ch 4 Critical Thinking in Nursing Flashcards
The nurse is caring for a patient who is pregnant with her fifth child and considering terminating the pregnancy. The patient has asked the nurse for more information. For the past two years, the nurse has been unsuccessful in her own attempts to become pregnant. Which intellectual standard is the nurse most likely to have difficulty applying to the situation?
- Humility
- empathy
- integrity
- perseverance
empathy
critical thinking is a conscious decision, not to accept something at face value, and instead attempt to analyze it from all perspectives. which actions are considered part of the critical thinking process?
- identifying the concern
- Determining which information is most relevant
- Gathering the input of others
- Vetting the information presented
- quickly determining a resolution
- identifying the concern
- Determining which information is most relevant
- Gathering the input of others
- Vetting the information presented
Match the intellectual standard with the scenario that represents it.
Clarity:
- The nurse completely understands the complexity of the issue
- The nurses perspective has been confirmed as factual
- others understand the nurses point of view
- The nurse focuses on the most important aspect of the situation
others understand the nurses point of view
Match the intellectual standard with the scenario that represents it.
Accuracy
- The nurse completely understands the complexity of the issue
- The nurses perspective has been confirmed as factual
- others understand the nurses point of view
- The nurse focuses on the most important aspect of the situation
The nurses perspective has been confirmed as factual
Match the intellectual standard with the scenario that represents it.
Significance:
- The nurse completely understands the complexity of the issue
- The nurses perspective has been confirmed as factual
- others understand the nurses point of view
- The nurse focuses on the most important aspect of the situation
The nurse focuses on the most important aspect of the situation
Match the intellectual standard with the scenario that represents it.
Depth:
- The nurse completely understands the complexity of the issue
- The nurses perspective has been confirmed as factual
- others understand the nurses point of view
- The nurse focuses on the most important aspect of the situation
The nurse completely understands the complexity of the issue
according to Alfaro-LeFevre, which individual should be most adept at thinking critically?
- A 40-year-old man who has only lived in a small town and never traveled outside of his state
- A 22-year-old woman whose father was in the military requiring her to live in Germany in England, California, Florida, and Missouri
- A 36 year-old person with high self-esteem and self-confidence
- A 19-year-old freshman in college who is majoring in communication
A 22-year-old woman whose father was in the military requiring her to live in Germany in England, California, Florida, and Missouri
which actions demonstrate a nurse using the clinical judgment measurement model (CJMM) and critically thinking when a patient reports increased pain at the surgical site?
- verifying that no pain medication’s were prescribed after surgery and calling the healthcare provider to inform them of the patient’s changes and status to see if pain medication’s can be given
- Determining whether pain medication’s were prescribed postoperatively then compassionately relaying to the patient that no pain medications were prescribed for them
- Using non-pharmaceutical treatments of focused, deep, breathing, and imagery to help relieve the patient of pain after verifying that no pain medications were prescribed
- Assessing patient’s vital signs and verifying which pain medication were prescribed and when pain medication was last given to the patient
- assessing the surgical site to determine whether infection could cause of increased pain
- verifying that no pain medication’s were prescribed after surgery and calling the healthcare provider to inform them of the patient’s changes and status to see if pain medication’s can be given
- Using non-pharmaceutical treatments of focused, deep, breathing, and imagery to help relieve the patient of pain after verifying that no pain medications were prescribed
- Assessing patient’s vital signs and verifying which pain medication were prescribed and when pain medication was last given to the patient
- assessing the surgical site to determine whether infection could cause of increased pain
Match the description of the nurse with the appropriate career stage.
Proficient:
- A nurse with three years of experience who just started working in the ICU
- A nurse with 18 months of experience in the cardiac step down unit
- The charge nurse in the neonatal ICU
- The neurosurgery unit staff educator nurse
The charge nurse in the neonatal ICU 
Match the description of the nurse with the appropriate career stage.
Expert:
- A nurse with three years of experience who just started working in the ICU
- A nurse with 18 months of experience in the cardiac step down unit
- The charge nurse in the neonatal ICU
- The neurosurgery unit staff educator nurse
The neurosurgery unit staff educator nurse 
Match the description of the nurse with the appropriate career stage.
Novice:
- A nurse with three years of experience who just started working in the ICU
- A nurse with 18 months of experience in the cardiac step down unit
- The charge nurse in the neonatal ICU
- The neurosurgery unit staff educator nurse
A nurse with three years of experience who just started working in the ICU 
Match the description of the nurse with the appropriate career stage.
Advanced beginner:
- A nurse with three years of experience who just started working in the ICU
- A nurse with 18 months of experience in the cardiac step down unit
- The charge nurse in the neonatal ICU
- The neurosurgery unit staff educator nurse
A nurse with 18 months of experience in the cardiac step down unit
An experienced nurse, who is precepting a new nurse, is caring for a critically ill patient and just place a feeding tube as prescribed. After auscultation of air into the stomach to confirm tube placement, the preceptor initiates the tube feeding. The new nurse question the starting of feeds without verifying nasogastric (NG) tube placement by x-ray, which is the new standard of care. The preceptor responds, “ I have been a nurse for 20 years, and I have always verified placement by auscultation of air into the stomach. “ this response is an example of which activity that can hinder critical thinking?
- bias
- erroneous assumption
- illogical thinking
- close-mindedness
close-mindedness
The emergency department (ED) nurses is handing off care of a patient to the intensive care unit (ICU) nurse. The ED nurse is giving report using the situation, background, assessment, recommendation (SBAR) method. The ED nurse tells the ICU nurse that the patient is admitted for a respiratory distress and is currently homeless. Which SBAR communication element does this scenario represent?
- situation
- Background
- Assessment
- recommendation
background
Match the clinical reasoning process with its descriptor.
Right action:
- recognizing the detail that is most important in the scenario
- Identifying which tasks are most important and should be performed first
- identifying which tasks can be delegated
- recognizing that the action is necessary and professional
- identifying which tasks can be delegated
