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RNSG 1137 Final Exam: 100 % Verified Questions & Answers : Guaranteed A Plus Guide 2024
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RNSG 1137 Final Exam: 100 % Verified Questions &Answers : Guaranteed A Plus Guide 2024
A class of nursing students is in their first semester of nursing school. The
instructor explains that one of the changes they will undergo while in nursing
school is learning to "think like a nurse." What is the most current model of this
thinking process?
A) Critical-thinking Model
B) Nursing Process Model
C) Clinical Judgment Model
D) Active Practice Model - (answers)C) Clinical Judgment Model
The nursing student uses evidence-based practice findings in the development of a
care plan. This is an example of which type of nursing skill?
A) Cognitive skill
B) Technical skill
C) Interpersonal skill
D) Ethical/legal skill - (answers)A) Cognitive skill
A nurse has come on day shift and is assessing the client's intravenous setup. The
nurse notes that there is a mini-bag of the client's antibiotic hanging as a
piggyback, but that the bag is still full. The nurse examines the patient's medication
administration record (MAR) and concludes that the night nurse likely hung the
antibiotic but failed to start the infusion. As a result, the antibiotic is three hours
late and the nurse has consequently filled out an incident report. In doing so, the
nurse has exhibited which of the following?
A) Ethical/legal skills
,B) Technical skills
C) Interpersonal skills
D) Cognitive skills - (answers)A) Ethical/legal skills
What is a systematic way to form and shape one's thinking?
A) Critical thinking
B) Intuitive thinking
C) Trial-and-error
D) Interpersonal values - (answers)A) Critical Thinking
What step in the nursing process is most closely associated with cognitively skilled
nurses?
A) Assessing
B) Planning
C) Implementing
D) Evaluating - (answers)B) Planning
Members of the staff on a hospital unit are critical of a client's family, who has
different cultural beliefs about health and illness. A student assigned to the patient
does not agree, based on her care of the client and family. What critical thinking
attitude is the student demonstrating?
A) Being curious and persevering
B) Being creative
C) Demonstrating confidence
,D) Thinking independently - (answers)D) Thinking independently
Tanner's Clinical Judgement Model (NOTICING) - (answers)-recognizing a
potential issue, perceptually grasping the situation
Tanner's Clinical Judgement Model (REFLECTING) - (answers)SAME AS
REMEMBERING: attending to patient's responses to nursing action while in the
process of acting
Tanner's Clinical Judgement Model (INTERPRETING) - (answers)-reasoning
pattern, analytical, intuitive, narrative, developing a sufficient understanding of the
situation
Tanner's Clinical Judgement Model (OBSERVATION & INTERPRETATION) -
(answers)hallmarks of trained nursing practice
Tanner's Clinical Judgement Model (RESPONDING) - (answers)deciding on the
court of action deemed appropriate for the situation, which may include, NO
IMMEDIATE ACTION
Reflection IN action - (answers)-happens in real time while care is occurring
-refers to nurses' ability to "read" the patient—how he or she is responding to the
nursing intervention and adjust the interventions based on that assessment.
Reflection ON action - (answers)-occurs after the fact and involves thinking
through a situation that has occurred in the past
, -showing what nurses gain from their experience contributes to their ongoing
clinical knowledge development and their capacity for clinical judgment in future
situations.
Supports the idea that nurses engage in a complex process of clinical reasoning
when caring for patients. Nurses draw on personal knowledge and experience from
various situations and consider the contextual background of the clinical culture. -
(answers)CLINICAL JUDGEMENT MODEL
Critical thinking concepts, when used in the Nursing Process, will result
in________________. - (answers)Clinical judgement
clinical judgement - (answers)refers to the nurse's interpretation and inferences that
influence his/her actions in a care-giving setting.
clinical judgement are influenced by.... - (answers)the context in which the
situation occurs and the culture of the nursing care unit
Five conclusions of the CLINICAL JUDGEMENT MODEL - (answers)(1)
Clinical judgments are more influenced by what nurses bring to the situation than
the objective data about the situation at hand;
(2) Sound clinical judgment rests to some degree on knowing the patient and his or
her typical pattern of responses, as well as an engagement with the patient and his
or her concerns;
(3) Clinical judgments are influenced by the context in which the situation occurs
and the culture of the nursing care unit;
(4) Nurses use a variety of reasoning patterns alone or in combination; and
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