Week 3 Sherpath Flashcards
Which characteristics are reflective of critical thinkers?
Select all that apply.
Aware of their personal biases
Open-minded
Impulsive
Listen well
Emotionally reactive
Aware of their personal biases
Open-minded
Listen well
According to Paul and Elder, clinical thinking requires which components?
Select all that apply.
Emotion
Thought process
Reasoning
Intellectual standards
Intellectual traits
Thought process
Reasoning
Intellectual standards
Intellectual traits
Match the intellectual standard associated with the Paul and Elder Framework with the descriptive question.
Do I have a bias that needs to be addressed?
Does the answer make sense?
Can the thought be proven correct?
Are more details necessary?
Answer choices
Significance
Precision
Logic
Accuracy
Fairness
Depth
Do I have a bias that needs to be addressed?
Fairness
Does the answer make sense?
Logic
Can the thought be proven correct?
Accuracy
Are more details necessary?
Precision
Which description best corresponds to the term clinical judgment?
Used when discussing management scenarios or the reasoning process with nursing leadership
Requires recalling facts and recognizing patterns seen previously when caring for patients
Specific thought process used in nursing when analyzing, evaluating, and managing a patient
Similar to clinical reasoning but considered a broader term in nursing
Requires recalling facts and recognizing patterns seen previously when caring for patients
According to Alfaro-LeFevre, which factors can affect a nurse’s ability to think critically?
Select all that apply.
Life experience
Self-confidence
Gender
Nursing role
Moral development
Life experience
Self-confidence
Moral development
Which characteristic of both the nursing process and the Clinical Judgment Measurement Model refers to changes over time in response to patients’ individual needs?
Dynamic
Analytical
Organized
Adaptable
Dynamic
Which activities would best promote critical thinking in nursing?
Select all that apply.
Asking a peer to clarify their thoughts when discussing a specific nursing situation
Creating a critique map for a complicated patient to provide visual representation of nursing care plans
The newly graduated registered nurse identifying an experienced coworker to have as a mentor
Writing about a specific patient experience and lessons learned from the experience
The nurse manager deciding the staff meeting should be scheduled on an as-needed basis
Asking a peer to clarify their thoughts when discussing a specific nursing situation
The newly graduated registered nurse identifying an experienced coworker to have as a mentor
Writing about a specific patient experience and lessons learned from the experience
The nurse is caring for a patient who has been prescribed a blood transfusion after a traumatic injury. The nurse confirms it is the correct patient by reading his hospital wristband and verbally asking the patient his name and date of birth. The blood type is confirmed with a second nurse before initiation of the transfusion. This scenario is an example of which activity that enhances effective communication?
Situation, Background, Assessment, Recommendation (SBAR)
Time-out
Daily rounds
Concept map
Time-out
Match the factor that hinders critical thinking with the correct description.
Not gathering all the facts before reaching a conclusion
Having an expectation of a result without selecting specific evidence
Jumping to conclusions; not clearly thinking through presented information
Believing the presented information is factual without validating first
Answer choices
Lack of information
Illogical thinking
Confirmation bias
Tunnel vision
Erroneous assumption
Close-mindedness
Not gathering all the facts before reaching a conclusion
Lack of information
Having an expectation of a result without selecting specific evidence
Tunnel vision
Jumping to conclusions; not clearly thinking through presented information
Illogical thinking
Believing the presented information is factual without validating first
Erroneous assumption
The nurse is caring for a patient who is pregnant with her fifth child and considering terminating the pregnancy. The patient has asked the nurse for more information. For the past 2 years, the nurse has been unsuccessful in her own attempts to become pregnant. Which intellectual standard is the nurse most likely to have difficulty applying in this situation?
Humility
Empathy
Integrity
Perseverance
Empathy
Critical thinking is a conscious decision not to accept something at face value and instead attempt to analyze it from all perspectives. Which actions are considered part of the critical-thinking process?
Select all that apply.
Identifying the concern
Determining which information is most relevant
Gathering the input of others
Vetting the information presented
Quickly determining a resolution
Identifying the concern
Determining which information is most relevant
Gathering the input of others
Vetting the information presented
Match the intellectual standard with the scenario that represents it.
The nurse completely understands the complexities of the issue.
The nurse’s perspective has been confirmed as factual.
Others understand the nurse’s point of view.
The nurse focuses on the most important aspects of the situation.
Answer choices
Accuracy
Depth
Precision
Significance
Clarity
Breadth
The nurse completely understands the complexities of the issue.
Depth
The nurse’s perspective has been confirmed as factual.
Accuracy
Others understand the nurse’s point of view.
Clarity
The nurse focuses on the most important aspects of the situation.
Significance
According to Alfaro-LeFevre, which individual should be most adept at thinking critically?
A 40-year-old man who has only lived in a small town and never traveled outside of his state
A 22-year-old woman whose father was in the military, requiring her to live in Germany, England, California, Florida, and Missouri
A 36-year-old person with high self-esteem and self-confidence
A 19-year-old freshman in college who is majoring in communication
A 22-year-old woman whose father was in the military, requiring her to live in Germany, England, California, Florida, and Missouri
Which actions demonstrate a nurse using the Clinical Judgment Measurement Model (CJMM) and critical thinking when a patient reports increased pain at the surgical site?
Select all that apply.
Verifying that no pain medications were prescribed after surgery and calling the health care provider to inform them of the patient’s change in status to see if pain medications can be given
Determining whether pain medications were prescribed postoperatively, then compassionately relaying to the patient that no pain medications were prescribed for them
Using nonpharmaceutical treatment of focused deep breathing and imagery to help relieve the patient of pain after verifying that no pain medications were prescribed
Assessing the patient’s vital signs and verifying which pain medications were prescribed and when pain medication was last given to the patient
Assessing the surgical site to determine whether infection could be the cause of increased pain
Verifying that no pain medications were prescribed after surgery and calling the health care provider to inform them of the patient’s change in status to see if pain medications can be given
Using nonpharmaceutical treatment of focused deep breathing and imagery to help relieve the patient of pain after verifying that no pain medications were prescribed
Assessing the patient’s vital signs and verifying which pain medications were prescribed and when pain medication was last given to the patient
Assessing the surgical site to determine whether infection could be the cause of increased pain
Match the description of the nurse with the appropriate career stage.
A nurse with 3 years of experience, who just started working in the ICU
A nurse with 18 months of experience in the cardiac step-down unit
The charge nurse in the neonatal ICU
The neurosurgery unit staff educator nurse
Answer choices
Competent
Novice
Advanced beginner
Proficient
Expert
A nurse with 3 years of experience, who just started working in the ICU
Novice
A nurse with 18 months of experience in the cardiac step-down unit
Advanced beginner
The charge nurse in the neonatal ICU
Proficient
The neurosurgery unit staff educator nurse
Expert
An experienced nurse, who is precepting a new nurse, is caring for a critically ill patient and just placed a feeding tube as prescribed. After auscultation of air into the stomach to confirm tube placement, the preceptor initiates the tube feeding. The new nurse questions the starting of feeds without verifying nasogastric (NG) tube placement by x-ray, which is the new standard of care. The preceptor responds, “I have been a nurse for 20 years, and I have always verified placement by auscultation of air into the stomach.” This response is an example of which activity that can hinder critical thinking?
Bias
Erroneous assumption
Illogical thinking
Close-mindedness
Close-mindedness
The emergency department (ED) nurse is handing off care of a patient to the intensive care unit (ICU) nurse. The ED nurse is giving report using the Situation, Background, Assessment, Recommendation (SBAR) method. The ED nurse tells the ICU nurse that the patient is admitted for respiratory distress and is currently homeless. Which SBAR communication element does this scenario represent?
Situation
Background
Assessment
Recommendation
Background
Match the clinical reasoning process with its descriptor.
Recognizing the detail that is most important in the scenario
Identifying which tasks are most important and should be performed first
Identifying which tasks can be delegated
Recognizing that the action is necessary and professional
Answer choices
Right reason
Right expertise
Right patient
Right action
Right time
Right cue
Recognizing the detail that is most important in the scenario
Right cue
Identifying which tasks are most important and should be performed first
Right time
Identifying which tasks can be delegated
Right action
Recognizing that the action is necessary and professional
Right reason
Which nursing skill is essential to utilize throughout the nursing process?
Analysis
Observation
Critical thinking
Time management
Critical thinking
Place the steps of the nursing process in the order in which each should occur.
Evaluation
Implementation
Analysis
Planning
Assessment
Assessment
Analysis
Planning
Implementation
Evaluation
Match the nursing process characteristic to its description.
The nursing process incorporates the interprofessional team.
Nurses evaluate patient results to determine effectiveness.
Nurses use critical thinking for each step of the nursing process.
The nursing process helps ensure that patient care is well planned.
Answer Choices
Collaborative
Organized
Outcome-oriented
Analytical
The nursing process incorporates the interprofessional team.
Collaborative
Nurses evaluate patient results to determine effectiveness.
Outcome-oriented
Nurses use critical thinking for each step of the nursing process.
Analytical
The nursing process helps ensure that patient care is well planned.
Organized
Which component determines whether an assessment is primary or secondary?
Source of data
Types of data
Categories of data
Objectivity of the data
Source of data
Match the category of data with its description.
Obtained directly from patient
Blood pressure reading and weight
Direct quotes describing patient feelings
Obtained from other health care professionals or medical records
Answer Choices
Objective
Subjective
Secondary
Primary
Obtained directly from patient
Primary
Blood pressure reading and weight
Objective
Direct quotes describing patient feelings
Subjective
Obtained from other health care professionals or medical records
Secondary
Which examples reflect subjective data?
Select all that apply.
Signs
Feelings
Symptoms
Perceptions
Laboratory findings
Health history
Feelings
Symptoms
Perceptions
Health history
Which nursing concept is defined as an actual or potential problem or response to a problem?
Plan
Outcome
Diagnosis
Assessment
Diagnosis
Which aspects do nurses make judgments about when determining initial nursing diagnoses?
Select all that apply.
Vulnerabilities
Patient problems
Health promotion
Risk for problems
Evaluative measures
Vulnerabilities
Patient problems
Health promotion
Risk for problems
Which action reflects a primary task in the analysis step of the nursing process?
Initiating nursing actions
Forming diagnostic conclusions
Identifying realistic patient goals
Examining the effectiveness of interventions
Forming diagnostic conclusions
Which term describes how the nursing process changes over time in response to patients’ individual needs?
Dynamic
Analytical
Organized
Adaptable
Dynamic
Which statement defines collaborative interventions?
Involve independent nursing interventions
Establish the effectiveness of nursing actions
Require a prescription from the health care provider
Involve the expertise of health care team members
Involve the expertise of health care team members
Match the type of nursing intervention to the example.
Patient positioning
Foley catheter insertion
Respiratory therapy consult
Answer choices
Independent
Interdependent
Dependent
Patient positioning
Independent
Foley catheter insertion
Dependent
Respiratory therapy consult
Interdependent
Which function describes the primary purpose for documenting nursing interventions?
Implement policy.
Prove task completion.
Facilitate communication.
Ensure proper record-keeping.
Facilitate communication.
Which interventions reflect indirect nursing care?
Select all that apply.
Giving an injection
Helping a patient ambulate in the hall
Documenting medications administered
Collaborating to schedule occupational therapy
Working with a social worker to set up home care
Documenting medications administered
Collaborating to schedule occupational therapy
Working with a social worker to set up home care
During the implementation step of the nursing process, a nurse reviews and revises a patient’s plan of care. Place the steps of review and revision in the order in which each should occur.
Review and revise the existing plan of care.
Reassess the patient.
Organize resources and care delivery.
Implement nursing interventions.
Anticipate and prevent complications.
Reassess the patient.
Review and revise the existing plan of care.
Organize resources and care delivery.
Anticipate and prevent complications.
Implement nursing interventions.
Which aspect would the nurse consider as a component of the evaluation step of the nursing process?
The patient being discharged from the hospital
The patient’s achievement of short- and long-term goals
The nurse’s completion of interventions in the plan of care
The nurse’s view on the patient’s desire to perform interventions
The patient’s achievement of short- and long-term goals
Which critical-thinking functions must the nurse perform to effectively evaluate patient goals during the final step of the nursing process?
Select all that apply.
Recognizing errors
Gathering patient cues
Documenting patient progress
Comparing achieved effect with goals
Examining results according to clinical findings
Recognizing errors
Comparing achieved effect with goals
Examining results according to clinical findings
Which questions would the nurse ask when revising the plan of care because of unmet patient goals?
Select all that apply.
Were the original goals realistic?
What unanticipated events occurred?
Were the original goals collaborative?
What steps in the process can be handled differently?
What barriers did the patient encounter that prevented goal attainment?
Were the original goals realistic?
What unanticipated events occurred?
What steps in the process can be handled differently?
What barriers did the patient encounter that prevented goal attainment?
Which questions would the nurse ask when revising the plan of care because of unmet patient goals?
Select all that apply.
Were the original goals realistic?
What unanticipated events occurred?
Were the original goals collaborative?
What steps in the process can be handled differently?
What barriers did the patient encounter that prevented goal attainment?
Were the original goals realistic?
What unanticipated events occurred?
What steps in the process can be handled differently?
What barriers did the patient encounter that prevented goal attainment?
Which characteristics of the nursing process allow the nurse to effectively apply critical thinking to patient care?
Select all that apply.
It is organized.
It is outcome-oriented.
It necessitates observation skills.
It allows nurses to apply knowledge.
It requires nurses to think analytically.
It incorporates an interprofessional team.
It is organized.
It is outcome-oriented.
It allows nurses to apply knowledge.
It requires nurses to think analytically.
It incorporates an interprofessional team.
Which organization defines standards of nursing practice and states that the nursing process forms the foundation for clinical decision making?
American Academy of Nursing
National Student Nurses Association
National League for Nursing
American Nurses Association
American Nurses Association
Which questions are critical for the nurse to ask during each step in the nursing process?
Select all that apply.
Were patient goals met?
Can interventions be universally applied?
Is collected data thorough and accurate?
Could interventions affect the patient negatively?
Are all underlying factors addressed in the plan of care?
Is collected data thorough and accurate?
Could interventions affect the patient negatively?
Are all underlying factors addressed in the plan of care?
Which step of the nursing process does the nurse use when obtaining the following patient information: blood pressure of 180/75, pulse of 90, and a complaint of chest pain?
Analysis
Evaluation
Assessment
Implementation
Assessment
Which type of data do the patient’s family members, friends, or other nurses provide?
Primary
Objective
Secondary
Comprehensive
Secondary
Which type of patient assessment takes into account all factors, such as the patient’s physical, psychological, emotional, environmental, cultural, and spiritual health?
General
Holistic
Focused
Universal
Holistic
Which nursing action occurs during the analysis step of the nursing process?
Initiating nursing interventions and treatments
Identifying realistic goals that are patient-focused
Clustering patient data to identify patient problems
Gathering patient data through a variety of sources
Clustering patient data to identify patient problems
Which phrase describes the primary purpose of nursing analysis and diagnosis?
Resolves patient confusion
Communicates patient problems
Articulates the nursing scope of practice
Describes the medical context of the patient problem
Communicates patient problems
Which phrases describe the role of the International Classification for Nursing Practice (ICNP) in the nursing process?
Select all that apply.
Provides a standardized nursing language
Outlines categories for patient information
Categorizes priorities based on importance
Identifies common labels for nursing diagnoses
Provides point-of-care documentation for clinical activity
Provides a standardized nursing language
Identifies common labels for nursing diagnoses
Provides point-of-care documentation for clinical activity
During which step of the nursing process would the nurse prioritize nursing diagnoses?
Planning
Analysis
Evaluation
Assessment
Planning
During which step of the nursing process would the nurse establish long-term goals with the patient?
Planning
Analysis
Evaluation
Implementation
Planning
Which part of the nursing process involves the nurse setting short-term goals for the patient?
Planning
Diagnosis
Evaluation
Assessment
planning
Which step of the nursing process involves carrying out nursing actions designed to meet a patient’s unique needs?
Planning
Analysis
Evaluation
Implementation
Implementation
Which intervention reflects direct nursing care?
Giving an injection
Asking the health care provider to prescribe a special diet
Documenting nursing interventions
Working with a social worker to set up home care
Giving an injection
Which statements reflect the nurse’s role during the implementation step of the nursing process?
Select all that apply.
Be accountable for safe practice.
Consult with the health care provider.
Collaborate with support services.
Perform the steps of intervention accurately.
Understand why an intervention is planned.
Be accountable for safe practice.
Perform the steps of intervention accurately.
Understand why an intervention is planned.
Which step of the nursing process considers the effectiveness of nursing care?
Planning
Analysis
Evaluation
Implementation
Evaluation
Which step of the nursing process includes a decision point on whether to discontinue, continue, or revise the plan of care?
Planning
Evaluation
Assessment
Implementation
Evaluation
Which questions would the nurse ask to evaluate the effectiveness of nursing interventions?
Select all that apply.
Should the plan of care be discontinued?
Which nursing diagnosis covers this cluster of signs and symptoms?
Have new assessment data been identified that should be considered?
Did the patient meet the goals established during the implementation phase?
Does the plan of care need to be modified in response to patient changes?
Should the plan of care be discontinued?
Have new assessment data been identified that should be considered?
Does the plan of care need to be modified in response to patient changes?
