Clinical Judgement

Question 1

the potential of higher level thinking to determine pt problems requires a nurse to think creatively, use reflection and engage in analytical thinking

Answer 1

critical thinking

Question 2

what are the 4 techniques in critical thinking

Answer 2

critical analysis
socratic questioning
inductive reasoning
deductive reasoning

Question 3

the application of a set of questions to a particular situation to determine essential information and ideas and discard unessential

Answer 3

critical analysis

Question 4

technique that looks below the surface, recognize and examine assumptions, search for inconsistencies, examine multiple points of view and differentiate that the nurse knows facts v what she believes

Answer 4

socratic questioning

Question 5

generalizations are formed from a set of facts or observation

Answer 5

inductive reasoning

Question 6

making an assumption, you have no facts included

Answer 6

deductive reasoning

Question 7

a nurse who thinks critically seeks to build on

Answer 7

a pts strength while honoring the pts values and beliefs

Question 8

critical thinking concepts, when used in the nursing process, will result in

Answer 8

clinical judgement

Question 9

what are 7 characteristics of the nursing process

Answer 9

dynamic
client centered
planned
interpersonal and collaborative
focuses on client problems and strengths
outcome focused 
emphasizes feedback and validation

Question 10

what is the nursing process

Answer 10

assessment
diagnosis
planning
implement
evaluation

Question 11

nurses clinical judgement about the pt response to actual or potential health conditions

Answer 11

diagnosis

Question 12

setting short and long term goals for your patient

Answer 12

planning

Question 13

acting of the goals set in the care plan

Answer 13

implementation

Question 14

pt status and effectiveness of the pt care should be continuously evaluated to ensure the care plan is modified as needed

Answer 14

evaluation

Question 15

critical thinking is like the “umbrella term” that includes

Answer 15

clinical judgement

Question 16

critical thinking refers to

Answer 16

purposeful, focused, informed, results-oriented thinking in any situation

Question 17

the novice critical thinkers….

Answer 17

rely heavily on resources
rely on step by step instructions
hindered by anxiety and lack self-confidence
need clear cut rules
collect and question data
limited knowledge of suspected problems

Question 18

the expert critical thinkers….

Answer 18

assess and think things through before acting
knows when to bend the rules
have a large storehouse of experiential knowledge
aware of resources and how to use them
self-confident, less anxious, more focused

Question 19

in clinical judgement the rules give cleat instruction that

Answer 19

standardizes patient care within an institution based on best practices

Question 20

what are tanners four domains of clinical judgement

Answer 20

noticing
interpreting
responding
reflecting

Question 21

refers to the nurses ability to read the pt- how he or she is responding to the nursing intervention- and adjust the interventions based on that assessment

Answer 21

reflection-in-action

Question 22

demonstrates what nurses gain from their experience. this contributes to ongoing clinical knowledge development and their capacity for clinical judgement in future situations

Answer 22

reflection-on-action

Question 23

critical thinking and problem solving to identify and assess a pt problems, plan and implement the action and then reflect on it to see if it worked

Answer 23

systematic clinical decision

Question 24

clinical judgment and decision making involve the 6 “honest serving me” which are

Answer 24

who (does it involve)
what (is the problem)
where (does it occur)
when (does it occur)
why (make a decision)
how (to make decisions)

Question 25

what does the pneumonic “person” mean

Answer 25

Patient centered
Evidence based
Risk assessed
Safe delivery of care
Outcomes of care benefit the pt
Nursing strengths and weaknesses