Critical thinking nur 200 Hondros, 200
exam 1 critical thinking
Complete assessment - -A review and physical examination of all body systems, for
stable patients only
clinical judgment - -"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 - -Completed health history and physical examination, large store or bank
of info
clinical reasoning - -is the thinking process by which a nurse reaches a clinical
judgement. an iterative process of noticing, interpreting, and responding- reasoning
in transition with a fine attunement to the patient and how the patient responds to
the nurses action
Psychosocial history - -Psychological and social factors
evidence-based practice - -clinical decision making that integrates the best
available research with clinical expertise and patient characteristics and
preferences
1st method of data collection - -Interiew patient, health history. Patient is your
primary source
Tanner's Model - -Noticing
Interpreting
Responding
Reflecting
2nd method of data collection - -Physical examination ( guided by subjective and
objective)
noticing (tanners model) - -identify s/s, gather complete and accurate data,
assessing systematically and comprehensively, *predicting (and managing)
potential complications, identifying assumptions
Concepts of clinical judgment - -1. Safety
2. Healthcare quality
3. Leadership
4. Patient education
5. Evidence
6. Professionalism
7. Care coordination
, objective data (noticing) - -information that is seen, heard, felt, or smelled by an
observer; signs
Analytic reasoning - -Situation is unfamiliar
subjective data (noticing) - -things a person tells you about that you cannot observe
through your senses; symptoms
Intuitive reasoning - -Able to recognize the situation immedialy. Pattern based
factors that influence "Noticing" - --intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
Narrative reasoning - -Situation to patient experience with illness.
Interpreting (tanners) - -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 - -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) - -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 - -Understanding of the situation
intuitive reasoning (interpreting) - -based on unstated but understood knowledge
about the pt, the care giving context, and their previous experiences. typically
expert nurse.
Responding - -Based on what you interpreted the nurse will determine appropriate
actions
narrative reasoning (interpreting) - -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 - -Observing patient reaction to the action the nurse chose and
deciding if the situation was fixed
exam 1 critical thinking
Complete assessment - -A review and physical examination of all body systems, for
stable patients only
clinical judgment - -"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 - -Completed health history and physical examination, large store or bank
of info
clinical reasoning - -is the thinking process by which a nurse reaches a clinical
judgement. an iterative process of noticing, interpreting, and responding- reasoning
in transition with a fine attunement to the patient and how the patient responds to
the nurses action
Psychosocial history - -Psychological and social factors
evidence-based practice - -clinical decision making that integrates the best
available research with clinical expertise and patient characteristics and
preferences
1st method of data collection - -Interiew patient, health history. Patient is your
primary source
Tanner's Model - -Noticing
Interpreting
Responding
Reflecting
2nd method of data collection - -Physical examination ( guided by subjective and
objective)
noticing (tanners model) - -identify s/s, gather complete and accurate data,
assessing systematically and comprehensively, *predicting (and managing)
potential complications, identifying assumptions
Concepts of clinical judgment - -1. Safety
2. Healthcare quality
3. Leadership
4. Patient education
5. Evidence
6. Professionalism
7. Care coordination
, objective data (noticing) - -information that is seen, heard, felt, or smelled by an
observer; signs
Analytic reasoning - -Situation is unfamiliar
subjective data (noticing) - -things a person tells you about that you cannot observe
through your senses; symptoms
Intuitive reasoning - -Able to recognize the situation immedialy. Pattern based
factors that influence "Noticing" - --intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
Narrative reasoning - -Situation to patient experience with illness.
Interpreting (tanners) - -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 - -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) - -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 - -Understanding of the situation
intuitive reasoning (interpreting) - -based on unstated but understood knowledge
about the pt, the care giving context, and their previous experiences. typically
expert nurse.
Responding - -Based on what you interpreted the nurse will determine appropriate
actions
narrative reasoning (interpreting) - -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 - -Observing patient reaction to the action the nurse chose and
deciding if the situation was fixed
