Clinical Judgement Exam #1

Question 1

Clinical Judgement

Answer 1

Interpretation or conclusion about a patients needs, concerns or health problems and or the decision to take action, use or modify standard approaches or improvise new ones deemed appropriate by the patients response.
- Specific patient situation
- Not linear
- Requires reasoning and interpretation
- Holistic View
- Process orientation

Question 2

Standards Based Approach

Answer 2

Rules and standard based approach for making clinical decisions.

Question 3

Evidence Based Approach

Answer 3

Scientific evidence

Question 4

Interpretivist Perspective

Answer 4

Multiple complex variables for clinical reasoning

Question 5

Attributes of Clinical Judgement

Answer 5

Holistic view, process orientation, reasoning + ethical

Question 6

Clinical Reasoning

Answer 6

The thinking process by which a nurse reaches a clinical judgement
- Tanners Clinical judgement model
- Formal and informal strategies
- Noticing, interpreting and responding
- Reflecting and reevaluating
- A nurse reaches clinical judgement

Question 7

Tanners Model
( Clinical judgement process )

Answer 7

1. Noticing ( data ) 2. Interpreting ( analyzes, making sense of data) 3. Responding 4. Reflecting ( evaluates progress , patients reaction )

Question 8

Frameworks

Answer 8

ABC
Acute vs Chronic
Urgent vs non-urgent
Assessment first
Safety and risk reduction

Question 9

Maslow’s Hierarchy of needs

Answer 9

High to low priority
1. Physiological
2. Safety
3. Belonging
4. Esteen
5. Self Acutalisation

Question 10

Triage

Answer 10

Non-acute Level: Nonthreatening
Acute: Low potential
Critical: Potential to become threatening
Imminent: Life threatening

Question 11

Primary survey of a trauma patient

Answer 11

1. Airway
2. Breathing
3. Circulation
4. Disability
5. Exposure