Critical Thinking in Nursing Practice
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1. Which of the following best reflects the philosophy of critical
thinking as taught by a nurse educator to a nursing student?
1. "Think about several interventions that you could use with this
client."
2."Don't draw subjective inferences about your client—be more
objective."
3."Please think harder—there is a single solution for which I am
looking."
4."Trust your feelings—don't be concerned about trying to find a
rationale to support your decision."
Ans: 1
The nurse educator is asking the student to synthesize critical
thinking skills by encouraging the student to examine
alternatives to meet the client's unique needs within the
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context of the nursing process. Drawing inferences is a specific
critical thinking competency used in diagnostic reasoning. The
educator who tells the student not to draw inferences is not
allowing the student to practice competencies necessary for
specific critical thinking in clinical situations. The critical
thinker will look beyond a single solution to a problem. Intuition
develops as one's clinical experience increases. The nursing
student should examine
The second component of critical thinking in the "critical thinking
model" is:
1. Experience
2. Competencies
3. Specific knowledge
4. Diagnostic reasoning
Ans: 1
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Experience is the second component of critical thinking in the
"critical thinking model." The third component of the "critical
thinking model" is competencies. Specific knowledge base is
the first component of the "critical thinking model." Diagnostic
reasoning is a specific critical thinking competency in clinical
situations.
The nurse enters the room of a client who has a history of heart
disease. On looking at the client, the nurse feels that something is "not
right" with the client and proceeds to take the vital signs. This is the
nurse acting on:
1. Intuition
2. Reflection
3. Knowledge
4. Scientific methodology
Ans: 1
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Intuition is an inner sensing that something is so, as in this
example. Reflection is the process of purposefully thinking back
or recalling a situation to discover its purpose or meaning.
Knowledge of the nurse includes information and theory from
the basic sciences, humanities, behavioral sciences, and
nursing. Scientific methodology is an approach to seeking the
truth or verifying that a set of facts agrees with reality.
The nurse manager has developed a staff protocol for peer evaluation.
The nurses on her surgical unit are nervous about using her instrument.
If the nurse manager continues to implement the new strategy, which
of the following critical thinking attitudes is she portraying?
1.Humility
2.Risk-taking
3.Accountability
4.Independent thinking
Ans: 2
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