Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical Reasoning > 1 > Flashcards

1 Flashcards

1
Q

What is critical thinking and why do we need it

A

Don’t be a sheep, evaluate information to determine if it is factual and reliable
1 - dynamic and challenging situations
2 - we make complex decisions involving people
3 - positive impact on patients outcomes
4 - aids in detecting deteriorating pts
5 - forms part of standard 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is clinical reasoning?

A

PROCESS which nurses use to COLLECT CUES, PROCESS IN4MATION, come to an UNDERSTANDING OF PATIENT SITUATION, plan and implement interventions, evaluate OUTCOMES and reflect on to learn.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Give me some critical thinking skills boy!

A

Flexibility- ability to adapt to shit, and kickass at karate
Creativity - ability to imagine and create ideas, and be artsy
Intuition - insight gained from experiences and pattern recognition, just being a bush kid
Confidence - kicking ass like a boss
Open mindedness - not judging assholes when they’re being an asshole.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the five styles of conflict management

A

Avoids - avoid confrontation
Accomodaters - give up own needs to keep people happy
Forcers - must win at all costs
Compromises - everyone loses something
Collaborators -work collaboratively to get optimum result for both

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the principles of negotiation

A

Don’t jump to conclusions, seek facts
Remember there are 3 ways to view situation
Stay focused on relationships and goals and values
Choose appropriate day and time for discussion
Encourage environment of trust and desire to fulfill goals
Persevere with issues
Seek win-win
Stay calm
Seek mediators/ outside help
Review issues and evaluate situation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the clinical reasoning errors?

A 
Anchoring 
Ascertainment bias
Confirmation bias
Diagnostic momentum
Fundamental attribution error
Overconfidence bias
Premature closure
Psych out error
Unpacking principle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Anchoring

A

Locking into salient features upon pt presentation too early in the clinical reasoning process and failing to adjust your impression based on new information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Ascertainment bias

A

Thinking shaped by prior assumptions or preconceptions. Ageism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Confirmation bias

A

Looking for evidence to confirm your nursing diagnosis rather than to refute it despite the latter being more reliable.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Diagnostic momentum

A

Labels are attached to pts and they become stickier and stickier. They become definite and other possibilities are ruled out.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Fundamental attribution error

A

The tendency to be judgemental and blame pts for their illness, rather than examine he real causes for the issue.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Overconfidence bias

A

Tendency to assume we know more than we do. Making decisions based on opinion rather than collecting cues.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Premature closure

A

Prematurely accepting a diagnosis before it has been verified

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Unpacking principle

A

Not collecting all the relevant cues to create a differential diagnosis missing out on alternative possibilities being missed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Name the 8 ethical principles

A 
Veracity
Non-maleficence
Beneficence
Autonomy
Justice
Fidelity
Confidentiality 
Accountability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What’s the 4 fundamental responsibilities of nurses under our code of ethics

A

Promote health
Prevent illness
Restore health
Alleviate suffering

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the 8 stages of clinical reasoning?

A
  1. Consider the patient situation
  2. Collect cues
  3. Process information
  4. Identify issues/problems
  5. Establish goals
  6. Take action
  7. Evaluate outcomes
  8. Reflect on process and new learning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Establishing goals, what’s that about?

A

SMART goals, ABCDE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is Situational awareness

A

Perception, comprehension and subsequent projection of what is going on in the environment.

Just understanding what’s going on round you.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are non technical skills in situational awareness

A

Comm skills, leadership skills, teamwork skills and decision making skills.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Technical situational awareness skills

A

Such as injecting a medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What does standard 1 pretty much state

A

Think critically and analyse nursing practice, by using thinking strategies and best available evidence to provide safe, quality person centred nursing care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Nose te I-sum

A

Know thyself

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Neuroticism and it’s alternative

A

It’s all about the tendency to experience negative emotions easily.
On the other hand you have emotional stability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Emotional intelligence

A

Social intelligence involving ability to manage, recognise and understand emotions and to use them to promote effective outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Kolb’s learning cycle

A

Concrete experience, reflective observation, abstract conceptualisation, active experimentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

The 5 stages of nursing expertise

A
  1. Novice
  2. Advanced beginner
  3. Competent
  4. Proficient
  5. Expert
28
Q

Transactional analysis is based on two notions

A
  1. That we have different ego states

2. We converse using these transactions

29
Q

Latrogenesis

A

Any injury brought forth to a patient as a result of unnessecary treatment of by a health intervention. Eg, medication error

30
Q

ICN CODE OF ETHICS PRINCIPLES

A

Nurses - people
Nurses - practice
Nurses - coworkers
Nurses - profession

31
Q

Collects cues

A

Reviews current information, gathers new information and recalls knowledge.

32
Q

Processing information

A

Interprets, discriminates, relates, infers, matches and predicts

33
Q

Identify problems/issues

A

This involves utilising the information at hand to create a definitive diagnosis

34
Q

What happens in establishing goals section

A

Outline desired outcomes and course of action to achieve them within a set time

35
Q

Take action =

A

Selecting a course of action from the options available

36
Q

Evaluate outcomes

A

Evaluate. Effectiveness of outcomes

37
Q

What are the three levels of cognitive processing in situational awareness

A

Level 1 = perception of the environment
Level 2 = comprehension of the situation
Level 3 = projection of future status

38
Q

IMSAFE checklist

A 
Illness
Medications
Stress
Alcohol
Fatigue
Eating
39
Q

What is crisis resource management?

A

NON TECHNICAL SKILLS required for effective teamwork in a crisis situation. Communication is a vital non technical skill in these situations.

40
Q

Closed loop comms

A

Sender sends message, receiver repeats and sender acknowledges yes or no for accuracy

41
Q

8 principles of crisis resource management

A 
Know your environment
anticipate, share and review the plan
Provide effective leadership
Ensure role clarity and teamwork
Communicate effectively
Call for help early
Allocate attention wisely
Distribute the workload and support your team
42
Q

How do medication errors occur?

A

From poor teamwork
Knowledge and skill deficits
Poor communication with coworkers and pts
Med cal errors

43
Q

Smoke filled room experiment

A

When there are passive others people are less likely to act

44
Q

5 principles of evidence based practice

A
  1. Identify nursing problem
  2. Search literature
  3. Critically evaluate the evidence
  4. Select best evidence for nursing problem
  5. Evaluate outcomes of intervention
45
Q

Level 1 evidence

A

Systematic reviews of random controlled trials

46
Q

Research

A

Systematic objective approach to creating new knowledge or refine old knowledge using rigorous DATA COLLECTION and TESTING procedures

47
Q

What do nurses do as leaders

A

We advocate for the pt, self, peers and the community. Has highly developed interpersonal and communication skills. Ensures that pt centred care is paramount in mdt.

48
Q

Communicating bad news

A

How you convey HONESTY, EMPATHY and RESPONSIBILITY when giving information that may be perceived as having a negative effect

49
Q

10 step communicating bad news approach

A 
1= Who has the authority and qualifications
2= Choose best person to be messenger
3= Setting, ensure privacy
4= ‘What do you know about the pt/situation’
5= Give a warning shot
6= Be direct, tell news and allow for silence
7= Respond to feelings with empathy
8= Ask if they have any questions or wishes
50
Q

10 step complaint process

A
  1. Listen to persons point of view
  2. Don’t take it personally
  3. Clarify persons wants/needs
  4. Focus on pts issues and try to learn from them
  5. Keep anger in check
  6. Apologise, don’t be weak, be humble
  7. Involve person in problem solving
  8. Take action, explain plan
  9. Explain actions
  10. Pt follow up
51
Q

Discuss positive critiquing

A

Ask what they think could be improved, state what you think could be improved, ask how they would change in future, state how you think they can change in future

52
Q

Reasons for change

A

To solve a problem - REACTIVE CHANGE
To maintain or improve a situation - RESPONSIVE CHANGE
To achieve a goal - PROACTIVE CHANGE

53
Q

The nurse as a leader…..

A

MANAGES CHANGE, FACILITATES CHANGE and LEADS CHANGE

54
Q

The natural sequence of change

A

LOSING FOCUS
DENIAL
ANGER FRUSTRATION
MOVING FORWARD

55
Q

Strategies to manage change

A 
Curb tendency for status quo
Understand reasons for change
Pros and cons of change
Identify barriers
Ask for help
56
Q

Hospital accreditation involves 2 conditions

A

One is hat

57
Q

Who are the Nash’s

A

National safety and

58
Q

What are the nsqhs 8 standards

A

Clinical governance

59
Q

What commission errors

A

Doing the task incorrectly

60
Q

What are 3 common reasons for mistakes

A
  1. RULE VIOLATION
  2. EXECUTION ERROR
  3. WRONG PLAN
61
Q

How do you do open disclosure

A
  1. Acknowledge incident
  2. Apologise
  3. Outline plan
  4. Outline steps to prevent reoccurrence
62
Q

Sentinel event

A

Event involving death or serious injury usually due to breaking procedure

63
Q

Some examples of sentinel events

A 
Med admin error
Wrong site of surgery
Wrong pt for surgery
Wrong procedure on pt
Unintended retention of object from surgery
Oro/Naso tube placed incorrectly
Discharge
64
Q

Hazardous condition

A

Any set of circumstances that can lead to a Serious adverse outcome

65
Q

5 step approach to dealing with mistakes

A
  1. DETERMINE SERIOUSNESS and prevent further harm
  2. FIND POLICY for mistake
  3. DOCUMENT PROCEEDING ACTIONS
  4. REFLECTION
  5. FOLLOW UP/DEBRIEF

Clinical Reasoning (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions