Clinical Judgment and Process

Nursing 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?

Complex clinical situations 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 making

A charge nurse is preparing to discuss critical thinking skills with a group of newly licensed nurses.

Inference, creativity, and inductive reasoning

Difference between critical thinking and clinical reasoning

Critical thinking analyze and interpret data to solve a problem to achieve an outcome. Clinical reasoning flexible, previous knowledge to diagnostic, combine skills of prioritizing and analysis "thinking outside of the box"

A nurse at an urgent care clinic is auscultating the lungs of a client who reports a cough and shortness of breath? Which steps a nurse do?

Data collection- physical findings, lung sound, vital signs from the client

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

Evaluation

A nurse is assisting with 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 planning to discuss factors that can influence the clinical decision-making process in client care with a newly licensed nurse.

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

Difference between objection data and subjective data?

Objective is observed by the nurse through senses Subjective based on client's feelings, perception and assumptions

Five steps of the nursing process (RN)

Assessment, analysis, planning, implementation, evaluation

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

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

Delegation of the wrong task