With Complete Solutions
/. Complete assessment - Answer-✅A review and physical examination of all body
systems, for stable patients only
/.clinical judgment - Answer-✅"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 - Answer-✅Completed health history and physical examination, large store
or bank of info
/.clinical reasoning - Answer-✅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 - Answer-✅Psychological and social factors
/.evidence-based practice - Answer-✅clinical decision making that integrates the best
available research with clinical expertise and patient characteristics and preferences
/.1st method of data collection - Answer-✅Interiew patient, health history. Patient is
your primary source
/.Tanner's Model - Answer-✅Noticing
Interpreting
Responding
Reflecting
/.2nd method of data collection - Answer-✅Physical examination ( guided by subjective
and objective)
/.noticing (tanners model) - Answer-✅identify s/s, gather complete and accurate data,
assessing systematically and comprehensively, *predicting (and managing) potential
complications, identifying assumptions
/.Concepts of clinical judgment - Answer-✅1. Safety
, 2. Healthcare quality
3. Leadership
4. Patient education
5. Evidence
6. Professionalism
7. Care coordination
/.objective data (noticing) - Answer-✅information that is seen, heard, felt, or smelled by
an observer; signs
/.Analytic reasoning - Answer-✅Situation is unfamiliar
/.subjective data (noticing) - Answer-✅things a person tells you about that you cannot
observe through your senses; symptoms
/.Intuitive reasoning - Answer-✅Able to recognize the situation immedialy. Pattern
based
/.factors that influence "Noticing" - Answer-✅-intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
/.Narrative reasoning - Answer-✅Situation to patient experience with illness.
/.Interpreting (tanners) - Answer-✅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 - Answer-✅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) - Answer-✅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 - Answer-✅Understanding of the situation