Exam 36: Clinical Judgment

A patient has been admitted for a skin graft following third degree burns to the bilateral calves.The plan of care involves 3 days inpatient and 6 months outpatient treatment,to include home care and dressing changes.When should the nurse initiate the educational plan?

A student nurse is studying clinical judgment theories and is working with Tanner's Model of Clinical Judgment.The student nurse can generalize the process as

The nurse is implementing a plan of care for a patient newly diagnosed with type 2 diabetes mellitus.The plan includes educating the patient about diet choices.The patient states that they enjoy exercising and understand the need to diet; however,they can't see living without chocolate on a daily basis.Using the principles of responding in the Model of Clinical Judgment,how would the nurse proceed with the teaching?

A nurse has designed an individualized nursing care plan for a patient,but the patient is not meeting goals.Further assessment reveals that the patient is not following through on many items.Which action by the nurse would be best for determining the cause of the problem?

A nursing instructor assigns their clinical group the task of writing a journal depicting the student's clinical day.What is the most likely rationale for this assignment?

A nurse has committed a serious medication error and has reported their error to the hospital's adverse medication error hotline as well as to the unit manager.The manager is a firm believer in developing critical thinking skills.From this standpoint,what action by the manager would best nurture this ability in the nurse who made the error?

A GN appears to be second-guessing herself and is constantly calling on the other nurses to double-check their plan of care or rehearse what they will say to the doctor before she call on the patient's behalf.This seems to be annoying some of the nurse's coworkers.The nurse manager's best response to this situation is to

A home care nurse receives a physician order for a medication that the patient does not want to take because the patient has a history of side effects from this medication.The nurse carefully listens to the patient,considers it in light of the patient's condition,questions its appropriateness,and examines alternative treatments.This nurse would most likely

A new graduate nurse (GN)is working with an experienced nurse to chart assessment findings.The GN notes that the physical therapist wrote on the chart that the patient is lazy and did not want to participate in assigned therapies this AM.The experienced nurse asks the GN what may be going on here.What is the best explanation for this statement?