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ATI Module
Clinical Judgment Process (Exam 1)
| Question | Answer |
|---|---|
| analysis | The analysis of assessment data to identify health problems/risks and a client's needs for health intervention. . |
| assessment | The application of nursing knowledge to the collection, organization, validation, and documentation of data about a client's health status. The nurse thinks critically to perform a comprehensive assessment of subjective and objective information. |
| critical thinking | Thought process that is systematic and logical in reviewing information and data, that is open to reflection, inquiry, and exploration in order to make informed decisions. |
| delegation | Assigning a nursing task or procedure to another person who has the training appropriate for that task or procedure. |
| evaluation | The evaluation of a client's response to nursing interventions and to reach a nursing judgment regarding the extent to which the client has met the goals and outcomes. |
| implementation | to assist a client to promote, maintain, or restore their health. The nurse uses problem-solving skills, clinical judgment, and critical thinking when using interpersonal and technical skills to provide client care. |
| interprofessional health care team | A group including members from different disciplines who work collaboratively with the client to make decisions and set goals. |
| nursing process | A framework that guides nurses in delivering client-focused care that takes the entire person into consideration. |
| objective data | Data that can be observed by the nurse through the senses. |
| plan of care | A plan including the client problem (analysis), plans and goals, implementation, and responses; it is used by the interprofessional health care team. |
| planning | The nurse uses evidenced based practice to set client goals, establish priorities of care, and identify nursing interventions to assist the client to achieve their goals. |
| subjective data | Data that is based upon the client's feelings, perception and assumption |