The nurse reviews assessed data, determines a nursing diagnosis, and then plans interventions to address a patient's care needs. Which dimension of the theory of wisdom in action for clinical nursing did the nurse implement?

Question

A) Wisdom
B) Knowledge
C) Person-related factors
D) Environment-related factors

Answer 1

B) Knowledge

Explanation: A) Wisdom in action requires knowledge mastery when dealing with uncertain or stressful situations. Knowledge impacts, and insight and intuition influence, the clinical judgment in context of the situation. The judgment leads to a care decision. After a care decision is applied, reflection and discovery of meaning occur, which results in learning. Gained knowledge is integrated back into the knowledge dimension.
B) Knowledge is constructed of three different knowledge types, increasing in complexity: rich factual knowledge, rich procedural knowledge, and lifespan contextualism. Factual knowledge refers to the knowledge of nursing process and patient care. This kind of knowledge is often presented in nursing textbooks and then refined and further bolstered by continuous professional development. Procedural knowledge is made up of clinical procedures, processes, and interventions required for care. Procedural knowledge is often acquired in a specific type of setting based on the accepted norms and rules of behavior. Lifespan refers to the understanding of others as well as understanding oneself.
C) Personal factors would include simple concepts, such as nurse and/or patient age, education, marital status, and more complex concepts. Clinical factors include clinical training and experience and mentors and role models.
D) Environment-related factors affecting wisdom include setting-related and information-system factors.