Per the physician's orders, Jamie RN gave his patient Motrin 800 mg an hour ago for postoperative pain. The patient is complaining of pain 8 out of 10, so Jamie RN reviews the PRN orders and gives Morphine 2 mg IVP for breakthrough pain. The patient reports the pain is now a 3 out of 10. Jamie RN demonstrated what?

Choice A reason: Reflective practice is important as it involves analyzing one's actions and decisions. However, it is just one component of clinical judgment and not the most comprehensive choice.

Choice B reason: Being an expert provides a depth of knowledge in a specific area, but clinical judgment requires integrating various types of knowledge and perspectives.

Choice C reason: A holistic approach is essential for effective clinical judgment as it encompasses a broad view of patient care, considering physical, emotional, social, and spiritual aspects, and the interactions between them.

Choice D reason: Evidence-based practice is a key element of clinical judgment, ensuring decisions are informed by the best available research. However, it must be balanced with individual patient needs and circumstances.

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.