ritical thinking, 200, Hondros exam questions and correct answers 2024

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. 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 evidence-based practice - ANSWERS clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences Tanner's Model - ANSWERS Noticing Interpreting Responding Reflecting noticing (tanners model) - ANSWERS identify s/s, gather complete and accurate data, assessing systematically and comprehensively, *predicting (and managing) potential complications, identifying assumptions 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 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 intuitive reasoning (interpreting) - ANSWERS based on unstated but understood knowledge about the pt, the care giving context, and their previous experiences. typically expert nurse. 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 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. reflecting-on-action (reflect) - ANSWERS consideration of situation after the care occurs. contemplate a situation and decide what was and wasn't successful. critical for development of knowledge. interrelated concepts of clinical judgment - ANSWERS critical thinking - ANSWERS ability to think in a systematically and logical manner with openness to question and reflect on the reasoning process. ask "why, what am i missing" critical thinking in nursing process - ANSWERS go hand in hand in making quality decisions about patient care. knowledge, standards, attitudes, experience nursing process - ANSWERS Assessment Diagnosis Planning Implementation Evaluation assessment (nursing process) - ANSWERS 1- collection of info from primary source (pt) and secondary (family, friends, health professionals, medical record). 2- interpretation and validation of data to ensure a complete data base subjective and objective Cue and Inference (assessment) - ANSWERS Cue is information that you obtain through use of senses. Inference is your judgment or interpretation of these cues. diagnosis (nursing process) - ANSWERS clinical judgment concerning a human response to health conditions/ life process, or vulnerability. Educated judgment about health concern. use NANDA. used to make care plan Types of Nursing Diagnoses (diagnosis) - ANSWERS Actual Risk Possible Wellness Syndrome 3 part nursing diagnosis (diagnosis) - ANSWERS P:problem; ex impaired physical mobility E: etiology/ related factor; ex incisional pain S: symptom or defining characteristics; ex evidence by restricted turning and positioning planning (nursing process) - ANSWERS collaborates with pt, family, and the rest of the health care team to determine the urgency of the identified problems and prioritizes patients needs. care plan (planning) - ANSWERS Assessment, nursing diagnosis, interventions, evaluation care plan for each diagnosis. patients involved with planning. increase communication between staff. goals and expected outcomes need to be S.M.A.R.T specific, measurable, attainable, realistic, timed. goal (planning) - ANSWERS broad statement that describes a desired change in a pt conditions, perception, or behavior. ex "pt will understand postoperative risks" expected outcome (planning) - ANSWERS is the measurable change (pt behavior, physical state, or perception) that must be achieved to reach a goal. sometimes several expected outcome need to be met for a single goal. "measure how many out of 3 questions the pt answers correct for infection identification" interventions (care plan) - ANSWERS independent- a nurse initiates, dependentrequire and order, collaborative- require the combined knowledge, skill, and expertise of multiple providers. Includes; actions, frequency, quantity, method, and person to perform them implementation (nursing process) - ANSWERS putting plan into action. reassessing, review and revise care plan, standing order - ANSWERS preprinted document containing orders for routine therapies, monitoring guidelines, and or diagnostic procedures for specific patients with identical problems. delegation (implementation) - ANSWERS transferring to a competent individual the authority to perform a selected nursing task. assess, plan, supervise, and evaluate evaluation (nursing process) - ANSWERS determine if the plan is successful. if the pt is improving. reassessment. care plan revision, discontinue/modify. document results. RN responsibilities - ANSWERS Safety, PT outcomes, PT education nursing process compared to tanners model - ANSWERS 1. assessment= noticing 2. nursing diagnosis & planning= interpretation 3. implementation= responding 4. evaluation= reflecting