Chapter 15: Critical Thinking in Nursing Practice

Question 1

Critical thinking is:

Answer 1

The ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process

Question 2

Critical thinking is a ______ ______

Answer 2

continuous process characterized by

Open-mindedness
Continual inquiry
Perseverance

Combined with a willingness to look at each unique patient situation and determine which identified assumptions are true and relevant

Question 3

Critical thinking is recognizing…

Answer 3

that an ISSUE EXISTS

analyzing information

evaluating information

drawing conclusions

Question 4

Reflection is:

Answer 4

the ability to act on the basis of critical thinking comes with experience

turning over a subject in mind and thinking about it seriously

Not intuitive

purposeful thinking back or recalling a situation

Improves accuracy of making diagnostic conclusions

Lessens likelihood reasoning is based on assumptions/guess work

Question 5

Critical thinking and clinical judgment skills (6)

Answer 5

Interpretation

Analysis

Inference

Evaluation

Explanation

Self-regulation

Question 6

Concepts for a critical thinker (7)

Answer 6

Truth seeking

Open-mindedness

Analyticity

Systematicity

Self-confidence

Inquisitiveness

Maturity

Question 7

3 Levels of critical thinking:

Answer 7

Basic

Complex

Commitment

Question 8

Basic critical thinking:

Answer 8

Learner trusts that experts have the right answer for every problem

Thinking is concrete and based on a set of RULES and PRINCIPLES

Tendency to think that one right answer usually exists for every problem

Question 9

Complex critical thinkers:

Answer 9

begin to separate themselves from experts

Each solution is weighed for benefits and risks

Willing to consider different options from routine procedures

Question 10

Commitment thinkers:

Answer 10

Anticipate when to make choices WITHOUT assistance from other and ACCEPT accountability for decisions made

Choose an action/belief that is based on available alternatives and SUPPORT it

Question 11

Critical Thinking Competencies (2)

Answer 11

General Critical Thinking

• Scientific method
• Problem solving
• Decision making

Specific critical thinking

• Diagnostic reasoning and inference
• Clinical decision making

Question 12

Nursing Process as a competency (ADPIE)

Answer 12

Assessment

Diagnosis

Planning

Implementation

Evaluation

Question 13

Scientific Method Steps (5)

Answer 13

Identify the problem

Collect data

Formulate a question or hypothesis

Evaluate results of the test or study

Question 14

Critical thinking model for clinical decision making (5)

Answer 14

Specific knowledge base

Experience

Nursing process competency

Attitudes for critical thinking

Professional standards

Question 15

Diagnostic reasoning:

Answer 15

Analytical process for determining a patient’s health problems

Helps health care providers pinpoint the nature of a problem more quickly and select proper therapies

Question 16

Diagnostic reasoning begins when:

Answer 16

you interact with a patient or make physical or behavioral observations

Question 17

Inference:

Answer 17

Process of drawing conclusions from related pieces of evidence and previous experience with the evidence.

Form patterns of information from data before making a diagnosis

Question 18

Clinical decision making requires:

Answer 18

careful reasoning choosing the options for the best patient outcomes on the basis of a patient’s condition and the priority of the problem

Question 19

Knowing the patient is:

Answer 19

central to individualizing nursing care so a patient feels cared for and cared about

Question 20

The purpose of the nursing process is:

Answer 20

to diagnose and treat human responses (patient symptoms, need for knowledge) to actual or potential health problems

Question 21

Components of Critical Thinking in nursing (5)

Answer 21

Specific knowledge base in nursing

Experience

Critical thinking competencies

• General
• Specific
• Specific critical thinking in nursing: nursing process

Attitudes for critical thinking

• Confidence
• independence
• fairness
• responsibility

Standards for critical thinking

• Intellectual standards
• -Clear
• -Precise
• -Specific
• Professional Standards:
• Ethical criteria for nursing judgment
• criteria for evaluation
• professional responsibility

Question 22

Standards for Critical thinking (2):

Answer 22

Intellectual standards

• Clear
• Precise
• Specific

Professional Standards

• Ethical criteria for nursing judgment
• Criteria for evaluation
• Professional responsibility

Question 23

Critical Thinking Attitudes: (11)

Answer 23

Confidence

Thinking independently

Fairness

Responsibility and authority

Risk taking

Discipline

Perseverance

Creativity

Curiosity

Integrity

Humility

Question 24

Developing Critical Thinking Skills (3)

Answer 24

Reflective Journaling
-Define and express clinical experiences in own words

Meeting with colleagues
-discuss and examine work experiences and validate decisions

Concept mapping
- visual representation of patient problems and interventions that shows their relationships to one another