HA: Critical Thinking
What is pivotal in determining how to move from each client problem to its goals?
ANSWER: clinical reasoning process
A nurse is caring for a client who has been admitted with an infected venous ulcer. The nurse determines that the client will need medical interventions as well as nursing interventions. The nurse would identify this as what type of issue?
ANSWER: collaborative partnership
The nurse is walking by a client's room and notices the client's pulse oximeter reads 89% on the monitor. What is the nurse's best actions?
ANSWER: enter the room and auscultate the client's lung sounds
A nurse has identified the personal goal of developing critical thinking skills. In order to facilitate this goal, what action should the nurse prioritize?
ANSWER: maintaining an open mind
A nurse is providing care for a client who has chronic type 2 diabetes. In recent days, the client's blood glucose levels have been higher and more volatile than usual. After drawing this inference, the nurse should take what action?
ANSWER: make appropriate referrals
Your patient tells you that his chief complaint is "fatigue". When obtaining the patient history, what additional information might you want to elicit to try and pinpoint the patient's "real problem"?
ANSWER: psychosocial issues
A common error for beginning nurses who are formulating nursing diagnosis during data analysis is to...
ANSWER: quickly make a diagnosis without hypothesizing several diagnoses
Which of the following events during the assessment process most indicates a need for validation?
ANSWER: the client denies feeling upset or anxious about her recent cancer diagnosis but fidgets throughout the interview and assessment.
After collecting subjective and objective data for the admission database, what is the nurse's next action?
ANSWER: validate the client's identified problems
The emergency department has collected extensive data from a client who has presented with severe abdominal pain. What nursing action should the nurse perform before proceeding with data analysis?
ANSWER: validate the collected data
