Nurs 200 Hondros, 200 exam 1 critical thinking questions with correct answers

Nurs 200 Hondros, 200 exam 1 critical thinking questions with correct answers Complete assessment - ANSWERS A review and physical examination of all body systems, for stable patients only clinical judgment - ANSWERS "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 - ANSWERS Completed health history and physical examination, large store or bank of info clinical reasoning - ANSWERS is the thinking process by which a nurse reaches a clinical judgement. an iterative process of noticing, interpreting, and respondingreasoning in transition with a fine attunement to the patient and how the patient responds to the nurses action Psychosocial history - ANSWERS Psychological and social factors evidence-based practice - ANSWERS clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences 1st method of data collection - ANSWERS Interiew patient, health history. Patient is your primary source Tanner's Model - ANSWERS Noticing Interpreting Responding Reflecting 2nd method of data collection - ANSWERS Physical examination ( guided by subjective and objective) noticing (tanners model) - ANSWERS identify s/s, gather complete and accurate data, assessing systematically and comprehensively, *predicting (and managing) potential complications, identifying assumptions Concepts of clinical judgment - ANSWERS 1. Safety 2. Healthcare quality 3. Leadership 4. Patient education 5. Evidence 6. Professionalism 7. Care coordination objective data (noticing) - ANSWERS information that is seen, heard, felt, or smelled by an observer; signs Analytic reasoning - ANSWERS Situation is unfamiliar subjective data (noticing) - ANSWERS things a person tells you about that you cannot observe through your senses; symptoms Intuitive reasoning - ANSWERS Able to recognize the situation immedialy. Pattern based factors that influence "Noticing" - ANSWERS -intrapersonal characteristics of the nurse -theoretical and experiential knowledge of the nurse -knowing the patient -context or environment of care Narrative reasoning - ANSWERS Situation to patient experience with illness. Interpreting (tanners) - ANSWERS 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 - ANSWERS 1. Identify signs and symptoms 2. Complete and accurate date 3. Assessing systemically and comprehensively 4. Predicting and managing patient complications 5. Identifying assumptions analytic reasoning (interpreting) - ANSWERS based on theoretical knowledge. nurse makes a hypothesis or best guess about the pt care situation and then tests. typically students and novice nurses Interpreting - ANSWERS Understanding of the situation intuitive reasoning (interpreting) - ANSWERS based on unstated but understood knowledge about the pt, the care giving context, and their previous experiences. typically expert nurse. Responding - ANSWERS Based on what you interpreted the nurse will determine appropriate actions narrative reasoning (interpreting) - ANSWERS way of making sense of a situation through telling and interpreting stories. nurse hears pt stories of past medical experiences, helps nurse understand specific pt experiences, setting the stage for individualized care Reflection in action - ANSWERS Observing patient reaction to the action the nurse chose and deciding if the situation was fixed responding (tanners) - ANSWERS taking action, ability to carry out nursing skills and effective communication, delegating, setting priorities Reflection on action - ANSWERS Patient responses to the outcomes. Nursing refelection after the situation was solved reflecting (tanners) - ANSWERS pt outcomes, evaluating data- complete actions then reassessment data is collected again used to determine if interventions were effective or any further actions needed, evaluating and correcting thinking. Novice nurse - ANSWERS Uses analytic reasoning. Uses textbook in a systemic analysis of a situation reflecting-in-action (reflect) - ANSWERS understanding of patients response to nursing actions while care is occurring. "real time" during pt care. determine pt statues and adjust care accordingly. Expert nurse - ANSWERS Uses intuitive reasoing. Recognizes patterns immediatly. Able to look at the big pictur