Critical thinking in Nursing Practice

Question 1

critical thinking is

Answer 1

Essential in the nursing process

involves

• knowing as much as possible about each patient
• sorting out the information into patterns to
• clarify problems
• recognize changes
• make appropriate care decisions under pressure
• essential process for safe, efficient and skillful nursing intervention
• improves patient outcomes.

Question 2

Clinical judgment in nursing practice

Answer 2

Clinical judgment

• conclusion about a patients needs or health problems
• influenced by a nurses experience and knowledge
• partly relies on knowing the patient
• nurses use a variety of reasoning approaches in combination

Question 3

Critical thinking defined

Answer 3

Critical thinking is

• the ability to think a systematic and logical manner
• a continuous process characterized by

1. open-mindedness, continual inquiry and perseverance
2. combined with a willingness to look at each unique patient situation

• recognizing that an issue exisits, analyzing information, evaluating information, and drawing conclusions
• evidence- based knowledge in critical thinking

Question 4

Reflection

Answer 4

Purposefully reviewing a situation to discover its purpose or meaning

reflection is not intuitive

• it is purposefully visualizing a past situation and taking the time to honestly review everything you remember about it
• allows you to gain new knowledge and raise questions about your practice
• improves ability to problem solve

Question 5

Levels of Critical thinking in nursing

Answer 5

levels of critical thinking

1. level 1 basic
2. level 2 complex
3. level 3 commitment

Components of critical thinking

• standards
• attitudes
• competencies
• experience
• specific knowledge base

Question 6

Critical thinking competences

Answer 6

general critical thinking

• scientific method
• problem solving
• decision making

specific critical thinking 
-diagnostic reasoning and inference 
-clinical decision making 
       inductive reasoning 
       inference 
       deductive reasoning

Question 7

Nursing process competency

Answer 7

nursing process as a competency

• assessment
• diagnosis
• planning
• implementation
• evaluation

Question 8

Developing critical thinking skills

Answer 8

Reflective journaling
-define and express clinical experiences in your 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

Question 9

Managing stress

Answer 9

The work of professional nursing is difficult

• you see patients endure suffering from disease and painful therapies
• you try to manage care responsibilities in busy, fast paced work settings.

short term extreme stress or stress over a prolonged period can lead to

• poor work productivity
• impaired decision making and communication
• reduced ability to cope with clinical situations

Question 10

critical thinking synthesis

Answer 10

critical thinking and the nursing process go together in making quality decisions about patient care

Question 11

The use of diagnostic reasoning involves a rigorous
approach to clinical practice and demonstrates that
critical thinking cannot be done:

A. logically.
B. haphazardly.
C. independently.
D. systematically

Answer 11

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Question 12

The nursing process organizes your approach while
delivering nursing care. To provide the best
professional care to patients, nurses need to
incorporate nursing process and:

A. decision making.
B. problem solving.
C. intellectual standards.
D. critical thinking skills.

Answer 12

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