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Flashcards in Clinical Judgment Deck (13)
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1

Define concept of clinical judgement and clinical decision making

interpretation or conclusion about a patient's needs, concerns, or health problems.
process the nurse determines and utilizes evidence based solutions.

2

What are the components of Tanner's Model of Clinical Judgment

Noticing
Interpreting
Responding
Reflecting

3

What are the components of the nursing process

Assessment
Dx/problem statement
Planning
Implementation
Evaluation

4

Axis 1 of dx

focus.
“compromised family coping” *Coping*

5

Axis 2 of dx

subject. Explicit: direct “Compromised family coping” *Family*
OR
Implicit: implied “Ineffective airway clearance” *Patient*

6

Axis 3 of dx

Modifiers that give meaning “Compromised family coping” *Compromised*

7

What are some examples of modifiers that give meaning

deficient
impaired
decreased
ineffective
compromised

8

Axis 4 of dx

description, location, system or function affected by focus. o “Ineffective airway clearance” *Airway*

9

Axis 5 of dx

Age

10

Axis 6 of dx

Time. Acute vs Chronic

11

Axis 7 of dx

status.... is it a current or future health risk?

12

what are the interrelated concepts for clinical judgment

safety and evidence based practice

13

what is the lay out of a problem statement

diagnostic label/related to/etiology/aeb/defining characteristics