Clinical judgement: 4 questions Flashcards
Name the 6 functions of clinical judgment.
Recognize Cues - What Matters Most?
Analysis of Cues - What Could it Mean?
Prioritize Hypotheses - Where Do I Start?
Generate Solutions - What Can I Do?
Take Actions - What Will I Do?
Evaluate Outcomes - Did it Help?
What is the primary source in collecting data?
Client/Family
What is the secondary source in collecting data?
physical exam, nursing history, team members, lab reports, diagnostic tests
What are the different steps of the Maslow’s theory? bottom to top.
Physiological needs (air ,water food, shelter, sleep, clothing, reproduction), Safety needs (personal security, employment, resources, health), Love and belonging (friendship, intimacy, family, sense of connections), Esteem (respect, self-esteem, recognition, strength), Self-actualization (desire to become the most that one can be).
A nurse is assessing a 15-year-old female patient who is diagnosed with anorexia. Following the assessment, the nurse recommends that the patient meet with a nutritionist. This action best exemplifies the use of:
a. Clinical judgment
b. Clinical reasoning
c. Critical thinking
d. Blended competencies
A
Which statement is related to the concept that is central to the nursing process?
A .It is dynamic rather than static.
B. It focuses on the role of the nurse.
C. It moves from the simple to the complex.
D. It is based on the patient’s medical problem.
A
what should the nurse do during the evaluation step of the nursing process?
A. set the time frame for goals
B. revise a plan of care
C. determine priorities
D. establish outcomes
B
Which information supports the appropriateness of a nursing diagnosis?
A. Defining characteristics
B. Planning interventions
C. Diagnostic statement
D. Related risk factors
A
Which action is associated with the evaluation step of the nursing process?
A. A nurse takes the vital signs when a patient reports chest pain.
B. A nurse determines that a patient is at risk for impaired skin integrity because of reduced mobility and malnutrition.
C. A nurse and patient decide that within 3 days the patient will learn how to draw up and self-administer insulin safely.
D. A nurse determines that further intervention is necessary when the patient experiences sacral edema after being turned and positioned every 2 hours.
D
A patient became short of breath and reported sudden chest pain while being transferred from the bed to a chair for the first time after surgery for a fractured hip. The nurse immediately returned the patient to bed, raised the head of the bed and started oxygen at 2 L via nasal cannula. Which step of the nursing process was most important in this scenario?
A. Planning
B. Assessing
C. Evaluating
D. Diagnosing
C
