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: Clinical judgment is the correct answer because it involves the nurse's use of their knowledge, experience, and critical thinking to make decisions about patient care. It includes assessing the patient's needs, analyzing the information, and deciding on the appropriate actions to take.

Choice B reason: A holistic view is important in nursing as it considers the patient's physical, emotional, social, and spiritual well-being. However, it is not specifically related to the process of making a clinical decision or taking action.

Choice C reason: Process orientation refers to the focus on the methods and procedures of care delivery. While it is a component of clinical practice, it does not directly describe the interpretive and decision-making aspect of patient care.

Choice D reason: Critical thinking is a broader term that encompasses the ability to think clearly and rationally, understanding the logical connection between ideas. It is a part of clinical judgment but on its own does not represent the decision-making process in patient care.

Choice A reason:

Better Care is one of the goals of the Triple Aim plan, which focuses on improving the overall quality of care, including patient safety, effectiveness, and satisfaction.

Choice B reason:

Universal Health Care, while a broader goal of many health reform efforts, is not explicitly one of the Triple Aim goals of the ACA. The Triple Aim specifically targets improvements in individual care, health of populations, and reduction in costs.

Choice C reason:

Affordable Care is another goal of the Triple Aim plan, aiming to reduce the cost of health care for individuals and the government without sacrificing quality.

Choice D reason:

Healthy People/Healthy Communities is aligned with the Triple Aim's goal of improving the health of populations by addressing public health and preventive care.