You are a nurse preceptor for a novice nurse from your unit. Create a scenario from your work experience and develop three questions reflecting the Critical Thinking Habits of the Mind, (Appendix A, pages 341- 356) that will help you to assess how your mentee is doing. Respond to two classmates by completing their questions, evaluating the scenario, and identifying what you learned from their scenario. See the Nursing Syllabus Standards & Policies Document for Discussion Participation Guidelines & Grading Criteria.

Scenario:
In a busy hospital unit, a novice nurse is assigned to care for a patient who has just undergone surgery for a broken leg. The patient is elderly and has multiple comorbidities. The nurse is responsible for monitoring the patient’s vital signs, administering medications, providing wound care, and assisting with activities of daily living. The nurse preceptor is observing the mentee’s performance and wants to assess their critical thinking skills in the given scenario.

Three Critical Thinking Questions:

1. What evidence-based interventions would you implement to prevent complications in this post-operative patient?
2. How would you prioritize your nursing tasks for this patient to ensure their safety and well-being?
3. What would be your plan of action if the patient’s vital signs start to deteriorate or if they demonstrate signs of pain?

Evaluation and Analysis:

Question 1: What evidence-based interventions would you implement to prevent complications in this post-operative patient?

This question assesses the novice nurse’s ability to apply evidence-based practice in their care. It requires them to have knowledge about common complications associated with post-operative patients and the interventions that can prevent them. It also tests their understanding of the importance of following evidence-based guidelines to provide quality care.

Question 2: How would you prioritize your nursing tasks for this patient to ensure their safety and well-being?

Prioritization is a critical skill for nurses, especially in a busy unit with multiple patients. This question aims to evaluate the novice nurse’s ability to prioritize tasks based on the patient’s needs, acuity, and potential risks. It tests their organizational skills, critical thinking, and decision-making abilities in managing their workload effectively.

Question 3: What would be your plan of action if the patient’s vital signs start to deteriorate or if they demonstrate signs of pain?

This question assesses the novice nurse’s ability to recognize and respond promptly to changes in the patient’s condition. It tests their knowledge of normal vital sign ranges, their understanding of potential complications post-surgery, and their ability to assess and manage pain effectively. It also evaluates their critical thinking and problem-solving skills in a high-stress situation.

Response to Classmate 1:

Question 1: How would you assess and manage the patient’s pain level effectively?

This question reflects the importance of pain management in post-operative patients. It tests the nurse’s ability to assess pain using appropriate tools and techniques, their knowledge of pain medications, and their understanding of non-pharmacological interventions for pain relief. It also assesses their ability to prioritize and advocate for the patient’s comfort and well-being.

Evaluation:

The scenario created by my classmate effectively evaluates the nurse’s critical thinking skills related to pain management in a post-operative patient. It highlights the importance of accurately assessing pain and implementing appropriate interventions. It also emphasizes the nurse’s responsibility to prioritize the patient’s comfort and advocate for their pain relief. Overall, this scenario tests the nurse’s ability to incorporate evidence-based practice in providing holistic care to the patient.

Response to Classmate 2:

Question 2: How would you communicate effectively with the patient and their family to ensure a smooth transition to home care?

This question addresses the importance of effective communication in the nursing field. It tests the nurse’s ability to establish rapport and trust with the patient and their family, their understanding of cultural and linguistic considerations in communication, and their skills in providing appropriate and timely information. It also assesses their ability to educate the patient and their family about home care instructions and potential warning signs for complications.

Evaluation:

The question posed by my classmate is crucial in assessing the nurse’s critical thinking and communication skills. It highlights the nurse’s role in facilitating effective communication between the healthcare team, the patient, and their family. It also emphasizes the nurse’s responsibility in ensuring a smooth transition to home care by providing accurate and relevant information. Overall, this scenario tests the nurse’s ability to establish therapeutic relationships and advocate for patient-centered care.