subjective and
objective)
\.noticing (tanners model) - Answer-✔identify s/s, gather complete and accurate data, assessing
systematically and comprehensively, *predicting (and managing) potential complications,
identifying assumptions
\.Concepts of clinical judgment - Answer-✔1. Safety
2. Healthcare quality
3. Leadership
4. Patient education
5. Evidence
6. Professionalism
7. Care coordination
, \.objective data (noticing) - Answer-✔information that is seen, heard, felt, or smelled by an
observer; signs
\.Analytic reasoning - Answer-✔Situation is unfamiliar
\.subjective data (noticing) - Answer-✔things a person tells you about that you cannot observe
through your senses; symptoms
\.Intuitive reasoning - Answer-✔Able to recognize the situation immedialy. Pattern based
\.factors that influence "Noticing" - Answer-✔-intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
\.Narrative reasoning - Answer-✔Situation to patient experience with illness.
\.Interpreting (tanners) - Answer-✔comparing and contrast data, clustering related information,
recognizing inconsistencies, checking accuracy, distinguishing relevant from irrelevant,
determine importance of info, judge how much ambiguity is acceptable (ie b/p dt condition),
determine legal ethical professional guidelines, (predicting and) *managing potential
complications
\.Noticing - Answer-✔1. Identify signs and symptoms
2. Complete and accurate date
3. Assessing systemically and comprehensively
4. Predicting and managing patient complications