Analytic reasoning - ANSWER Situation is unfamiliar
Intuitive reasoning - ANSWER Able to recognize the situation immedialy. Pattern
based
Narrative reasoning - ANSWER Situation to patient experience with illness.
Noticing - ANSWER 1. Identify signs and symptoms
2. Complete and accurate date
3. Assessing systemically and comprehensively
4. Predicting and managing patient complications
5. Identifying assumptions
Interpreting - ANSWER Understanding of the situation
Responding - ANSWER Based on what you interpreted the nurse will determine
appropriate actions
, Reflection in action - ANSWER Observing patient reaction to the action the nurse
chose and deciding if the situation was fixed
Reflection on action - ANSWER Patient responses to the outcomes. Nursing
refelection after the situation was solved
Novice nurse - ANSWER Uses analytic reasoning. Uses textbook in a systemic
analysis of a situation
Expert nurse - ANSWER Uses intuitive reasoing. Recognizes patterns immediatly.
Able to look at the big picture
Assessment - ANSWER Collecting and analyzing data from the patient, family
members, health care team
Who does the initial assessment - ANSWER RN
Focused assessment - ANSWER Used to gather information on a specific problem
Head to toe assessment - ANSWER Systemic approach so you dont miss
something
Objective data - ANSWER What you can observe or measure. Also known as signs
Subjective data - ANSWER Can not be measured. What the patient is feeling. Also
known as symptoms
Clinical judgment - ANSWER Interpretation or conclusion about a patients needs,
concerns or health problems, and/or the decision to take action ( or not) use or
modify standard approaches, or improvise as one deems appropriate to the patients
response
Reasoning - ANSWER Leads to clinical judgment
Case management - ANSWER Planning and the coordination of care, patient
advocate for providing quality care, cost effective outcomes for the patient
Analysis and database - ANSWER Lead to the identification of nursing diagnosis
Data clustering - ANSWER Defining characteristics
Helps to identify patterns that assist with the identification of nursing diagnosis
Attributes of clinical judgment - ANSWER 1. Holistic view
2. Process orientation
3. Reasoning and interpretation
Cue - ANSWER A piece or pieces of data that often indicate that an actual or
potential problem has occured or will occur
Biographic data - ANSWER Facts or events in a persons life
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