19 Quiz 1 - The Nursing Process - Blended Skills & Critical Thinking

Tell whether the following statement is true or false. Concept mapping is an instructional strategy that requires learners to identify, graphically display, & link key concepts. A. True B. False

A. True Concept mapping is an instructional strategy that requires learners to identify, graphically display, & link key concepts.

Which step of the nursing process is a nurse using when she analyzes patient data to determine her patient's strengths following a CVA? A. Assessing B. Diagnosing C. Planning D. Implementing E. Evaluating

B. Diagnosing The diagnosing step involves analyzing patient data to determine strengths & weaknesses. The assessing step refers to the collection, validation, & communication of patient data. In the planning step, the nurse determines patient outcomes & related nursing interventions & in the Implementing step the nurse carries out the plan. When evaluating, the nurse measures the extent to which the patient achieved outcomes.

Tell whether the following statement is true or false. Critical thinking occurs when a nurse directly apprehends a situation based on its similarity or dissimilarity to other situations. A. True B. False

B. False - Intuitive thinking occurs when a nurse directly apprehends a situation based on its similarity or dissimilarity to other situations.

Which of the following characteristics of the nursing process describes the interaction & overlapping of steps within the process itself? A. Systematic B. Dynamic C. Interpersonal D. Universally Applicable

B: Dynamic The nursing process is dynamic in that there is much interaction & overlapping of the steps. It is systematic since it is an ordered sequence of activities. Interpersonal refers to the human being at the heart of nursing. The nursing process is universally applicable in that it is a framework for all nursing activities.

A nurse's personal moral code is to assist all patients to the best of her ability. What blended skill would she use when seeking out special services for a homeless patient with a diabetic foot ulcer? A. Cognitive B. Technical C. Interpersonal D. Ethical/Legal

D. Ethical/Legal Using ethical/legal skills is the best answer as it involves following a moral code & acting professionally. Cognitive skills involve thinking through a situation to achieve outcomes. Technical skills relate to the proper use of equipment. Interpersonal skills are used to develop caring relationships.

Which of the following statements are key descriptors of the nursing process? (Select All That Apply) a. The nursing process is systematic in that each nursing activity is part of an ordered sequence of activities, depends on the accuracy of the activity that preceded it, & influences the actions that follow it. b. The nursing process is dynamic, meaning that each step flows into the next step & there is a great deal of interaction & overlapping among the five steps. c. The nursing process is interpersonal because the human being is always at the heart of nursing. d. The nursing process is interpersonal in that a patient is viewed as a "problem to be solved" & nurses interact mechanically to provide the solution. e. The nursing process is outcome oriented in that it is a means to an end, which may not always focus on the outcomes that are patient priorities. f. The nursing process is universally applicable in nursing situations, meaning that healthcare is provided in an unchanging environment & the nursing process can be used as a tool in any nursing situation.

a, b, c

Which of the following accurately describe the role of documenting in the nursing process? (Select All That Apply) a. The patient record is the chief means of communication among members of the interdisciplinary team. b. If a nurse is accused of negligent care, a nurse's word that he/she faithfully assessed the patient's needs, diagnosed problems, & implemented & evaluated an effective plan of care is his/her best defense. c. Legally speaking, a nursing action not documented is a nursing action not performed. d. It is helpful to practice documentation while learning any given nursing activity. e. The content of the patient report & nursing documentation helps to establish nursing priorities in a practice setting. f. Because data collection is ongoing & responsive to changes in the patient's condition, it should be documented in the final step of the nursing process.

a, c, d, e

Which of the following groups legitimized the steps of the nursing process in 1973 by developing standards of practice to guide nursing practice? a. American Nurses Association Congress for Nursing Practice b. Joint Commission on Accreditation of Healthcare Organizations c. National League of Nursing d. American Association of Critical Care Nursing

a. American Nurses Association Congress for Nursing Practice

Which of the following are considered characteristics of a critical thinker? (Select All That Apply) a. Thinking based on the opinions of others b. Being open to all points of view c. Acting like a "know-it-all" d. Resisting "easy answers" to patient problems e. Thinking "outside the box" f. Accepting the status quo

b, d, e

Which of the following are examples of ethical/legal skills? (Select All That Apply) a. Working collaboratively with the healthcare team as a respected & credible colleague to reach valued goals b. Being trusted to act in ways that advance the interests of patients c. Using technical equipment with sufficient competence & ease to achieve goals with minimal distress to patients d. Selecting nursing interventions that are most likely to yield the desired outcomes e. Being accountable for practice to oneself, the patient, the care-giving team, & society f. Acting as an effective patient advocate

b, e, f

Which of the following characteristics of the nursing process could be defined as a great deal of overlapping interaction among the 5 steps, with each being fluid & flowing into the next step? a. Interpersonal b. Dynamic c. Systematic d. Universally applicable

b. Dynamic

Which of the following statements describe the use of problem solving in the nursing process? (Select All That Apply) a. The trial-and-error problem-solving method is used extensively in the nursing process. b. The trial-and-error problem-solving method is recommended as a guide for nursing practice. c. The scientific problem-solving method is closely related to the more general problem-solving process (the nursing process) commonly used by healthcare professionals as they work with patients. d. Nurse theorists & educators advocate basing clinical judgments on data alone in an attempt to establish nursing as a science, worthy of the respect of other professions. e. Today, nurses acknowledge the positive role of intuitive thinking in clinical decision making. f. Critical thinking in nursing can be intuitive or logical or a combination of both.

c, e, f

Which of the following interpersonal skills is displayed by a nurse who is attentive & responsive to the healthcare needs of individual patients & ensures the continuity of care when leaving the patient? a. Establishing caring relationships b. Enjoying the rewards of mutual interchange c. Developing accountability d. Developing ethical/legal skills

c. Developing accountability

Which of the following statements accurately depicts a step in the critical thinking process? a. The first step when thinking critically is to gather as much data related to the question as possible. b. Nurses who think critically allow emotions to direct their thinking. c. Nurses who use the critical thinking process ultimately must identify alternative decisions & reach a conclusion. d. The critical thinking process is based on intuition & excludes the use of outside resources.

c. Nurses who use the critical thinking process ultimately must identify alternative decisions & reach a conclusion.

Which of the following statements concerning the nursing process is accurate? a. The nursing process is nurse-oriented. b. The steps of the nursing process are separate entities. c. The nursing process is' nursing practice in action. d. The nursing process comprises four steps to promote patient well-being.

c. The nursing process is' nursing practice in action.

Which of the following traits helps nurses develop the attitudes & dispositions to think critically? a. Thinking independently b. Being intellectually humble c. Being curious & persevering d. All of the above

d. All of the above

In which of the following cases is the nursing process applicable? a. When nurses work with patients who are able to participate in their care b. When families are clearly supportive & wish to participate in care c. When patients are totally dependent on the nurse for care d. In all the nursing situations listed above

d. In all the nursing situations listed above