Deck 10: Critical Thinking and Clinical Reasoning Preview As Pdf

Question 1

The nurse implements a quicker way to set up and initiate an intravenous infusion while still following safe practice.Which attitude of critical thinking is this nurse practicing?

A)Independence
B)Intellectual courage to challenge the status quo or rituals
C)Integrity
D)Confidence

Answer 1

Independence

Question 2

The nurse is providing care to a group of clients.For which situation would the nurse's use of critical thinking be a priority?

A)Administering IV push meds to critically ill clients
B)Educating a home health client about treatment options
C)Teaching new parents car seat safety
D)Assisting an orthopedic client with the proper use of crutches

Answer 2

Educating a home health client about treatment options

Question 3

While caring for a client of a different culture,the nurse becomes disturbed when the client's spouse makes all the decisions about care and treatments.What behavior is this nurse demonstrating?

A)Inference
B)Judgment
C)Opinion
D)Evaluation

Answer 3

Opinion

Question 4

Parents ask why invasive diagnostic tests were prescribed for their ill child.The nurse has just gotten out of report and has not had a chance to review additional information.What should the nurse respond to the parents?

A)"I'm not sure I can answer your question just now."
B)"It's a good idea to listen to what your physician wants."
C)"Your child's doctor is the best there is.I don't see why you wouldn't follow his advice."
D)"Maybe you should get another opinion if you're not comfortable with your doctor."

Question 5

A client with unstable cardiac dysrhythmias has orders for medications,one of which is by oral route,the other by IV delivery.The nurse realizes that the IV route would be fastest,but is also concerned about the side effects that this drug may produce and the fact that the client has never taken the drug,so any adverse effect is unknown.Which part of the decision-making process is the nurse using?

A)Identify the purpose
B)Seek alternatives
C)Project
D)Implement

Question 6

A client with a PhD in epidemiology has been to numerous physicians and has had numerous laboratory tests,all of which were abnormal,and exploratory surgery,but no one is able to explain the etiology of his problem.The client also states that he has a rare form of a neurological disorder.Which statement should the nurse make that demonstrates critical thinking?

A)"Why don't you just tell your physician what you think you have?"
B)"Did you bring your prior tests and results with you,so we don't repeat anything?"
C)"If you know what you have,what do you want from us?"
D)"Describe what tests you've had and explain the symptoms of this disorder."

Question 7

A client complaining of shortness of breath has no pallor,cyanosis,or use of accessory muscles with respirations.The client's respiratory rate is 16 breaths per minute.The nurse is concerned that the client's report and the physical findings conflict.Which standard of critical thinking is the nurse using?

A)Clarity
B)Accuracy
C)Logical reasoning
D)Significance

Question 8

While listening to a client describe current symptoms,the nurse considers the client's entire situation.Which attribute of critical thinking is the nurse practicing?

A)Reflection
B)Context
C)Dialogue
D)Time

Question 9

The nurse educator assigns students an activity to implement Socratic ing in their daily lives.Which provided by a student demonstrates this reasoning technique?

A)"What makes you think cramming for a test is an ineffective way to study?"
B)"What other ways of studying could you implement?"
C)"If you didn't study for your test,what is the probability you will fail?"
D)"If you study all the unit outcomes,what effect will that have?"

Question 10

The nurse enters the room of a critically ill child after sensing that "something" isn't right.Once the nurse determines the child is stable,the nurse continues to perform a check of all the lines and equipment in the room and finds that the last IV solution hung by the previous nurse was not the correct solution.Which problem-solving method did this nurse use?

A)Trial and error
B)Intuition
C)Judgment
D)Scientific method

Question 11

A student nurse resists when encouraged to be creative when providing client care.What should the nurse educator say to encourage this student to be creative?

A)"Creativity allows unique solutions to unique problems."
B)"Not all your answers are going to be from your textbook."
C)"Creativity makes nursing more fun."
D)"You'll get bored if you don't learn to be creative."

Question 12

A client complaining of "extreme" low back pain is pale and diaphoretic and walks bent at the waist.Before taking vital signs,the nurse suspects that the blood pressure and heart rate will be elevated.What thought process did the nurse use to come to this conclusion?

A)Fact
B)Inference
C)Judgment
D)Opinion

Question 13

The nurse completes collecting data from a client and determines a list of problems.Which step in the nursing process should the nurse perform next?

A)Assess
B)Diagnose
C)Plan
D)Evaluate

Question 14

Prior to providing client care,the nurse reviews previous shift charting and the responses to nursing interventions.Which decision-making action is the nurse using?

A)Set the criteria
B)Examine alternatives
C)Implement
D)Evaluate the outcome

Question 15

A client recovering from a stroke does not want to perform prescribed shoulder exercises.What should the nurse say to the client that demonstrates critical thinking with creativity?

A)"You'll only get worse if you don't do these exercises."
B)"As soon as you get these into your routine,you'll feel better."
C)"Your physician wouldn't have ordered these if they weren't important."
D)"Here's a marker.See how many circles you can make on this board in 10 minutes."

Question 16

The nurse systematically tries a variety of products to help with healing of a client's wound.Which problem-solving method is the nurse using?

A)Intuition
B)Scientific method
C)Research process
D)Trial and error

Question 17

The nurse s the practice of administering rectal suppositories to residents in a long-term care facility at bedtime,rather than earlier in the day.When told that this is the best time for staff and that's the routine that has been practiced for a long time,the nurse continues to research whether there would be a better time,especially in the best interest of the residents.Which critical thinking attitude is this nurse demonstrating?

A)Confidence
B)Perseverance
C)Curiosity
D)Integrity

Question 18

A nurse educator has always believed that lectures with focused outlines are the best way to present theory content in class.A colleague,who teaches the same group of students,but a different subject,utilizes group work and in-class activities to teach difficult content and finds that students perform as well,or better,on their tests.The first educator in this situation is starting to rethink her position.What behavior is the first educator demonstrating?

A)Integrity
B)Perseverance
C)Fair-mindedness
D)Humility

Question 19

The nurse who just moved from an urban area to a sparsely populated rural area understands that certain customs and practices the nurse follows may be quite foreign to the people in the new area.Which attitude of critical thinking is the nurse demonstrating?

A)Fair-mindedness
B)Insight into egocentricity
C)Intellectual humility
D)Intellectual courage to challenge the status quo and rituals

Question 20

A seasoned nurse uses past experiences and knowledge gained from previous care situations to care for a client with complex health issues.Which attribute of critical thinking is this nurse practicing?

A)Reflection
B)Context
C)Dialogue
D)Time

Question 21

The nurse manager determines that a new staff nurse is demonstrating characteristics of a critical thinker.What did the manager observe the nurse perform?
Standard Text: Select all that apply.

A)Listening with empathy to a client who recently has been diagnosed.
B)Waiting for the medical team to determine the focus of the client's supportive care.
C)Questioning a medication order that does not appear to meet the client's needs for pain management.
D)Exhibiting a willingness to try alternate methods of addressing a client's care needs.
E)Practicing nursing in a culturally competent fashion.

Question 22

During a clinical conference,a staff nurse states that critical thinking is essential when providing client care.What additional statements should this nurse make to support the use of critical thinking?
Standard Text: Select all that apply.

A)"Patient acuity is so much greater than it was even 10 years ago."
B)"Care delivery systems are only as good as the nurses delivering care."
C)"Nurses have always relied on commonsense thinking to provide quality,appropriate nursing care."
D)"With health care being so expensive,nursing has to take on responsibility to keep the costs controlled."
E)"My practice involves caring for clients who require care that didn't even exist when I went to school."

Question 23

A clinical instructor senses that a student has been struggling with clinical skills learned in lab.To combat this,the educator pairs the student with a staff nurse who has clients with a variety of treatments and cares.Which type of problem solving is the instructor using?

A)Trial and error
B)Intuition
C)Research process
D)Experience

Question 24

The staff nurse is helping a new graduate understand the relationship between care concepts and planned interventions.What value would it be for the staff nurse to encourage the new graduate to use a concept map?
Standard Text: Select all that apply.

A)Used to highlight key areas
B)Provides a visual representation
C)Can be quicker than taking notes
D)Takes years to study how to create
E)Aids in developing critical thinking

Question 25

The nurse is planning to create a concept map to explain relationships between concepts and associated attributes.Which types of concept maps should the nurse consider creating?

A)Spider
B)Systems
C)Definitions
D)Flowchart
E)Hierarchical

Question 26

The staff nurse asks why unlicensed assistive personnel are responsible for stocking the unit refrigerator with refreshments when dietary personnel place the items on the shelf in the kitchen.What characteristic of critical thinking is this nurse demonstrating?

A)Curiosity
B)Clinical reasoning
C)Setting priorities
D)Developing rationales