Clinical Reasoning & Clinical
Judgment
Critical thinking - Ans>>A disciplined mental process of analyzing problems, or phenomena
that have been gathered from observation, experience, reflection, reasoning, or
communication.
Critical thinking skills - Ans>>Refers to the cognitive processes used in complex thinking
operations such as problem solving and decision making.
Critical thinking attitudes - Ans>>Are not the same as intellectual skills. They are more like
feelings and traits of mind. Your attitudes and character determine whether you will use
your thinking skills fairly and with an open mind.
Nursing process - Ans>>The systematic gathering of information relating to the spiritual,
mental, physical, socioeconomic, and cultural status of an individual, group or community
What are the 6 phases of the nursing process? - Ans>>1. Assessment
2. Diagnosis
3. Planning outcomes
4. Planning interventions
5. Implementation
6. Evaluation
What are 5 aspects of critical thinking? - Ans>>Clear
Logical
Objective
Unbiased
Dispassionate
Clinical reasonig - Ans>>The ability to reason as a clinical situation changes, taking into
account the context and concerns of the patient and family
Clinical judgment - Ans>>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
As a nurse, you will focus on your clients _____ to illness? - Ans>>Response
Including their physical responses, their understanding of the illness and how it affects their
lives.
What is done during the assessment phase of the clinical process with data? (4) -
Ans>>Collect
,Validate
Organize
Record
What are 3 important actions during during the assessment phase? - Ans>>Analyze the
data
Prioritize problems
Determine problem urgency
What is a high priority problem during the assessment phase? - Ans>>Life threatening
What is a medium priority problem during the assessment phase? - Ans>>Not a direct
threat to life, but may cause destructive physical or emotional changes
What is a low priority problem during the assessment phase? - Ans>>Requires minimal
support nursing interventions
What is done with the data during the diagnosis phase? - Ans>>Analyze collected data
Interpreting collected data
Identify the patients problems
What is the main difference between nurses and MDs? - Ans>>MD licensed to diagnose and
treat a medical disease, nursing is licensed to diagnose and treat a patients RESPONSE to a
disease
Besides the patients response, what else can an RN diagnose? (3) - Ans>>Patient education
Comfort and counseling
Care until the patient is physically and emotionally capable of providing self care
What are the 6 approved NANDA syndrome diagnoses? - Ans>>Disuse
Impaired environmental interpretation
Post trauma
Relocation stress
Rape trauma
Sudden Infant Death
Nurses treat the ____ not the _____ - Ans>>patient; disease
Diagnostic label - Ans>>Describes the actual or potential problem that nursing care can
influence. Is in NANDA approved terminology
What does the diagnostic statement explain? - Ans>>The meaning of the label and
distinguishes it from similar nursing diagnoses
What is the PES format? - Ans>>Problem/Label
Etiology (Rt)
, Signs and Symptoms (AMB)
What are examples of etiology? - Ans>>Diseases
Injuries
Birth defects
Inherited patterns
Medical conditions
Developmental Phases
Lifestyle
Situation
Environmental factors
What is the ultimate goal of nursing care? - Ans>>Help the patient reach his/her highest
functional level with minimal risk and problems
What are 3 aspects of planning outcomes? - Ans>>Select standardized care plans
Create individualized care plans
Identify outcomes and goals
What are SMART goals? - Ans>>Specific
Measurable
Achievable
Realistic
Timely
What is a nursing intervention? - Ans>>Actions based on clinical judgment and knowledge
of the nurse, that are intended to alter the etiology, defining characteristics or risk factors
for a specific nursing diagnosis
What are independent nursing interventions? - Ans>>Address aspects of care that the nurse
can do to promote change and facilitate wellness.
Ex: ADLs, Promotions of safety and comfort, patient teaching
What is a dependent nursing intervention? - Ans>>Prescribed by a provider but carried out
by an RN
Ex: Med administration
What is a collaborative intervention? - Ans>>Collaborate with other healthcare members
Evaluation - Ans>>An ongoing practice that occurs with every patient encounter
Data DeJa Vu
Judgment
Critical thinking - Ans>>A disciplined mental process of analyzing problems, or phenomena
that have been gathered from observation, experience, reflection, reasoning, or
communication.
Critical thinking skills - Ans>>Refers to the cognitive processes used in complex thinking
operations such as problem solving and decision making.
Critical thinking attitudes - Ans>>Are not the same as intellectual skills. They are more like
feelings and traits of mind. Your attitudes and character determine whether you will use
your thinking skills fairly and with an open mind.
Nursing process - Ans>>The systematic gathering of information relating to the spiritual,
mental, physical, socioeconomic, and cultural status of an individual, group or community
What are the 6 phases of the nursing process? - Ans>>1. Assessment
2. Diagnosis
3. Planning outcomes
4. Planning interventions
5. Implementation
6. Evaluation
What are 5 aspects of critical thinking? - Ans>>Clear
Logical
Objective
Unbiased
Dispassionate
Clinical reasonig - Ans>>The ability to reason as a clinical situation changes, taking into
account the context and concerns of the patient and family
Clinical judgment - Ans>>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
As a nurse, you will focus on your clients _____ to illness? - Ans>>Response
Including their physical responses, their understanding of the illness and how it affects their
lives.
What is done during the assessment phase of the clinical process with data? (4) -
Ans>>Collect
,Validate
Organize
Record
What are 3 important actions during during the assessment phase? - Ans>>Analyze the
data
Prioritize problems
Determine problem urgency
What is a high priority problem during the assessment phase? - Ans>>Life threatening
What is a medium priority problem during the assessment phase? - Ans>>Not a direct
threat to life, but may cause destructive physical or emotional changes
What is a low priority problem during the assessment phase? - Ans>>Requires minimal
support nursing interventions
What is done with the data during the diagnosis phase? - Ans>>Analyze collected data
Interpreting collected data
Identify the patients problems
What is the main difference between nurses and MDs? - Ans>>MD licensed to diagnose and
treat a medical disease, nursing is licensed to diagnose and treat a patients RESPONSE to a
disease
Besides the patients response, what else can an RN diagnose? (3) - Ans>>Patient education
Comfort and counseling
Care until the patient is physically and emotionally capable of providing self care
What are the 6 approved NANDA syndrome diagnoses? - Ans>>Disuse
Impaired environmental interpretation
Post trauma
Relocation stress
Rape trauma
Sudden Infant Death
Nurses treat the ____ not the _____ - Ans>>patient; disease
Diagnostic label - Ans>>Describes the actual or potential problem that nursing care can
influence. Is in NANDA approved terminology
What does the diagnostic statement explain? - Ans>>The meaning of the label and
distinguishes it from similar nursing diagnoses
What is the PES format? - Ans>>Problem/Label
Etiology (Rt)
, Signs and Symptoms (AMB)
What are examples of etiology? - Ans>>Diseases
Injuries
Birth defects
Inherited patterns
Medical conditions
Developmental Phases
Lifestyle
Situation
Environmental factors
What is the ultimate goal of nursing care? - Ans>>Help the patient reach his/her highest
functional level with minimal risk and problems
What are 3 aspects of planning outcomes? - Ans>>Select standardized care plans
Create individualized care plans
Identify outcomes and goals
What are SMART goals? - Ans>>Specific
Measurable
Achievable
Realistic
Timely
What is a nursing intervention? - Ans>>Actions based on clinical judgment and knowledge
of the nurse, that are intended to alter the etiology, defining characteristics or risk factors
for a specific nursing diagnosis
What are independent nursing interventions? - Ans>>Address aspects of care that the nurse
can do to promote change and facilitate wellness.
Ex: ADLs, Promotions of safety and comfort, patient teaching
What is a dependent nursing intervention? - Ans>>Prescribed by a provider but carried out
by an RN
Ex: Med administration
What is a collaborative intervention? - Ans>>Collaborate with other healthcare members
Evaluation - Ans>>An ongoing practice that occurs with every patient encounter
Data DeJa Vu
