Ch. 2 Clinical Judgement

A nurse who is newly employed at a hospital questions a standard of client care that does not seem to follow evidence-based practice. Which critical thinking attitude is the nurse demonstrating? A. Intellectual autonomy B. Intellectual humility C. Intellectial courage D. Fair-mindedness

A. Intellectual autonomy

Which of the nurse's questions demonstrates critical thinking? A. "Have I gathered enough data to make a decision?" B. "Where do I document my findings?" C. "When does the nursing intervention need to be performed?" D. "What assessments must be done?"

A. "Have I gathered enough data to make a decision?"

Which statement best reflects a critical-thinking philosophy? A. "Think about different interventions that can be used with this client." B. "Dig deeper until you reach a single solution." C. "Dont rely on subjective information; use objective analysis to determine the best protocol." D. "Trust your gut and go with what you know to be correct."

A. "Think about different interventions that can be used with this client."

Which is the best example of intellectual courage? A. A nurse fairly examines their own values and beliefs even when uncomfortable. B. A nurse does not jump to conclusions right away but thinks through all the options before acting. C. A nurse admits they do not have all the answers and is will to as for assistance from others. D. A nurse tries to understand the feelings of other people and visualize a situation from their vantage points.

A. A nurse fairley examines their own values and beliefs even when uncomdortable.

Which action made by the nurse indicates the use of clinical judgment? A. Analyzing a client's temperature changes and assessing for signs of infection B. Fillion out food selections on the menu with the client to determine food preferences C. Ensuring the bed is in a low and locked position and the call light is in reach prior to leaving the client's room D. Askin the client to verify their name and date of birth prior to medication administration.

A. Analyzing a client's temperature changes and assessing for signs of infection.

Which nursing action reflects the nurse assisting the client in enabling as a component of caring? A. Bathing and dressing the client B. Making eye contact with the client C. Providing encouragement to a client with a new amputation D. Listening to the client's feelings about the amputation

A. Bathing and dressing the client

What is the process of noticing? A. Developing an impression of the client situation based on the nurse's expectation, knowledge, and past experiences B. The course of action taken by the nurse C. The process of examining the actions implemented D. The reasoning process nurses use to make send of the intial clinical situation

A. Developing an impression of the client situation based on the nurse's expectation, knowledge, and past experiences

A nurse with several years of experience in the intensive care unit obtains a new job in the newborn nursery at the healthcare facility. Which critical-thinking attitude would be best for the nurse to employ in this new setting when asking for guidance? A. Intellectual humility B. Intellectual empathy C. Fair-mindedness D. Intellectual courage

A. Intellectual humilty

A nurse is instructing nursing students about incorporating critical thinking into client care. Which attributes should the nurse include during this lesson? Select all that apply. A. Need to find the truth B. Openness to other options C. Use of reasoned thinking D. Capacity to reflect on situations E. Ability to delegate tasks to others F.. Ability to convey important information

A. Need to find the truth B. Openness to other options C. Use of reasoned thinking D. Capacity to reflect on situations

Which nursing action is part of the evaluation phase when performing wound care for a client? A. Obtaining wound measurements once a week B. Irrigating the wound with normal saline C. Observing the drainage of the fresh wound D. Discussing goals for wound management

A. Obtaining wound measurements once a week

College courses, such as microbiology and human growth and development, present content that is considered part of theoretical nursing knowledge. A. True B. False

A. True

Which critical-thinking skills will a nurse utilize when reviewing the health record of a new client to prepare a nursing diagnosis? Select all that apply. A. Visualizing potential solutions to a problem B. Prioritizing or ranking data as needed C. Thinking independently with curiosity and perserverance D. Separating relevent from irrelevant date E. Document assessment findings in the health record

A. Visualized potential solutions to a problem B. Prioritizing or ranking data as needed D. Separating relevant from irrelevant data

Which is the best example of intellectual perserverance? A. A nurse fairly examines their own values and beliefs even when uncomfortable. B. A nurse does not jump to conclusions right away but thinks through all the options before acting. C. A nurse admits they do not have all the answers and is will to as for assistance from others. D. A nurse tries to understand the feelings of other people and visualize a situation from their vantage points.

B. A nurse does not jump to conclusions right away but thinks through all the options before acting.

The nurse enters a client's room to obtain a fasting blood glucose reading and notices the breakfast tray is in front of the client. Which action best indicates the nurse using critical thinking? A. Obtaining the blood glucose reading and documenting the client is halfway through breakfast. B. Asking the client if they have eaten any food yet. C. Deferring the blood glucose reading until the next time it is scheduled. D. Notifying the healthcare provider that the client has eaten prior to the blood glucose reading

B. Asking the client if they have eaten any food yet.

A nurse receives an order to deliver a unit of blood if the client's hemoglobin falls below 7.0 g/dL. The nurse enters the room to obtain consent and the client says, "I choose not to take blood; it's not supported by my religion." The nurse makes a note and does not deliver the blood. Which aspect of critical thinking is this nurse using to guide client care? A. Client's roles B. Client's culture C. Individual differences D. Multiple and varying concerns

B. Client's culture

An older adult client is thinking about several treatment options for a new diagnosis of cancer. The client's family is strongly encouraging the client to take the most aggressive medications despite the client's hesitation. The nurse is asked to provide an opinion. Which critical-thinking attitude should the nurse present? A. Independent thinking B. Fair-mindedness C. Intellectural empathy D. Intellectual courage

B. Fair-mindedness

A nurse is ambulating a client in the hallway who says, "I feel a little dizzy." The nurse immediately grabs a chair and slides it behind the client, having him sit down. According to Tanner's Model of Clinical Judgment, which reasoning skill is the nurse using after hearing this statement? A. Analytical reasoning B. Intuitive reasoning C. Narrative reasoning D. Reflection-in-action

B. Intuitive reasoning

Which nursing action is part of the implementation phase when performing wound care for a client? A. Obtaining wound measurements once a week B. Irrigating the wound with normal saline C. Observing the drainage of the fresh wound D. Discussing goals for wound management

B. Irrigating the wound with normal saline

Which nursing action reflects the nurse being with the client as a component of caring? A. Bathing and dressing the client B. Making eye contact with the client C. Providing encouragement to a client with a new amputation D. Listening to the client's feelings about the amputation

B. Making eye contact with the client

Which is the best example of intellectual humility? A. A nurse fairly examines their own values and beliefs even when uncomfortable. B. A nurse does not jump to conclusions right away but thinks through all the options before acting. C. A nurse admits they do not have all the answers and is will to as for assistance from others. D. A nurse tries to understand the feelings of other people and visualize a situation from their vantage points.

C. A nurse admits they do not have all the answers and is willing to ask for assistance.

A nurse is working in a healthcare facility with a protocol stipulating that clients with pneumonia should turn, cough, and deep breathe. This nurse is assigned to care for a client admitted with pneumonia but does not encourage the client to cough because the client also has esophageal varices from cirrhosis. Which aspect of critical thinking is this nurse using to guide client care? A. Client's roles B. Client's culture C. Individual differences D. Multiple and varying concerns

C. Individual differences

Which nursing action is part of the assessment phase when performing wound care for a client? A. Obtaining wound measurements once a week B. Irrigating the wound with normal saline C. Observing the drainage of the fresh wound D. Discussing goals for wound management

C. Observing the drainage of the fresh wound

Which nursing action reflects the nurse assisting the client in maintaining belief as a component of caring? A. Bathing and dressing the client B. Making eye contact with the client C. Providing encouragement to a client with a new amputation D. Listening to the client's feelings about the amputation

C. Providing encouragement to a client with a new amputation

The most correct definition of critical thinking is: A. A problem-solving process that enables one to show others they are wrong B. An examination of one's own beliefs in order to defend them intelligently C. Purposeful, analytical thinking that results in a reasoned decision D. Rational thinking that results in obtaining the one correct answer

C. Purposefule, analytical thinking that results in a reasoned decision

Which is the best example of intellectual empathy? A. A nurse fairly examines their own values and beliefs even when uncomfortable. B. A nurse does not jump to conclusions right away but thinks through all the options before acting. C. A nurse admits they do not have all the answers and is will to as for assistance from others. D. A nurse tries to understand the feelings of other people and visualize a situation from their vantage points.

D. A nurse tries to understand the feelings of other people and visualize a situation from thier vantage points.

Which nursing action is part of the planning outcomes phase when performing wound care for a client? A. Obtaining wound measurements once a week B. Irrigating the wound with normal saline C. Observing the drainage of the fresh wound D. Discussing goals for wound management

D. Discussing goals for wound management

Which nursing action reflects the nurse assisting the client in knowing as a component of caring? A. Bathing and dressing the client B. Making eye contact with the client C. Providing encouragement to a client with a new amputation D. Listening to the client's feelings about the amputation

D. Listening to the client's feelings about the amputation

Which type of nursing knowledge requires an understanding of the pathophysiology of the disease process, medical treatment, and client and family factors? A. Practical knowledge B. Self knowledge C. Ethical knowledge D. Theoretical knowledge

D. Theoretical knowledge