A client begins to vomit blood. The nurse immediately measures the blood pressure and prepares to insert a nasogastric tube while directing others to notify the healthcare provider and prepare to perform iced saline lavage
Which features of the Tanner Clinical Judgment Model did this nurse demonstrate?
Select all that apply.
A) Presencing
B) Noticing
C) Empowerment
D) Interpreting
E) Responding
Answer: B, D, E
Noticing is having a sense about what is happening in the client situation. Interpreting and responding involve the use of logical reasoning to gain understanding about a situation and determine appropriate actions. This includes analyzing a situation, choosing the best course of action, and performing responsive actions by the nurse. Presencing is being present for a client and engaging in face-to-face contact. Empowerment is encouraging a client to make autonomous health care decisions.
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Fill in the blank(s) with the appropriate word(s).
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