Fundamentals of nursing 8e ch 15 complete
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| define steps of critical thinking | involves recognizing that an issue exists, analyzing info about issue, eval info & making conclusion (it is the core of nursing competency)
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| define evidence based knowledge | is knowledge based on research or clinical experience
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| identify the concepts & behaviors of a critical thinker in truth seeking | seek true meaning of situation
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| identify the concepts & behaviors of a critical thinker in open mindedness | be tolerant of different views & one's own prejudices
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| identify the concepts & behaviors of a critical thinker analyticity | anticipate possible results or consequences
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| identify the concepts & behaviors of a critical thinker systematicity | be organized
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| identify the concepts & behaviors of a critical thinker self confidence | trust in your own reasoning processes
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| identify the concepts & behaviors of a critical thinker inquisitiveness | be eager to acquire and new knowledge & value learning
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| identify the concepts & behaviors of a critical thinker maturity | reflect on your own judgments
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| the 3 levels of critical thinking are | basic, complex & commitment
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| briefly describe the critical thinking level for basic thinking | the learner trusts that experts have the right answers for every problem; thinking is concrete & based on a set of rules or principles
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| briefly describe the critical thinking level for complex thinking | learners begin to separate themselves from experts & analyze & examine choices more independently, look beyond
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| briefly describe the critical thinking level for commitment | learners anticipate the need to make choices without assistance from others & accept accountability
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| focuses on problem resolution | decision making
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| process for drawing conclusion from related pieces of evidence | inference
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| systematic ordered approach to gathering data & solving problems | scientific method
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| obtain information & use info plus what you already know to find solution | Problem solving
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| 5 step clinical decision making approach | Nursing process
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| careful reasoning so the best options are chosen for the best outcomes | clinical decision making
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| determining a patient's health status after you have assigned meaning to behavior & symptoms presented | Diagnostic reasoning
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| list the 5 components of critical thinking | knowledge base, experience, critical thinking competencies, attitudes, standards
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| refer to policy & procedure manual to review steps of a skill | responsibility
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| explore & learn more about a patient to make appropriate clinical judgments | curiosity
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| speak with conviction & always be prepared to perform care safely | confidence
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| be cautious of an easy answer; look for a pattern & find solution | perseverance
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| be willing to recommend alternative to nursing care | risk taking
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| look for different approaches if interventions are not working | creativity
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| read nursing literature | think independently
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| take time to be thorough & manage your time effectively | discipline
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| do not compromise nursing standards or honesty in delivering nursing care | integrity
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| listen to both sides in any discussion | fairness
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| a continuous process characterized by open-mindedness, continual inquiry, and perseverance, combined with a willingness to look at each unique patient situation and determine which identified assumptions are true and relevant | critical thinking
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| recognize when you need more information to make a decision | humility
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| 2 standards used in critical thinking model are | intellectual & professional
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| explain the critical thinking standard intellectual used in the critical thinking model | it is a guideline or principle for rational thought
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| explain the critical thinking standard professional used in the critical thinking model | refers to evidence based ethical criteria for nursing judgments used for evaluation & criteria for professional responsibility
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| define reflective journaling in developing critical thinking skills | is the process of purposefully thinking back or recalling a situation to discover its purpose or meaning
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| define concept mapping in developing critical thinking skills | is a visual presentation of patient problems & interventions that show their relationship to one another
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| clinical decision making requires the nurse to ___ & why: a) follow the HC providers orders for patient care or B) establish & weight criteria in deciding the best choice of therapy for a patient | establish & weigh criteria in deciding the best choice of therapy b/c it involves recognizing issue exists, analyzing info, eval info & making conclusion
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| the nurse observes the clinical situation, asks questions, considers what she knows about postoperative pain and risk for immobility, and takes action. The nurse applies | critical thinking
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| Which is not one of the 5 steps of the nursing process: planning, evaluation, assessment, hypothesis testing; & why | hypothesis & testing b/c the 5 steps are assessment, diagnosis, planning, intervention & evaluation
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| Gathering, verifying, & communicating data about patient to establish a data base is an example of which component of the nursing process: planning, eval, assessment, implementation, nursing diagnosis & why | assessment b/c it is identifying a patient's health care needs
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| completing nursing actions needed to accomplish a care plan is an example of which component of the nursing process & why: planning, eval, assessment, implementation, diagnosis | implementation b/c you are implementing nursing actions
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| using this knowledge based on research or clinical expertise that makes you an informed critical thinker you are using | evidence based knowledge
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| involves recognizing that an issue (e.g., patient problem) exists, analyzing information about the issue (e.g., clinical data about a patient), evaluating information (reviewing assumptions and evidence) and making conclusions | critical thinking
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| considers what is important in each clinical situation, imagines and explores alternatives, considers ethical principles, and makes informed decisions about the care of patients | a critical thinker
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| Critical thinking is a way of thinking about a situation that always asks | Why, What am I missing; What do I really know about this patient's situation and “What are my options
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| componenets of critical thinking are | experience, competencies, attitudes & standards
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| a way to solve problems using reasoning; a systematic, ordered approach to gathering data & solving prob; looks for truth or verifies facts agrees w/reality. Nurse researchers use when testing research questions in nursing practice situations | the scientific method
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| What are the five steps of scientific method | Identifying the problem, Collecting data, Formulating a question or hypothesis, Testing the question or hypothesis, Evaluating results of the test or study
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| a product of critical thinking that focuses on problem resolution; Following a set of criteria helps to make it thorough and thoughtful | decision making
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| Process involving critical appraisal of information that results from recognizing a problem and ends with generating, testing, and evaluating a conclusion. Comes at the end of critical thinking. | decision making
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| Methodical, systematic approach to explore conditions and develop solutions, including analysis of data, determination of causative factors, and selection of appropriate actions to reverse or eliminate the problem. | problem solving
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| Codified sequence of steps used in the formulation, testing, evaluation, and reporting of scientific ideas. | scientific method
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| Knowledge that is derived from the integration of best research, clinical expertise, and patient values. | evidenced based knowledge
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| Active, purposeful, organized, cognitive process used to carefully examine one's thinking and the thinking of other individuals. | critical thinking
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| Process that enables an observer to assign meaning to and classify phenomena in clinical situations by integrating observations and critical thinking. | diagnostic reasoning
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| once you recieve info about a patient this process begins; It is the analytical process for determining a patient's health problems | diagnostic reasoning
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| this requires you to assign meaning to the behaviors & physical signs & symptoms presented by a patient; begins when you interact with a patient or make physical or behavioral observations. | diagnostic reasoning
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| Nurses do not make medical diagnoses, but they do assess & monitor patients closely & compare signs & symptoms w/those that are common to a medical diagnosis; helps HC providers pinpoint the nature of a problem more quickly & select proper therapies | diagnostic reasoning
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| the process of drawing conclusions from related pieces of evidence & previous experience w/the evidence; involves forming patterns of information from data before making a diagnosis | inference
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| Problem-solving approach that nurses use to define patient problems and select appropriate treatment. | clinical decision making
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| (1) Judgment or interpretation of informational cues. (2) Taking one proposition as a given and guessing that another proposition follows. | inference
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| Process that enables an observer to assign meaning to and classify phenomena in clinical situations by integrating observations and critical thinking. | diagnostic reasoning
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| requires careful reasoning (i.e., choosing the options for the best patient outcomes on the basis of the patient's condition and the priority of the problem). | clinical dicision making
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| competency when delivering patient care; a five-step clinical decision-making approach: assessment, diagnosis, planning, implementation, and evaluation; Purpose is to diagnose & treat human responses to actual or potential health problems | Nursing Process
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| Systematic problem-solving method by which nurses individualize care for each patient | nursing process
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| The five steps assessment, diagnosis, planning, implementation, and evaluation are part of the | Nursing Process
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| according to the critical thinking model are five components of critical thinking for nurses to make clinical judgments | knowledge base, experience, critical thinking competencies (with emphasis on the nursing process), attitudes, and standards
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| As a nurse your knowledge base includes information and theory from the basic | sciences, humanities, behavioral sciences, and nursing.
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| 11 Critical thinking attitudes are guidelines for how to approach a problem or decision-making situation. Knowing when you need more info, when info is misleading, & recognizing your own knowledge limits are examples of | how critical thinking attitudes guide decision making
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| The 11 attitudes in critical thinking are | Confidence, Independence, Fairness, Responsibility, Risk taking, Discipline, Perseverance, Creativity, Curiosity, Integrity, Humility
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| Intellectual standards in critical thinking are | Clear, Precise, Specific, Accurate, Relevant, Plausible, Consistent, Logical, Deep, Broad, Complete, Significant, Adequate (for purpose), Fair
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| Critical thinking competencies in the nursing process are | General critical thinking, Specific critical thinking, Specific critical thinking in nursing: nursing process
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| Critical thinking component; Professional standards are | Ethical criteria for nursing judgment, Criteria for evaluation, Professional responsibility
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| is the process of purposefully thinking back or recalling a situation to discover its purpose or meaning. It is like rewinding a videotape. | reflection
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| playing back a situation in your head & taking time to honestly review everything you remember about it. | reflection
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| is a conscious process of thinking, analyzing, & learning from your work situations by way of journaling or regularly meeting with colleagues to explore work situations and self-evaluate | reflection
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| Reflective journal writing is a tool for developing | critical thought and reflection by clarifying concepts.
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| Reflective writing your back situations gives you the opportunity to define and express the clinical experience in your own words | reflective journaling
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| The use of a reflective journal improves your | observation and descriptive skills
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| Process of thinking back or recalling an event to discover the meaning and purpose of that event. Useful in critical thinking | reflection
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| a visual representation of patient problems & interventions shows their relationships to one another; a nonlinear picture of a patient that can then be used for comprehensive care planning | concept map
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| The primary purpose of concept mapping is to better | synthesize relevant data about a patient, including assessment data, nursing diagnoses, health needs, nursing interventions, and evaluation measures
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| Care-planning tool that assists in critical thinking and forming associations between a patient's nursing diagnoses and interventions. | concept map
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