Critical Thinking in Nursing Practice | Nursing Test Banks.

Critical Thinking in Nursing Practice | Nursing Test Banks. NR224 CRITICAL THINKING IN NURSING PRACTICE. Which action should the nurse take when using critical thinking to make clinical decisions? a. Make decisions based on intuition. b. Accept one established way to provide care. c. Consider what is important in a given situation. d. Read and follow the heath care provider’s orders. ANS: C A critical thinker considers what is important in each clinical situation, imagines and explores alternatives, considers ethical principles, and makes informed decisions about the care of patients. Patient care can be provided in many ways. The use of evidence-based knowledge, or knowledge based on research or clinical expertise, makes you an informed critical thinker. Following health care provider’s orders is not considered a critical thinking skill. If your knowledge causes you to question a health care provider’s order, do so. DIF:Understand (comprehension)REF:196 | 205 OBJ iscuss a nurse’s responsibility in making clinical decisions. TOP:ImplementationMSC:Management of Care 10/15/2016 Chapter 15: Critical Thinking in Nursing Practice | Nursing Test Banks 2. Which patient scenario of a surgical patient in pain is most indicative of critical thinking? a. Administering pain-relief medication according to what was given last shift b. Oᴀ洅ering pain-relief medication based on the health care provider’s orders c. Asking the patient what pain-relief methods, pharmacological and nonpharmacological, have worked in the past d. Explaining to the patient that self-reporting of severe pain is not consistent with the minor procedure that was performed ANS: C Asking the patient what pain-relief methods have worked in the past is an example of exploring many options for pain relief. Nonpharmacological pain-relief methods are available, as are medications for pain. Administering medication based on a previous assessment is not practicing according to standards of care. The nurse is to conduct an assessment each shift on assigned patients and intervene accordingly. Pain is subjective. The nurse should oᴀ洅er pain-relief methods based on the patient’s reports without being judgmental. DIF:Apply (application)REF:202 | 205 OBJ iscuss a nurse’s responsibility in making clinical decisions. TOP: Evaluation MSC: Basic Care and Comfort 3. Which action indicates a registered nurse is being responsible for making clinical decisions? a. Applies clear textbook solutions to patients’ problems b. Takes immediate action when a patient’s condition worsens c. Uses only traditional methods of providing care to patients d. Formulates standardized care plans solely for groups of patients ANS: B 10/15/2016 Chapter 15: Critical Thinking in Nursing Practice | Nursing Test Banks Registered nurses are responsible for making clinical decisions to take immediate action when a patient’s condition worsens. Patient care should be based on evidence-based practice, not on tradition. Most patients have health care problems for which there are no clear textbook solutions. Care plans should be individualized for each patient, not just for groups. DIF:Understand (comprehension)REF:195-196 OBJ iscuss the nurse’s responsibility in making clinical decisions. TOP:ImplementationMSC:Management of Care 4. A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates the charge nurse needs to intervene? a. Making an ethical clinical decision b. Making an informed clinical decision c. Making a clinical decision in the patient’s best interest d. Making a clinical decision based on previous shift assessments ANS: D The charge nurse must intervene when the nurse is using previous shift assessments to make a decision; this is inappropriate. Nurses are responsible for assessing their own patients to make decisions. Making informed, ethical decisions in the patient’s best interest is practicing responsibly and does not need follow-up from the charge nurse. DIF:Understand (comprehension)REF:200 | 203 OBJ iscuss a nurse’s responsibility in making clinical decisions. TOP:EvaluationMSC:Management of Care 5. Which action demonstrates a nurse utilizing reᴀ밄ection to improve clinical decision making? a. Obtains data in an orderly fashion 10/15/2016 Chapter 15: Critical Thinking in Nursing Practice | Nursing Test Banks b. Uses an objective approach in patient situations c. Improves a plan of care while thinking back on interventions eᴀ洅ectiveness d. Provides evidence-based explanations and research for care of assigned patients ANS: C Reᴀ밄ection utilizes critical thinking when thinking back on the eᴀ洅ectiveness of interventions and how they were performed. It involves purposeful thinking back or recalling a situation to discover its purpose or meaning. The other options are not examples of reᴀ밄ection but do represent good nursing practice. Using an objective approach and obtaining data in an orderly fashion do not involve purposefully thinking back to discover the meaning or purpose of a situation. Providing evidence-based explanations for nursing interventions does not always involve thinking back to discover the meaning of a situation. DIF:Apply (application)REF:196-197 OBJ: Discuss how reᴀ밄ection improves a nurse’s capacity for making future clinical decisions. TOP:ImplementationMSC:Management of Care 6. A nursing instructor needs to evaluate students’ abilities to synthesize data and identify relationships between nursing diagnoses. Which learning assignment is best suited for this instructor’s needs?