Clinical Judgment Flashcards

1
Q

4 steps of Tanners Model of Clinical Judgment

A

Noticing

Interpreting

Responding

Reflecting

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2
Q

ADPIE

A

Assessment

Dx(Nursing)

Planning

Implementation

Evaluation

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3
Q

NANDA

A

North American Nursing Diagnoses Association- national

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4
Q

3 Types of Nursing Diagnoses

A
  1. Actual
  2. Risk
  3. Health Promotion
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5
Q

The PES format

A

(Problem) Nursing Dx——-(Etiology) related to——–(symptoms) as evidenced by.

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6
Q

S. M. A. R. T goals

A

Specific. Measurable. Attainable. Realistic. Timetable

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7
Q

3 Ws and 2Hs for interventions

A
  1. Who will do it
  2. What will be done
  3. When will it be done
  4. How much will be done
  5. How often will it be done
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8
Q

Evaluating what the PATIENT did:

Describe as Met, Not Met, or Partially Met ( if one of the two goals were met)

A

Evaluation:

Goals/ Outcomes

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9
Q

Evaluating what the NURSE did

Described as:
Effective, Not Effective, or Partially Effective

A

Evaluation:

Interventions

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10
Q

The interpretation or conclusion about a patients needs, concerns, or health problems, and/or the decision to take action (or not), use or modify standard approaches, or improvise new ones as deemed appropriate by the patients response

A

Clinical Judgment

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