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Critical Thinking & Clinical Judgment

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• Some of the reasons for failure to meet expected<br />

outcomes include:<br />

• Changes in the patient's condition that<br />

supersede the plan of care.<br />

• The need for more time to see if the outcome<br />

can be met.<br />

• Gaps in assessment data<br />

• Errors in identification of problems or nursing<br />

diagnoses.<br />

• Unrealistic or vague expected outcomes and<br />

plans.<br />

• Lack of patient input in the plan of care.

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