NMNC 1110 EXAM 5 QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026

NMNC 1110 EXAM 5 QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026 Define Clinical Reasoning - Answers The ability to focus and filter clinical data to recognize what is MOST and LEAST important - Used filtered data to identify the actual problem that is present. When using clinical reasoning, are you filtering subjective or objective information? - Answers Both What is another word for Clinical Reasoning? - Answers Critical Thinking How is Clinical Reasoning/Critical Thinking developed in terms of education? - Answers An RN develops clinical reasoning/critical thinking through knowledge obtained in school and their responsibility to stay up to date on the best available evidence (information) How is Clinical Reasoning/Critical Thinking developed in terms of time/experience? - Answers Over time, the ability to filter information improves as the RN gains more experience ↑ Time ↑ Experience ↑ Clinical Reasoning/Critical Thinking Ability Define Intuitive Reasoning - Answers Byproduct of knowledge and experience allows a nurse to automatically respond or know what to do in situations, having exposure to similar past experiences When the RN knows something without specific evidence Combo of knowledge and experience What type of reasoning is most likely to be used by an experienced nurse who is new to a nursing specialty and a novice nurse? - Answers Analytic Reasoning Example of Analytic Reasoning - Answers When a veteran nurse in a new speciality, seeks help from a nurse familiar with the specialty, to assure they are performing actions correctly. What reasoning process does a novice nurse rely on? How is this helpful to an experienced nurse? - Answers A novice graduate nurse tends to rely on analytic reasoning process, consider different possibilities, and deduce the solution - Uses the most up to date data An experienced nurse who may not have time to keep up with the most up to date information, they will welcome latest information from a novice nurse What are the two sub-forms of Clinical Reasoning? - Answers Analytic and Intuitive Reasoning What are Critical Thinking Indicators? - Answers Being honest and Up-right Looking for the truth, even when the truth is not positive Demonstrating integrity Adhering to moral and ethical standards Admit flaws when they occur Flexible Proactive Prudent Seeking help when it is needed Admitting when we need help Open to changing our mind What are barriers to developing critical thinking skills? - Answers Environment Interruptions Time Pressures Tax complexity How is the environment a barrier to development of critical thinking skills? - Answers Influences what a nurse notices Demanding environments of care add increased burden on making clinical judgments - Can interfere with competent clinical judgment How are interruptions a barrier to development of critical thinking skills? - Answers RN can forget important facts Thoughts can become distracted What example of a way organizations try to prevent medication errors? - Answers Medication room allows RN to close the door, increasing concentration, and decreasing the chance of a mistake being made How are time pressures a barrier to development of critical thinking skills? - Answers Less time available to make a decision Increases potential for clinical judgments errors and the chance to commit an error or mistake How is tax complexity a barrier to development of critical thinking skills? - Answers When faced with complicated patient situations, clinical judgments are challenged As the complexity of the situation increases, an RN's ability to critically think is decreased How can organizations avoid tax complexity affecting an RN's critical thinking skills? - Answers Equally distribute or share patients with high complexity or multiple needs What are factors that can affect clinical judgment? - Answers Experience level (Novice or expert) Knowledge base Environment Fatigue Stress Patient complexity Communication barriers Biases and assumptions Confidence level Availability of resources or support Define Reflection In Action - Answers Happens in real time Example of Reflection In Action - Answers Giving a medication - The patient refuses a medication because it is going to drop their BP too low, causing them to become sick When a patient refuses a medication, investigate why they do not want to take it - Use blood sugar trends - Ask the patient how often they skip their medication Chart why the medication is being refused Contact the provider Define Reflection On Action - Answers Happens after the patient care occurs Examples of Reflection On Action - Answers You're on your way home thinking about what could have done better As you're leaving the room, you wonder if that was the right intervention to do What are the 4 parts o the Tanner's Model of Clinical Judgment? - Answers Noticing Interpreting Responding Reflecting Define Noticing - Answers Noticing things about a patient in the context of the nurse's background and experience, context of the environment, and knowing the patient. Looking for patterns that are consistent with previous experiences and use of that information to guide care. Example of Noticing - Answers Vitals (BP, Blood glucose, O2 Sat, Respiration) are taken, there is hyperventilation present. The Pt is breathing at an increased and deep rate. The Pt's blood glucose is 300, following analysis of the lab results, their potassium is low. There is a relationship between blood glucose and potassium - When one is high, the other is low Define Interpreting - Answers Process of assembling information to make sense of it. Types of reasoning patterns tend to vary with the experience of the nurse. What reasoning patterns will an expert nurse draw from? - Answers Analytic Intuitive Narrative Example of Interpreting - Answers The patient is a diabetic, they are taking a non-potassium sparing diuretic, and their lab work is showing low potassium levels.