COMPREHENSIVE QUESTIONS AND ANSWERS
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✔✔Alfaro-LeFevre's 4-Circle Critical Thinking Model - Theoretical & Experiential
Knowledge Intellectual Skills / Competencies - ✔✔Take responsibility and seek out
learning experiences to help you get the theoretical and experiential knowledge to think
critically. Practice intellectual skills such as assessing systematically and
comprehensively. Just as practicing physical skills improves your ability to perform
physically, practicing thinking skills improves your ability to perform intellectually.
✔✔Alfaro-LeFevre's 4-Circle Critical Thinking Model - Interpersonal skills/
Competencies - ✔✔Gain interpersonal skills such as teamwork, resolving conflict, and
being an advocate. Keep in mind that "being too nice" problems (eg. not giving
constructive criticism because of concerns of not offending someone) can be as bad as
"not being very nice" problems (eg. demonstrating arrogance, sarcasm, and or
intolerance of other ways of doing things). Learn how to give and take feedback. To
improve you must get through the negative aspects of criticism.
✔✔Alfaro-LeFevre's 4-Circle Critical Thinking Model - Technical Skills / Competencies -
✔✔Practice related technical skills (eg. Using computers, managing IV's). Until these
skills become like second nature's, they create "brain drain" making it difficult to focus
on other important things such as monitoring patient responses to care.
✔✔Socratic questions to use in critical analysis. - ✔✔•Questions about the decision or
problem. eg. Is this question clear, understandable and correctly identified?
•Questions about assumptions. eg. Does this assumption always hold true?
•Questions about point of view. eg. Can you see this any other way?
•Questions about evidence and reasons. eg. Is there any reason to doubt the evidence?
•Questions about implications and consequences. eg. What are the alternatives?
✔✔Applying Critical Thinking to Nursing Practice - ✔✔Problem solving
, • Trial and error
• Intuition
• Clinical Judgement
• Research process
✔✔Responding to Changes in the Clients Condition (Components of Clinical
Reasoning) - ✔✔By closely monitoring and comparing any changes from previous
assessment data, the nurse is able to recognize a change in status that may prevent an
adverse outcome.
✔✔Questions to Develop Clinical Reasoning - ✔✔
✔✔ Critical Thinking - ✔✔the process of intentional higher level thinking to define a
client's problem, examine the evidence-based practice in caring for the client, and make
choices in the delivery of care.
✔✔Clinical Reasoning - ✔✔is the cognitive process that uses thinking strategies to
gather and analyze client information, evaluate the relevance of the information, and
decide on possible nursing actions to improve the client's physiological and psycho
social outcomes
✔✔Creativity - ✔✔is thinking that results in the development of new ideas and products
✔✔Opinion (Differentiating Types of Statements) - ✔✔Beliefs formed over time; include
judgments that may fit facts or be erroneous
✔✔Cognitive processes (components of clinical reasoning) - ✔✔the thinking processes
based on the knowledge of aspects of client care
✔✔Nursing process (Applying Critical Thinking to Nursing Practice) - ✔✔is a
systematic, rational method of planning and providing individualized nursing care
✔✔Decision-Making Process - ✔✔1) Prioritizing care when providing care to many
clients
2) Deciding whether client's condition can be managed in the home or requires
hospitalization
✔✔Independence (Attitudes that Foster Critical Thinking) - ✔✔requires that individuals
think for themselves
✔✔The client who is short of breath benefits from the head of the bed being elevated.
Because this position can result in skin breakdown in the sacral area, the nurse decides
to study the amount of sacral pressure occurring in other positions. What decision
making is the nurse engaging in?
1. The research method