Download ONDROS NUR 155 EXAM 1 Tanner's Model of Clinical Judgement - CORRECT ANSWER -A "MODEL" ba and more Exams Nursing in PDF only on Docsity!
HONDROS NUR 155 EXAM 1
Tanner's Model of Clinical Judgement - CORRECT ANSWER - A "MODEL" based on how a nurse thinks. Explains 4 steps in the "CRITICAL THINKING PROCESS" that nurses use to solve any problem: *Noticing *Interpreting *Responding *Reflecting Nursing Process - CORRECT ANSWER - Uses the Scientific Method to complete a Step-by-step approach to plan patient-centered care: "ADPIE" *Assessment *Diagnosis *Planning/Outcomes *Implementation *Evaluation Why do we study Critical Thinking? - CORRECT ANSWER - To think with a purpose, and know why you do what you do. A strict reasoning process that ensures a nurse is generating, implementing, and evaluating approaches. Benner's Theory of Stages and Clinical Competence - CORRECT ANSWER - What theory of stages have 5 Stages? The 5 stages: Stage 1: Novice Stage 2: Advanced Beginner
Stage 3: Competent Stage 4: Proficient Stage 5: Expert Credit to nursing-theory.org Stage 1: Novice - CORRECT ANSWER - Nursing Students first year of clinical education; inexperienced, text book knowledge, limited ability to predict what might happen in any situation. Credit to nursing-theory.org Stage 2: Advanced Beginner - CORRECT ANSWER - Newly graduated in their first jobs; Nurses have more experience and are able to recognize recurrent, meaningful components of a situation. They have the knowledge and the knowhow but not the in-depth experience. Credit to nursing-theory.org Stage 3: Competent - CORRECT ANSWER - These nurses lack the speed and flexibility of proficient nurses, but they have some mastery and can rely on advanced planning and organizational skills. Can recognize patterns and nature of clinical situations more quickly and accurately than advanced beginners. Credit to nursing-theory.org Stage 4: Proficient - CORRECT ANSWER - At this level nurses are capable to see situations as wholes rather than parts. "PROFICIENT" nurses learn from experience what events typically occur and are able to modify plans in response to different events. Credit to nursing-theory.org Stage 5: Expert - CORRECT ANSWER - Nurses that are able to recognize demands and resources in situations and attain their goals. No longer do they rely solely on rules to guide actions under certain situations. They area able to intuitively grasp the situation based on their deep knowledge and experience. Credit to nursing-theory.org Noticing - CORRECT ANSWER - First step of Tanner's model of clinical judgement.
- Identifying signs and symptoms
- Gathering complete and accurate data
Nursing Process: Evaluation - CORRECT ANSWER - Assist with re-evaluation and make suggestions. Compare response/results to the original goals, plan of care. Data Collection-Scope of Practice - CORRECT ANSWER - LPN's collect data, RN's complete Assessments. Main Assessments - CORRECT ANSWER - 3 types: *Focus Assessment *Systemic Assessment *Head to Toe Assessment (FOCUS) Assessment - CORRECT ANSWER - Focusses on one body part. example: Heart, Lung, Stomach, etc... (SYSTEMIC) Assessment - CORRECT ANSWER - Focusses on one body system. example: Respiratory, Digestive, Cardiac, etc... (Head-to-Toe) Assessment - CORRECT ANSWER - Total body examination. Parts of Clinical Thinking - CORRECT ANSWER - *Assess/learn/gain knowledge *Understand and ask questions *Store information/memorize *Recall information/bring it back *Know what to do when information isn't in memory (know where to look it up) *Draw your own conclusion Humble Attitude - CORRECT ANSWER - We don't know everything. 2 main types of data - CORRECT ANSWER - Objective vs Subjective
Objective Data - CORRECT ANSWER - (Signs) Observable and measurable data that can be seen and heard, or felt, smelled by someone other than you, or by physical examination and lab data. example: elevated temperature, vomiting, skin moisture... Subjective Data - CORRECT ANSWER - (Symptoms) Information perceived only by the affected person, personal taste, symptoms, verbal statements provided by the patients point of view or perception. What the patient tells you. Clinical - CORRECT ANSWER - _____________ observation Is related to/or conducted in a healthcare setting involving direct observation of the patient. Judgement - CORRECT ANSWER - Your interpretation that influences your actions to take. Clinical Judgement - CORRECT ANSWER - Interpretation or conclusion about a patient's needs, concerns, or health problems. Whether or not you should take action. Sometimes you have to improvise new actions or plans. Why do we need Clinical Judgement? - CORRECT ANSWER - We need it to provide safe quality care. How do we develop Clinical Judgement? - CORRECT ANSWER - We use the Nursing Process, and Tanner's Model to develop the skills to establish Clinical Judgement. Emergency! - CORRECT ANSWER - Emergencies cease to exist when you prepare for them! SPICES: - CORRECT ANSWER - A tool that can be used to obtain information necessary to prevent health alterations in older adult patients. SPICES: S - CORRECT ANSWER - SLEEP Disorders SPICES: P - CORRECT ANSWER - PROBLEMS with Eating or Feeding SPICES: I - CORRECT ANSWER - Incontinence bowel and/or bladder SPICES: C - CORRECT ANSWER - Confusion
- Self-Esteem
- Self-actualization
- Physiological - CORRECT ANSWER - Breathing, sustenance, water, exertion, sex, sleep, homeostasis.
- Safety - CORRECT ANSWER - Body, home, employment, family, health, property.
- Belonging - CORRECT ANSWER - a feeling of having friends, family, and sexual intimacy.
- Self-esteem - CORRECT ANSWER - a feeling of self-esteem, confidence, achievement, respect.
- Self-actualization - CORRECT ANSWER - Realization of one's full potential. Reflection: IN action - CORRECT ANSWER - You are in the situation and you are thinking/processing as you go. Present tense. Reflection: ON action - CORRECT ANSWER - Looking back, Past tense, reflecting on the situation after the fact. Debriefing on the situation.
