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Chapter 2 critical thinking and the nursing process
Terms in this set (25)
Which characteristics do the various definitions of critical thinking have in common?
requires reasoned thought
A few nurses on a unit have proposed to the nurse manager that the process for documenting care on the unit be changed. They have described a completely new system. The nurse should have a critical attitude because it helps the manager to do which item?
maintain an open mind about the proposed change
The nurse has just been assigned to the clinical care of a newly admitted patient. To know how to best care for the patient, the nurse uses the nursing process. Which step would the nurse probably do first?
Which is an example of theoretical knowledge?
Room air has an oxygen concentration of 21%
Which is an example of practical knowledge?
When assessing the abdomen, you should auscultate before palpating
Which is an example of self-knowledge if thought or stated by the nurse?
I know that I have religious beliefs that may make it difficult to take care of some clients
Which is the most important reason for nurses to be critical thinkers?
Nurses care for clients who have multiple health problems
The nurse administering pain medication every 4 hours is an example of which aspect of patient care?
Which differentiates a nursing diagnosis from a medical diagnosis?
A client's response to a health problem
Which statement about the nursing process is correct?
It is a problem-solving method to guide nursing activities
What do critical thinking and the nursing process have in common?
They are both thinking methods used to solve a problem
A nurse admits a patient to the unit after completing a comprehensive interview and phsycial examination. Which action must the nurse implement to develop a nursing diagnosis?
Analyze the assessment date
The nurse developed a care plan for a patient to help prevent impaired skin integrity. The nurse ensured the nursing assistive personnel changed the patient's position every 2 hours. In the evaluation phase of the nursing process, which would the nurse do first?
Judge whether the interventions achieved the stated outcomes
In caring for a patient with comorbidities, the nurse draws upon her knowledge of diabetes and skin integrity. In a spirit of inquiry, she looks up the latest guidelines for providing skin care and includes them in the plan of care. The nurse provides skin care according to the procedural guidelines and begins regular monitoring to evaluate the effectiveness of the interventions. Which best describes these activities?
The nurse is preparing to admit a patient from the emergency department. The transferring nurse reports that the patient is obese. The nurse has been overweight at one time and works very hard now to maintain a healthy weight. She immediately thinks, "I know I tend to feel negatively about obese people; I figure if i can stop eating, they should be able to. I must remember how very difficult that is and be very careful not to be judgmental of this patient"
During an assessment of a newly admitted client the nurse measures blood pressure, abdominal circumference, and pulse rate. Which critical-thinking skill is the nurse using?
Objectively gathering information on a problem or issue
The nurse maintains eye contact while a client explains the symptoms of a current health problem. Which critical-thinking skill is the nurse using?
Listening carefully; reading thoughtfully
The nurse is assigned to care for a client with Guillain-Bare syndrome; however, the nurse does not understand the disorder. What is the best way for the nurse to address this gap in knowledge?
Research and read about the disorder
The staff development instructor prepares an in-service presentation on full-spectrum nursing for new graduate nurses. Which statement should the instructor emphasize as being the key point about this delivery approach?
It is a unique blend of thinking, doing, and caring
A new graduate asks the manager to explain the purpose of full-spectrum nursing. How should the manager respond?
Achieve safe, effective care and promote good patient outcomes
Which aspects of healthcare are affected by a client's culture? SATA
How client views healthcare, how client views illness, the types of treatments the client will accept, when the client will seek healthcare services
The nurse manager documents that a staff nurse uses effective critical-thinking skills when planning and providing client care. What did the manager observe to make this decision? SATA
Addresses the most acute client care issues first, utilizes knowledge of past client care situations, articulates potential solutions to client problems, studies the pros and cons of individual interventions
The staff development instructor plans a training session on full-spectrum nursing. Which concept should the instructor include in this information? SATA
Doing, Caring, Thinking, Patient Situation
The preceptor explains full-spectrum nursing to a new graduate nurse. What should the preceptor include when discussing patient situation? SATA
Refers to the context for care, includes the client's relationships, addresses the resources for client care, focuses on the patient's environment outside the care setting
A new graduate nurse is having difficulty understanding the importance of "caring" when implementing full-spectrum nursing. What should the nurse manager explain to this nurse?
Caring motivates and facilitates doing, caring motivates and facilitates thinking
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