Clinical judgment involves reasoning and interpretations. All of the following are types of reasoning except:

Intuitive

Expertise

Analytic

Narrative

Answer and Explanation

The Correct Answer is B

Choice A reason: Intuitive reasoning is a type of reasoning that relies on gut feelings or instincts rather than analytical processes. It is often used in clinical judgment when quick decisions are needed based on past experiences.

Choice B reason: Expertise is not a type of reasoning; rather, it is the knowledge and skills that a clinician develops over time. While expertise can inform reasoning, it is not a reasoning process itself.

Choice C reason: Analytic reasoning is a systematic, logical approach to problem-solving. In clinical judgment, it involves breaking down complex patient information into smaller parts to understand and address health issues.

Choice D reason: Narrative reasoning is the process of making sense of people's stories and experiences. In healthcare, it helps clinicians understand the patient's perspective and context, which is crucial for effective clinical judgment.

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Correct Answer is D

Explanation

Choice A reason: A successful past experience is generally a positive factor that can enhance a patient's motivation to learn. It provides a foundation of confidence and a reference point for future learning endeavors.

Choice B reason: A strong family support system is another positive influence that can boost a patient's motivation to learn. Supportive family members can provide emotional encouragement, practical assistance, and a conducive learning environment.

Choice C reason: A positive attitude is crucial for learning. It allows patients to approach educational opportunities with optimism and openness, making them more receptive to new information and more resilient in the face of challenges.

Choice D reason: Anxiety due to the cost of illness can be a significant barrier to a patient's motivation to learn. Financial concerns can create stress and distract from the focus needed for learning, potentially hindering the educational process.

A. Evidence-Based Practice B. Teamwork C. Authority D. Safety

Correct Answer is D

Explanation

Choice A reason: Evidence-Based Practice is a systematic approach to health care that uses the best available evidence, clinical expertise, and patient preferences to make decisions about the care of individual patients. While it is a critical aspect of modern health care, it is not the culture that has replaced the culture of blame.

Choice B reason: Teamwork is essential in health care for providing comprehensive care and ensuring patient safety. However, it is not the specific culture that has replaced the culture of blame. Teamwork is a component of a larger cultural shift towards safety and quality in health care.

Choice C reason: Authority refers to the power or right to give orders, make decisions, and enforce obedience. A culture of authority does not replace a culture of blame; instead, it could potentially perpetuate it if not balanced with accountability and open communication.

Choice D reason: Safety has become the primary focus in health care, replacing the culture of blame with a culture of safety. This shift emphasizes learning from errors, improving systems and processes, and preventing harm to patients through a non-punitive approach to incident reporting and analysis.

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Clinical judgment involves reasoning and interpretations. All of the following are types of reasoning except:

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a patient's motivation to learn. Which of the following factors could block that patient's motivation to learn?

Correct Answer is D

Explanation

With advancements in health care over the years, a culture of blame has been replaced with a culture of:

Correct Answer is D

Explanation

An interpretation or conclusion about a patient's needs, concerns, or health care problem and/or the decision to take action (or not) is:

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