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Intro To Nursing Care > Critical Thinking > Flashcards

Critical Thinking Flashcards

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1
Q

Give three examples of clinical judgement in nursing

A

Changes in a patient’s condition
When to call a physician
Should this medication be administered?

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2
Q

Steps you should take using clinical judgement regarding changes in a patient’s condition

A

1- rule out physical pain first, before mental
2- treat the patient, not the machine
3- prioritize order of when to see each patient

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3
Q

Define critical thinking

A

The ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process

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4
Q

Define reflection

A

Part of critical thinking that involves purposefully reviewing a situation to discover its purpose or meaning (thinking over what you did to determine why, and if it worked)

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5
Q

Examples of reflection:

A

How did i act?
Why did i choose such an action?
What could i have done differently?

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6
Q

What are the three levels of critical thinking in nursing?

A

Basically critical thinking
Complex critical thinking
Commitment

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7
Q

What is basic critical thinking?

A

Focuses on performing skills and organizing nursing care activity by trusting that the experts have all the answers

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8
Q

What is complex critical thinking?

A

When a nurse begins to rely less on experts and trusts their own decisions more
Finding original solutions to specific problems

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9
Q

What is commitment?

A

When a nurse anticipates when to make choices without assistance from others
Can accept accountability for decisions made

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10
Q

What is general critical thinking competencies (CTC)?

A

Critical thinking that is not unique to nursing

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11
Q

What is specific critical thinking competencies (CTC)?

A

Critical thinking related to nursing

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12
Q

Methods of general CTC

A

Scientific method
Problem solving
Decision making

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13
Q

What is the scientific method?

A

A methodical way to solve problems using reasoning

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14
Q

What is problem solving?

A

Obtain info and clarify the nature of the problem
Suggest possible solutions
Try the solution over time to make sure it’s effective

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15
Q

What is decision making?

A

When you face a problem and choose a course of action from several options

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16
Q

Three methods used in specific CTC

A

Diagnostic reasoning
Clinical decision making
Knowing the patient

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17
Q

What is diagnostic reasoning?

A

Figuring out why

18
Q

What is clinical decision making?

A

Product of clinical thinking that focuses on resolving a patient’s problem

19
Q

What is knowing the patient?

A

In depth knowledge of a patient’s pattern of responses within a clinical situation and knowing the patient as a person

20
Q

How does the nursing process use CTC?

A

It combines the use of general and specific CTCs

21
Q

List the attitudes needed for critical thinking

A

Confidence
Independent thinking
Fairness
Responsibility/accountability
Risk taking
Perseverance applications
Creativity
Curiosity
Integrity
Humility

22
Q

How can a nurse show confidence?

A

Speak with conviction to a patient when beginning an intervention
Always be prepared before performing a nursing activity
Encourage the patient to ask questions

23
Q

How can a nurse show independent thinking?

A

Be open minded about different interventions
Talk with other nurses and share ideas

24
Q

How can a nurse show fairness?

A

Listen to both sides of a discussion
If a staff member labels a patient uncooperative, assume the care of that patient with openness

25
Q

How can a nurse show responsibility/accountability?

A

Ask for help
Refer to policy and procedure manual
Report problems
Follow standards of care

26
Q

How can a nurse show risk taking?

A

If your knowledge causes you to question a healthcare provider, do so
Be willing to recommend alternative approaches to colleagues

27
Q

How can a nurse show discipline?

A

Use scientific and practice-based criteria
Take time to be thorough and manage time effectively

28
Q

How can a nurse show perseverance applications?

A

Be cautious of easy answers that avoid uncomfortable situations
If facts seem to be missing, clarify info

29
Q

How can a nurse show creativity?

A

Look for different approaches if intervention isn’t working

30
Q

How can a nurse show curiosity?

A

Always ask why
Be willing to challenge tradition
Explore and learn more about a patient to make appropriate clinical judgements

31
Q

How can a nurse show integrity?

A

Recognize when your opinions conflict with those of a patient
Do not compromise nursing standards or honesty in delivering nursing care

32
Q

How can a nurse show humility?

A

Recognize when you need more info to make a decision
Ask for an orientation when you are new to a nursing division
Ask RNs who are regularly assigned to the area for assistance with approaches to care

33
Q

Differentiate between intellectual standards and professional standards

A

Must have intellectual standards to have professional standards

Intellectual brings forward knowledge and boundary setting
Professional are criteria that needs to be met
(Both use critical thinking)

34
Q

What are intellectual standards?

A

Guidelines or principles for rational thought
Using: preciseness, accuracy, consistency
To make sure you have all the data you need to make sound clinical decisions

35
Q

What are professional standards?

A

Used to improve patient outcomes and maintain a high level of quality nursing care using:
- Ethical criteria for nursing judgements
- Evidence-based criteria used for evaluation
- Criteria for professional responsibility

36
Q

Three ways to develop critical thinking skills

A

Reflective journaling
Meeting with colleagues
Concept mapping

37
Q

Discuss the connection of stress management to clinical decision making

A

If you’re stressed, you can’t think properly
(Ex: working 12 hour shifts can impair nursing judgement because of the way stress affects attention)

38
Q

Compare the nursing process to critical thinking

A

The two processes go hand in hand in making quality decisions about patient care.

Critical thinking = reasoning process
Nursing process = need to learn steps to incorporate the elements of critical thinking

39
Q

What are the steps of the nursing process?

A

Assessment
Nursing diagnosis
Planning
Implementation
Evaluation

40
Q

Define diagnostic reasoning

A

Process that enables an observer to assign the meaning to and classify phenomena in clinical situations by integrating observations and critical thinking

41
Q

Define inference

A

Judgement or interpretation of informational cues

Intro To Nursing Care (10 decks)

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