Clinical Reasoning
True or false, types of reasoning used varies with the experience of the nurse
True
Rationale: Novice nurses lean towards analytical reasoning where as experts often use intuitive reasoning
Which should be assessed first, chest pain or abdominal pain
What is chest pain
Two kinds of data are
What is subjective and objective data
A visual representation of the relationships between concepts and ideas of a patient's condition
What is concept mapping
What are the three levels of critical thinking
Priorities of care change consistently because (include all that apply)
a) the nurse's workload may change as patients are admitted
b) the physicians orders may change throughout the shift
c) a patient's condition may deteriorate
d) tests or therapies may not be done on time
e) many visitors are in the rooms
What is a, b, and c
The cognitive process used to develop and implement the nursing process.
What is critical thinking
Deciding which tasks require immediate action and which ones could be delayed until later
What is prioritization
True/false: There is no right or wrong conclusion from clinical reasoning, but there is a best choice
True
This person should be seen first, a gun shot wound to the abdomen or a gun shot wound to the thigh.
What is gun shot wound to the abdomen.
Is there one right definition for critical thinking?
provide a rationale
No - critical thinking requires you to "personalize" information—to analyze it and decide what it means to you rather than simply memorizing someone else's words
A crucial step in the nursing process to determining whether the other steps improved a patient's wellbeing and/or goals were met
What is Evaluation
Steps of the nursing process
What are assessment, diagnosis, planning, implementation, and evaluation
Identify the priority nursing diagnosis
a) impaired verbal communication related to altered central nervous system
b) fluid volume excess related to compromised regulatory mechanisms
c) activity intolerance related to generalized weakness
What is letter B
List at least three skills of critical thinking
What are interpretation, analysis, inference, evaluation, explanation, and self-regulation
Decision made regarding a course of action based on a critical analysis of data when using knowledge is applied to a clinical situation.
What is clinical judgement
List at least four steps from the clinical reasoning cycle
What are consider the patient, collects information and cues, process information, identify problems, establish goals, take action, evaluate outcomes, reflect on process
A nurse manager is planning the client assignments for the day. Which of the following clients would the nurse assign to the nursing assistant?
a) a 2-day postoperative client who had a below-the-knee amputation
b) a client on a 24-hour urine collection who is on strict bedrest
c) a client scheduled to be discharged after coronary artery bypass surgery
What is letter B
Rationale: The nursing assistant has been trained tp care for a client on bedrest. Post-operation would require physiological and psychosocial needs. A client scheduled for discharge will require reinforcement of home care management.
The nurse completes collecting data from a client and determines a list of problems. Which step in the nursing process should the nurse perform next?
a) Assess
b) Diagnose
c) Plan
d) Evaluate
What is letter C
Nurses clinical judgement about the patient's present or potential health problems
What is Nursing Diagnosis