Ch. 2

Question 1

CT: skill using logic and reasoning to identify strengths and weakness of alternative health care solutions, conclusions, approaches to clin/prac probs; without it safety lapses and errors occur leading to death or harm; informed by info directed by nursing standards and prac and national competencies
Clin reasoning: nurses collect cues, process info, come to understanding a pt prob/situation, plan and implement interventions, eval outcomes, and reflect on and learn from process; through ADPIE

Answer 1

Indiv pt care: critical thinking, clin reasoning, and decision making

Question 2

Patient-centered care - patient, with own autonomy, at center of all decision making
Safety - design all nursing care with focus on safety at forefront of planning and execution of care both at indiv and systems level of care
EBP - using best evidence in conjunction wiht clin experience and pt preference to deliver safe care
Informatics - most up-to-date tech used to support clin decision making, delivery, and doc of care
Teamwork and collab - functioning well within interprofessional team; recognizing shared decision making contributes to safety and quality
Quality improvement - using data to make informed decisions to continually improve health care outcomes

Answer 2

CT: skill using logic and reasoning to identify strengths and weakness of alternative health care solutions, conclusions, approaches to clin/prac probs; without it safety lapses and errors occur leading to death or harm; informed by info directed by nursing standards and prac and national competencies

Question 3

Clin judgment: observed outcome of CT and decision making; iterative process using nursing knowledge to observe and access presenting situations, identify prioritized client concern, generate best possible EB solutions to deliver safe client care
Continually evolving
Make appropriate decision based on context of specific situation
6 step process

Answer 3

Indiv pt care: clin judgment

Question 4

Recognize cues
Analyze cues
Prioritize hypotheses
Generate solutions
Take action
Eval outcomes

Answer 4

6 step process

Question 5

Cues: elements of assessment and data provide imp info
Data relevant and irrelevant
Assessment info most concerning and priority

Answer 5

Recognize cues

Question 6

Consider cues in relation to history and presentation

Answer 6

Analyze cues

Question 7

Consider all posibilities and determine urgency and risk for pt

Answer 7

Prioritize hypotheses

Question 8

Use hypothesis to develop EO

Answer 8

Generate solutions

Question 9

Use nursing interventions to address highest priorities of care and indicate how will be performed
Consider additional assessment, health teaching, doc, requested HCP orders/meds, skills, interprofessional collab

Answer 9

Take action

Question 10

Consider pt outcomes in relation to EO

Answer 10

Eval outcomes