John is an RN on an orthopedic unit. He is caring for a patient with a left femur fracture with ORIF repair. Having worked on this unit for many years, he has extensive experience with orthopedic patients. While caring for this ORIF patient, John notices that the patient is beginning to have respiratory difficulties without a respiratory history. He uses clinical reasoning to recognize that this patient might be experiencing a pulmonary embolism. He immediately calls the physician for further orders.

Which type of reasoning did John use to identify the patient's condition?

Choice A reason:

Analytic reasoning involves a systematic and logical approach to problem-solving. While John may have used some form of analysis, the situation described emphasizes his quick recognition of the problem, which is more characteristic of intuitive reasoning.

Choice B reason:

Narrative reasoning is associated with the use of storytelling or the patient's personal health narrative to inform clinical decisions. In this scenario, John's decision-making is not described as being influenced by the patient's personal story.

Choice C reason:

Expertise refers to the knowledge and skills acquired through experience. Although John's expertise likely contributed to his ability to recognize the signs of a pulmonary embolism, the term does not specifically describe the type of reasoning he used.

Choice D reason:

Intuitive reasoning is characterized by the ability to understand something instinctively, without the need for conscious reasoning. John's immediate recognition of the patient's potential condition suggests that he used intuitive reasoning based on his experience and knowledge.