Clinical Judgement Model - Patient-Centred Care

Question 1

Innovative model for pulling all learning together.

Answer 1

Clinical judgement model

Question 2

Noticing, interpreting, responding, and reflecting are components of this model.

Answer 2

Clinical judgement model

Question 3

There are ___ aspects of the clinical judgement model.

Answer 3

4

Question 4

Tanner’s model of clinical judgement.

Answer 4

Question 5

All aspects of the clinical judgement model are influenced by this.

Answer 5

Cntext

Question 6

Background of all persons involved.

Answer 6

Context

Question 7

Equates to assessment in the traditional nursing process.

Answer 7

Noticing

Question 8

Help to think about what nursing knowledge is needed to help.

Answer 8

Goals

Question 9

Translating information gained in seeking information about a patient using knowledge and skills learned into meaningful actions.

Answer 9

Interpreting

Question 10

This is similar to the planning phase of the traditional nursing process.

Answer 10

Interpreting

Question 11

Influenced by three types of reasoning patterns: analytic, intuitive, and narrative.

Answer 11

Interpreting

Question 12

Interpreting information is influenced by ___ types of reasoning patterns.

Answer 12

3

Question 13

Used to expand on noticing aspects by focusing on one family member at a time. For Mr. Black, you could focus on his smoking and weight problem; for the daughter with CF, her care needs are to ensure that her breathing capacity is not impaired. These are the physical needs.

Answer 13

Analytic interpreting

Question 14

Questions such as: “what would be the genetic impacts of diabetes on Mrs. Black and the children? What care will Mrs. Black require in order to manage herself postdelivery? What are the concerns of other family members about Mrs. Black and the new baby?” are examples of this type of interpreting:

Answer 14

analytical interpreting.

Question 15

Combining family information with actual clinical data, such as tests, blood work, and physical assessment data, to determine the likely achievement of the goals constitutes the ___ processes used in interpreting for a patient and their family.

Answer 15

analytic

Question 16

Characterized by immediate apprehension of a clinical situation and is a function of experience with similar situations.

Answer 16

Intuitive interpreting

Question 17

Result of a complex interaction of attributes, including experience, expertise, and knowledge, along with personality, environment, acceptance of intuition as a valid ‘behaviour’ and the presence of a nurse/client relationship.

Answer 17

Intuitive interpreting

Question 18

Experiential learning that was gained before entering nursing.

Answer 18

Personal knowing

Question 19

Experiential learning that evolved from the environment grown up in, personality, and evolving nursing knowledge and practice.

Answer 19

Aesthetic knowing

Question 20

Nurses add to their analytic and intuitive interpretation through use of this type of interpreting.

Answer 20

Narrative interpreting

Question 21

Occurs during the nurse’s interactions with a patient and family and involves trying to understand the particular case and is viewed as human beings’ primary way of making sense of experience, through an interpretation of human concerns, intents, and motives.

Answer 21

Narrative interpreting

Question 22

A client might be very worried about a diabetes diagnosis and feel that her life is destined to end in renal failure because of their mother’s experience with diabetes. It is this type of information, shared because of unspoken concerns, that needs to be explored with the client through ___ thinking. It will allow you to provide facts about diabetes and the importance of blood sugar control.

Answer 22

narrative

Question 23

Enables intervention with facts and support. Each success in a client’s care is dependent on what is important as a goal or goals to them.

Answer 23

Narrative interpreting

Question 24

Developing actions and planning implementation to address a patient’s identified health and social issues.

As you can see, patient-centred care requires this ongoing interaction and negotiation with the patient, and may at times necessitate an adaptation of your plan so that it is acceptable to the patient. Furthermore, in this case you need to discuss with Mrs. Black how she and you will know when the goal has been reached. This is a key aspect for responding. Finally, you need to carry out the plan in consultation with Mrs. Black. Shaping your care plan around what Mrs. Black is able and willing to do to achieve her set goals is key to effective patient-centred care.

Answer 24

Responding

Question 25

Discussing and proposing planned interventions with a client, seeking their agreement on which of these they support, and considering evidence that is needed to determine if each goal has been reached with them is an example of:

Answer 25

responding.

Question 26

Requires an ongoing interaction and negotiation with the patient and may at times necessitate an adaptation of a plan so that it is acceptable to the patient.

Answer 26

Responding

Question 27

Includes discussing with a client how to determine when a goal has been reached.

Answer 27

Responding

Question 28

A process that occurs at two levels: assessing a patient’s responses during provision of care and then again following completion of a patient’s care when evaluating work.

Answer 28

Reflection

Question 29

___ types of reflection are required.

Answer 29

2

Question 30

Reflecting by considering how planned interventions impact moving toward the sought outcomes and how the patient is responding to your actions.

Answer 30

Reflection-in-action

Question 31

Reflecting when coming to an agreement about what the focus of achievements will be in order to reach goals.

Answer 31

Reflection-in-action

Question 32

Helps prepare the nurse and the patient to reflect on how reaching the goal is progressing.

Answer 32

Reflection-in-action

Question 33

Looking back at what was done as the nurse and the patient to achieve goals.

Answer 33

Reflecting-on-action

Question 34

Development of behaviours and attitudes deemed necessary to fit into a cultural group, in this case, the nursing culture.

Answer 34

Socialization

Question 35

Requires the ability to explain to another what a professional nurse’s role is including a nurse’s knowledge and skills.

Answer 35

Role clarification