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Table of content
1: Critical Thinking, Clinical Judgment, and the Nursing Process
2: Evidence-Based Practice
3: Issues in Nursing Practice
4: Cultural Influences on Nursing Care
5: Complementary and Alternative Modalities
6: Nursing Care of Patients With Fluid, Electrolyte, and Acid–Base Imbalances
7: Nursing Care of Patients Receiving Intravenous Therapy
8: Nursing Care of Patients With Infections
9: Nursing Care of Patients in Shock
10: Nursing Care of Patients in Pain
11: Nursing Care of Patients With Cancer
12: Nursing Care of Patients Having Surgery
13: Nursing Care of Patients With Emergent Conditions and Disaster/Bioterrorism Response
14: Developmental Considerations and Chronic Illness in the Nursing Care of Adults
15: Nursing Care of Older Adult Patients
16: Patient Care Settings
17: Nursing Care of Patients at the End of Life
18: Immune System Function, Data Collection, and Therapeutic Measures
19: Nursing Care of Patients With Immune Disorders
20: Nursing Care of Patients With HIV and AIDS
21: Cardiovascular System Function, Data Collection, and Therapeutic Measures
22: Nursing Care of Patients With Hypertension
23: Nursing Care of Patients With Valvular, Inflammatory, and Infectious Cardiac or Venous Disorders
24: Nursing Care of Patients With Occlusive Cardiovascular Disorders
25: Nursing Care of Patients With Cardiac Arrhythmias
26: Nursing Care of Patients With Heart Failure
27: Hematologic and Lymphatic System Function, Data Collection, and Therapeutic Measures
28: Nursing Care of Patients With Hematologic and Lymphatic Disorders
29: Respiratory System Function, Data Collection, and Therapeutic Measures
30: Nursing Care of Patients With Upper Respiratory Tract Disorders
31: Nursing Care of Patients With Lower Respiratory Tract Disorders
32: Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Data Collection, and Therapeutic Measures
33: Nursing Care of Patients With Upper Gastrointestinal Disorders
34: Nursing Care of Patients With Lower Gastrointestinal Disorders
35: Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
36: Urinary System Function, Data Collection, and Therapeutic Measures
37: Nursing Care of Patients With Disorders of the Urinary System
38: Endocrine System Function and Data Collection
39: Nursing Care of Patients With Disorders of the Endocrine System
40: Nursing Care of Patients With Disorders of the Endocrine Pancreas
41: Genitourinary and Reproductive Systems Function and Data Collection
42: Nursing Care of Women With Reproductive System Disorders
43: Nursing Care of Male Patients With Genitourinary Disorders
44: Nursing Care of Patients With Sexually Transmitted Infections
45: Musculoskeletal Function and Data Collection
46: Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
47: Neurologic System Function, Data Collection, and Therapeutic Measures
48: Nursing Care of Patients With Central Nervous System Disorders
49: Nursing Care of Patients With Cerebrovascular Disorders
50: Nursing Care of Patients With Peripheral Nervous System Disorders
51: Sensory System Function, Data Collection, and Therapeutic Measures: Vision and Hearing
52: Nursing Care of Patients With Sensory Disorders: Vision and Hearing
53: Integumentary System Function, Data Collection, and Therapeutic Measures
54: Nursing Care of Patients With Skin Disorders
55: Nursing Care of Patients With Burns
56: Mental Health Function, Data Collection, and Therapeutic Measures
57: Nursing Care of Patients With Mental Health Disorders
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W&H 7e TB01-1
Chapter 1. Critical Thinking, Clinical Judgment, and the
Nursing Process
Multiple Choice
Identify the choice that best completes the statement or answers the
question.
1. The nurse is caring for a group of patients on a medical–
surgical unit. The licensed practical nurse/licensed vocational
nurse (LPN/LVN) assesses the patient experiencing a low
blood glucosefirst. Which process was needed to make this
decision?
1. Application of clinical judgment
2. Recommendation of the registered nurse (RN)
3. Understanding of what regulates blood glucose levels
4. Knowing the patient’s past medical history
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
Objective: 7. Explain the difference between critical thinking and clinical judgment.
Page: 2
Heading: Clinical Judgment
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Comprehension [Understanding]
Concept: Clinical Judgment
Difficulty: Difficult
Feedback
1 Clinical judgment is the observed outcome of critical thinking and decision
making. The nurse identified the patient at high risk and decided to assess this
person first.
2 The LPN/LVN needs to make clinical decisions independently from the RN.
3 Understanding the pathophysiology of the disease does not determine how
decisions are made.
4 Past medical history is important, but the current clinical cues will determine
prioritized nursing actions.
PTS: 1
CON: Patient-Centered Care
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W&H 7e TB01-2
2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ago for my
pain medication. You’re so worthless!” Which action by the nurse demonstrates intellectual
integrity?
1. Refusing to share details of the interaction with colleagues
2. Responding to the patient that the unlicensed assistive personnel (UAP) did not
communicate the information
3. Refusing to provide care for the patient
4. Getting the medication without saying another word
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
Objective: 4. Describe attitudes of good critical thinkers.
Page: 3
Heading: Critical Thinking Attitudes
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Feedback
1 This action demonstrates intellectual integrity, as the nurse refuses to speak
poorly about a patient’s behavior.
2 This action does not allow for accountability and places blame.
3 This action does not demonstrate the attitudes of critical thinking.
4 Nurses should not allow patients to demean them. The nurse should tell the
patient that they now have the opportunity to obtain the medication and will do
so.
PTS: 1
CON: Communication
3. The nurse is collecting data on a patient. Which data is considered cues?
1. Respiratory rate of 26 per minute
2. The doctor will be at the agency in 5 minutes
3. The patient has three daughters
4. The client prefers to use a bedpan rather than a commode chair
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
Objective: 2. Discuss why critical thinking and clinical judgment are essential in nursing.
Page: 4
Heading: Clinical Judgment Process
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
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Table of content
1: Critical Thinking, Clinical Judgment, and the Nursing Process
2: Evidence-Based Practice
3: Issues in Nursing Practice
4: Cultural Influences on Nursing Care
5: Complementary and Alternative Modalities
6: Nursing Care of Patients With Fluid, Electrolyte, and Acid–Base Imbalances
7: Nursing Care of Patients Receiving Intravenous Therapy
8: Nursing Care of Patients With Infections
9: Nursing Care of Patients in Shock
10: Nursing Care of Patients in Pain
11: Nursing Care of Patients With Cancer
12: Nursing Care of Patients Having Surgery
13: Nursing Care of Patients With Emergent Conditions and Disaster/Bioterrorism Response
14: Developmental Considerations and Chronic Illness in the Nursing Care of Adults
15: Nursing Care of Older Adult Patients
16: Patient Care Settings
17: Nursing Care of Patients at the End of Life
18: Immune System Function, Data Collection, and Therapeutic Measures
19: Nursing Care of Patients With Immune Disorders
20: Nursing Care of Patients With HIV and AIDS
21: Cardiovascular System Function, Data Collection, and Therapeutic Measures
22: Nursing Care of Patients With Hypertension
23: Nursing Care of Patients With Valvular, Inflammatory, and Infectious Cardiac or Venous Disorders
24: Nursing Care of Patients With Occlusive Cardiovascular Disorders
25: Nursing Care of Patients With Cardiac Arrhythmias
26: Nursing Care of Patients With Heart Failure
27: Hematologic and Lymphatic System Function, Data Collection, and Therapeutic Measures
28: Nursing Care of Patients With Hematologic and Lymphatic Disorders
29: Respiratory System Function, Data Collection, and Therapeutic Measures
30: Nursing Care of Patients With Upper Respiratory Tract Disorders
31: Nursing Care of Patients With Lower Respiratory Tract Disorders
32: Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Data Collection, and Therapeutic Measures
33: Nursing Care of Patients With Upper Gastrointestinal Disorders
34: Nursing Care of Patients With Lower Gastrointestinal Disorders
35: Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
36: Urinary System Function, Data Collection, and Therapeutic Measures
37: Nursing Care of Patients With Disorders of the Urinary System
38: Endocrine System Function and Data Collection
39: Nursing Care of Patients With Disorders of the Endocrine System
40: Nursing Care of Patients With Disorders of the Endocrine Pancreas
41: Genitourinary and Reproductive Systems Function and Data Collection
42: Nursing Care of Women With Reproductive System Disorders
43: Nursing Care of Male Patients With Genitourinary Disorders
44: Nursing Care of Patients With Sexually Transmitted Infections
45: Musculoskeletal Function and Data Collection
46: Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
47: Neurologic System Function, Data Collection, and Therapeutic Measures
48: Nursing Care of Patients With Central Nervous System Disorders
49: Nursing Care of Patients With Cerebrovascular Disorders
50: Nursing Care of Patients With Peripheral Nervous System Disorders
51: Sensory System Function, Data Collection, and Therapeutic Measures: Vision and Hearing
52: Nursing Care of Patients With Sensory Disorders: Vision and Hearing
53: Integumentary System Function, Data Collection, and Therapeutic Measures
54: Nursing Care of Patients With Skin Disorders
55: Nursing Care of Patients With Burns
56: Mental Health Function, Data Collection, and Therapeutic Measures
57: Nursing Care of Patients With Mental Health Disorders
TheNursingnotes
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TheNursingnotes
W&H 7e TB01-1
Chapter 1. Critical Thinking, Clinical Judgment, and the
Nursing Process
Multiple Choice
Identify the choice that best completes the statement or answers the
question.
1. The nurse is caring for a group of patients on a medical–
surgical unit. The licensed practical nurse/licensed vocational
nurse (LPN/LVN) assesses the patient experiencing a low
blood glucosefirst. Which process was needed to make this
decision?
1. Application of clinical judgment
2. Recommendation of the registered nurse (RN)
3. Understanding of what regulates blood glucose levels
4. Knowing the patient’s past medical history
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
Objective: 7. Explain the difference between critical thinking and clinical judgment.
Page: 2
Heading: Clinical Judgment
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Comprehension [Understanding]
Concept: Clinical Judgment
Difficulty: Difficult
Feedback
1 Clinical judgment is the observed outcome of critical thinking and decision
making. The nurse identified the patient at high risk and decided to assess this
person first.
2 The LPN/LVN needs to make clinical decisions independently from the RN.
3 Understanding the pathophysiology of the disease does not determine how
decisions are made.
4 Past medical history is important, but the current clinical cues will determine
prioritized nursing actions.
PTS: 1
CON: Patient-Centered Care
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W&H 7e TB01-2
2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ago for my
pain medication. You’re so worthless!” Which action by the nurse demonstrates intellectual
integrity?
1. Refusing to share details of the interaction with colleagues
2. Responding to the patient that the unlicensed assistive personnel (UAP) did not
communicate the information
3. Refusing to provide care for the patient
4. Getting the medication without saying another word
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
Objective: 4. Describe attitudes of good critical thinkers.
Page: 3
Heading: Critical Thinking Attitudes
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Feedback
1 This action demonstrates intellectual integrity, as the nurse refuses to speak
poorly about a patient’s behavior.
2 This action does not allow for accountability and places blame.
3 This action does not demonstrate the attitudes of critical thinking.
4 Nurses should not allow patients to demean them. The nurse should tell the
patient that they now have the opportunity to obtain the medication and will do
so.
PTS: 1
CON: Communication
3. The nurse is collecting data on a patient. Which data is considered cues?
1. Respiratory rate of 26 per minute
2. The doctor will be at the agency in 5 minutes
3. The patient has three daughters
4. The client prefers to use a bedpan rather than a commode chair
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
Objective: 2. Discuss why critical thinking and clinical judgment are essential in nursing.
Page: 4
Heading: Clinical Judgment Process
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
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