Critical Thinking : Clinical Reasoning, Clincial Decision Making and the Nursing Process

Question 1

The process of intentional high level thinking to define the client’s problem
-the nurse must examine the evidence based practice in caring for the client

Answer 1

Critical Thinking

Question 2

dependent upon a critical thinking and is influenced by a person’s attitude, philosophical perspective and preconceptions. It is not a linear process but can be conceptualized as a series or spiral of linked and ongoing clinical encounters.

Answer 2

Critical Reasoning

Question 3

Rational and reasonable
requires reflection
involves cognitive skills and attitudes
involves creative thinking
requires knowledge

Answer 3

Characteristics of Clinical Reasoning

Question 4

How can you develop Clinical Reasoning ?

Answer 4

Perform a self assessment
use knowledge (EBP)
Create an environment that supports critical thinking
practice critical thinking

Question 5

A critical -thinking process used to help in choosing the best actions to meet a desired goal. a nurse must use the process prior to making a decision or forming an opinion.

Answer 5

Clinical Decision Making

Question 6

What are the decision making steps?

Answer 6

Identify purpose (assess)
Set the criteria (what is the goal?)
Weigh the criteria (prioritize)
Seek alternatives (critical thinking)
Examine alternatives (analysis)
Project (what might happen)
Implement 
Evaluate

Question 7

A systematic, rational method of planning and providing individualized nursing care. An organized framework for professional nursing practice.

Answer 7

Nursing Process

Question 8

What are the phases of the nursing process?

Answer 8

Assessment
Diagnosis
Planning
Implementation 
Evaluation

Question 9

This part of the nursing process requries the nurse to collect patient data, identify priority areas to be assessed, determine types of data needed, establish a database, and to analyze data and patient’s symptoms.

Answer 9

Assessment

Question 10

A clinical judgment about responses to actual and potential health problems or life processes. Use of the North American Nursing Diagnosis Association (NANDA) is needed in order to label (the diagnostic statement), related factors (related to), defining characteristics (as manifested by)

Answer 10

Diagnosis

Question 11

This part of the nursing process must include the input from the patient. Outcomes should be driven by SMART goals and to set priorities within the nursing plan of care.

Answer 11

Planning

Question 12

This part of the process is any intervention a nurse performs to enhance a patient outcomes. This part of the process embodies direct care, teaching, counseling, coordination, and collaboration

Answer 12

Implementation

Question 13

This part of the process is used to collect new data, compare data collected with desired outcomes, relate to the nursing activities to the outcomes, conclusion related to problem status. Do you continue, modify or terminate the nursing care plan?

Answer 13

Evaluation