CRC

Question 1

What are the 8bsteps of the clinical reasoning cycle

Answer 1

1.consider patient situation
2. Collect cues
3. Process information
4. ID the problem
5. Set goals
6. Take action
7. Evaluate outcomes
8. Reflect on process

Question 2

What are the 8bsteps of the clinical reasoning cycle

Answer 2

1.consider patient situation
2. Collect cues
3. Process information
4. ID the problem
5. Set goals
6. Take action
7. Evaluate outcomes
8. Reflect on process

Question 3

What are the steps of ADPIE

Answer 3

1. Assessment
2. Nursing diagnosis
3. Planning
4. Implementation
5. Evaluation

Question 4

Step 1

Answer 4

Consider the patient situation
Describe person and context
Ie Mr Smith is a 60y/o man admitted to ICU yesterday following surgery for abdo aortic aneurysm.
Age gender and reason for admission

Question 5

Step 2
Collect cues

Answer 5

Collect patients data
Review current information
Gather new information
Recall knowledge
Head to toe exam
Focused assessment ie falls, pressure
COLDSPA
Subjective

Question 6

Step 2
Collect cues

Answer 6

Collect patients data
Review current information
Gather new information
Recall knowledge
Head to toe exam
Focused assessment ie falls, pressure
COLDSPA
Subjective

Question 7

Step 3
Process info

Answer 7

Interpret.. analyze cues to understand signs and symptoms..normal vs abnormal
Discriminate..recognize irrelevant info, gaps and inconsistencies
Relate..connect cues and I’d new patterns/relationships
Infer..make logical deductions, consider alternatives and consequences
Match current to past situations
Predict and outcome

Question 8

Step 4
Identify the problem

Answer 8

Synthesize facts and inferences to make a definitive nursing diagnosis
Ie dehydration related to postoperative nausea and vomiting evidenced by dry mucous membranes, oliguria, poor skin turgor, Hypotension and tachycardia
Helpful
Mosbys guide to nursing diagnosis

Question 9

Step 5
Set goals

Answer 9

Smart goal
Ie yo improve Mr smith’s cardiac output, haemodynamic status and urine over thr next 1-2 hours

Question 10

Step 5
Set goals

Answer 10

Smart goal
Ie yo improve Mr smith’s cardiac output, haemodynamic status and urine over thr next 1-2 hours

Question 11

Step 6
Take action

Answer 11

Select course of action between the different alternatives available
Ie I will phone thr med officer using ISBAR to request an order for a fluid change

Question 12

Step 7
Evaluate the outcome

Answer 12

Has the situation improved

Question 13

Step 7
Evaluate the outcome

Answer 13

Has the situation improved

Question 14

Step 8
Reflection

Answer 14

Contemplate what we have learned and what could be done differently