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ATI Critical Thinking 1 (5)-edited 2
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Critical Thinking ati NURSING EDUCATION Student Learning Activity On this worksheet, the critical thinking skills are further defined to demonstrate how you can apply critical thinking skills using a specialized body of knowledge. Interpretation The cognitive process of looking at a situation and (1) assessing all of the data present in a given situation, (2) identifying the relevant data from the situation, (3) interpreting medical terminology, and (4) identifying the relevancy of the data to the situation. Apply the critical thinking skill of interpretation to this patient situation underlining the relevant information and circling or bolding the medical terminology. Patient Introduction Location: Surgical Unit 0800 Report from night shift charge nurse: Situation: Sara Lin is an female patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be e getting oral meds today. Background: Sara presented in the ED 2 days ago with a history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive. Assessment: Sara is alert and oriented, appropriate for age. She needs to be reminded to use her incentive spirometer Abdomen is soft, tender to touch. Bowel sounds active. She has progressed to regular diet, and eating small amounts. No nausea reported since postoperative day 1. The abdominal dressing was changed the surgery team early this a. The incision is closed with the edges are and only slightly reddened with minimal serosanguinous drainage Her sequential compression devices were discontinued. and hei Jackson Pratt drain was pulled this morning. A small amount of bleeding was no further bleeding is noted. This morning, she had her first small soft brown stool since surgery. Recommendation: You will have to transition Sara to oral antibiotics and pain medication. She last had pain medication 4 hours ago. You will need to provide discharge patient education on incision care, pain medication and antibiotics, signs of postoperative infection, activity restrictions, and surgical PAGE 1 C 2017 Assessment Technologies Institute Inc. Critical Thinking ati NURSING EDUCATION Student Learning Activity On this worksheet, the critical thinking skills are further defined to demonstrate how you can apply critical thinking skills using a specialized body of knowledge. Interpretation The cognitive process of looking at a situation and (1) assessing all of the data present in a given situation, (2) identifying the relevant data from the situation, (3) interpreting medical terminology, and (4) identifying the relevancy of the data to the situation. Apply the critical thinking skill of interpretation to this patient situation underlining the relevant information and circling or bolding the medical terminology. Patient Introduction Location: Surgical Unit 0800 Report from night shift charge nurse: Situation: Sara Lin is an female patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be e getting oral meds today. Background: Sara presented in the ED 2 days ago with a history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive. Assessment: Sara is alert and oriented, appropriate for age. She needs to be reminded to use her incentive spirometer Abdomen is soft, tender to touch. Bowel sounds active. She has progressed to regular diet, and eating small amounts. No nausea reported since postoperative day 1. The abdominal dressing was changed the surgery team early this a. The incision is closed with the edges are and only slightly reddened with minimal serosanguinous drainage Her sequential compression devices were discontinued. and hei Jackson Pratt drain was pulled this morning. A small amount of bleeding was no further bleeding is noted. This morning, she had her first small soft brown stool since surgery. Recommendation: You will have to transition Sara to oral antibiotics and pain medication. She last had pain medication 4 hours ago. You will need to provide discharge patient education on incision care, pain medication and antibiotics, signs of postoperative infection, activity restrictions, and surgical PAGE 1 C 2017 Assessment Technologies Institute Inc. CRITICAL THINKING STUDENT LEARNING ACTIVITY Analysis The cognitive process of looking at a situation and (1) clustering, categorizing, and prioritizing relevant data, (2) analyzing data for possible connections, and relationships, (3) arriving at a decision, judgment, or conclusion based on sound supporting data. Cluster relevant data and associated possible problem and defining characteristics that support the possible problems DATA GROUP 1 DATA GROUP 2 DATA GROUP 3 Possible problem Possible problem Possible problem Postoperative Infection Acute pain lack of knowledge regarding incision care and pan management CONSIDER THE FOLLOWING 1. What signs and symptoms are commonly seen with this nursing problem? Postoperative infection excessive redness and pain around incision, fever Acute pain groaning, sighing, irritability Lack of knowledge inaccurate follow through of instructions 2. What other information might I need to consider as I prepare to care for this patient? The age should be considered as well as her knowledge about proper incision care and pain management, as well as her expectations about recovery time. 3. What major changes might be apparent in the labs and other related diagnostic tests that would be seen with the White blood cell count Amount of pain Blood pressure PAGE 2 2017 Assessment Technologies Institute Inc. CRITICAL THINKING STUDENT LEARNING ACTIVITY Analysis The cognitive process of looking at a situation and (1) clustering, categorizing, and prioritizing relevant data, (2) analyzing data for possible connections, and relationships, (3) arriving at a decision, judgment, or conclusion based on sound supporting data. Cluster relevant data and associated possible problem and defining characteristics that support the possible problems DATA GROUP 1 DATA GROUP 2 DATA GROUP 3 Possible problem Possible problem Possible problem Postoperative Infection Acute pain lack of knowledge regarding incision care and pan management CONSIDER THE FOLLOWING 1. What signs and symptoms are commonly seen with this nursing problem? Postoperative infection excessive redness and pain around incision, fever Acute pain groaning, sighing, irritability Lack of knowledge inaccurate follow through of instructions 2. What other information might I need to consider as I prepare to care for this patient? The age should be considered as well as her knowledge about proper incision care and pain management, as well as her expectations about recovery time. 3. What major changes might be apparent in the labs and other related diagnostic tests that would be seen with the White blood cell count Amount of pain Blood pressure PAGE 2 2017 Assessment Technologies Institute Inc. CRITICAL THINKING STUDENT LEARNING ACTIVITY Evaluation The cognitive process of looking at a situation and (1) assessing and evaluating the strength and weakness of interventions, or alternative treatments, (2) assessing the strength of criteria or evidence, (3) assessing the strength and significance of information in relation to specific situations. CONSIDER THE FOLLOWING 1. Which nursing interventions would be best for this client with this condition? Teaching the patient about signs and symptoms of complications such as infection, as well as activity restrictions. 2. What changes to the condition might I expect to see happen or have happened? in amount of pain in knowledge about how to properly care for surgical incision 3. Why is this intervention, or plan of action, useful or not useful for this client? because an increase in patient knowledge will decrease pain, and reduce risk of infection and medication dependencies. The cognitive process of continuously monitoring your thinking, (1) to ensure accurate interpretation of a situation, (2) for personal biases, (3) to recognize the need for further analysis. CONSIDER THE FOLLOWING 1. Have I gathered all the facts? What other pertinent information should I include? yes. 2. Describe any biased thoughts or personal beliefs that might prevent me from objectively looking at the situation? risk of imposing healthcare culture on a young patient who may have different expectations about the healing process 3. What other possible interventions or alternatives might I need to consider? Involving and educating the parents as appropriate PAGE 4 C 2017 Assessment Technologies Institute Inc. CRITICAL THINKING STUDENT LEARNING ACTIVITY Evaluation The cognitive process of looking at a situation and (1) assessing and evaluating the strength and weakness of interventions, or alternative treatments, (2) assessing the strength of criteria or evidence, (3) assessing the strength and significance of information in relation to specific situations. CONSIDER THE FOLLOWING 1. Which nursing interventions would be best for this client with this condition? Teaching the patient about signs and symptoms of complications such as infection, as well as activity restrictions. 2. What changes to the condition might I expect to see happen or have happened? in amount of pain in knowledge about how to properly care for surgical incision 3. Why is this intervention, or plan of action, useful or not useful for this client? because an increase in patient knowledge will decrease pain, and reduce risk of infection and medication dependencies. The cognitive process of continuously monitoring your thinking, (1) to ensure accurate interpretation of a situation, (2) for personal biases, (3) to recognize the need for further analysis. CONSIDER THE FOLLOWING 1. Have I gathered all the facts? What other pertinent information should I include? yes. 2. Describe any biased thoughts or personal beliefs that might prevent me from objectively looking at the situation? risk of imposing healthcare culture on a young patient who may have different expectations about the healing process 3. What other possible interventions or alternatives might I need to consider? Involving and educating the parents as appropriate PAGE 4 C 2017 Assessment Technologies Institute Inc.
- Multiple Choice
Course : Nursing Skills I (21325)
University : south texas college.
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