ch 14 clinical judgement

Question 1

clinical judgment

Answer 1

the result or observed outcome of critical thinking & decision making
*** can never be delegated!

Question 2

clinical reasoning

Answer 2

a specific term usually referring to ways of thinking abt pt care issues (determining, preventing, & managing pt probs); for reasoning abt other clinical issues (e.g. teamwork, collab, & streamlining work flow); nurses usually use critical thinking

Question 3

cognitive load

Answer 3

term used to reference the amt of into a person can hold in their memory at one time

Question 4

competency

Answer 4

legal statement of the plaintiff’s claim; once filed, it initiates legal proceedings

Question 5

critical thinking

Answer 5

evidence-based descriptions of behaviors that demonstrate the knowledge, characteristics, & skills that promote critical thinking in clinical prac

Question 6

situational awareness (SA)

Answer 6

from Endsley (1995): “the perception of the elements in the environment in a vol of time & space, the comprehension of their meaning & the projection of their status in the near future

Question 7

Tanner’s Clinical Judgement Models

Answer 7

-noticing
-interpreting
-responding
-reflecting (in action, on action)
** simple, came first, circle diagram

Question 8

Lasater clinical Judgement Rubric (look over pic)

Answer 8

-prioritizing data
-making sense of data
-calm, confident manner

Question 9

NCSBN models - clinical judgment measurement model (CJMM)

Answer 9

-new focus of NCLEX updated in 2023 (also called next-gen NCLEX)
-rainbow section
-cues

Question 10

NCSBN models - clinical judgement action model (CJAM)

Answer 10

-aligns the 6 cognitive operations from layer 3 w specific situational factors from layer 4

Question 11

nursing process

Answer 11

-mental model: organized way of thinking that assists in understanding complex aspects of a situation & guides assessments & behaviors
-how to think like a nurse
-ADPIE

Question 12

Competency Outcomes Performance Assessment (COPA) Model:

Answer 12

-Assessment & intervention skills
-Communication skills
-Critical thinking skills
-Human caring & relationship skills
-Management skills
-Leadership skills
-Teaching skills
-Knowledge integration skills

Question 13

Professional Guidance

Answer 13

-AACN Essentials Competency Domains
-NLN Competencies
-ANA Scope and Standards of Practice
-QSEN Competencies
-IPEC Competencies

Question 14

Clinical Decision-Making Theories, Models, & Frameworks

Answer 14

-Humanistic-Intuitive Approach
-Info-Processing Model
-Cognitive Continuum Theory
-Rest Framework