Clinical Judgement

Question 1

What are 2 levels of knowledge in nursing practice?

Answer 1

Basic - foundational thinking
Highest- critical thinking

Question 2

Define foundational thinking

Answer 2

the ability to recall AND comprehend information that is foundational to nursing practice

Question 3

Define critical thinking

Answer 3

Thinking skills used to determine action to take including:
Interpretation
Analysis
Evaluation
Inference
Explanation

Question 4

What is involved in interpretation?

Answer 4

Recognize, describe, and understand data and communications

Question 5

What is analysis?

Answer 5

Examine, organize, validate, and prioritize
Includes signs and symptoms, data, beliefs, and communications

Question 6

What is evaluation

Answer 6

Assess sources of info for validity and strength of evidence

Question 7

what is inference?

Answer 7

The ability to draw conclusions based on evidence, identify the difference between a hypothesis and conclusion, and recognize where there are gaps in understanding

Question 8

What is explanation?

Answer 8

Clarifying reasoning and conclusion with evidence, concepts, context (written or oral with provider)

Question 9

Define clinical judgement

Answer 9

The decision made about a course of action based on critical analysis of data

Question 10

What are the steps of the clinical decision making process?

Answer 10

1. Identify the problem
2. Analyze and interpret the data.
3. Make inferences based on this data to come up with potential causes
4. List all possible courses of action
5. Evaluate each course of action and possible outcome.
6. Choose the best option,

The end result of the process is clinical judgement

Question 11

What are the 5 stages of nurse competency

Answer 11

Novice
Advanced Beginner
Competent
Proficient
Expert

Question 12

T or F: your client is only your patient

Answer 12

False. The client can be the patient, family, community, or groups

Question 13

Steps of the nursing process

Answer 13

Assessment: collecting subjective and objective data
Analysis: drawing conclusions about what the data indicates
Planning: development of plan of care to meet pt goals
Implementation: put the plan into place
Evaluation: determine if plan was effective

Question 14

What is the Plan-Do-Study-Act cycle?

Answer 14

A plan for quality improvement involving:

Plan changes
Implement changes
Study whether changes worked
Act to implement modifications

Question 15

Describe the process audit

Answer 15

Evaluates the process of delivering care (assumes there is a relationship between the care process and quality of care)

Question 16

Describe the structure audit

Answer 16

Determine the impact of structure on the provision of care (ex: staff ratios, supply availability, etc)

Question 17

Describe the outcome audit

Answer 17

Examines patient outcomes in connection to care, such as pt satisfaction, wait times, treatment success, length of stay

Question 18

What is root cause analysis?

Answer 18

A response to a sentinel event, like death
Determines the cause of the event so action can be implemented to prevent it from occurring again

Question 19

What is the Privacy Act of 1974?

Answer 19

Protects pt’s right to privacy by allowing them to prevent disclosure of health info to other’s, including providers

Question 20

What is the Health Insurance Portability and Accountability Act of 1996?

Answer 20

Establishes guidelines required to maintain pt confidentiality

Question 21

What agency creates National Patient Safety Goals?

Answer 21

The Joint Commission