Critical thinking

Question 1

problem solving

Answer 1

obtain info & use it with what we already know

Question 2

clinical decision making

Answer 2

identify problem; choose nsg intervention; meet mutually established goals of care

Question 3

decision making

Answer 3

an end point of critical thinking that leads to problem resolution

Question 4

diagnostic reasoning

Answer 4

determines pt status after nurse assigns meaning to the behaviors, physical signs, and symptoms presented

Question 5

scientific method

Answer 5

approach to seeking the truth & verifying a set of facts

Question 6

inference

Answer 6

drawing conclusions from related pieces of evidence

Question 7

reflection

Answer 7

The process of purposefully thinking back or recalling a situation

Question 8

intuition

Answer 8

An inner sensing that something is so; Acts as a trigger; Develops as one’s experience increases; Cannot safely act on intuition alone; Not an automatic truth

Question 9

Symptoms Heat exhaustion

Answer 9

Cool, moist, pale or red skin;
Headache, nausea, dizziness,
Weakness, exhaustion, mild confusion
Normal or slightly elevated body temperature

Question 10

Treatment heat exhaustion

Answer 10

Move to cool spot to reduce exposure to sun;
Give sips of cool water;
Sponge body with water and/or fan to lower body temperature

Question 11

Symptom heat stroke

Answer 11

High body temperature; hot, red, dry skin;
Irritable, bizarre behavior; progressive loss of consciousness;
Rapid, weak pulse becoming irregular; rapid shallow breathing

Question 12

Treatment heat stroke

Answer 12

Cool patient any way possible.
Most effective cooling/heating points: Neck, axillary and groin. Be ready to give rescue breathing or CPR
Call EMS (911) immediately if change in level of consciousness is noted

Question 13

burns degrees

Answer 13

1st degree burn appears red; Superficial
2nd degree burn is red with blisters; Partial Thickness
3rd degree burn has charred/blackened appearance; full thickness burn

Question 14

Treatment 1st degree:

Answer 14

Rinse gently with soap and water; keep clean, cool, & moist

Question 15

Treatment 2nd and 3rd degree:

Answer 15

Never cool with water; care for shock and call EMS (911)
Don’t try to clean; never apply ice;
Don’t break blisters;
Don’t touch burn with anything but sterile/clean
Don’t use absorbent cotton; don’t remove pieces of cloth stuck to burnt area; use only dry sterile dressings
Don’t use any grease or ointment on severe burns

Question 16

Symptoms shock

Answer 16

Pale, cold, clammy skin;
Anxiety, confusion; unconsciousness;
Weak, rapid pulse
Often present with other injury or condition
Shock is a serious condition that can be fatal

Question 17

Treatment shock

Answer 17

Maintain body temperature – cover body over and under with dry blanket or coat
Encourage rest; have patient lie down (supine)

Question 18

CT: risk taking

Answer 18

if knowledge causes you to questionPCP order do so. Offer alternative approach when colleague is having difficulty with pt.

Question 19

CT: confidence

Answer 19

learn how to introduce yourself to pt. speak with conviction, dont lead pt to think you dont know what you are doing, be prepared, encourage pt questions.

Question 20

CT: thinking independently

Answer 20

read nursing literature, get different views on subject, talk with other nurses.

Question 21

CT: fairness

Answer 21

listen to both sides of discussion, ex. family complain about co-worker. or co-woker c/o pt.

Question 22

CT: responsibility and authority

Answer 22

ask for help, refer to policy and procedure, report problems immediately, follow standars of practice

Question 23

CT: discipline

Answer 23

be thorough in what I do, use scientific and practice base criteria for assessmant and evaluation, manage time

Question 24

CT: perseverence

Answer 24

be cautious of easy answer. if co-worker gives info on pt and some facts seem to be missing, clarify info, talk to pt directly. if same problems continues with co-worker try and resolve this with co-worker

Question 25

CT: creativity

Answer 25

look for different approaches if interventions are not working with pt. ex, if pt in pain, he may need different position, involve family when appropiate for home care

Question 26

CT: curiosity

Answer 26

always ask why, explore and learn about the pt, so that appropiate clinical judgement is made

Question 27

CT: integrity

Answer 27

recognize when your opinions conflict with those of pt, review your position and proceed to reach outcomes that satifies everyone. dont comprimise nursing standards or honesty in delivering nursing care.

Question 28

CT: humility

Answer 28

recognize when you need more info to make decision, ask for orientation to floor, ask nurses assigned to floor for assistance.

Question 29

Cognitive

Answer 29

discussion (one-on-one or group), lecture, question-and-answer session, role play, discovery, independent project, field experience

Question 30

Affective

Answer 30

role play, discussion (one-on-one or group)

Question 31

Psychomotor

Answer 31

demonstration, practice, return demonstration, independent projects, games