Critical Thinking

Which behavior demonstrates critical thinking as applied to cultural diversity? 4 -A nurse assumes a patient's diet preference based on ethnic background. -A nurse recognizes that a patient may have special healthcare needs based on religious belief. -A nurse asks a patient at the time of admission what is the preferred language for communication. -A nurse assumes a patient is not able to read because the patient is from another country. -A nurse requests an interpreter because a patient does not speak English. -A nurse uses a reputable online resource to learn more about a certain cultural group's beliefs related to health and disease.

-A nurse recognizes that a patient may have special healthcare needs based on religious belief. -A nurse asks a patient at the time of admission what is the preferred language for communication. -A nurse requests an interpreter because a patient does not speak English. -A nurse uses a reputable online resource to learn more about a certain cultural group's beliefs related to health and disease.

Which are characteristics of critical thinking in nursing? 3 -Ability to solve a problem quickly -Ability to anticipate patient needs -Ability to assess a situation globally -Ability to focus entirely on one situation or assessment at a time -Ability to determine appropriate intervention based on information and experience -Ability to convince others to see things their way and drive the decision-making process

-Ability to anticipate patient needs -Ability to assess a situation globally -Ability to determine appropriate intervention based on information and experience

How can nurses who use critical thinking adapt to evolving points of care? 5 -Assist with transitional care -Gain a knowledge of community resources available -Anticipate a patient's discharge needs early in the hospitalization -Gain experience and education to provide nursing care outside of a hospital -Promote healthy behaviors and support community-wide education to prevent illness -Work with doctors to keep the primary setting for delivery of health care in a hospital setting

-Assist with transitional care -Gain a knowledge of community resources available -Anticipate a patient's discharge needs early in the hospitalization -Gain experience and education to provide nursing care outside of a hospital -Promote healthy behaviors and support community-wide education to prevent illness

What is a critical thinking consideration that is applicable to caring for older adults? -Teaching family members to carry out a portion of at-home care -Understanding one's own value system Correct -Encouraging the use of advance directives -Planning transitional care

-Encouraging the use of advance directives

The lab calls to notify a nurse about an elevated blood glucose level. The nurse calls the physician and anticipates a change in insulin dose. Which is true of the nurse's critical thinking skills? 3 -The nurse tells the physician what the order should be. -The nurse is anticipating patient needs.The nurse applies knowledge and experience to this situation and identifies what is likely needed. -The nurse knows that the lab result may be incorrect and re-collects the specimen. -The nurse is applying knowledge and experience to determine appropriate action. -The nurse understands that an elevated lab value requires an intervention.

-The nurse is anticipating patient needs.The nurse applies knowledge and experience to this situation and identifies what is likely needed. -The nurse is applying knowledge and experience to determine appropriate action. -The nurse understands that an elevated lab value requires an intervention.

Which is an example of applying critical thinking to caring for a 70-year-old female patient newly diagnosed with diabetes? -Provide instruction primarily to the family. -Direct all support and teaching toward end-of-life care. -The patient should be instructed to move in with family to better manage her disease. -The patient should be given instruction on medications, diet, lifestyle changes, and disease process.

-The patient should be given instruction on medications, diet, lifestyle changes, and disease process.

A patient is nearing end of life. She talks often about her beloved pet dog and tells the nurse how much she misses him. She asks the nurse if he might be allowed to visit. Match the likely reaction be based on Benner's stages of nursing proficiency. 4 Novice, Advanced Beginner, Expert Practitioner, Competent Practitioner -Uncomfortable with request; against policy -Does not allow pets, but suggests an alternative, such as a picture -Offers to help set up a scheduled visit. Makes the request to hospital administration -Thinks of ways which the request can be honored; collaborates with family to meet patient needs

-Uncomfortable with request; against policy Novice -Does not allow pets, but suggests an alternative, such as a picture Advanced Beginner -Offers to help set up a scheduled visit. Makes the request to hospital administration Expert Practitioner -Thinks of ways which the request can be honored; collaborates with family to meet patient needs Competent Practitioner

When Kelly is assigned to Mrs. Morris, what action might you expect her, as a novice nurse, to take in response to confusion and risk of falling? A. Request a sitter to stay with the patient B. Ask the family to take turns staying with the patient C.Instruct the family to bring familiar items from home D. Give the patient activities to do, such as folding washcloths

A. Request a sitter to stay with the patient

Which behavior characterizes critical thinking? -Ability to assess a situation globally -Ability to organize knowledge as separate facts -Strictly following step-by-step procedures -Emphasizing correct performance of procedure over patient response

Ability to assess a situation globally

A patient has an increased body temperature 24 hours after surgery. The nurse contacts the physician for an order for Tylenol to reduce the patient's fever. Which state of Brenner's nursing proficiency does this reflect? A. Expert B. Novice C. Proficient practitioner D. Competent practitioner

B. Novice

In what ways might the advances in technology in health care require nurses to think critically?(select 2) A. Instructing a patient on how to silence an IV pump alarm B. Providing instruction to a patient and family on use of a new technology, such as the home oxygen system C. Discussing alternatives to a Foley catheter with the healthcare team for a patient with urinary retention D. Ensuring that a complete, detailed list of patient medications is included in a patient's electronic medical record E. Turning and repositioning a patient who is on bed rest, to reduce the incidence of skin breakdown

B. Providing instruction to a patient and family on use of a new technology, such as the home oxygen system D. Ensuring that a complete, detailed list of patient medications is included in a patient's electronic medical record

Which are concerns that Kenneth should address when transitioning Mrs. Jones to care in the home? (select 3) A. Suggest that the family consider long-term care B. Identifying the power of attorney C. Cost of obtaining medications D. Ability to move around in her home safely E.Transportation to and from follow-up appointments

C. Cost of obtaining medications D. Ability to move around in her home safely E.Transportation to and from follow-up appointments

A nurse is assisting a patient with ambulation one day after surgery. Which might indicate critical thinking skills applied by an expert practitioner? A. Wait for the patient to complain of pain B. Ask the patient if he is feeling like walking C.Provide pain medication prior to ambulation and get a second person to assist D. Wait to administer pain medication until the patient asks for it

C.Provide pain medication prior to ambulation and get a second person to assist

Before discharging a patient, the nurse teaches the patient's family members how to change the patient's dressings. Which challenge is the nurse addressing? A. End-of-life care B. Cultural diversity C. New technologies D. Managing care cost

D. Managing care cost

Gwen, the expert nurse, is now assigned to Mrs. Morris. She finds Mrs. Morris in another patient's room. When Gwen asks her what is wrong, she says, "I think I forgot to check on the children." What intervention might be expected from Gwen? A.Obtain an order for restraints B.Obtain an order for medication to help with sleep C.Assist the patient back to her room and tell her she must stay there D.Move the patient closer to the nurses' station and encourage family to visit

D. Move the patient closer to the nurses' station and encourage family to visit

When discharging Mrs. Jones, Kenneth provides a list of cab services that offer transportation to seniors at a reduced rate. Which challenge in the life of many older adults does this address? A. End-of-life care B.Safety in the home C. High cost of health care D.Lack of access to resources

D.Lack of access to resources

Which action is an effective way of helping a novice nurse develop critical thinking skills? -Allow total independence to gain confidence -Pair the novice with a supportive, knowledgeable mentor -Provide reading material on critical thinking versus problem solving -Do not allow a novice nurse to make important patient care decisions

Pair the novice with a supportive, knowledgeable mentor