This document discusses clinical reasoning, clinical judgment, and their role in nursing practice at the graduate level. Clinical reasoning involves evaluating patients and developing treatment plans using evidence-based concepts and standards of care. It requires gathering and analyzing information to make informed decisions. The nursing process enhances critical thinking and clinical reasoning by integrating various factors to determine the best options for patient care. An example shows how a nurse used these skills to correctly diagnose a patient's pulmonary embolism instead of a heart attack based on their history and assessment findings.

1. Clinical Reasoning And Clinical Judgment Discussion Paper
Clinical Reasoning And Clinical Judgment Discussion PaperAssignment 1Clinical reasoning
is a particular term that refers to the evaluation and treatment of patients' issues at the
continuum of care. Scientific reasoning is driven by outcomes and is based on the concepts
of empirical research, problem-solving, and the nursing process. It is driven by codes of
ethics, particular standards, policies, and laws of a state (Alfaro-LeFevre, 2016). This paper
seeks to delve into the use of clinical reasoning in developing and applying advanced health
history and physical assessment skills at the graduate level Clinical Reasoning And Clinical
Judgment Discussion Paper.ORDER A PLAGIARISM-FREE PAPER HEREClinical reasoning
and clinical judgment include the task of obtaining the outcomes of the information
gathered from the client. In nursing, critical thinking includes clinical judgment and clinical
reasoning and is informed, focused, and result-guide thinking. Critical thinking employs
such mechanisms to devise a strategy using the data gathered by the healthcare
professional. For instance, the practitioner can conduct a comprehensive evaluation of the
patient and will give an accurate diagnosis from the information obtained. During this
process, the practitioner is utilizing critical thinking skills Clinical Reasoning And Clinical
Judgment Discussion Paper.Clinical decision-making involves the integration of
understanding from the professional skills of the practitioner, desires of the patient, and
current research within the system of the resources to be acquired. Decision making
includes a selection from a wide range of desires which might entail not doing much to
stand in line and see the strategy (Standing, 2020) Clinical Reasoning And Clinical Judgment
Discussion Paper.In the clinical decision-making process, the healthcare practitioner uses
information obtained from the patient records and the assessments to draw up a collection
of the possible causes for the disease, indicated as a differential diagnosis. The practitioner
will then establish which particular tests are required to aid in coming up with a list or to
set aside the specific condition accountable for the client's health status.As the healthcare
professional commences a profession in healthcare and passes a particular certification
body, the person is deemed to be moderately competent to practice. Decision-making and
clinical reasoning are not things that one can master in a short period, but a practice that is
developed with time. As individuals practice in their profession, they acquire a wide range
of expertise through an experiential process. The expertise acquires allows clinicians to
make clinical decisions on the basis of clinical reasoning in patient care.In healthcare,
during the collection of data from the client, the healthcare provider will examine the client
from top to foot, having a look at clinical manifestations to be added as data to come up with

2. a plan. It also involves asking the client open-ended questions on both their concerns, as
well as their family's concerns. Most diseases have a familial connection and should be
viewed comprehensively as a link to what the client could be experiencing. Gender is an
aspect that may be the foundation of the disease since the female reproductive system is
only that of females, not males. Therefore, any disease that originates in the uterus, the
ovary, the cervix, and so on, ought to be checked in the assessment of the females. Age is
another aspect that may rely on exhibiting indications and diagnosis, however, this, too,
may have its exemptions. Clinical Reasoning And Clinical Judgment Discussion Paper The
ethnic background may put certain communities at an increased risk of suffering from
diseases. African Americans are at greater risk of developing diabetes and heart disease.
Certain illnesses are genetic from when the patient's cultural origins started, for example,
Sickle cell anemia is common in patients with West Indies and African origin. Tay-Sachs
syndrome is an unusual autosomal recessive disorder that puts at-risk patients with Jewish
origin.An instance of the use of clinical reasoning, clinical judgment, and clinical thinking in
the assessment of a client is when a male client visits a facility and reports having chest
pain, shortness of breath, trembling, and simply feeling unwell. The very first thought that
comes to mind is myocardial infarction (MI), but one goes on to make further assessments.
after observing the patient, he looks nervous, then the p[practitioner inquires about
previous operations, trauma, lack of mobility, and the client denies them all. the practitioner
then orders complete blood count, and chemistry, and certain troponin tests. additionally,
he or she gets a chest x-ray and baseline electrocardiogram. when the questions are
continuing through the physical examination, the practitioner discovers that the patient has
a family background of clots and that he is a long-distance truck driver, and he now rules
out pulmonary embolism. As Mayo Foundation for Medical Education and Science (2015)
suggests, the practitioner would therefore get a pulmonary angiogram, a CT scan, and a D-
dimer blood test. If the practitioner was not skilled enough, he or she would have gone
down the MI path and be content with his first thinking. Through critical thinking and
clinical reasoning, the practitioner made it possible to render a clinical judgment regarding
the treatment of the client Clinical Reasoning And Clinical Judgment Discussion
Paper.References:Alfaro-LeFevre, R. (2016). Critical thinking, clinical reasoning and clinical
judgment: A practical approach, pageburst E-book on kno. Elsevier Health
Sciences.Pulmonary embolism - Diagnosis and treatment - Mayo Clinic. (2020, June 13).
Mayo Clinic - Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/pulmonary-
embolism/basics/tests-diagnosis/con-20022849Standing, M. (2020). Clinical Judgement
and Decision Making in Nursing. Learning Matters.Write a three-page paper on the use of
clinical reasoning in developing and applying advanced health history and physical
assessment skills at the graduate level. Consider contemporary nursing literature on the
development of clinical reasoning and decision-making. How does the use of the nursing
process enhance critical thinking, clinical reasoning, and clinical judgment in professional
nursing practice at the graduate level. Please use the submission parameters and rubric
below to guide you when completing this assignment. Submission Parameters: For this
written assignment, please use the following guidelines and criteria. Also, please refer to the
rubric for point allocation and assignment expectations Clinical Reasoning And Clinical

3. Judgment Discussion Paper.ORDER A PLAGIARISM-FREE PAPER HEREThe expected length
of the paper is approximately 3 pages, which does not include the cover page and reference
page(s). I. Introduction (including purpose statement) II. Clinical Reasoning Describe how
clinical reasoning is used in developing and applying advanced health history and physical
assessment skills at the graduate level. III. Nursing Process Describe how the use of the
nursing process enhance critical thinking, clinical reasoning, and clinical judgment in
professional nursing practice at the graduate level. IV. Clinical Example Discuss an example
demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning.
Discuss how nursing care is provided when each of these concepts are evidenced in nursing
care of the patient. V. Conclusion VI. References (consider contemporary nursing research
studies or reliable electronic sources) In regards to APA format, please use the following as
a guide: Include a cover page and running head (this is not part of the 3 pages limit) Include
transitions in your paper (i.e. headings or subheadings) Use in-text references throughout
the paper Use double space, 12 point Times New Roman font Apply appropriate spelling,
grammar, and organization Include a reference list (this is not part of the 3 pages limit)
Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e.
NCSBN, AANP) Assignment 1 Rubric Competency 30 27 25 0 Points Define, compare and
contrast clinical reasoning and decision-making. How is this related to critical thinking and
clinical judgment in graduate level nursing practice? Defines, compares, and contrasts
clinical reasoning and decision-making with cited references in addition to course readings
for Week 1. Answers posed questions. Defines, compares, and contrasts clinical reasoning
and decision-making with cited references from course readings for Week 1. Answers posed
questions. Describes clinical reasoning and decision-making. Briefly answers how is this
related to critical thinking and clinical judgment in graduate level nursing practice? Does
not define, compare and contrast clinical reasoning and decision-making. Does not answer
how is this related to critical thinking and clinical judgment in graduate level nursing
practice? /30 30 27 25 0 Consider contemporary literature and apply the concept of clinical
reasoning to advanced physical assessment in nursing. Considers contemporary literature
and applies the concept of clinical reasoning to advanced physical assessment in nursing.
Considers textbook literature and references within text book without further
consideration of external literature support Clinical Reasoning And Clinical Judgment
Discussion Paper.Considers and applies concept of clinical reasoning to advanced physical
assessment in nursing without reference to expert opinion or research literature. Does not
consider and apply concept of clinical reasoning to advanced physical assessment in
nursing. /30 30 27 25 0 Provides one clinical example demonstrating the nurse’s use of
critical thinking, clinical judgment, and clinical reasoning. How is nursing care provided or
modified when each of these concepts are evidenced in nursing care of the well-adult,
family, and one special population? Provides one clinical example demonstrating the nurse’s
use of critical thinking, clinical judgment, and clinical reasoning. Discusses how nursing care
was provided or modified when each of these concepts were evidenced in nursing care of
the well-adult, family, and one special population. Provides one clinical example
demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning.
Discusses how nursing care was provided or modified when each of these concepts were

4. evidenced in nursing care of the well-adult, family, or one special population. Demonstrates
the nurse’s use of critical thinking, clinical judgment, or clinical reasoning. Discusses how
nursing care was provided or modified when these concepts were evidenced in nursing care
of the well-adult, family, or one special population. Does not demonstrate the nurse’s use of
critical thinking, clinical judgment, or clinical reasoning. Does not discuss how nursing care
was provided or modified when these concepts were evidenced in nursing care of the well-
adult, family, or one special population. /30 10 9 8 0 APA Format, grammar, punctuation
and spelling. APA Format, grammar, punctuation and spelling is accurate with no errors.
APA Format, grammar, punctuation and spelling is accurate with less than two types of
errors. APA Format, grammar, punctuation and spelling is accurate with five or fewer types
of errors. APA Format, grammar, punctuation and spelling is accurate with more than five
types of errors. /10 Clinical Reasoning And Clinical Judgment Discussion Paper