EAQ 2 study

Concept of critical thinking in nursing

Truth seeking Open-mindedness Analytical Systematicity Self confidence Inquisitiveness Maturity

Which health care factor creates Barriers that prevent older adults from participating in health care promotion or disease prevention. (SELECT ALL THAT APPLY) 1.Finance 2.Activity Level 3.Transportation 4Personal Motivation 5.Previous health care experience

4,5

Which nurse is using complex critical thinking skills when caring for a client? 1.Talks to the client to identify reasons for their behavior 2. Seeks the assistance of a senior nurse to set up an insulin pump 3. Follows the agency's manual to insert a Foley catheter in a client 4. Acts without involving others and accepts accountability

1

which information should be clearly documented on the MAR before administering meds? 1.Dosage and route 2.clients full name 3. time to be administered 4.frequency 5. full name of prescription

1,2,3,4,5

The nurse is caring for a community-dwelling older adult who is suffering from confusion. Which are the correct nursing interventions in this situation? Select all that apply. One, some, or all responses may be correct. 1. Provide a protective environment. 2. Assist with personal hygiene. 3. Educate the client about correct body mechanics. 4. Promote activities that reinforce reality. 5. Teach the client's caregiver proper feeding techniques.

1,2,4

The nurse is preparing to discharge a client who is partially paralyzed after a stroke. Which behaviors would the nurse alert the family of as symptoms of caregiver role strain? Select all that apply. One, some, or all responses may be correct. 1. Disturbed sleep patterns 2. Reduced appetite and weight 3. Concerned about personal appearance 4. Engages in leisure activities as often as possible. 5. Fearful about administering medications to the client

1,2,5

Arrange the stages of life in Erikson's theory of psychosocial development in the correct order. 1.Trust versus mistrust 2.Industry versus inferiority 3.Autonomy versus a sense of shame and doubt 4.Identity versus role confusion 5.Intimacy versus isolation 6.Initiative versus guilt

1,3,6,2,4,5,

Inquisitiveness critical thinking

Be eager to acquire knowledge and learn explanations even when applications of the knowledge are not immediately clear. Value learning for learning's sake.

Maturity critical thinking

Multiple solutions are acceptable. Reflect on your own judgments; have cognitive maturity.

Explanation (Critical Thinking Skill)

Support your findings and conclusions, use knowledge and experience to select strategies to use with each client individually

Self-confidence critical thinking

Trust in your own reasoning processes

Analyticity critical thinking

analyze potential problematic situations, anticipate possible results or consequences ;use evidence based knowledge

Critical thinking attitude

confidence, thinking independently, fairness, responsibility and authority, risk taking, discipline, perseverance, creativity, curiosity, integrity, humility

What critical thinking skill involves using knowledge and experience to choose proper strategies? 1.analyze 2.evaluation 3.explanation 4.Interpretation

explanation

reflection

purposefully reviewing a situation to discover its purported or meaning.

The nurse is preparing to administer an opthhalmic medication. What steps should the nurse include? (SELECT ALL THAT APPLY) 1. Clean the eyelids and eyelashes 2.place the dropper against the eyelid 3.apply clean gloves before beginning the procedure 4. instill the solution directly onto the cornea 5.press on the nano;acrimal duct after instilling the solution

1,3,5

Attributes of clinical judgment

1. Holistic view 2. Process orientation 3. Reasoning and interpretation

Which standards are important for the nurse to use in critical thinking? Select all that apply. One, some, or all responses may be correct. 1. Specific 2. Fairness 3. Relevant 4. Confidence 5. Independence

1. Specific 3. Relevant

When visiting an older adult couple living independent, the nurse is informed that the wife is the caregiver for her husband who has dementia. What interventions should the nurse implement?(SELECT ALL THAT APPLY) 1.Assess the wife for caregiver burden 2.Arrange for hospice care 3.Make health care decisions for the couple 4. assess the husband for sign of physical abuse 5. Identify social support within the community.

1.Asses the wife for caregiver burden 4. Assess the husband for signs of physical abuse 5.Identify social support with the community

Critical components of a nurses time management skills? (SELECT ALL THAT APPLY) 1. Autonomy 2.Goal setting 3.Priority setting 4.Interruption control 5.Righ communication

2,3,4

The nurse manager asks the nurse, "How would you implement clinical decision-making in a group of clients?" Which answer(s) provided by the nurse show(s) effective critical thinking? Select all that apply. One, some, or all responses may be correct. 1. I will avoid involving clients as decision-makers and participants in care." 2."I will discuss complex cases with other members of the health care team." 3."I will identify the nursing diagnoses and collaborative problems of each client." 4."I will consider the time it takes to care for clients whose problems have higher priority." 5."I will decide to perform activities individually to resolve one client problem at a time."

2,3,4

Which nursing interventions indicate client care that supports physical functioning? Select all that apply. One, some, or all responses may be correct. 1. Facilitate client's learning. 2. Alter client's undesirable behavior. 3. Maintain client's nutritional status. 4.Maintain client's regular bowel patterns. 5. Prevent complications in the client related to electrolyte imbalance.

2,4

The nurse is explaining the nursing process to a student nurse. Which step of the nursing process would include interpretation of data collected about the client? 1. Evaluation 2. Assessment 3. Implementation 4. Diagnosis

2. Assessment

after administering an anxiety medication to a patient the patient states. " I guess you're to busy to stay with me", what would be a proper response for the nurse? 1. I have other patients to care for 2. I have to go now but I will be back in 10 minutes to check on you 3. You'll be able to rest after the medicine starts working 4.Youll feel better after I've made you more comfortable

2. I have to go now but I will be back in 10 minutes to check on you.

Which is an example of an independent nursing intervention? 1. Preparing a client for endoscopy 2. Coordinating with an x-ray technician for imaging 3. Starting an intravenous line for a blood transfusion 4. Keeping edematous lower extremities elevated on pillows

4.

Which skill in critical thinking requires the nurse to be orderly in data collection? 1. Analysis 2. Inference 3. Evaluation 4. Interpretation

4. Interpretation

which action by the client indicates the need for further instruction on insulin administration? 1.Aspirating before administering 2.using a 27-gauge needle to administer 3.administering rapid-acting insulin in the abdomen 4. holding the needle in place for a several seconds after administering medication 5.identify the areas that have 1 inch of sub fat that can be pinched.

Aspirate before administering

Interpretation critical thinking

Be orderly in collecting data about patients, apply reasoning, look for patterns, categorize the data, gather additional and clarify data you are uncertain about