Ch. 4 Critical Thinking Flashcards
The nurse receives a change of shift report on the five assigned patients and reviews prescriptions, treatments, and medications scheduled for the shift. Based on analysis of this information, the nurse chooses which patient to assess first. Which process of critical thinking best describes the nurses action?
A. Problem solving
B. Decision making
C. Judgment
D. Reasoning
Decision making
In approaching a new clinical situation, the nurse uses which question to facilitate precision in critical thinking
A. What do I know about this situation
B. What additional details do I need to gather
C. Does the clinical presentation correlate with the diagnosis
D. Are the treatments appropriate for the diagnosis
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
A. Do these findings make sense
B. How can this information be verified
C. What are the most significant factors in the problem
D. What is the relation of this information to other data
What is the relation of this information to other data
The nurse is assigned to develop a pan 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
A. Ask the patient to describe the chief complaint
B. Request that another nurse be assigned to this patient
C. Review data about the medical diagnosis and routine management
D. Complete a physical assessment of the patient
Review the data
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 of analysis in the nursing process (all that apply)
A. Assessing the patient for symptoms of hypoxia
B. Providing oxygen according to standing orders
C. Elevating the head of the bed, if not contraindicated
D. Allowing the patient to be alone to rest more comfortable
E. Discussing adaptation is needed for daily activities with the patient
?
Which of the following actions reflects inductive reasoning?
A. Using subjective and objective data to confirm a diagnosis
B. Assessing for specific clinical presentations based on a disease process
C. Correlating elevated blood pressure with pathophysiology
D. Validating an automatic blood pressure cuff reading with a manual measurement
Assessing for specific clinical presentations based of a disease process
The nurse is completing an assessment of a patient with sudden onset abdominal pain. During the assessment the nurse considers similar presentations and the underlying pathophysiology related to the patient’s clinical manifestations. Which critical thinking skill should the nurse use first to determine the cause of the patient’s abdominal pain?
A. Evaluation
B. Interpretation
C. Reflection
D. Inference
Interpretation
The nurse can facilitate critical thinking through the use of which interpersonal skills (all that apply)
A. Teamwork B. Intuition C. Judgment D. Conflict management E. Inference
Intuition, judgement and inference
In providing care to a patient admitted to rule out HIV infection, wearing gloves during which activity may be an indication of bias?
A. Collecting the patients medical history
B. Administering IV meds
C. Performing oral care
D. Completing a bed bath
Collecting medical history
During the assessment of a patient admitted for a total hip replacement, the nurse asks the patient to explain prior hospital experiences and any operative experiences. These questions reflect the nurses use of which intellectual standard of critical thinking
A. Clarity
B. Logic
C. Precision
D. Significance
Precision
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 mellitus on his or her lifestyle
a. “What information do I need to provide to teach the patient?”
b. “Do you understand how to administer your insulin?”
c. “What are the signs of low blood glucose?”
d. “How will this diagnosis impact your career?
How will his diagnosis impact your career?
. In providing care to a newly admitted patient, the nurse’s inferences are more accurate if based upon which of the following?
a. Objective data
b. Assumptions
c. Intuition
d. Experience
Objective data
During the postoperative assessment on a patient, the nurse has a “hunch” that the patient has a postoperative complication based upon
a. intuition.
b. interpretation.
c. information processing.
d. inference.
Intuition
In using intuition to address a clinical problem, the expert nurse bases his or her approach upon which of the following?
a. Judgment
b. Data collection
c. Experiential knowledge
d. Logical deduction
Experiential knowledge
A new graduate nurse explains a new approach in the positioning of patients with chronic low back pain. The nurse preceptor responds, “That is not the way we do it here.” The preceptor’s response illustrates which error in critical thinking?
a. Lack of information
b. Erroneous assumptions
c. Illogical thinking
d. Bias
Illogical thinking
