module 8: nursing process and clinical judgement Flashcards

1
Q

Tanner’s clinical judgement model

A

noticing, interpreting, responding, and reflecting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

clinical judgement measurement model (CJMM)

A

focus of the next generation (NG) NCLEX; layers 0-2 and 3-4; coming in 2023

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

CJMM layers 0-2

A

how clinical judgement forms clinical decisions; aspect of clinical judgement measurement model

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

CJMM layers 3-4

A

expected behaviors of students in specific case scenarios (unfolding case studies); aspect of clinical judgement measurement model

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

clinical judgement action model (CJAM)

A

aligns the six cognitive operations from layer 3 of the CJMM with specific situational factors from layer 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

6 clinical judgement functions of layer 3 of CJMM

A

recognize cues
analyse cues
prioritize hypotheses
generate solutions
take actions
evaluate outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

5 nursing processes of layer 4 of CJMM

A

assessment
analysis
planning
implementation
evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

mental model

A

organized way of thinking that assists in understanding complex aspects of a situation and guides assessments and behaviors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

assessment

A

gather information, identify cues, make inferences, validate data, cluster related data, record data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

clinical reasoning

A

analysis, synthesize (break down), reflect, draw conclusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

etiology

A

factors causing or maintaining a disease or unhealthy state

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

health problem

A

a condition that needs intervention to prevent or resolve disease or illness or to promote coping and wellness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

nursing diagnosis

A

diagnosis of actual or potential health problems that can be prevented/resolved by independent nursing interventions; problem statements; provides basis for selection of appropriate nursing interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

problem statement

A

nursing diagnosis and explains the patient’s health problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

medical diagnosis

A

identifies disease and describe problems for which the physician or advanced practice nurses directs the primary treatment; remains the same for as long as the disease is present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

if there is a possible problem,

A

collect more data to confirm or disprove a suspected problem

17
Q

if patient denies issue or treatment,

A

educate them as best as you can

18
Q

problem-focused nursing diagnosis

A

clinical judgement concerning an undesirable human response to a health condition for an individual patient, family, or group

19
Q

risk nursing diagnosis

A

clinical judgement concerning the vulnerability of an individual, family of group for developing an undesirable human response to health condition

20
Q

health promotion nursing diagnosis

A

clinical judgement concerning motivation and desire to increase well-being an to actualize human health potential; promoting a healthy lifestyle

21
Q

patient outcome

A

expected conclusion to a pt. health problem or in the event of a wellness diagnosis, an expected conclusion to a pt’s health expectation

22
Q

expected outcomes

A

measurable/observable criteria used to evaluate the extent to which a goal has been met

23
Q

standard care plans

A

already made plans related to nursing interventions common to a specific issue

24
Q

discharge planning begins…

A

at admission

25
high priority
highest threat to pt. health and wellbeing
26
medium priority
not life threatening
27
low priority
not related to issue at hand
28
maslow's hierarchy
1. physiologic needs 2. safety needs 3. love and belonging 4. self-esteem 5. self-actualization
29
long term goal
more than one week
30
short term goals
hours, days, a week
31
SMART goal setting
S- be specific M- be measurable A- make attainable R- be realistic/relevant T- time bound