Chapter 14: Clinical Judgment exam questions and answers correct and verified 100%

Chapter 14: Clinical Judgment exam questions and answers correct and verified 100% Chapter 14: Clinical Judgment exam questions and answers correct and verified 100% A group of student nurses has been encouraged by their instructors to be intentional and deliberate about applying clinical decision-making models to their practice. A student tells a colleague, "The model that makes the most sense to me is the information-processing model, because it seems the most straightforward." How should the colleague best respond to this student? -"That model was dominant in nursing for decades but has recently been replaced by more nuanced models." -"Absolutely. Many of the other models are evidence-based but excessively complex." -"It is definitely a clear model, but it does not really capture all of the complexities and the human element of nursing." -"I agree. The model is elegant for its simplicity and has been clinically linked to better client outcomes." - correct answers-"It is definitely a clear model, but it does not really capture all of the complexities and the human element of nursing." Explanation: The information-processing model is attractive by virtue of its simplicity and linear nature. However, there is no significant drive to apply this model to nursing practice, because nursing is psychosocially complex and cannot be reduced to a simple equation of input and output. For this reason, it has never been predominant in nursing, even in past decades. It has not been proven to achieve better client outcomes in the literature. A novice nurse is being mentored by a more experienced nurse who is able to recognize small but significant client cues and process large amounts of data in a short time. What conclusion(s) should the novice nurse draw about the more experienced nurse's practice? Select all that apply. -The nurse is able to rely on intuition more than critical thinking. -The nurse has well-developed situational awareness. -The nurse is able to rely on reflection-in-action rather than reflection-on-action. -The nurse has a high capacity for cognitive load. -The nurse is able to apply the steps of the Clinical Judgment and Measurement Model (CJMM) simultaneously. - correct answers-The nurse has a high capacity for cognitive load. The nurse has well-developed situational awareness. Explanation: Cognitive load refers to the amount of information a person can hold in their memory at one time; this nurse is able to hold large amounts of data and process them quickly. The ability to discern subtle cues is associated with situational awareness. The six steps of the Clinical Judgment and Measurement Model are linear, and not normally applied at a single point in time. Intuition is more developed in experienced nurses, but this is a component of critical thinking rather than an alternative to it. Reflection-in-action and reflection-on-action are both used by experienced nurses in Tanner's clinical judgment model. A nurse is navigating a busy morning on a hospital unit and is struggling to finish the necessary tasks in the time available. In response, the nurse has assigned morning hygiene tasks for two clients to an unlicensed assistive personnel (UAP). What QSEN competency is this nurse exemplifying? -client-centered care -safety -teamwork and collaboration -informatics -quality improvement -evidence-based practice - correct answers-teamwork and collaboration Explanation: Although this action is consistent with all the QSEN competencies, delegation is a practical example of the competency of collaboration and teamwork in the clinical setting. A hospital client who requires assistance with hygiene has expressed a preference for receiving a bed bath after lunch rather than in the morning. The nurse has consequently changed the nursing care plan. The nurse's action reflects which QSEN competency? -client-centered care -empathic care -accountability and adaptability -quality improvement - correct answers-client-centered care Explanation: Adjusting a client's care in response to the client's preferences or abilities is indicative of client-centered care. Quality improvement is focused more broadly on systems and processes. Empathic care and accountability and adaptability are not QSEN competencies. A novice nurse has witnessed the value of critical thinking in planning and responding to clients. Which principle should inform the n