Clinical Judgment 7th Edition by Rosalinda Alfaro-
LeFevre
Critical thinking - ANSWER: A disciplined mental process of analyzing problems, or
phenomena that have been gathered from observation, experience, reflection,
reasoning, or communication.
Critical thinking skills - ANSWER: Refers to the cognitive processes used in complex
thinking operations such as problem solving and decision making.
Critical thinking attitudes - ANSWER: Are not the same as intellectual skills. They are
more like feelings and traits of mind. Your attitudes and character determine
whether you will use your thinking skills fairly and with an open mind.
Nursing process - ANSWER: The systematic gathering of information relating to the
spiritual, mental, physical, socioeconomic, and cultural status of an individual, group
or community
What are the 6 phases of the nursing process? - ANSWER: 1. Assessment
2. Diagnosis
3. Planning outcomes
4. Planning interventions
5. Implementation
6. Evaluation
What are 5 aspects of critical thinking? - ANSWER: Clear
Logical
Objective
Unbiased
Dispassionate
Clinical reasonig - ANSWER: The ability to reason as a clinical situation changes,
taking into account the context and concerns of the patient and family
Clinical judgment - ANSWER: an 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
As a nurse, you will focus on your clients _____ to illness? - ANSWER: Response
Including their physical responses, their understanding of the illness and how it
affects their lives.
, What is done during the assessment phase of the clinical process with data? (4) -
ANSWER: Collect
Validate
Organize
Record
What are 3 important actions during during the assessment phase? - ANSWER:
Analyze the data
Prioritize problems
Determine problem urgency
What is a high priority problem during the assessment phase? - ANSWER: Life
threatening
What is a medium priority problem during the assessment phase? - ANSWER: Not a
direct threat to life, but may cause destructive physical or emotional changes
What is a low priority problem during the assessment phase? - ANSWER: Requires
minimal support nursing interventions
What is done with the data during the diagnosis phase? - ANSWER: Analyze collected
data
Interpreting collected data
Identify the patients problems
What is the main difference between nurses and MDs? - ANSWER: MD licensed to
diagnose and treat a medical disease, nursing is licensed to diagnose and treat a
patients RESPONSE to a disease
Besides the patients response, what else can an RN diagnose? (3) - ANSWER: Patient
education
Comfort and counseling
Care until the patient is physically and emotionally capable of providing self care
What are the 6 approved NANDA syndrome diagnoses? - ANSWER: Disuse
Impaired environmental interpretation
Post trauma
Relocation stress
Rape trauma
Sudden Infant Death
Nurses treat the ____ not the _____ - ANSWER: patient; disease
Diagnostic label - ANSWER: Describes the actual or potential problem that nursing
care can influence. Is in NANDA approved terminology