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A nurse should have critical thinking attitudes to develop critical thinking skills. One attitude the nurse should possess is orderly thinking to do what is best. Which term best suits this attitude description?
Discipline
Which learners will need to examine each item in their learning
Splitters
The type of intervention that the nurse performs when he or she observes the spouse of a postoperative client performing the client's dressing change is described as
Supervisory
Which action is performed in the implementation step in the nursing process?
documenting the nursing care and client responses
A nurse manager is developing a program for the unit staff to foster critical thinking. Which activity would the nurse manager implement to promote theoretical knowledge?
encouraging staff to read current journal articles
A client who has limited finances and limited capacity for education requires home health care for a chronic illness. For the nurse to provide a high level of care to this client, she must first
implement critical-thinking skills.
The nurse is providing education to a group of middle school students regarding cold weather safety. One of the students asks the nurse how cold her body will get when it is cold outside waiting for the school bus. The nurse responds
"We are warm blooded so our body temperature remains relatively unchanged when exposed to cold weather for a small period of time."
A nurse is engaged in the most basic level of reflection. Which question would the nurse most likely ask?
"What happened?"
A nursing student is shadowing a registered nurse for a day in the clinical area as part of the student's orientation for clinical rotation. The student asks the nurse, "Do you really use the nursing process when caring for your clients?" Which responses by the nurse would be appropriate? Select all that apply
"Yes, it's important for providing individualized care to each client." "Yes, the nursing process is an orderly way of solving client problems. "Yes, it helps to emphasize the client's active role in making decisions." "Yes, the nursing process is essential for identifying medical diagnoses."
At 0730, the nurse notes that the client states that pain is a 7 on a scale of 0 to 10. Based on this assessment, the nurse administers pain medication to the client. At 0800, the nurse evaluated the client and found that pain was a 4 on a scale of 0 to 10. Which example of documentation most clearly communicates the initial morning assessment?
0730: Client reports pain is a 7 on a scale of 0-10, Morphine sulfate 2 mg IV administered.
Which learner enjoys learning that takes place in the clinical setting?
Active experimenters
A nurse demonstrates clinical reasoning during which phases of the nursing process? Select all that apply.
Assessment Diagnosis Planning Implementation Evaluation
A nurse is conducting a client interview and gathers information from secondary sources. Which sources might the nurse use? Select all that apply.
Client's children Client's caregiver Client's physcian Client's previous admission record
The nurse has entered the room of a newly admitted client who immediately reports feeling short of breath. After identifying this as the client's problem, the nurse uses the process of scientific problem solving. Place the steps in the order the nurse would follow
Collect assessment data. Formulate a hypothesis. Make a plan for action. Perform hypothesis testing. Evaluate.
The nursing process provides a framework for the client and nurse to work together. Recording prioritized outcomes in the plan of care ensures which benefit?
Continuity of care can be provided to the client
The nurse is attentive and responsive to the health care needs of individual clients and ensures the continuity of care when leaving these clients. What interpersonal skill is the nurse displaying?
Developing accountability
Which is an important element of implementation?
Documentation
Educating a client on the pathophysiology of diabetes mellitus is the implementation of which skill?
Intellectual
nurse has been asked to present an orientation program to a group of newly graduated nurses. As part of the program, the nurse plans to reemphasize the need for critical thinking. When describing this concept, which characteristics would the nurse likely include? Select all that apply
It requires a systematic and logical approach It requires a conscious and deliberate effort. It involves judgments based on evidence
What type of learning best takes place in the nursing laboratory?
Kinesthetic learning
A nurse is engaged in the assessment phase of the nursing process. When completing the physical exam, which techniques would the nurse likely use? Select all that apply
Palpating Inspecting Auscultating Percussing
A nurse is examining alternatives and judging the worth of evidence as part of preparing the plan of care for a client. The nurse would most likely be involved in which phase of the nursing process?
Planning
The registered nurse (RN) is receiving a shift report from another RN about a client admitted for dehydration. In the report, the client has been prescribed IV fluids and an antibiotic. The oncoming RN asks why the antibiotic has been prescribed. This is an example of which consideration involved in the process of critical thinking?
Purpose of thinking
Personal characteristics demonstrate that one has developed critical thinking. Characteristics of critical thinking include
Self-aware, honest, persistent, and authentic.
The nursing student is attending clinical rotations in the acute care facility. In order to implement the most effective care for clients what is the most appropriate action for the student to take?
ask peers prior to performing any clinical care to clients
The Canadian Nurses Association (CNA) has published the standards of care for which the nurse is responsible. The Standards of Practice are
assessment, diagnosis, outcome identification, planning, implementation, and evaluation
What source of subjective assessment data would the nurse expect to utilize when obtaining a review of systems (ROS)
client reports shooting pain up the left leg
A nurse providing care to a client questions judgments and considers other ways of thinking about the client's situation. What behaviors is the nurse demonstrating in the care of the client?
critical reflectivity.
A modern approach to the development of clinical decisions and clinical judgments is the use of human client simulators in simulation laboratories on campus. Human client simulators are best described as:
life-sized mannequins with a sophisticated computer interface.
A client newly diagnosed with diabetes has been sent home after in-depth education regarding the diabetes management plan. Because the client is newly diagnosed, the nurse included in the plan of care a risk for unstable glucose. What is the most appropriate short-term outcome for this nursing diagnosis in the client? The client will
maintain a blood sugar between 70 mg/dL (3.89 mmol/L) and 110 mg/dL (6.11 mmol/L)
The nurse is caring for a newly admitted client. How can a nurse obtain a more complete database for this client?
perform a comprehensive client assessment Explanation:
In the clinical setting, a nurse is working on developing higher-level reflection skills. With which activity would the nurse most likely be engaged
reevaluating experience in light of ideas
Select the best description of how the nurse applies the nursing process in caring for clients. The nurse
uses critical thinking to direct care for the individual client
Nurses use the nursing process to plan care for clients. In which cases is the nursing process applicable? Select all that apply
when families are clearly supportive and wish to participate in care when nurses work with clients who are able to participate in their care when clients are totally dependent on the nurse for care when families are not supportive and do not wish to participate in care.