Hondros, Critical thinking, 200
Complete assessment - correct answer ✔✔A review and physical examination of all body systems, for
stable patients only
spices - correct answer ✔✔is an efficient and effective instrument for obtaining the information
necessary to prevent health alterations in the older adult patient. this acronym for the common
syndrome of the elderly requiring nursing intervention.
SPICES - correct answer ✔✔Tool to obtain the information necessary to prevent alterations in the older
adult patient
clinical judgment - correct answer ✔✔"Thinking Like A Nurse". integral to the Safety of pt. Interpretation
or conclusion about a patient's needs, concerns, or health problems, and/or the decision to take action
(or not), use or modify standard approaches, or improvise new ones as deemed appropriate by the
patient's response.
Database - correct answer ✔✔Completed health history and physical examination, large store or bank of
info
sleep - correct answer ✔✔S is for _____ disorders
S in SPICES - correct answer ✔✔Sleep disorders
clinical reasoning - correct answer ✔✔is the thinking process by which a nurse reaches a clinical
judgement. an iterative process of noticing, interpreting, and responding- reasoning in transition with a
fine attunement to the patient and how the patient responds to the nurses action
Psychosocial history - correct answer ✔✔Psychological and social factors
problems - correct answer ✔✔P is for _______ with eating or feeding
,P in SPICES - correct answer ✔✔Problems with eating or feeding
evidence-based practice - correct answer ✔✔clinical decision making that integrates the best available
research with clinical expertise and patient characteristics and preferences
I in SPICES - correct answer ✔✔Incontinence
incontinence - correct answer ✔✔I is for _________
1st method of data collection - correct answer ✔✔Interiew patient, health history. Patient is your
primary source
2nd method of data collection - correct answer ✔✔Physical examination ( guided by subjective and
objective)
Tanner's Model - correct answer ✔✔Noticing
Interpreting
Responding
Reflecting
confusion - correct answer ✔✔C is for ______
C in SPICES - correct answer ✔✔Confusion
noticing (tanners model) - correct answer ✔✔identify s/s, gather complete and accurate data, assessing
systematically and comprehensively, *predicting (and managing) potential complications, identifying
assumptions
Concepts of clinical judgment - correct answer ✔✔1. Safety
,2. Healthcare quality
3. Leadership
4. Patient education
5. Evidence
6. Professionalism
7. Care coordination
evidence - correct answer ✔✔E is for ___________ of falls
objective data (noticing) - correct answer ✔✔information that is seen, heard, felt, or smelled by an
observer; signs
E in SPICES - correct answer ✔✔Evidence of falls
Analytic reasoning - correct answer ✔✔Situation is unfamiliar
skin - correct answer ✔✔S is for __________ breakdown
S in SPICES - correct answer ✔✔Skin breakdown
subjective data (noticing) - correct answer ✔✔things a person tells you about that you cannot observe
through your senses; symptoms
Intuitive reasoning - correct answer ✔✔Able to recognize the situation immedialy. Pattern based
epworth sleepiness scale - correct answer ✔✔widely used in the field of sleep medicine as a subjective
measure of a patients sleepiness.
- no chance of dozing = 0
- slight chance of dozing= 1
- moderate chance of dozing= 2
, - high chance of dozing= 3
Notice - correct answer ✔✔Identifying signs and symptoms, gathering complete and accurate data,
assessing systematically and comprehensively, predicting and managing potential complications,
identifying assumptions
factors that influence "Noticing" - correct answer ✔✔-intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
Interpret - correct answer ✔✔Clustering related data, recognizing inconsistencies, checking accuracy and
reliability, compare and contrast data,distinguish relevant from irrelevant information,determining the
importance of information, judging how much ambiguity is acceptable, using legal ethical and
professional guidelines, predicting and managing potential complications
0-7 - correct answer ✔✔it is unlikely that you are abnormally sleepy
Narrative reasoning - correct answer ✔✔Situation to patient experience with illness.
Interpreting (tanners) - correct answer ✔✔comparing and contrast data, clustering related information,
recognizing inconsistencies, checking accuracy, distinguishing relevant from irrelevant, determine
importance of info, judge how much ambiguity is acceptable (ie b/p dt condition), determine legal
ethical professional guidelines, (predicting and) *managing potential complications
Interpreting (tanners) - correct answer ✔✔comparing and contrast data, clustering related information,
recognizing inconsistencies, checking accuracy, distinguishing relevant from irrelevant, determine
importance of info, judge how much ambiguity is acceptable (ie b/p dt condition), determine legal
ethical professional guidelines, (predicting and) *managing potential complications
8-9 - correct answer ✔✔you have an average amount of daytime sleepiness
Respond - correct answer ✔✔Setting priorities, delegating