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ATI Critical Thinking Exam questions correctly answered latest 2023

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ATI Critical Thinking Exam questions correctly answered latest 2023Clinical Decision Making Process 1. Identifying that a client issue or problem exists. 2. Analyzing and interpreting relevant data. 3. Making inferences based on this interpretation. 4. Listing all possible actions that could be taken. 5. Evaluating each action. 6. Selecting the best action. Foundational Thinking the ability to recall and comprehend information and concepts foundational to quality nursing practice. Recalling information involves being able to retrieve previously learned knowledge. Comprehending knowledge involves being able to understand the knowledge retrieved and verbalize or use it in some manner. Critical Thinking the term given to the thinking skills used when analyzing client issues and problems. These thinking skills include interpretation, analysis, evaluation, inference and explanation. They are used to facilitate a critical analysis of the client problem or issue and subsequently determine the most appropriate action to take. Maslow's Hierarchy of Needs (level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization (the highest priority needs are those necessary for survival and make up the foundation of the triangle) Nursing Process a five-step systematic method for giving patient care; involves (1) assessment/data collection, (2) analysis (when used by RNs), (3) planning, (4) implementation, and (5) evaluation. ABC's airway, breathing, circulation, critical for survival, an alteration in one of these areas could indicate a threat to life or a need for resuscitation. Safety and Risk Reduction Framework assigns priority to the factor or situation that poses the greatest safety risk to the client. It also assigns priority to the factor or situation that poses the greatest risk to the client's physical and or psychological well-being. When a client is facing several risks, the one that poses the greatest threat to the client as compared to the other risks is the one that is deemed the highest priority. Least Restrictive/Least Invasive -Select interventions that maintain client safety while posing the least amount of restriction to the client. **For example, if a client w/a high fall risk index is getting out of bed w/o assistance, move the client closer to the nurses' work area rather than choosing to apply restraints. -Select interventions that are the least invasive. **For example, bladder training for the incontinent client is better option than an indwelling catheter. Survival Potential -Use this framework for situations in which health resources are extremely limited (mass casualty, disaster triage) -give priority to clients who have a reasonable chance of survival with prompt intervention. **Clients who have a limited likelihood of survival even with intense intervention are assigned the lowest priority. Acute vs. Chronic acute needs are usually given priority as they may pose more of a threat to the client. Chronic needs usually develop over a period of time giving the body the opportunity to adjust to the alteration in health and are usually considered to be a lower priority. Urgent vs Nonurgent Urgent needs are usually given priority because they pose more of a threat to the client. Some needs fall into the urgent category because they relate to an intervention that needs to be done within a prescribed time frame. When caring for a group of clients, attend to the client with the most urgent need first Unstable vs Stable Unstable clients are given priority because they have needs that pose a threat to the client's survival. Oftentimes, the client need that is life-threatening involves his or her airway, breathing, and/or circulatory status. Clients whose vital signs or laboratory values indicate a client may be at risk for becoming unstable should also be considered a higher priority than clients who are stable. Positively Worded Question Which of the following is an appropriate action by the nurse? A worded question that asks you to select the option that correctly answers the question posed. Negatively Worded Question Which of the following indicates a need for further teaching? OR Which of the following would not be an appropriate nursing action? A worded question that asks you to select the option that indicates an incorrect action by the nurse. Priority-Setting Question Which of the following is the priority finding during the assessment of the client? A question that asks you to determine the best, first, or highest-priority action or finding based on a priority-setting framework. Person of focus The stem is the person who is the focus of nursing care in the scenario. This may be the client, a family member, a community or group, or another nurse. It is important to determine because it may influence which option is the correct option. Distractors wrong answers offered as choices in a multiple choice item, should be viable, which means that all of the options are actions that would be appropriate for the nurse to take but one action is the first or priority action or response by the nurse based on a priority-setting framework Test-Taking Skill Carefully read the scenario for the item, identify the person of focus, determine what the question is asking, and identify what type of question is being asked. This means is it a positively or negatively worded question or a priority-setting question. And don't forget to identify the stem's keywords and refer back to them when reading the item's options. Finally, use a method for eliminating incorrect options. Eliminating Incorrect Options #1 First, read all options carefully and assign a code to each option. Assign a plus sign to options that are probably correct, assign a minus sign to options that are probably incorrect, and assign a question mark to options that are *possibly correct. If any part of an option is incorrect, assign a minus sign. Eliminating Incorrect Options #2 Then, interpret the assigned codes disregarding any options for which you assigned a minus sign. For options that you assigned a plus sign or question mark use the following guidelines to interpret your coding. + and ? = + + and ?? = + + and ??? = + Eliminating Incorrect Options #3 When selecting the correct option ALWAYS GO WITH WHAT YOU KNOW and select the option you assigned a plus sign!!! Don't try to second-guess yourself. Even if you are not sure which is the correct option, go with what you know and make your best guess based on this coding system. Appropriate Priority-Setting Framework There are keywords that should clue you in to the fact that the question in the stem is asking for the priority answer. Some of these words include first, next, priority action or finding, most important, best, and immediate. Critically reading the stem of the item while looking for keywords will help you select the most appropriate priority-setting framework for the

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