Chapter 2 Flashcards
Asking questions that begin with “what if?” Or “how can we?” Are characteristic of a nurse who has which critical thinking quality?
A - Independent thinking
B - Intellectual curiosity
C - Intellectual courage
D - Perseverance
B
A client is processing information regarding a new diagnosis and the treatment the physician has recommended. The client’s family has provided excessive input and are attempting to have the nurse “convince” the client to see things their way. Which Critical thinking attitude should the nurse present?
A - Independent thinking
B - Fair-mindedness
C - Intellecutal empathy
D - Intellectual courage
B
How are critical thinking skills used when following hydration recommendations for two different clients with dehydration issues. One due to gastrointestinal virus and one with kidney dysfunction?
A - Decisions are geared toward individual differences.
B - The nursing plan considered treatment based on cultural beliefs.
C - Comorbid disorders are assessed to provide optimal level of hydration.
D - Nurses should assess bias and ask clients for their preferences of treatment modalities.
A
The scientific basis for client care is ever changing. What can a nurse do to stay current with this multifaceted information?
A - Refine critical thinking skills as well as update knowledge and skills frequently.
B - Double-check nursing plans with the supervisor frequently for changes in requirements.
C - Practice stress-reduction techniques in order to prevent burnout and fatigue.
D - Spend time online researching for changes in protocol for common illnesses and injuries.
A
Which statement best reflects a critical thinking philosophy being taught to a nursing student?
A - “Think about different interventions that can be used with this client.”
B - “Dig deeper until you reach a single solution.”
C - “Don’t rely on subjective information; use objective analysis to determine the best protocol.”
D - “Trust your gut and go with what you know to be correct.”
A
A nurse is caring for a client with a history of diabetes and feels as if something is”not right”. The nurse takes the client’s blood glucose level. The nurse is acting on which type of knowledge?
A - Practical
B- Theoretical
C - Self
D- Ethical
A
The nursing supervisor has developed a new protocol for implementing family support through family-centered care. The majority of the staff is apprehensive about trying the new procedure. If the supervisor continues with implementing the plan, which critical thinking attitude is he or she displaying?
A - Courage
B - Empathy
C- Humility
D - Independent thinking
A
In a client’s health record, the nurse documents, “Nutritional status will improve as evidenced by weight gain of 3 lb (1.4 kg) by July 1.” This statement is an example of which step of the nursing process?
A - Assessment
B - Diagnosis
C - Planning
D - Implementation
C
The care plan for a client includes ambulating for 10 minutes every hour, but the client has been unable to achieve the full amount of time. What is the next step in the nursing process?
A - Assessment
B - Planning
C - Implementation
D- Evaluation
D
A nurse encourages a client who has suffered a left brain ischemic stroke to participate in rehabilitation. The nurse reminds the client of his or her family and grandchildren who are a large part of his or her life. The nurse in engaging in which component of caring?
A - Being with
B - Doing for
C - Maintaining belief
D - Knowing
C
Which would be considered critical thinking skills when assessing a newly admitted client who has Alzheimer’s disease and pneumonia? Select all that apply.
A - Questioning the client’s family or caregivers as well as the client for clarification of information
B - Separating random information from pertinent information
C - Carefully reading the physician’s notes and orders and prioritizing how to proceed with the nursing plan.
D - Placing oneself in the caregivers’ situation and offering compassion for their needs.
E - Assessing the client’s airway
A
B
C
Which of the nurse’s questions demonstrates critical thinking?
A - “Have I gathered enough data to make a decision?”
B - “Where do I document my findings?”
C - “When does the nursing intervention need to be performed?”
D - “What assessments must be done?”
A
Which are examples of client uniqueness that a could cause challenges or differences in care and must be considered when creating a nursing plan? Select all that apply.
A - A single mother recovering from a fall at work
B - An elderly Native-American admitted for malignant hypertension
C - A retired police officer recovering from pneumonia
D - A teenager admitted for tonsillectomy
E - A client living below the poverty line, admitted with pneumonia
A
B
E
A research-based method for judging and choosing nursing interventions is referred to as what?
A - Evidence-based practice
B - Scientific basis
C - Multidisciplinary practice
D - Holistic care
A
While reflecting and determine what should be done, which questions might help focus thinking? Select all that apply.
A - What else might work in this situation
B - What was done? Why was it done?
C - What rationale do I have for my decisions?
D - Which beliefs and values are shaping my assumptions?
E - When should I document my findings?
A
B
C
When arriving to take a client’s blood pressure, a nurse witnesses an argument between client and spouse. Recognizing that stress can alter blood pressure, the nurse encourages the spouse to step out and get something to drink, giving the client and opportunity to calm down. The nurse returns later to take the clients blood pressure after the client has had time to settle down. what is true about this situation? Select all that apply.
A - The nurse used theoretical knowledge by recognizing the argument would raise blood pressure
B - The nurse used ethical knowledge by returning to get an accurate reading instead of just assuming the client’s blood pressure would return to normal.
C - The nurse used practical knowledge by communicating with the spouse and suggesting a break in order to get an accurate reading
D - The nurse used scientific basis to determine steps in applying the nursing plan for obtaining a blood pressure reading.
E - the nurse was carrying out the planning part of the nursing process
A
B
C
What is the purpose of the nursing process?
A - To guide the nurse in providing goal-directed, patient-centered care
B - To give the nurse a linear guide to creating a nursing plan
C - To act as a foundation for providing effective care based on sound knowledge.
D - To allow for accurate diagnosis and treatment in one step for efficiency
A
The nurse documents, “Anxiety related to change in health status and situational crisis.” This is an example of which steps in the nursing process?
A - Assessment
B - Nursing Diagnosis
C - Implementation
D - Planning
B
A nurse is in charge of a client with multiple challenges who is not responding to care as predicted. Upon evaluating the care plan and outcomes the nurse realizes the interventions should be altered. What is the next step in the nursing process?
A - Reassess the client, create a new nursing diagnosis if needed, and plan for new outcomes with new interventions.
B - Go directly to creating new interventions as a new assessment and diagnosis is not needed.
C - Question the client about the response to determine why it occurred and then try to implement the same interventions in a different manner.
D - Determine if there are physical reasons the client is not responding or if it is psychological and the client needs psychological interventions.
A
How is critical thinking used in nursing other than in the nursing process? Select all that apply.
A - In determining how many nurses to staff during a shift
B - When creating a list of inventory needed for the unit
C - In determining which medications to order to fulfill possible standing physician orders.
D - When sending clients to outsides departments for diagnostic treatment
E - When evaluating a. Client’s response to interventions
A
B
A nurse becomes irritated with a client who is requesting more ice chips and refers to the client as “the ice man in 201” to other nursing staff. In which important component of nursing has the nurse failed to engage?
A -Caring
B - Empathy
C - Problem-solving
D - Ethical Knowledge
A
The registered nurse is educating a student nurses about critical thinking when caring for clients. Which action made by the graduate nurse indicates the use of critical thinking?
A - Analyzing a client’s temperature changes and assessing for signs of infection
B - Filling out food selections on the menu with the client to determine food preferences
C - Ensuring the bed is in a low and locked position and the call light is in reach prior to leaving the client’s room.
D - Asking the client to verify his or her name and date of birth prior to medication administration
A
A registered nurse is instructing nursing students about incorporating critical thinking into client care. Which attributes will the registered nurse include during this lesson? Select all that apply.
A - Need to find the truth
B - Openness to other options
C - Use of reasoned thinking
D - Capacity to reflect on situations
E - Ability to delegate tasks to others
F - Ability to convey important information
A
B
C
D
A nurse is working in a health-care facility with a protocol of having clients who have pneumonia turn, cough, and deep breathe. This nurse is assigned to care for a client admitted with pneumonia but does not encourage the client to cough because the client also has esophageal varices from cirrhosis. Which aspect of critical thinking is this nurse using to guide client care?
A - Client’s roles
B - Client’s culture
C - Individual differences
D - Multiple and varying concerns
C
