The Importance Of Clinical Reasoning In Nursing

Manipulative behaviour is a dominant characteristic for people with antisocial personality disorder. When in hospital, a patient diagnosed with ASPD may use manipulation tactics on a nurse to alter protocols that will meet their own needs. This may have a negative impact on the hospital unit. In order to prevent the potential that the hospital unit may become compromised, a precise care plan must be implemented and followed by all staff members to manage unwanted behaviour. The nurse must be able to engage in clinical reasoning that will lead to the development of an effective care plan. Clinical Reasoning

Nurses engage in clinical reasoning in order to provide effective and consistent care. According to Kozier et al (2014) clinical reasoning is “the thought process used to assess a clients evolving situation and health concerns, gather data and make decisions to solve problems within a particular clinical context to achieve better client outcomes” (p. 408). Elstein and Bordage (as cited in Jones, et al, 2009) stated that “clinical reasoning as the way clinicians think about the

Aggression to people and animals, destruction of property, deceitfulness or theft or serious violation of rules) before the age of 15 years (As sited in Austin and Boyd, 2015, pp 629). The nurse will notice that the patient will fail “to conform to the ethical and social standards of their community”(Austin and Boyd, 2015, p 629). In this case, the community is the hospital setting. The reason why it is important for the nurse to understand the diagnosis is that these patients can become manipulative, aggressive, which can threaten the safety of the staff and other patients (Austin and Boyd, 2015). When the nurse understands the manifestations for the disorder, he or she will be able to create a care plan that will be used to manage the negative