Ch 2. Critical Thinking And Nursing Process Flashcards
Roberta, a 24 year old woman, is Admitted for treatment of burns to her left hand. She has some areas of blistering and most of her hand is red. She is able to wiggle her fingers but reports severe pain with movement. The burns occurred when Roberta checked the bath water for her 2 yr old child. The nurse admitting Roberta notices she has a sad expression and occasionally wipes a tear away. In admitting database the nurse notes Roberta asked if her baby would be taken away. The nurse asks Roberta is she is worried about the accident. This attitude represents which of the following: A. Intellectual curiosity B. Intellectual empathy C. Intellectual courage D. Fair mindedness
B. Intellectual empathy.
The RN assigning the care of a orient to her team members : another RN an LPN and 2 NAPs. Mr. Bonn a new pt is scheduled for an angiogram later that day. He is diabetic and speaks only Spanish. The only staff member that speaks Spanish is an NAP. The RN assigns Mr. Bonn to the other RN on the team. The RN makes this decision based on A. Personal knowledge B. Theoretical knowledge C. Fair mindedness D. Ethical knowledge
B. Theoretical knowledge
George mint an RN has been assigned to 66 yr old pt. she is here for congestive heart failure. Her BP during the previous shift was in normal range. Today the NAP reports a very high reading. Which of the following demonstrates the use of critical thinking
A. George checks her BP himself, and considers possible causes if it remains elevated
B. George has the NAP record the BP and he plans to discuss the case with the charge later
C. George calls the Dr. Immediately to report.
D. George instructs NAP to re check in an hour and notify him immediately if it remains elevated
A George re checks her BP himself and hi considers all possibly causes if it remains elevated
Jose, a 47 yr old Hispanic male, is brought to the ED by squad. He is reported to have fallen and hit his head at his construction site today. He is accompanied by an EMT and a coworker who has his accident report from the company RN to obtain credible info for the nursing assessment the nurse should gather data from which of the following. A. EMT B. Co worker C. Patient D. Accident report E. All of the above
E. All of the above.
You are assigned to Ms sims for the evening shift. She was admitted 6hrs ago w/ dehydration, nausea, and vomiting, and a fever of 101.0 F. The NAP reports vitals of 99F temp, 120/60 BP, 80 P, 20bpm RR, and intake of 500ml and output of 100 ml she is currently sleeping. This is an example of which component of the nursing process: A. Evaluation B. Implementation C. Assessment D. Planning: interventions
C. Assessment
A set of interrelated concepts is a ??
Model
Full spectrum nursing is a unique blend of ?? And ?? That translates caring into action
Thinking and doing
List the 4 component of full spectrum nursing
Critical thinking
Nursing process
Nursing knowledge
Patient situation
The nursing process is linear flowing from one step to the other? T or F
False
Students should disregard their current learning skills in order to learn the critical thinking skills? T or F
False
Being inquisitive, open minded, and systematic are traits of critical thinkers? T or F
True
Critical thinking and nursing process have which of the following in common?
A. Are important to use in nursing practice
B. Use and ordered series of steps
C. Are patient specific process
D. We’re developed specifically for nursing
A. Are important to use in nursing practice
In which step of the nursing process does the nurse analyze the data and identify client problems? A. Assessment B. Diagnosis C. Planning outcomes D. Evaluation
B. Diagnosis
In which phase of the nursing process does the nurse decide whether her actions have successfully treated the clients health?
Evaluation
Which is the most basic reason that self knowledge is important for nurses. Because it helps the nurse to:
A. Identify personal biases that may affect his thinking and action
B. Identify the most affective intervention for a pt
C. Communicate more efficiently with colleagues, pts, and families
D. Learn and remember new procedures and techniques
A. Identify personal biases that may affect his thinking and actions
Arrange the steps of the nursing process in the sequence in which they generally occur A. Assessment B. Evaluation C. Planing outcomes D. Planning interventions E. Diagnosis
A, E, C, D, B
How are critical thinking skills and critical thinking attitudes similar. Both are:
A. Influences on the nurses problem solving and decision making
B. Like feelings rather than cognitive activities
C. Cognitive activities rather than feelings
D. Applicable in all aspects of a persons life
A. Influences on the nurses problem solving and decision making
The nurse is preparing to admit a pt to the ED. The pt has a chronic lung disease and has used tobacco for 30+ yrs. the nurse used to be a pack a day smoker and it was very hard for her to quit. She thinks to herself "I know I tend to disapprove of people who use tobacco, especially when they have a serious lung condition. I figure if I can stop so can they. I must remember how difficult that is, and be very careful not to be judgmental of this pt." this best illustrates: A. Theoretical knowledge B. Self knowledge C. Using reliable resources S. Use of the nursing process
B. Self knowledge
A clinic client has not been keeping his scheduled follow up appts. In talking with him about if the nurse asks "do you have a car or other transportation to bring you to clinic?" Which critical thinking process does this question illustrate A. Inquiry based on credible sources B. Reflective skepticism C. Analyzing assumption D. Contextual awareness
D. Contextual awareness
A pt with high BP relieved daily oral Medications to control his BP. However, he has been vomiting for the past 24hrs. The nurse knows the oral meds are absorbed in the GI tract and that without the drug the pts BP could become dangerously high. So the nurse notifies the Dr. To see whether the drug can be given another route. The nurses thinking and action illustrates which of the following?
A. Nursing is an applied discipline
B. Nursing uses knowledge from other fields
C. Nursing is fast paced
D. Nursing requires ethical knowledge
A. Nursing is an applied discipline
B. Nursing uses knowledge from other fields
After assessing a pt, the nurse is analyzing and synthesizing the data she obtained. She thinks "I know the pt must sit up to breathe, his respirations are shallow and fast, and his is pale, what does this mean, what are some possible explanations for these symptoms?" Which of the following critical thinking studies is the nurse illustrating? A. fair mindedness B. Independent thinking C. Intellectual courage D. Intellectual curiosity
D. Intellectual curiosity
Which statement about the nursing process is true.
A. It was developed from the ANA standard of care
B. It is a problem solving method to guide nursing actions
C. It is a linear process with desperate distinct step.
D. It involves care that only the nurses will give
B. It is a problem solving method to guide nursing activities
Which of the following is an example of theoretical knowledge
A. A nurse uses sterol technique to catch a pt
B. Room air has an oxygen concentration of approx. 21%
C. Glucose monitoring machines should be calibrated daily
D. An irregular apical HR should be compared with the radial pulse
B. Room air has an oxygenation of approx. 21%
Reading the instruction manual of a new glucose monitor machine is:
A. Independent thinking B. Intellectual curiosity C. Intellectual humility D. Intellectual empathy E. Intellectual courage F. Intellectual perseverance
B. Intellectual curiosity
Asking for help with a procedure because you have not done it before is:
A. Independent thinking B. Intellectual curiosity C. Intellectual humility D. Intellectual empathy E. Intellectual courage F. Intellectual perseverance
C. Intellectual humility
Obtaining the latest research about a new diagnostic procedure even though the articles are difficult to find is:
A. Independent thinking B. Intellectual curiosity C. Intellectual humility D. Intellectual empathy E. Intellectual courage F. Intellectual perseverance
F. Intellectual perseverance
Questioning the reason for a new staffing policy is:
A. Independent thinking B. Intellectual curiosity C. Intellectual humility D. Intellectual empathy E. Intellectual courage F. Intellectual perseverance
A. Independent thinking
Asking a pt feelings about his cancer is:
A. Independent thinking B. Intellectual curiosity C. Intellectual humility D. Intellectual empathy E. Intellectual courage F. Intellectual perseverance
D. Intellectual empathy
Questioning your feelings when a pt family requests withholding nutrition for a terminally ill pt is:
A. Independent thinking B. Intellectual curiosity C. Intellectual humility D. Intellectual empathy E. Intellectual courage F. Intellectual perseverance
E. Intellectual courage
Cathy bess, an RN, is preparing her patient for surgery. The pt complains of a headache and Cathy notes his last recorded BP was 170/90. Yesterday his BP was 130/70. He is prescribed antihypertensives. Due to a nursing shortage an LPN is passing meds. Cathy is concerned he may not have received his meds this morning. Cathy is demonstrating
A. Intellectual curiosity
B. Practical knowledge
C. Critical thinking
D. Full- spectrum nursing
C. Critical thinking
