Clinical Judgment Flashcards
Define concept of clinical judgement and clinical decision making
interpretation or conclusion about a patient’s needs, concerns, or health problems.
process the nurse determines and utilizes evidence based solutions.
What are the components of Tanner’s Model of Clinical Judgment
Noticing
Interpreting
Responding
Reflecting
What are the components of the nursing process
Assessment Dx/problem statement Planning Implementation Evaluation
Axis 1 of dx
focus.
“compromised family coping” Coping
Axis 2 of dx
subject. Explicit: direct “Compromised family coping” Family
OR
Implicit: implied “Ineffective airway clearance” Patient
Axis 3 of dx
Modifiers that give meaning “Compromised family coping” Compromised
What are some examples of modifiers that give meaning
deficient impaired decreased ineffective compromised
Axis 4 of dx
description, location, system or function affected by focus. o “Ineffective airway clearance” Airway
Axis 5 of dx
Age
Axis 6 of dx
Time. Acute vs Chronic
Axis 7 of dx
status…. is it a current or future health risk?
what are the interrelated concepts for clinical judgment
safety and evidence based practice
what is the lay out of a problem statement
diagnostic label/related to/etiology/aeb/defining characteristics
