Clinical Decision Making
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Questions and Answers

Which of the following best describes clinical reasoning?

  • The competency recognizing the patient as the source of control of his or her care
  • The process by which nurses collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process. (correct)
  • The process of prioritizing nursing diagnosis, interventions, and alternatives to be carried out.
  • The skill of using logic and reasoning to identify the strengths and weaknesses of alternative healthcare solutions, conclusions, or approaches to clinical or practice problems.

    • Which of the following best describes clinical reasoning?

  • The process of collecting cues, processing information, and planning interventions (correct)
  • The competency of recognizing the patient as the source of control of their care
  • The skill of analyzing and interpreting data to solve problems in nursing
  • The process of using logic and reasoning to identify healthcare solutions

    • What is the definition of critical thinking?

  • A competency recognizing the patient as the source of control of his or her care
  • The process by which nurses complete and analyze a comprehensive assessment of the patient
  • The process of collecting cues, processing information, and evaluating outcomes
  • The skill of using logic and reasoning to identify strengths and weaknesses of alternative healthcare solutions (correct)

    • Which of the following is NOT a fundamental element of critical thinking?

    <p>Cost-effectiveness</p> Signup and view all the answers

    Which of the following is NOT a fundamental element of critical thinking?

    <p>Interdisciplinary team approach</p> Signup and view all the answers

    What is the fundamental element of critical thinking that best predicts a nurse's willingness to use critical thinking?

    <p>Patient-centered care</p> Signup and view all the answers

    What is the process by which nurses collect cues, process information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process?

    <p>Clinical reasoning</p> Signup and view all the answers

    Which of the following is not a component of clinical decision-making?

    <p>Implementation</p> Signup and view all the answers

    What is the primary focus of critical thinking in nursing?

    <p>Using logic and reasoning to identify healthcare solutions</p> Signup and view all the answers

    Which of the following best describes the nursing process?

    <p>The process of collecting cues, processing information, and planning interventions</p> Signup and view all the answers

    What is the process by which nurses collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process?

    <p>Clinical reasoning</p> Signup and view all the answers

    Which of the following is NOT a step in the Five-Step RN Nursing Process?

    Signup and view all the answers

    What is the role of interdisciplinary teams in patient-centered care?

    <p>To meet the individual needs of the patient</p> Signup and view all the answers

    What is the skill of using logic and reasoning to identify the strengths and weaknesses of alternative healthcare solutions, conclusions, or approaches to clinical or practice problems?

    <p>Critical thinking</p> Signup and view all the answers

    Which of the following is not a fundamental element of critical thinking?

    <p>Comfort care</p> Signup and view all the answers

    What is the process of prioritizing nursing diagnosis, interventions, and alternatives to be carried out?

    <p>Planning</p> Signup and view all the answers

    What is the process by which nurses complete and analyze a comprehensive assessment of the patient?

    <p>Nursing process</p> Signup and view all the answers

    Which of the following is NOT a component of clinical decision-making?

    <p>Cost-effectiveness</p> Signup and view all the answers

    Which of the following is not included in clinical reasoning?

    <p>Setting priorities</p> Signup and view all the answers

    What is the primary focus of clinical reasoning in nursing?

    <p>Planning and implementing interventions to achieve desired outcomes</p> Signup and view all the answers

    Which of the following is NOT a component of clinical decision-making?

    <p>Interdisciplinary team approach</p> Signup and view all the answers

    Which of the following is a competency recognizing the patient as the source of control of his or her care?

    <p>Patient-centered care</p> Signup and view all the answers

    Which of the following is a competency recognizing the patient as the source of control of his or her care?

    <p>Patient-centered care</p> Signup and view all the answers

    What is the role of critical thinking in preventing safety lapses and errors in nursing?

    <p>It is the primary driver of safety in nursing</p> Signup and view all the answers

    What is the process by which nurses collect cues, process information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process?

    <p>Clinical reasoning</p> Signup and view all the answers

    What is the skill of using logic and reasoning to identify the strengths and weaknesses of alternative healthcare solutions, conclusions, or approaches to clinical or practice problems?

    <p>Critical thinking</p> Signup and view all the answers

    Which of the following best describes the LPN nursing process?

    <p>The process of collecting cues, processing information, and planning interventions</p> Signup and view all the answers

    Which of the following is a fundamental element of critical thinking?

    <p>Safety</p> Signup and view all the answers

    Which of the following is not a component of the nursing process?

    <p>Implementation</p> Signup and view all the answers

    What is the primary focus of patient-centered care in nursing?

    <p>Respecting the diverse preferences and needs of patients and their families</p> Signup and view all the answers

    What is the process of evaluating the patient's progress and adjusting the plan of care as needed to achieve goals?

    <p>Evaluation</p> Signup and view all the answers

    What is the process by which nurses complete and analyze a comprehensive assessment of the patient?

    <p>Nursing process</p> Signup and view all the answers

    What is the role of teamwork and collaboration in clinical decision-making?

    <p>To ensure that all members of the healthcare team are working towards the same goals</p> Signup and view all the answers

    Which of the following is NOT a step in the Four-Step LPN Nursing Process?

    Signup and view all the answers

    Which of the following is not a fundamental element of critical thinking?

    <p>Teamwork and collaboration</p> Signup and view all the answers

    Study Notes

    Clinical Decision-Making

    NUR 211

    Unit 5

    Module 5C

    Jill Huffman, MSNed, RN

    Learning Outcomes

    • Discuss the use of critical thinking skills in nursing.

    • Distinguish between problem-solving and the nursing process.

    • Differentiate considerations related to clinical decision-making about patients throughout the lifespan.

    • Discuss the components of clinical decision-making.

    Learning Resources

    • Ignatavicus, D. (2021). Pp. 10-12 & 18-27.

    • ATI Fundamentals for Nursing 10.0 – Chapters 7 & 8.

    • ATI Engage Fundamentals: (Review)

    • Clinical Decision-Making – Clinical Judgement Process

    • Priority-Setting frameworks

    Patient-Centered Care

    ● A competency recognizing the patient as the source of control of his or her care.

    ● Includes nursing theories of caring compassion, and whole person care to respect the diverse preferences and needs of the patients and their families.

    ● All patients have the right to have their basic physical care and comfort needs met.

    ● Requires an interdisciplinary team approach to meet the individual needs of the patient.

    Critical Thinking

    ● The skill of using logic and reasoning to identify the strengths and weaknesses of alternative healthcare solutions, conclusions, or approaches to clinical or practice problems.

    ● Learning to analyze and interpret data to solve a problem to achieve a desired outcome.

    ● Includes questioning, analysis, synthesis, interpretation, inference, reasoning, intuition, application, and creativity.

    Critical Thinking

    ● Without critical thinking, safety lapses and errors occur that can lead to harm or death.

    ● Caring behavior best predicts a nurse’s willingness to use critical thinking.

    ● Fundamental elements of critical thinking:

    ○ Patient-Centered Care

    ○ Safety

    ○ Evidence-Based Practice

    ○ Informatics

    ○ Teamwork and Collaboration

    ○ Quality Improvement

    ● Based on logic, creativity, and intuition

    ● Driven by needs

    ● Focused on Safety and Quality

    ● Guided by Standards

    Critical Thinking

    ● Critical thinking involves questioning with meaning

    ● Examining personal thinking and the thinking of others

    ● Judgments are made on facts, not assumptions

    ● New ideas and alternatives are offered in a constructive way

    ● Willing to consider other ideas and recognizes that there may be more than one right way to do something

    Clinical Reasoning

    ● The process by which nurses collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process.

    ● Includes: Anticipating consequences of actions, Interpreting data, Noticing cues, Setting priorities

    ● Takes place through a process known as ADPIE

    ○ A- Assessing

    ○ D- Diagnosing (Nursing not medical)

    ○ P- Planning

    ○ I- Implementing

    ○ E- Evaluating

    Five-Step RN Nursing Process

    ● Assessment - complete and analyze a comprehensive assessment of the patient

    ● Nursing Diagnosis - using assessment data gathered formulate individualized nursing diagnosis

    ● Planning - prioritize nursing diagnosis, interventions, and alternatives to be carried out

    ● Implementation - direct and carry out the plan of care. Collaborate and delegate to other team members as appropriate

    ● Evaluation - evaluate the patient’s progress and adjust the plan of care as needed to achieve goals

    Four-Step LPN Nursing Process

    ● Assessment

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    Description

    Test your knowledge of clinical decision-making and critical thinking in nursing with our quiz! This quiz will cover topics such as patient-centered care, the components of clinical decision-making, the nursing process, and the importance of critical thinking in providing safe and effective patient care. Improve your understanding of these crucial nursing skills and prepare for your next exam with our interactive quiz.

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