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Teacher response part 2

Answer this question from the teacher… I have gone overboard with a response as your reflection set off a bunch of fireworks in my head and I thank you!!)

Yes critical and creative thinking are crucial thinking strategies to develop and improve as an FNP learning diagnostic reasoning. When you look at the theories/models of critical thinking, difficult to determine the weight of each of the concepts inherent in the critical thinking process. Is it more important to have the knowledge base about the disease entity, or the intuition of knowing when a patient is answering or not answering a question, or the creative instinct in knowing how to interview or develop a plan of care that is smart (small, measurable, achieveable, realistic, and timely) in partnership with the patient. And yes, knowing the pitfalls in thinking that we each make daily and how to avoid them. FNP’s need to learn disciplined thinking strategies / evidence based so we can defend our dx and assumptions both to the patient and in a court of law. I find myself becoming lazy in thinking when i am tired, hungry, consumed with personal matters, subjective about the patient and their habits and beliefs, etc. Do you ever let your thoughts, emotions, and values interfere with your diagnostic reasoning? Do you ever base judgements on your last mistake or success.

Sometimes I am a member of the six person blind team examining an elephant

 

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