Exam 1: Chapters 1,3,4 Nursing Process

Question 1

What does critical thinking mean?

Answer 1

use of cognitive knowledge skills or strategies that increase the probability of a desirable outcome.

Question 2

What is clinical reasoning ?

Answer 2

good thinking in nursing care

Question 3

What is clinical judgement

Answer 3

The outcome of critical thinking and decision making

Question 4

What are the 8 clinical thinking traits?

Answer 4

intellectual humility, intellectual courage, intellectual empathy, intellectual autonomy, intellectual integrity, intellectual perseverance, faith in reason and fair mindedness

Question 5

What is intellectual humility?

Answer 5

ability to say “I’m not sure about that…. I need more information”

Question 6

What is intellectual courage

Answer 6

allows you to look at other points of view even when you DO NOT agree

Question 7

What is intellectual empathy?

Answer 7

being able to think like the patient, put yourself in their shoes

Question 8

What is intellectual autonomy?

Answer 8

think about what you observe and determine for yourself what is safe

Question 9

What is intellectual integrity

Answer 9

the discipline of striving to be thorough and honest

Question 10

What is intellectual perseverance?

Answer 10

being about to NOT GIVE UP

Question 11

What is faith in reason?

Answer 11

believe that good clinical reasoning will result in the best clinical judgments and best patient outcomes

Question 12

What is fair mindedness?

Answer 12

Making sure thinking is not biased by something you want for yourself.

Question 13

Identify 6 Critical thinking skills

Answer 13

1. gather data, 2. identify the problem, 3. decide what outcome is desirable, 4. plan what to do, 5 implement the interventions in your plan and 6. evaluate the plan of care.

Question 14

What are two ways to use critical thinking skills?

Answer 14

problem solving and anticipating what might go wrong.

Question 15

What does vigilance mean?

Answer 15

anticipating what might go wrong, watching carefully for signs that a problem might be occurring and preventing it by notifying the proper individuals.

Question 16

What does nursing process mean

Answer 16

clinical problem solving process that links thinking with actions in nursing practice. it is used to determine patient needs by collecting data, formulating nursing diagnoses and planning, implementing and evaluating care.

Question 17

What are the five steps of the nursing process?

Answer 17

data collection, nursing diagnosis, planning care, implementation, evaluation

Question 18

What does subjective data mean?

Answer 18

information provided verbally by the patient

Question 19

What does objective data mean

Answer 19

pieces of factual information obtained through physical assessment and diagnostic tests that are observable through the five senses.

Question 20

What does “WHATS UP” stand for?

Answer 20

W- Where is it? H How does it feel? A Aggravating and alleviating factors, What makes it worse or better, T timing - when did it start
S-Severity- How bad is it, what do you rate the pain? U- Useful other data, what other symptoms are present
P Patients perception of the problem.

Question 21

What is a nursing diagnosis?

Answer 21

Clinical judgement concerning a human response to health conditions/ life processes, or a vulnerability for that response by an individual, family, group or community.

Question 22

What does Maslow’s Hierarchy of Needs involve?

Answer 22

Basic physiological needs, safety and security, love and belonging, self-esteem, self actualization, planning, implementation, evaluation,

Question 23

Nursing Diagnoses: Which of the following are NANDA-I-nursing diagnoses? Which are medical diagnoses?
Impaired Physical Mobility
Ineffective Coping
Herniated Disk
Fractured Femur
Diabetes
Impaired Gas Exchange
Appendicitis
Activity Intolerance

Answer 23

Impaired Physical Mobility
Ineffective Coping
Impaired Gas Exchange
Activity Intolerance

Question 24

In which of the following ways is critical thinking useful to the nursing process?

1. It highlights the solution to a problem.
2. It can lead to a better outcome for the patient.
3. It simplifies the process.
4. It helps the nurse arrive at a solution more quickly.

Answer 24

2. It can lead to a better outcome for the patient

Question 25

Which nurse is exhibiting intellectual humility?

1. the nurse who is an expert at wound care
2. the nurse who reports an error to the supervisor
3. the nurse who tries to empathize with the patient
4. The nurse who asks a coworker about a new procedure.

Answer 25

4. the nurse who asks a coworker about a new procedure.

Question 26

The nurse teaches a patient the importance of stopping smoking. Which of the following patient responses provides the best evidence that the teaching was effective?

1. I have a brother who died of lung cancer, I know smoking is bad
2. I tried to quit 5 years ago, and I really would like to, but it is very hard.
3. Thank you for the information. I will call the smoke stoppers organization today
4. I know you are right. I should stop smoking.

Answer 26

3. Thank you for the information. I will call the smoke stoppers organization today.

Question 27

Place the steps of the nursing process in correct chronological order of use. Use all options.
Nursing diagnosis
Evaluation
Data collection
Planning care
Implementation

Answer 27

Data collection
planning care
nursing diagnosis
implementation
evaluation

Question 28

A 34-year-old mother of three is newly admitted to a respiratory unit because she has pneumonia. She has all the following problems. Based on the Maslow hierarchy of human needs, place the problems in order of priority.
1 Frontal headache related to stress of hospital admission
2 Anxiety related to concern about leaving children
3 Shortness of breath related to newly diagnosed pneumonia
4 Deficient knowledge related to discharge plan

Answer 28

3 shortness of breath related to newly diagnosed pneumonia
1 frontal headache related to stress of hospital admission
2 anxiety related to concern about leaving children
4 deficient knowledge related to discharge plan.

Question 29

The nurse is collecting data on a newly admitted patient who has an ulcerated area on his left hip. It is 2 inches in diameter and 1 inch deep, with yellow exudate. Which of the following statements best documents the findings in the patient’s database?

1 Wound on left hip, 2 inches diameter, 1 inch deep, infected
2 Left hip wound, large, deep, with yellow drainage
3 Pressure injury on left hip, yellow drainage
4 Wound on left hip, 2 inches in diameter, 1 inch deep, yellow exudate

Answer 29

4. wound on left hip, 2 inches in diameter, 1 inch deep, yellow exudate