Exam 3 Flashcards
Describe the steps in critical thinking
- recognizing that an issue exists
- analyzing information about the issue
- evaluating information
- making conclusions
Define evidence-based knowledge
knowledge based on research or clinical expertise
seek the true meaning of a situation
truth seeking
be tolerant of different views and one’s own prejudices
open-mindedness
anticipate possible results or consequences
analyticity
be organized
systematicity
trust in your own reasoning processes
self-confidence
be eager to acquire new knowledge and value learning
inquisitiveness
reflect on your own judgments
maturity
what are the three levels of critical thinking?
- basic
- complex
- commitment
the leaner trusts that experts have the right answers for every problem; thinking is concrete and based on a set of rules or principles
basic critical thinking
learner begin to separate themselves from experts and analyze and examine choices more independently
complex critical thinking
learners anticipate the need to make choices without assistance from others and accepts accountability
commitment
systematic, ordered approach to gathering data and solving problems
scientific method
obtain information and then use the information plus what you already know to find a solution
problem solving
focuses on problem resolution
decision making
determining a patient’s health status after you have assigned meaning to the behaviors and symptoms presented
diagnostic reasioning
process of drawing conclusions from related pieces of evidence
inference
careful reasoning so the best options are chosen fro the best outcomes
clinical decision making
five-step clinical decision-making approach
nursing process
list the five components of critical thinking
- knowledge base
- experience
- critical thinking competencies
- attitudes
- standards
speak with conviction and always be prepared to perform care safely
confidence
read the nursing literature
thinking indepedently
listen to both sides in a discussion
fairness
refer to policy and procedure manual to review steps of a skill
responsibility
be willing to recommend alternative approaches to nursing care
risk taking
take time to be through and manage your time effectively
discipline
be cautious of an easy answer; look for a pattern and find a solution
perserverance
look for different approaches if interventions are not working
creativity
explore and learn more about a patient to make appropriate clinical judgments
curiosity
do not compromise nursing standards or honesty in delivering nursing care
integrity
recognize when you need more information to make a decision
humility
define reflective journaling
the process of purposefully thinking back or recalling a situation to discover its purpose or meaning
define concept mapping
a visual representation of patient problems and interventions that shows their relationships to one another
clinical decision making requires the nurse to
establishing and weighing criteria in deciding the best choice of therapy for a patient
which of the following is not one of the five steps of the nursing process?
hypothesis testing
Gathering, verifying, and communicating data about the patient to establish a database is an example of which component of the nursing process
assessment
completing nursing actions necessary for accomplishing a care plan is an example of which component of the nursing process?
implementation
the hospital has clinical promotions systems and research and evidence-based practice programs; nurses have professional autonomy over their practice
magnet recognition
interdisciplinary team approach developed in response to severe shortage of nursing after World War II
Team nursing
Original care delivery model of Florence Nightingale
total patient care
places registered nurses at the bedside and improves accountability for patient outcomes and professional relationships
primary nursing
approach that coordinates and links health care services to patients, streamlining costs and maintaining quality
case management
decision making is moved down to the level of the staff; managers and staff are more actively involved
decentralized management
duties and activities that an individual is employed to perform
responsibility
freedom of choice and responsibility of choices
autonomy
legitimate power to give commands and make final decisions specific to a given position
authority
accepting the commitment to provide excellent care and the responsibility for the outcomes of the actions
accountability
identify the five approaches the nurse manager uses to support staff involvement
- establishment of nursing practice or problem-solving
- nurse-physician collaborative practice
- interdisciplinary collaboration
- staff communication
- staff education
identify the five rights of delegations
- right task
- right circumstances
- right person
- right direction or communication
- right supervison
Requirements for appropriate delegation
- assess the knowledge
- match the tasks to delegate’s skills
- communicate clearly
- listen attentively
- provide feedback
A student nurse practicing primary leadership skills would demonstrate all the following except
Assuming primary responsibility for planning, implementation, follow-up, and evaluation
