NUR 155 NARRATIVE EXAM
QUESTIONS WITH VERIFIED
SOLUTIONS
What are the 4 stages of Tanner's Model? - ANSWER-1. Noticing
2. Interpreting
3. Responding
4. Reflecting
What are the thinking skills for Noticing in Tanner's Model? - ANSWER-1. Identifying
signs and symptoms
2. Gathering complete and accurate data
3. Assessing systematically and comprehensively
4. Predicting (and managing) potential complications
5. Identifying assumptions
Noticing thinking skill *IDENTIFYING SIGNS AND SYMPTOMS* - ANSWER-The ability
to recognize that a situation is different, changed, and not of a normal state. Indicates
that something is different that expected.
Noticing thinking skill *GATHERING COMPLETE AND ACCURATE DATA* - ANSWER-
Collecting pertinent data from various sources. This data is used as the basis for
identifying issues/concerns, solving problems, and making decisions. Must verify that
data is complete and accurate.
Noticing thinking skill *ASSESSING SYSTEMATICALLY AND COMPREHENSIVELY* -
ANSWER-An organized manner to collect data to make sure nothing is omitted or
forgotten. Examining the whole, piece-by-piece in a thorough manner.
Noticing thinking skill *PREDICTING (AND MANAGING) POTENTIAL
COMPLICATIONS* - ANSWER-Looking at the big picture to consider possible
complications for an individual patient. Must know common complications and consider
individual differences. In Noticing, you are predicting complications, which means you
are identifying possible problems.
Noticing thinking skill *IDENTIFYING ASSUMPTIONS* - ANSWER-Taking something
for granted or hastily arriving at a conclusion without supporting evidence. A
misconception.
What are the thinking skills for Interpreting in Tanner's model? - ANSWER-1. Clustering
related information
2. Recognizing inconsistencies
, 3. Checking accuracy
4. Separating relevant and irrelevant data
5. Judging how much ambiguity is acceptable
6. Following legal and professional guidelines
Interpreting thinking skill *CLUSTERING RELATED INFORMATION* - ANSWER-
Grouping together information with a common theme. A method of organizing data so
that you put related things together in order to better understand the situation.
Interpreting thinking skill *RECOGNIZING INCONSISTENCIES* - ANSWER-Identifying
mismatched data. Seeing if subjective data and objective data support each other.
Interpreting thinking skill *CHECKING ACCURACY AND RELIABILITY* - ANSWER-
Realizing that something doesn't seem quite right and taking action to determine if it is
accurate or not. Sounds suspicious and looking further into it.
Interpreting thinking skill *DISTINGUISHING RELEVANT FROM IRRELEVANT* -
ANSWER-Deciding which information is pertinent or connects to the matter at hand.
Nurses sort out what information relates to the current problem or situation.
Interpreting thinking skill *DETERMINING THE IMPORTANCE OF INFORMATION* -
ANSWER-Nurses must be about to sort through clinical noise, act on important
information, and disregard what's not important. Evaluate information to identify a
possible new issue/problem that was not previously identified. Figure out what is new or
what has changed.
Interpreting thinking skill *COMPARING AND CONTRASTING* - ANSWER-Looking at
two similar cases, identifying the subtle differences, and acting on them.
Interpreting thinking skill *(PREDICTING AND) MANAGING POTENTIAL
COMPLICATIONS* - ANSWER-Looking at the big picture to consider possible
complications for an individual patient. Must know common complications and consider
individual differences. In interpreting, you are planning interventions to help manage or
reduce the risk of complications.
Interpreting thinking skill *JUDGING HOW MUCH AMBIGUITY IS ACCEPTABLE* -
ANSWER-Ambiguity refers to an unclear, uncertain, or vague situation. How much
wiggle room do you have when applying a rule to a particular situation? The nurse looks
at a patient situation and assessment data to determine if assessment measures are
acceptable for that specific patient.
Interpreting thinking skill *USING LEGAL, ETHICAL & PROFESSIONAL GUIDELINES*
- ANSWER-Nurses must consider legal, ethical, and professional guidelines when
providing care. Nurses must work within the legal guidelines of the state's nurse practice
act, as well as make judgments based on ethical and professional guidelines.
QUESTIONS WITH VERIFIED
SOLUTIONS
What are the 4 stages of Tanner's Model? - ANSWER-1. Noticing
2. Interpreting
3. Responding
4. Reflecting
What are the thinking skills for Noticing in Tanner's Model? - ANSWER-1. Identifying
signs and symptoms
2. Gathering complete and accurate data
3. Assessing systematically and comprehensively
4. Predicting (and managing) potential complications
5. Identifying assumptions
Noticing thinking skill *IDENTIFYING SIGNS AND SYMPTOMS* - ANSWER-The ability
to recognize that a situation is different, changed, and not of a normal state. Indicates
that something is different that expected.
Noticing thinking skill *GATHERING COMPLETE AND ACCURATE DATA* - ANSWER-
Collecting pertinent data from various sources. This data is used as the basis for
identifying issues/concerns, solving problems, and making decisions. Must verify that
data is complete and accurate.
Noticing thinking skill *ASSESSING SYSTEMATICALLY AND COMPREHENSIVELY* -
ANSWER-An organized manner to collect data to make sure nothing is omitted or
forgotten. Examining the whole, piece-by-piece in a thorough manner.
Noticing thinking skill *PREDICTING (AND MANAGING) POTENTIAL
COMPLICATIONS* - ANSWER-Looking at the big picture to consider possible
complications for an individual patient. Must know common complications and consider
individual differences. In Noticing, you are predicting complications, which means you
are identifying possible problems.
Noticing thinking skill *IDENTIFYING ASSUMPTIONS* - ANSWER-Taking something
for granted or hastily arriving at a conclusion without supporting evidence. A
misconception.
What are the thinking skills for Interpreting in Tanner's model? - ANSWER-1. Clustering
related information
2. Recognizing inconsistencies
, 3. Checking accuracy
4. Separating relevant and irrelevant data
5. Judging how much ambiguity is acceptable
6. Following legal and professional guidelines
Interpreting thinking skill *CLUSTERING RELATED INFORMATION* - ANSWER-
Grouping together information with a common theme. A method of organizing data so
that you put related things together in order to better understand the situation.
Interpreting thinking skill *RECOGNIZING INCONSISTENCIES* - ANSWER-Identifying
mismatched data. Seeing if subjective data and objective data support each other.
Interpreting thinking skill *CHECKING ACCURACY AND RELIABILITY* - ANSWER-
Realizing that something doesn't seem quite right and taking action to determine if it is
accurate or not. Sounds suspicious and looking further into it.
Interpreting thinking skill *DISTINGUISHING RELEVANT FROM IRRELEVANT* -
ANSWER-Deciding which information is pertinent or connects to the matter at hand.
Nurses sort out what information relates to the current problem or situation.
Interpreting thinking skill *DETERMINING THE IMPORTANCE OF INFORMATION* -
ANSWER-Nurses must be about to sort through clinical noise, act on important
information, and disregard what's not important. Evaluate information to identify a
possible new issue/problem that was not previously identified. Figure out what is new or
what has changed.
Interpreting thinking skill *COMPARING AND CONTRASTING* - ANSWER-Looking at
two similar cases, identifying the subtle differences, and acting on them.
Interpreting thinking skill *(PREDICTING AND) MANAGING POTENTIAL
COMPLICATIONS* - ANSWER-Looking at the big picture to consider possible
complications for an individual patient. Must know common complications and consider
individual differences. In interpreting, you are planning interventions to help manage or
reduce the risk of complications.
Interpreting thinking skill *JUDGING HOW MUCH AMBIGUITY IS ACCEPTABLE* -
ANSWER-Ambiguity refers to an unclear, uncertain, or vague situation. How much
wiggle room do you have when applying a rule to a particular situation? The nurse looks
at a patient situation and assessment data to determine if assessment measures are
acceptable for that specific patient.
Interpreting thinking skill *USING LEGAL, ETHICAL & PROFESSIONAL GUIDELINES*
- ANSWER-Nurses must consider legal, ethical, and professional guidelines when
providing care. Nurses must work within the legal guidelines of the state's nurse practice
act, as well as make judgments based on ethical and professional guidelines.
