5 Chapter 4 In Quizzes Flashcards
The nurse receives a change of shift report on the five assigned patients and reviews prescriptions, treatments, and medication scheduled for the shift. Based on analysis the nurse chooses which patient needs mess first. Which process of critical thinking describes this action?
-decision making
In approaching a new clinical situation, the nurse uses which question to facilitate precision in critical thinking?
What additional details do i need to gather?
Which question would be most appropriate for the nurse to ask while evaluating the relevance of patient data
-what are the most significant factors in the problem
The nurse is assigned to develop a plan of care for a patient with a medical diagnosis that is unknown to the nurse. Guided by critical thinking, which action should the nurse take first?
-review data about the medical diagnosis and routine management
The nurse obtains a lower than normal pulse oximetry reading on a patient. Which actions by the nurse result from accurately employing the critical-thinking skill on analysis in the nursing process? (Select all that apply)
- assessing the patient for symptoms of hypoxia
- providing oxygen according to standing orders
- elevating the head of the bed, if not contraindicated
Which of the following actions reflects inductive reasoning and
-using subjective and objective data to confirm a diagnosis
The nurse is completing an assessment of a patient with sudden onset of abdominal pain. During the assessment, the nurse considers similar presentations and the underlying pathophysiology related to the patients clinical manifestations. Which critical thinking skill should be used
-interpretation
The nurse can facilitate critical thinking through the use of which interpersonal skill? (Select all that apply)
- teamwork
- conflict management
- advocacy
In providing care to a patient admitted to rule out human immunodeficiency virus, wearing gloves during which activity may be an indication of bias
Collecting the patients medical history
During assessment of a patient admitted for a total hip replacement, the nurse asks the patient to explain prior hospital experiences and, more specifically, any operative experiences. These questions reflect the nurses use of which intellectual standard of critical thinking
Clarity
The nurse facilitates the use of the intellectual standard of critical thinking of significance by posing which question to determine the patients understanding of his or her new diagnosis of type 1 diabetes
How will this diagnosis impact your career?
In providing care to a newly admitted patient, the nurses inferences are more accurate if based upon which of the following?
Objective data
During the postoperative assessment on a patient, the nurse has a “hunch” that the patient has a postoperative complication based upon
Intuition
In using intuition to address a clinical problem, the expert nurse bases his or her approach upon which of the following?
Experimental knowledge
A new graduate nurse explains a new approach in the ositioning of patients with chronic low back pain. The nurse preceptor responds, “that is not the way we do it here.” The preceptors response illustrates which error in critical thinking?
Illogical thinking
The nurse uses a case study presentation to present an educational offering to the staff on the unit. This strategy improves the staff nurses’ critical thinking through which of the following?
Practicing application of knowledge
In preparing to administer medications to a patient the nurse notes a medications that she has never administered. If administered without research what critical error is this?
Lack of information
The nurse uses critical thinking to interpret data. Which of the following data sources are objective?
Laboratory values
X-ray results
Vital signs
Breath sounds
In preparing for a certification exam, the nurse chooses to develop a concept map o help understand the content. This strategy is based upon which of the following characteristics?hn
Facilitates note taking
Fosters making correlation between concepts
Organize visual data
USES SPECIFIC FACTS OR DETAILS TO MAKE CONCLUSIONS AND GENERALIZATIONS; proceedings from superficial to general
Inductive reasoning
A mutually supporting and sensible combination of combined thoughts, where the conclusion follows from presented facts
Logic
To focus on facts and ideas directly related and pertinent to the subject at hand
Relevance
Using critical knowledge and experience to develop solutions to problems and make decisions in a critical setting
Clinical reasoning
Gathering information to determine wether the information of data collected is factual or true
Validation
Following through with pain medication
Integrity
Taking time to talk to a troubled family member
Compassion
Speaking up when a colleague did not wash their hands
Courage`
Realistically viewing family members ability to cope with a crisis
Humility
Working to get prescriptions fulfilled before a homeless person leaves the hospital
Advocacy
Which critical thinking trial is the nurse using when she tries a new dressing change?
Creativity
For the process of reflection, the nurse asks themselves which of the following?
Why is the patient having pain now?
The nurse continues to work with the patient to have them a bulge, motivating them to reach their goal of being independent. The nurse is demonstrating which critical thinking?
Perseverance
A nurse is caring for a terminally ill patient in the home. The family wants to know how to respond when the patient asks if they are dying. Which of the following is the best response?
Answer the patient truthfully in a caring, gentle manor
What is the goal of the profession nurse in the team leader role?
Positive outcome and patient satisfaction
To enter the nursing profession the person must first complete what?
Licensure examination
Which statement is included in the clinical reasoning communication category?
Using experiential knowledge, the nurse being to put everything together to make sense of it
Seasoned nurse states” i don’t see a difference between clinical reasoning and the nursing process.” What would be an appropriate response?
Clinical reasoning is an iterative process of noticing, interpreting, and responding reasoning in transition with a fine attunement to the patient
Clinical reasoning involves reflecting on interventions and reevaluating the plan of care based on the results of reflection
Clinical reasoning is the thinking process by which a nurse reaches a clinical judgement
The nurse is discussing with colleagues the formation of a new lesion in a patient diagnosed with a vaginal infection. What does the nurse expect by following this method of improving critical thinking? Select all that apply.
Reduction of knowledge gaps
Reduction of unconscious bias
Reduction of unconscious bias
Which techniques should the student nurse follow to develop critical thinking skills and bring theory into practice? Select all that apply.
Concept map
Reflective journal
Discussion with colleagues
Critical thinking steps in order
Identify problem Define or clarify problem State the problem Determine criteria needed for evaluation Collect data Generate solution Test the hypothesis
What are the standards that the Institute of Medicine recommends for point-of-care testing? Select all that apply.
Standardized evaluation of controls
Review of the quality of testing procedures
Review of the quality of testing procedures
Pressure ulcer assessment
Warm skin
Red lesions
nurse has worked on an oncology unit for 3 years. One patient has become visibly weaker and states, “I feel funny.” The nurse knows how patients often have behavior changes before developing sepsis when they have cancer. The nurse asks the patient questions to assess thinking skills and notices the patient shivering. The nurse goes to the phone, calls the physician, and begins the conversation by saying, “I believe that your patient is developing sepsis. I want to report symptoms I’m seeing.” What examples of critical thinking concepts does the nurse show? Select all that apply.
Analyticity
Self-confidence
While communicating with a pregnant patient, the nurse learns that the patient has a history of abortion. The nurse prepares the nursing care plan based on this finding. Which standards does the nurse follow in this case? Select all that apply.
The nurse follows the standard of relevance.
The nurse follows the standard of significance.
The nurse works in a long-term care facility and understands that integrity is an essential attitude in critical thinking. Which of the following behaviors indicate the nurse’s understanding of the “Integrity” aspect of critical thinking? Select all that apply.
The nurse follows the highest standards of practice.
The nurse questions his or her own knowledge and beliefs.
The nurse is honest about and willing to accept his or her mistakes or inadequacies.
A student nurse is administering a subcutaneous injection to a patient without any supervision for the first time. The student nurse is evaluating his own personal performance by recalling the experience of administering an injection under the supervision of a registered nurse. Which critical thinking skill does the student nurse use in this situation? Select all that apply.
The nurse is using the skill of reflection.
The nurse is using the skill of self-regulation.
Place the following steps of the nursing process in the correct order.
3 (assessment), 5 (nursing diagnosis), 2 (planning), 4 (intervention), 1 (evaluation).
The nurse is caring for a patient with diabetes mellitus. The nurse uses clinical reasoning to determine the patient’s health problems. What parameters should the nurse include when using clinical reasoning for this patient? Select all that apply.
Weakness
Blurred vision
Light headedness
Scientific method
Identify problem Collect data Formulate hypothesis Test Evaluate
