Chapter 1 Critical Thinking and Evidence-Informed Assessment Flashcards

1
Q

What type of data is subjective?
a) Data from laboratory studies.
b) Observations made by healthcare providers.
c) Information provided by the affected individual.
d) Statistical health data analysis.

A

C

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2
Q

What is the definition of assessment?
a) Evaluation of nursing performance.
b) Analysis of healthcare policies.
c) Review of patient insurance.
d) Collection of subjective and objective patient data.

A

D

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3
Q

What does the database in patient assessment include?
a) Only subjective data and opinions.
b) Only nurse’s personal insights.
c) General population health statistics.
d) Totality of information about the patient.

A

D

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4
Q

What is the primary purpose of assessment?
a) To perform medical treatments.
b) To fill out insurance forms.
c) To educate patients on procedures.
d) To make a judgment or diagnosis.

A

D

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5
Q

What is the first component of diagnostic reasoning?
a) Attending to initially available cues.
b) Confirming the diagnosis without data.
c) Implementing treatment based on assumptions.
d) Collecting random data for analysis.

A

A

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6
Q

What does formulating diagnostic hypotheses involve?
a) Creating tentative explanations for observed cues.
b) Finalizing treatment protocols.
c) Analyzing patient insurance coverage.
d) Ignoring available medical data.

A

A

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7
Q

Why is validating data important?
a) To ensure accuracy and completeness of information.
b) To limit time spent on patient assessments.
c) To emphasize subjective over objective data.
d) To gather data for administrative purposes.

A

A

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8
Q

What are the phases of the nursing process?
a) Assessment, Treatment, Monitoring, Review, Teaching.
b) Diagnosis, Planning, Advocacy, Evaluation, Reporting.
c) Assessment, Nursing Diagnosis, Planning, Implementation, Evaluation.
d) Learning, Implementation, Assessment, Evaluation, Teaching.

A

C

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9
Q

How is the nursing process characterized?
a) As a rigid, linear procedure.
b) As a dynamic, interactive process.
c) As a theoretical model only.
d) As a purely observational approach.

A

B

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10
Q

What is the definition of diagnostic reasoning?
a) The process of analyzing health data to identify diagnoses.
b) Creating treatment plans for patients.
c) Collecting health history from patients.
d) Assessing patient responses to medications.

A

A

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11
Q

What is the first major component of diagnostic reasoning?
a) Gathering data relative to tentative hypotheses.
b) Evaluating each hypothesis.
c) Attending to Initially Available Cues.
d) Formulating diagnostic conclusions.

A

C

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12
Q

What process involves creating explanations for health cues?
a) Gathering Data Relative to Tentative Hypotheses.
b) Attending to Initially Available Cues.
c) Formulating Diagnostic Hypotheses.
d) Validating data.

A

C

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13
Q

Which component focuses on assessing new data collected?
a) Evaluating Each Hypothesis.
b) Formulating Diagnostic Hypotheses.
c) Validating Data.
d) Gathering Data Relative to Tentative Hypotheses.

A

A

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14
Q

What is validated during the diagnostic reasoning process?
a) Patient’s emotional responses.
b) Treatment efficiency.
c) Accuracy of collected information.
d) Length of patient stay.

A

C

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15
Q

Which phase involves collecting comprehensive data about a patient?
a) Nursing Diagnosis.
b) Evaluation.
c) Assessment.
d) Planning.

A

C

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16
Q

What is the goal of the planning phase in nursing?
a) Executing the plan of care.
b) Collecting data.
c) Developing a plan to address identified issues.
d) Validating patient information.

A

C

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17
Q

In the nursing process, which phase assesses the effectiveness of care?
a) Evaluation.
b) Assessment.
c) Implementation.
d) Planning.

A

A

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18
Q

What is a key characteristic of the nursing process?
a) A linear, one-directional approach.
b) Only involves patient interaction.
c) A dynamic, interactive process.
d) Excludes ongoing patient assessments.

A

C

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19
Q

What defines critical thinking in nursing?
a) A fixed reasoning method for diagnostics.
b) Basic problem-solving skills.
c) A multidimensional thinking process essential for clinical judgments.
d) Emphasis on technical knowledge alone.

A

C

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20
Q

Which critical thinking skill involves recognizing beliefs influencing thought?
a) Identify Assumptions.
b) Distinguish Normal from Abnormal.
c) Validate Data.
d) Make Inferences or Hypotheses.

A

A

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21
Q

What encompasses ensuring a systematic approach to data collection?
a) Distinguish Relevant from Irrelevant Information.
b) Organized and Comprehensive Approach to Assessment.
c) Cluster Related Cues.
d) Identify Assumptions

A

B

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22
Q

What skill involves filtering out unnecessary data?
a) Cluster Related Cues.
b) Organized and Comprehensive Approach.
c) Make Inferences or Hypotheses.
d) Distinguish Relevant from Irrelevant Information.

A

D

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23
Q

What does clustering related cues help to identify?
a) Individual symptoms without connection.
b) Unrelated patient history.
c) General wellness of the patient.
d) Patterns and relationships among data.

A

D

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24
Q

What is essential for sound diagnostic reasoning?
a) Relying solely on patient history.
b) Critical Thinking Skills.
c) Prioritizing documentation over assessment.
d) Following protocol without adaptation.

A

B

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25
Q

Making inferences involves what type of reasoning?
a) Providing diagnoses without evidence.
b) Formulating random assumptions.
c) Drawing conclusions based on data.
d) Ignoring patient responses.

A

C

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26
Q

What is the purpose of identifying inconsistencies in patient data?
a) To ensure accurate diagnosis and treatment.
b) To simplify treatment procedures.
c) To reduce patient interaction.
d) To increase hospital stay duration.

A

A

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27
Q

What should be recognized to indicate underlying health issues?
a) Patterns in patient information.
b) Inconsistencies among treatments.
c) Historical data without context.
d) Similarities in treatment protocols.

A

A

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28
Q

What must be detected to make informed diagnoses?
a) Duplicated patient records.
b) Gaps in patient data.
c) Excessive treatment history.
d) Surplus clinical trials.

A

B

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29
Q

What should be assessed to identify health priorities?
a) Interpersonal skills of healthcare staff.
b) Risk factors and social context.
c) Financial aspects of healthcare services.
d) Technological advancements in medicine.

A

B

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30
Q

What type of problems should be diagnosed based on assessment data?
a) Actual and potential problems.
b) Historical medical conflicts.
c) Patient’s past satisfaction.
d) Staff performance issues.

A

A

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31
Q

What defines first-level priority problems?
a) Routine check-ups needed.
b) Minor discomforts experienced.
c) Emergent and life-threatening issues.
d) Long-term health strategies.

A

C

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32
Q

What are collaborative problems?
a) Physiological complications needing a multidisciplinary approach.
b) Simple health recommendations.
c) Standardized treatment protocols.
d) Elementary patient education.

A

A

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33
Q

What should expected outcomes focus on?
a) Healthcare professional preferences.
b) Hospital budget constraints.
c) Patient-centered expectations.
d) General health trends.

A

C

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34
Q

What is crucial for achieving positive health outcomes?
a) Developing generic care plans.
b) Focusing on administrative tasks.
c) Assigning random treatments.
d) Identifying specific interventions.

A

D

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35
Q

What is the intent of evaluating and revising clinical approaches?
a) To adapt based on patient responses.
b) To reinforce unchanged practices.
c) To comply with outdated guidelines.
d) To prioritize administrative efficiency.

A

A

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36
Q

What does comprehensive planning involve?
a) Creating broad health policies.
b) Developing or updating patient care plans.
c) Limiting the patient involvement.
d) Focusing solely on funding.

A

B

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37
Q

What is a primary focus of determining specific interventions?
a) Maintaining current practices without changes.
b) Reducing costs without improving care.
c) Achieving positive health outcomes.
d) Implementing outdated treatment methods.

A

C

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38
Q

What does evaluating and revising your thinking ensure?
a) Effective decision-making.
b) Avoiding any change in practices.
c) Following traditional methods only.
d) Ignoring patient feedback.

A

A

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39
Q

What is a key aspect of developing a comprehensive plan?
a) Limiting the scope of care.
b) Ignoring patient evaluations.
c) Focusing solely on cost reduction.
d) Enhancing care strategies.

A

D

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40
Q

What characterizes Evidence-Informed Practice (EIP)?
a) Relying only on outdated practices.
b) Integration of best evidence, experience, and patient values.
c) Ignoring personal patient needs.
d) Focusing solely on theoretical knowledge.

A

B

41
Q

What is the goal of Evidence-Informed Practice?
a) Reducing healthcare costs.
b) Improved health outcomes.
c) Minimizing patient involvement.
d) Standardizing treatment across all patients.

A

B

42
Q

According to the biomedical model, health is defined as what?
a) The absence of disease.
b) The presence of mental well-being.
c) Complete physical fitness.
d) Having access to healthcare.

A

A

43
Q

What strategy does the behavioural model emphasize?
a) Changing behaviors and lifestyles.
b) Focusing exclusively on medications.
c) Limiting patient education.
d) Ignoring lifestyle factors.

A

A

44
Q

Which model incorporates social determinants of health?
a) Socioenvironmental model.
b) Biomedical model.
c) Behavioural model.
d) Physiological model.

A

A

45
Q

What is a focus of socioenvironmental health model?
a) Only physical symptoms and treatments.
b) Impact of sociological and environmental aspects.
c) Neglecting patient demographics.
d) Ensuring healthcare is profit-driven.

A

B

46
Q

What are important conditions recognized in health according to the socioenvironmental model?
a) Social, economic, and political conditions.
b) Only biological conditions.
c) Psychological and spiritual conditions.
d) Historical and theoretical conditions.

A

A

47
Q

What is the primary goal of health promotion?
a) Reducing healthcare costs for patients.
b) Providing medications for all patients.
c) Improving overall health by gaining control over health determinants.
d) Increasing hospital visitation rates.

A

C

48
Q

Which component is included in health promotion?
a) Hospital management.
b) Financial assessments.
c) Health insurance policy.
d) Disease prevention.

A

D

49
Q

What does the relational approach to nursing consider?
a) Only medical history of patients.
b) The cost of treatments.
c) Influences of various social contexts on health.
d) Standardized treatment protocols.

A

C

50
Q

Which context relates to health influenced by cultural beliefs?
a) Geographical context.
b) Cultural context.
c) Individual context.
d) Intrapersonal context.

A

B

51
Q

What does the familial context emphasize in the relational approach?
a) The role of family dynamics and support systems.
b) Government regulations on healthcare.
c) The patient’s previous medical treatments.
d) Technological advancements in nursing.

A

A

52
Q

What does the intrapersonal dimension focus on?
a) Group behaviors in healthcare settings.
b) Cultural norms in society.
c) Family interactions during treatment.
d) Individual’s internal experiences and perceptions.

A

D

53
Q

Which definition describes reflexivity in nursing?
a) Observation, scrutiny, and conscious participation in care.
b) Strict adherence to established rules.
c) Avoiding patient interaction.
d) Stable relationships with all patients.

A

A

54
Q

What type of database focuses on long-term health issues?
a) Complete Database.
b) Episodic Database.
c) Emergency Database.
d) Follow-Up Database.

A

D

55
Q

What is unique about the emergency database?
a) Focuses on routine check-ups.
b) Involves rapid data collection during urgent situations.
c) Collects data over an extended period.
d) Covers only mental health issues.

A

B

56
Q

Which factor influences the frequency of health assessments?
a) Type of health insurance.
b) Patient’s occupation.
c) Cost of healthcare services.
d) Patient’s age and gender.

A

D

57
Q

Which context relates to the geographical impact on health?
a) Cultural context.
b) Geographical context.
c) Historical context.
d) Epidemiological context.

A

B

58
Q

What is the purpose of a Follow-up Database?
a) Collects data for life-saving situations.
b) Assesses health emergencies only.
c) Evaluates status of identified health problems regularly.
d) Records patient demographics.

A

C

59
Q

How often is an Emergency Database assessed?
a) Only assessed once a day.
b) Every hour regardless of situation.
c) Randomly and infrequently.
d) Influenced by factors like urgency and patient condition.

A

D

60
Q

Which patient characteristic influences health assessment frequency?
a) Only the patient’s favorite color.
b) The patient’s dietary preferences.
c) Age, sex, and illness needs are factors.
d) Previous job experience.

A

C

61
Q

Who adapts immunization standards in Canada?
a) Federal government only.
b) Province and territory based on the Immunization Guide.
c) International health organizations.
d) Private healthcare providers.

A

B

62
Q

Why are preventative health examinations recommended?
a) To increase healthcare costs.
b) To delay medical interventions.
c) To prevent morbidity and identify treatable conditions.
d) Only for chronic illnesses.

A

C

63
Q

What is an important consideration in health assessments related to age?
a) The patient’s social media habits.
b) Usual developmental tasks for each age group.
c) Preferred exercise routines.
d) Fictional character interests.

A

B

64
Q

Why is cultural and social background important in health assessment?
a) It has no impact on assessments.
b) To adjust for economic status.
c) To determine dress code.
d) To ensure appropriate and relevant evaluations.

A

D

65
Q

What do health inequities impact?
a) They only affect economic policies.
b) They directly affect health outcomes.
c) They influence entertainment choices.
d) They have no relevant impact.

A

B

66
Q

What is subjective data

A

Information provided by the affected individual

67
Q

Assessment involves collecting ____ and ____ data about a patient’s health.

A

subjective, objective

68
Q

Diagnostic reasoning consists of four components: attending to cues, formulating hypotheses, gathering data, and ____ each hypothesis.

A

evaluating

69
Q

The database includes subjective data, objective data, and ____ studies.

A

laboratory

70
Q

The nursing process includes five phases: assessment, nursing diagnosis, planning, ____ and evaluation.

A

implementation

71
Q

Critical thinking is essential for sound diagnostic reasoning and ____ judgement.

A

clinical

72
Q

To validate data, it is important to ensure the information is ____ and identify ____ information.

A

accurate, missing

73
Q

Nurses transition from novice to expert practitioners through the use of ____ thinking.

A

critical

74
Q

The purpose of assessment is to make a ____ or diagnosis based on collected data

A

judgement

75
Q

To effectively assess a patient, one must first identify ____ and then validate the ____, and ______of the data

A

assumptions,
accuracy and reliability

76
Q

When diagnosing health issues, it is crucial to distinguish between ____ and ____ symptoms.

A

normal, abnormal

77
Q

In critical thinking, clustering related cues helps to see ____ among the data and identify ____ information.

A

relationships, missing

78
Q

Setting priorities in patient care involves recognizing first-level problems that are ____ and require ____ measures.

A

emergent, urgent

79
Q

Collaborative problems in nursing require an approach that encompasses multiple ____, such as in cases of ____ withdrawal

A

disciplines, alcohol

80
Q

Second-level priority problems require prompt intervention to prevent ____, such as changes in ____ health

A

deterioration, mental

81
Q

To promote health, one must identify patient priorities, assess ____ factors, and consider the patient’s ____ context.

A

risk, social

82
Q

Evaluating and revising your thinking is essential to determine a comprehensive ____ or update the ____ plan.

A

plan
Treatment

83
Q

Identifying patterns in patient data can help in recognizing ____ and determining the need for ____ data.

A

inconsistencies, more

84
Q

In critical thinking, making inferences or hypotheses is important for diagnosing actual and potential ____ problems.

A

Risk

85
Q

Evidence-informed practice (EIP) combines the best evidence with ____ and ____ to improve care decisions.

A

clinical experience, patient’s values and preferences

86
Q

The biomedical model of health focuses on the absence of disease and emphasizes ____ and ____ data collection.

A

biophysical signs, symptoms

87
Q

The behavioural model of health includes primary and secondary prevention with a focus on changing ____ and ____.

A

behaviours, lifestyles

88
Q

The socioenvironmental model of health incorporates aspects of the biomedical and behavioural models along with ____ and ____ factors.

A

sociological, environmental

89
Q

Social determinants of health are the ____ , ____ , and political conditions that shape health.

A

social, economic

90
Q

Health promotion is a process that enables people to increase control over the ____ of health and improve their ____ .

A

determinants, health

91
Q

A relational approach to nursing considers health and illness shaped by ____ , ____ , and other individual contexts.

A

social, cultural

92
Q

Reflexivity in a relational approach involves observation, critical scrutiny, and ____ participation.

A

conscious

93
Q

Examiners collect four types of data: complete, episodic, follow-up, and ____ data.

A

emergency

94
Q

A complete database includes a complete health history and findings from a ____ examination, while an episodic database is used for a ____ problem.

A

full physical, limited

95
Q

An emergency database requires rapid collection of data, often compiled while ____ measures are occurring, and a follow-up database evaluates the status of ____ problems.

A

life-saving, identified

96
Q

Periodic preventative health examinations are recommended to prevent ____ and ____ by identifying modifiable risk factors.

A

morbidity, mortality

97
Q

Health assessment should consider the usual developmental tasks for each age group and the ____ and ____ background of individuals.

A

cultural, social

98
Q

The frequency of assessment varies according to the patient’s age, sex, gender, ability, social context, ____and ____ needs.

A

illness and wellness

99
Q

Each province and territory adapts immunization standards from the Canadian Immunization Guide in response to its population’s ____ needs.

A

Health