Critical Thinking Strategies

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Critical thinking strategies What is the question asking? Most, First, best and initially= establish priorities Further teaching is necessary= answer will contain incorrect information, you are looking for negative information “Most appropriately “ tells you that you need to elect best answer. Three strategies to help establish priorities: Maslow – Physiological need before psychosocial Recognize that answers are both physical and psychosocial Eliminate psychosocial answers Does this make sense Apply ABScs Use ABCs to establish priorities but make sure that the answer is appropriate to the situation Nursing Process Recognize both assess and implement answers Read stem to decide whether to assess or implement Select best assessment or implementation Safety strategies What will cause the patient least amount of pain? The Rules of Management Do not delegate assessment, teaching or evaluation Delegate care for stable patients with expected outcomes (If the client is unstable , or the outcome of an activity not assured (or unpredictable) , it should not be delegated) Delegate tasks that involve standard, unchanging procedures

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Transcript of Critical Thinking Strategies

Page 1: Critical Thinking Strategies

Critical thinking strategies

What is the question asking?Most, First, best and initially= establish priorities

Further teaching is necessary= answer will contain incorrect information, you are looking for negative information

“Most appropriately “ tells you that you need to elect best answer.

Three strategies to help establish priorities:

Maslow – Physiological need before psychosocial Recognize that answers are both physical and psychosocialEliminate psychosocial answersDoes this make sense Apply ABScsUse ABCs to establish priorities but make sure that the answer is appropriate to the situation

Nursing Process

Recognize both assess and implement answersRead stem to decide whether to assess or implement Select best assessment or implementation

Safety strategiesWhat will cause the patient least amount of pain?

The Rules of Management

Do not delegate assessment, teaching or evaluationDelegate care for stable patients with expected outcomes(If the client is unstable , or the outcome of an activity not assured (or unpredictable) , it should not be delegated) Delegate tasks that involve standard, unchanging procedures(Activities that frequently reoccur in daily client care can be delegate. Bathing, feeding, dressing, and transferring clients are examples. Activities that are complex or complicated should not be delegated. Stable vs . unstable

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Strategies for positioning questions

Strategies for communication questions

Ok for those of you who did not take Kaplan, this is their infamous Decision Tree(Can't say I use it a lot, but some swear by it)

1. Can you identify the Topic?Yes= proceed to step 2No= read answers for clues, read stem, re word questionidentify and proceed to step 2

2. Are all answers Assessments or Implementations?Yes= proceed to step 3No= determine from stem if assessment needed, validation needed; if so assess*if no assess in stem then you need to assess*if assess in stem, do you need validation?*if assess or validation required and there are no right assess answers, then implement

3. Does Maslows fit?Yes= Do they make sense? Apply ABC's.*eliminate psychosocial/pain (consider pain psychosocial for nclex)*don't always pick airwayNo= are all physical? yes..then proceed to step 4are all psychosocial? yes..then proceed to step 5

4. Are all answers physical?Yes= apply ABC'sNo= proceed to step 5

5. What is outcome of each?do they make sense?why?

and yes folks then you should have your answer!!!!Do’s and Don’ts 

Don’t pass buckDon’t provide false Reassurance

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Don’t ask whyDon’t treat psychosocial first

Do ask patient to express themselves, their concerns