ATI 10: Clinical Judgement

A nurse at an urgent care clinic is auscultating the lungs of a client who reports a cough and shortness of breath. Which of the following steps of the nursing process is the nurse using?

Assessment

In what order should an RN perform the steps of the nursing process?

Assessment, analysis, planning, implementation, evaluation

A charge nurse is planning to discuss factors that can influence the clinical decision-making process in client care with a newly licensed nurse. Which of the following factors should the charge nurse include? (select all that apply)

Available resources, awareness of client status, and support from other staff

A nurse is caring for a client who is in an acute care facility. The nurse should recognize that the client's care requires clinical reasoning when it is complicated by which of the following factors? (Select all that apply)

Complex clinical situation and ongoing client and family concerns

A nurse is reviewing the concept of critical thinking with a newly licensed nurse. Which of the following statements should the nurse make?

Critical thinking is the foundation for clinical decision making

A nurse is caring for a client who has been wheezing. The nurse asks as assistive personnel to use a stethoscope and listen to the client's lung sounds to determine if their wheezing has improved. This is an example of which of the following concepts?

Delegation of the wrong task

A nurse asks a client to rate their current level of pain using a scale of 0 to 10 after administering pain medication 30 mins ago. Which of the following steps of the nursing process is the nurse performing?

Evaluation

A nurse is developing a goal for a client to ambulate with assistance at least once by the end of the shift. The nurse should identify that this is an example of which of the following steps of the nursing process?

Planning

A charge nurse is preparing to discuss critical thinking skills with a group of newly licensed nurses. Which of the following skills should the nurse plan to include in the discussion? (select all that apply

inference, creativity, and inductive reasoning

A nurse is reviewing methods created to assist nurses in using evidence-based practice Which of the following is a NCSBN model that can assist the nurse with critical thinking and decision making?

Clinical judgement