GIDDENS, concepts for nursing practice ch40 Questions with
Answers
Clinical judgement (think like a nurse) - correct answersIt is an interpretation or conclusion about a pt'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 pt's response. (Diagnosis)
Clinical reasoning - correct answersIs the thinking process by which a nurse reaches a clinical judgement,
an interactive process of noticing, interpreting, and responding to patient's need. (Assessment)
Standard-based approach - correct answersClear-cut guidance that standardize approaches to patient
care within an institution based on best practices for a typical patient population. Very useful tool to
support safe patient care, especially for beginning clinicians.
evidence-based practice - correct answersApplying the best available research results (evidence) when
making decisions about health care. Health care professionals who perform evidence-based practice use
research evidence along with clinical expertise and patient preferences.
Interpretivist Approach - correct answersBelief that life experiences are culturally bound, that individuals
interpret these experiences on the basis of their encounters within a given culture. The creation or
construction of understanding the patient and caregiving situation using empirical knowledge,
knowledge of the patient, and knowledge of the clinical environment facilitates decisions about care.
3 attributes of clinical judgement - correct answers•holistic view of the patient situation
•process orientation
•reasoning and interpretation
Tanner's model of clinical judgement - correct answersNurses notice, interpret, reflect, respond by using
nurse's knowledge, experience, ethical perspective and knowing the patient.
Reflection-on-action - correct answersWhen the nurse observes the patient's reaction to the nursing
action and decides if the action needs some refinements or a complete adjust for the particular patient.
It the consideration of the situation AFTER the pt care occurs.
Answers
Clinical judgement (think like a nurse) - correct answersIt is an interpretation or conclusion about a pt'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 pt's response. (Diagnosis)
Clinical reasoning - correct answersIs the thinking process by which a nurse reaches a clinical judgement,
an interactive process of noticing, interpreting, and responding to patient's need. (Assessment)
Standard-based approach - correct answersClear-cut guidance that standardize approaches to patient
care within an institution based on best practices for a typical patient population. Very useful tool to
support safe patient care, especially for beginning clinicians.
evidence-based practice - correct answersApplying the best available research results (evidence) when
making decisions about health care. Health care professionals who perform evidence-based practice use
research evidence along with clinical expertise and patient preferences.
Interpretivist Approach - correct answersBelief that life experiences are culturally bound, that individuals
interpret these experiences on the basis of their encounters within a given culture. The creation or
construction of understanding the patient and caregiving situation using empirical knowledge,
knowledge of the patient, and knowledge of the clinical environment facilitates decisions about care.
3 attributes of clinical judgement - correct answers•holistic view of the patient situation
•process orientation
•reasoning and interpretation
Tanner's model of clinical judgement - correct answersNurses notice, interpret, reflect, respond by using
nurse's knowledge, experience, ethical perspective and knowing the patient.
Reflection-on-action - correct answersWhen the nurse observes the patient's reaction to the nursing
action and decides if the action needs some refinements or a complete adjust for the particular patient.
It the consideration of the situation AFTER the pt care occurs.
