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Flashcards in Clinical Judgement Deck (25)
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1

the potential of higher level thinking to determine pt problems requires a nurse to think creatively, use reflection and engage in analytical thinking

critical thinking

2

what are the 4 techniques in critical thinking

critical analysis
socratic questioning
inductive reasoning
deductive reasoning

3

the application of a set of questions to a particular situation to determine essential information and ideas and discard unessential

critical analysis

4

technique that looks below the surface, recognize and examine assumptions, search for inconsistencies, examine multiple points of view and differentiate that the nurse knows facts v what she believes

socratic questioning

5

generalizations are formed from a set of facts or observation

inductive reasoning

6

making an assumption, you have no facts included

deductive reasoning

7

a nurse who thinks critically seeks to build on

a pts strength while honoring the pts values and beliefs

8

critical thinking concepts, when used in the nursing process, will result in

clinical judgement

9

what are 7 characteristics of the nursing process

dynamic
client centered
planned
interpersonal and collaborative
focuses on client problems and strengths
outcome focused
emphasizes feedback and validation

10

what is the nursing process

assessment
diagnosis
planning
implement
evaluation

11

nurses clinical judgement about the pt response to actual or potential health conditions

diagnosis

12

setting short and long term goals for your patient

planning

13

acting of the goals set in the care plan

implementation

14

pt status and effectiveness of the pt care should be continuously evaluated to ensure the care plan is modified as needed

evaluation

15

critical thinking is like the "umbrella term" that includes

clinical judgement

16

critical thinking refers to

purposeful, focused, informed, results-oriented thinking in any situation

17

the novice critical thinkers....

rely heavily on resources
rely on step by step instructions
hindered by anxiety and lack self-confidence
need clear cut rules
collect and question data
limited knowledge of suspected problems

18

the expert critical thinkers....

assess and think things through before acting
knows when to bend the rules
have a large storehouse of experiential knowledge
aware of resources and how to use them
self-confident, less anxious, more focused

19

in clinical judgement the rules give cleat instruction that

standardizes patient care within an institution based on best practices

20

what are tanners four domains of clinical judgement

noticing
interpreting
responding
reflecting

21

refers to the nurses ability to read the pt- how he or she is responding to the nursing intervention- and adjust the interventions based on that assessment

reflection-in-action

22

demonstrates what nurses gain from their experience. this contributes to ongoing clinical knowledge development and their capacity for clinical judgement in future situations

reflection-on-action

23

critical thinking and problem solving to identify and assess a pt problems, plan and implement the action and then reflect on it to see if it worked

systematic clinical decision

24

clinical judgment and decision making involve the 6 "honest serving me" which are

who (does it involve)
what (is the problem)
where (does it occur)
when (does it occur)
why (make a decision)
how (to make decisions)

25

what does the pneumonic "person" mean

Patient centered
Evidence based
Risk assessed
Safe delivery of care
Outcomes of care benefit the pt
Nursing strengths and weaknesses