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Which of the following best describes clinical reasoning?
Which of the following best describes clinical reasoning?
Which of the following best describes clinical reasoning?
Which of the following best describes clinical reasoning?
What is the definition of critical thinking?
What is the definition of critical thinking?
Which of the following is NOT a fundamental element of critical thinking?
Which of the following is NOT a fundamental element of critical thinking?
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Which of the following is NOT a fundamental element of critical thinking?
Which of the following is NOT a fundamental element of critical thinking?
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What is the fundamental element of critical thinking that best predicts a nurse's willingness to use critical thinking?
What is the fundamental element of critical thinking that best predicts a nurse's willingness to use critical thinking?
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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?
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?
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Which of the following is not a component of clinical decision-making?
Which of the following is not a component of clinical decision-making?
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What is the primary focus of critical thinking in nursing?
What is the primary focus of critical thinking in nursing?
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Which of the following best describes the nursing process?
Which of the following best describes the nursing process?
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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?
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?
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Which of the following is NOT a step in the Five-Step RN Nursing Process?
Which of the following is NOT a step in the Five-Step RN Nursing Process?
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What is the role of interdisciplinary teams in patient-centered care?
What is the role of interdisciplinary teams in patient-centered care?
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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?
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?
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Which of the following is not a fundamental element of critical thinking?
Which of the following is not a fundamental element of critical thinking?
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What is the process of prioritizing nursing diagnosis, interventions, and alternatives to be carried out?
What is the process of prioritizing nursing diagnosis, interventions, and alternatives to be carried out?
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What is the process by which nurses complete and analyze a comprehensive assessment of the patient?
What is the process by which nurses complete and analyze a comprehensive assessment of the patient?
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Which of the following is NOT a component of clinical decision-making?
Which of the following is NOT a component of clinical decision-making?
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Which of the following is not included in clinical reasoning?
Which of the following is not included in clinical reasoning?
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What is the primary focus of clinical reasoning in nursing?
What is the primary focus of clinical reasoning in nursing?
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Which of the following is NOT a component of clinical decision-making?
Which of the following is NOT a component of clinical decision-making?
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Which of the following is a competency recognizing the patient as the source of control of his or her care?
Which of the following is a competency recognizing the patient as the source of control of his or her care?
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Which of the following is a competency recognizing the patient as the source of control of his or her care?
Which of the following is a competency recognizing the patient as the source of control of his or her care?
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What is the role of critical thinking in preventing safety lapses and errors in nursing?
What is the role of critical thinking in preventing safety lapses and errors in nursing?
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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?
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?
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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?
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?
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Which of the following best describes the LPN nursing process?
Which of the following best describes the LPN nursing process?
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Which of the following is a fundamental element of critical thinking?
Which of the following is a fundamental element of critical thinking?
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Which of the following is not a component of the nursing process?
Which of the following is not a component of the nursing process?
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What is the primary focus of patient-centered care in nursing?
What is the primary focus of patient-centered care in nursing?
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What is the process of evaluating the patient's progress and adjusting the plan of care as needed to achieve goals?
What is the process of evaluating the patient's progress and adjusting the plan of care as needed to achieve goals?
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What is the process by which nurses complete and analyze a comprehensive assessment of the patient?
What is the process by which nurses complete and analyze a comprehensive assessment of the patient?
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What is the role of teamwork and collaboration in clinical decision-making?
What is the role of teamwork and collaboration in clinical decision-making?
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Which of the following is NOT a step in the Four-Step LPN Nursing Process?
Which of the following is NOT a step in the Four-Step LPN Nursing Process?
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Which of the following is not a fundamental element of critical thinking?
Which of the following is not a fundamental element of critical thinking?
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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.
