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NUR 130 Exam 1 Questions With Answers.
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NUR 130 Exam 1 Questions With Answers.
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NUR 130 Exam 1 Questions WithAnswers.
Clinical reasoning - ANSWER- -Thinking process by which a nurse reaches a clinical
judgement and or decision
-
Fine attunement - ANSWER- How someone reacts and paying close attention
Critical thinking - ANSWER- -Cognitive process used for the analysis of an issue or
problem
-Knowledge-based
-How we think through a situation, prioritize what needs to be done first, and think about
patients' outcomes
Clinical judgement - ANSWER- -Interpretation and conclusion about a patient's needs,
concerns, or health problems
-To either take action, improvise new ones, using or modify standard approaches
deemed appropriate for the patient
Environmental factors IMPORTANT
Nursing knowledge is NOT an environmental factor IMPORTANT - ANSWER- -Limited
staff and equipment
-Stat med vs routine med
Increased respiratory rate - ANSWER- First sign of sepsis
Defining attributes of clinical judgement - ANSWER- -Holistic view of the client situation
-Process orientation
-Reasoning and interpretation
-Ethical comportment
Holistic view of client - ANSWER- Looking at the whole person, mind, body and spirit
Process orientation - ANSWER- -Asking the patient questions to lead to an answer
-Ability to reflect on something after it is done
-Having goals during the shift
Reasoning and interpretation - ANSWER- Help to get to the decision
Ethical comportment - ANSWER- -What is right and what is wrong
Morals - ANSWER- - Own values and beliefs
, -The culture that one grew up in
Evidence based practice - ANSWER- A problem solving approach to clinical decision
making that combines the best available scientific evidence with best available patient
and practitioner experiential evidence toward optimal healthcare outcomes
-Best evidence to inform practice
Nursing process IMPORTANT - ANSWER- ADPIE
Assessment (see, hear, feel)
(what meds do you take? why are you here? Did anything happen in the past couple of
days) (ex: headache just developed after a car accident)
Diagnosis (analysis) (ex: head injury)
Planning (Telling the doctor the patient may need a CT scan)
Implementation (Start IV and get ready for CT) (Taking action)
Evaluation (Gets CT and gives medicine to have less of a headache)
Reflection in action - ANSWER- Happens during the care of the patient
-Observing a patients reaction and deciding if that action has helped with the primary
concern
Tanner clinical judgement model - ANSWER- 1. Nurse's knowledge. experience, ethical
perspective, and knowing the patient
2. Noticing (assessment) *do not use your family or your symptoms as a basis*
3. Interpreting (analyzing and planning)
4. Responding (implementation)
5. Reflecting (evaluation)
Reflection on action - ANSWER- Happens after the patient care occurs
-To see what went well or what could be better after the fact
-Usually with other people and usually about performance improvement
Clinical judgement measurement model - ANSWER- -Layer 0 through 2 is the basis of
how the clinical judgment is made
-Layer 3 and 4 is what one expects from a nurse during study or in the room
Clinical judgement environmental factors - ANSWER- -Environment around them
-Client oberservation
-Consequences and risks
-Time pressure
-Task complexity
-Cultural consideration
-Medical records
-Resources
Clinical judgment individual factors - ANSWER- -Knowledge
-Skill
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