2101 - critical thinking

Progression of critical thinking

- an issue exists -anylasyze the information -evaluate the information - making a conclusion

Critical thinking questions to ask

- why does the pt have this problem - what is the date that supports this - does it match up up to what i expected - what do i really know about this patient

concepts of a critical thinker

-Truth seeking -Open mindedness -Analytic approach -Systematic -approach -Self confidence -Inquisitiveness -Maturity

Maslows hierarchy of needs

1. physiological 2. safety 3. love/belonging 4. esteem 5. self-actualization ( personal goals posing a threat to achieve goals)

A nurse at an urgent clinic is examining 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

a nurse is reviewing the concept of critical thinking with a newly licensed nurse. What should she define critical thinking as?

Critical thinking is the foundation for clinical decision making

A nurse is caring for a client who has been wheezing. The nurse asks a Tech to use a stethoscope and listen to the clients lung sounds to determine if the wheezing has improves. What is this an example of ?

Delegation of the wrong task. Only nurses can do this as it involves clinical reasoning.

Knowing the patient

Develop a knowing of patients by engaging with them, acting responsibly, providing excellent care Must understand the effect of illness on the patient and family Always approach your work informed

Evaluation

Evaluate the effectiveness of interventions used to help the client achieve a goal. ex- what their pain is after receiving meds

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

Evaluation

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? Inspection implementation inference creativity inductive reasoning

Inference - it shows a higher level of thinking creativity - can use this to critically analyze problems and develop solutions inductive reasoning- it shows a higher level of thinking

The levels of critical thinking

Level 1 - trusting experts to have the right answers to every prob Level 2 — annualize and examine the problems more independently Level 3 - make choices with assistance and accepting accountably

Assessment

Recognize and analyze cues

Analysis

Uses objective and subjective data to determine what problems the client is experiencing and develops a plan of care

Plan of Care (POC)

Will change as the patients needs change Planning involves - Setting priorities Indent if Yang patient centered goals and expected outcomes

a nurse is caring for a client in an acute care facility. The nurse should recognize that the clients care requires clinical reasoning when it is complicated by which of the following factors?

complex clinical situations ongoing client and family concerns

Planning (outcomes and interventions)

develop interventions to treat or manage the clients identified problems.

what is the nursing process used for

used as the framework for developing the plan of care

Implementation

when the nurse carries out the interventions planned for the client. (assisting a client to ambulate)

Nursing process and clinical judgment model

1- assessment 2-analysis 3- planning (outcomes and interventions) 4- implantation 5-Evaluation

in what order should the RN preform the steps of the nursing process?

1- assessment 2- analysis 3- planning 4- implementation 5- evaluation

What factors can influence the clinical decision making process? -Appropriate delegation - cost of client care - available resrouces -awareness of client status -support from other staff

-available resources -awareness of client status -support from other staff