ACTUAL Exam Questions and
CORRECT Answers
Enculturation - CORRECT ANSWER - The social process by which culture is learned and
transmitted across generations
Ethnocentrism - CORRECT ANSWER - Belief in the superiority of one's nation or ethnic
group.
stereotype - CORRECT ANSWER - a fixed idea or conception of a character or an idea which
does not allow for any individuality, often based on religious, social, or racial prejudices.
prejudice - CORRECT ANSWER - devaluing a group because of its assumed behavior,
values, capabilities, or attributes
Discrimination - CORRECT ANSWER - policies and practices that harm a group and its
members
race - CORRECT ANSWER - Identity with a group of people descended from a common
ancestor.
Racism - CORRECT ANSWER - Belief that one race is superior to another
Acculturation - CORRECT ANSWER - The adoption of cultural traits, such as language, by
one group under the influence of another.
Assimilation - CORRECT ANSWER - is the process by which on individuals from one
cultural group merge with, or blend into, a second group (sometimes referred to the melting pot)
,clinical judgement - CORRECT ANSWER - an interpretation or conclusion about a patient's
needs, concerns, or health problems, and/or the decision to take action (or not), use or modify
standard approaches, or improvise new ones as deemed appropriate by the patient's response
clinical reasoning - CORRECT ANSWER - the thinking process by which a nurse reaches a
clinical judgement
clinical thinking - CORRECT ANSWER - ability to "think" in a systematic logical manner,
being open to questions & reflecting on reasoning processes
decision - CORRECT ANSWER - our outcomes
interpretation - CORRECT ANSWER - analyze data (subjective & objective, to come to an
understanding
inference - CORRECT ANSWER - making decisions or forming opinions
standards-based approach - CORRECT ANSWER - decision-making from a rules-based
approach-based on best practices (uses algorithms, guidelines, decision trees, etc.-limits creative,
patient-centered interventions)
evidence-based practice and clinical judgement - CORRECT ANSWER - practices,
guidelines, etc, based on research, that direct and /or impact clinical judgement-should nurses
questions EBP-YES!
Interpretivist Perspective - CORRECT ANSWER - more "intuitive" respects understood
knowledge, inductive, "consideration of multiple factors"
clinical judgement process - CORRECT ANSWER - 1. Noticing
2. Interpreting
3. Responding
, 4. Reflecting
noticing - CORRECT ANSWER - A nurse notices things about a patient in the context of the
nurse's background and experience, context of environment, and knowing the patient.
A nurse is looking for patterns that are consistent with previous experiences and uses that
information to guide care.
interpreting - CORRECT ANSWER - Interpreting is the process of assembling information to
make sense of it.
Types of reasoning patterns tend to vary with the experience of the nurse:
-Novice nurses tend to rely on analytic reasoning.
-Expert nurses draw from a variety of reasoning patterns; analytic, intuitive, and narrative.
responding - CORRECT ANSWER - Responding is the implementation of actions and
interventions, based on patient needs.
Depending on the level of expertise, the nurse may or may not be able to judge the effectiveness
of the intervention before initiating it.
Reflecting - CORRECT ANSWER - Reflecting is the process of thinking and learning from
experiences.
-Reflection-in-action happens in real time while care is occurring.
-Reflection-on-action happens after the patient care occurs.
Reflecting is critical for development of knowledge and improvement in reasoning.