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Critical Thinking, Clinical Reasoning, and Clinical Judgment
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Critical Thinking, Clinical Reasoning, and Clinical Judgment
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TEST BANK For Critical Thinking, Clinical Reasoning,and Clinical Judgment A Practical Approach 7th Edition
by Rosalinda Alfaro-LeFevre
critical thinking - ANSWER:- essential component of professional accountability &
quality nursing care
- intentional higher level reasoning process that is intellectually delineated by ones
worldview, knowledge, and experience with skills, attitudes, and standards as a
guide for rational judgment and action
When do we use critical thinking? - ANSWER:- to analyze a patient problem or issue
and make a decisionregarding which action to take
ex of critical thinking - ANSWER:pt complains of headache, sweat, has a temp of 104,
pt might have infection. so, I decided to give pt a Tylenol
judgement & problem solving - ANSWER:- relies on critical thinking
- mental operations are used to find or create meaning. result = creative
- the outcome, conclusion, decision
- use of knowledge from other subjects and fields
- ability to make sound clinical judgements = safe, high in quality, client-centered
- have to come up with a solution to patient problems
ex of judgement and problem solving - ANSWER:the dressing on a wound will not
stay, you don't use it, so get creative and make it stay & be covered
clinical decision making - ANSWER:- used to make sound clinical judgements
clinical decision making - step 1 - ANSWER:identifying that a client issue or problem
exists
clinical decision making - step 2 - ANSWER:analyzing and interpreting relevant data
clinical decision making - step 3 - ANSWER:making inferences based on this
interpretation
clinical decision making - step 4 - ANSWER:listing all possible actions that could be
taken
clinical decision making - step 5 - ANSWER:evaluating each action
clinical decision making - step 6 - ANSWER:selecting the best action
, ex of clinical decision making - ANSWER:-Pt complains they are hot. Do assessment,
touch - are they warm? Are they flushed or sweating?
-Pt temp is 104, they are warm to touch, recently had a procedure, they might have
ainfection
-list all possible actions I might can do, Tylenol, change temp in the room, take a
blanket off of pt, they might have skin breakdown if they are sweating and wet, get
them water to drink
-Contact provider, get blood work done.
-Pt might complain of not having a BM. This might be a new problem, butselect what
is more important. Fever or Constipation?
clinical reasoning - ANSWER:analyzing all the elements of a clinical situation and
making a decisionbased on that analysis; way of thinking.
clinical reasoning - step 1 - ANSWER:guiding the nurse through the process of
assessing and compiling data
clinical reasoning - step 2 - ANSWER:selecting and discarding various bits of data
based on their relevance
clinical reasoning - step 3 - ANSWER:making decision regarding client care based on
nursing knowledge
nursing process - ANSWER:- traditional critical thinking that allows nurses to make
clinical judgements (thinking strategies) and take actions based on reasoning!!!!
- cognitive process using thinking strategies
- systematic method of planning and providing care to clients
ex of nursing process - ANSWER:"what is it that I need to do for my pt"
nursing care is not linear - ANSWER:- there is no clear-cut answers
- multiple unknowns & factors
ex of nursing care is not linear - ANSWER:- Pt a, b, c, d will all get different
treatments. What works for one person may not work for another, what worked at
3a, might not work at 3p
why do we need to think critically? - ANSWER:- solve problems & find solutions
- plan care for each unique client & client problem
- seek knowledge & use it
- think creatively when planning care for client
techniques for critical thinking - ANSWER:critical analysis, socratic questioning,
inductive reasoning, deductive reasoning, differentiating facts from opinions, making
valid inferences
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