NURSING COMPETENCIES EXAM 2
QUESTIONS WITH VERIFIED ANSWERS
The use of standard formal nursing diagnostic statements serves several purposes in
nursing practice, including which of the following? (Select all that apply.)
-Defines a patient's problem, giving members of the health care team a common
language for understanding the patient's needs
- Allows physicians and allied health staff to communicate with nurses how they provide
care among themselves
-Helps nurses focus on the scope of nursing practice
-Creates practice guidelines for collaborative health care activities
-Builds and expands nursing knowledge - Answer-Correct:
Defines a patient's problem, giving members of the health care team a common
language for understanding the patient's needs
Helps nurses focus on the scope of nursing practice
Builds and expands nursing knowledge
knowledge base - Answer-NOT experience or policy and procedure manuals
IS reading current evidence from literature
holistic vie of patient needs
application of nursing theory
making decisions about a group of patients: - Answer-combine activities to resolve more
than one patient problem
consider use of assistive personnel
analyze diagnoses/problems and decide which are most urgent based on patient needs
What separates RNs from technicians? - Answer-clinical decision making: making
decisions on the basis of clinical information
What involves open-mindedness, continual inquiry, and perseverance, combined with a
willingness to look at each unique patient situation and determine which identified
assumptions are true and relevant? - Answer-Critical thinking
The use of ______ ______ ______ makes you an informed critical thinker. - Answer-
evidence based knowledge
Why is the care provided by a nurse who applies critical thinking better than the care
provided by a nurse that doesn't? - Answer-The nurse is better able to (1) anticipate the
patient's needs, (2) identify comfort problems, and (3) offer appropriate care
No critical thinking = carelessly formed quick solutions
What are concepts for a critical thinker? - Answer-truth seeking
open-mindedness
, analyticity (anticipate potential results/consequences, value reason, use EBP)
systematicity (head-to-toe assessments--organized, focused work hard in inquiry)
self-confidence
inquisitiveness
maturity (multiple solutions acceptable--reflect on your own judgments)
What process involves turning over a subject in the mind and thinking about it seriously
(purposeful thinking back or recalling a situation to discover its purpose or meaning)? -
Answer-reflection
What level of thinking follows procedures verbatim (no adjustments) and answers are
only right or wrong (only one right answer)? - Answer-basic critical thinking (level 1
nurses)
Complex critical thinkers differ from commitment thinkers how? - Answer-Complex =
begin to separate from experts opinion only and use analysis + independent thinking
more; realize conflicting solutions exist
Commitment = ANTICIPATE when to make choices without assistance from other and
ACCEPT responsibility for decisions made--choose action + support it (risk takers)
diagnostic reasoning - Answer-assigning meaning to the behaviors and physical signs
and symptoms presented by a patient
- begins when you first interact with the patient
What is inference and what type of reasoning is it apart of? - Answer-drawing a
conclusion from a different little pieces of information (patient reports dyspnea, night
sweats, fever, weight loss, and 2 years in India without TB skin test = possible TB
infection)
Clinical decision making must include ____ ____ ______ in order the patient to feel
cared about. - Answer-knowing the patient
What is clinical decision making?
a. choosing the options for the best patient outcomes on the basis of a patient's
condition and the priority of the problem
b. a five step nursing process that requires a nurse to use the general and specific
critical thinking competencies
c. a methodical way to solve problems using reasoning used when testing research
questions
d. purposeful think back or recalling a situation to discover its purpose or meaning -
Answer-Answer = A
B. nursing process
C. scientific method
D. reflection
QUESTIONS WITH VERIFIED ANSWERS
The use of standard formal nursing diagnostic statements serves several purposes in
nursing practice, including which of the following? (Select all that apply.)
-Defines a patient's problem, giving members of the health care team a common
language for understanding the patient's needs
- Allows physicians and allied health staff to communicate with nurses how they provide
care among themselves
-Helps nurses focus on the scope of nursing practice
-Creates practice guidelines for collaborative health care activities
-Builds and expands nursing knowledge - Answer-Correct:
Defines a patient's problem, giving members of the health care team a common
language for understanding the patient's needs
Helps nurses focus on the scope of nursing practice
Builds and expands nursing knowledge
knowledge base - Answer-NOT experience or policy and procedure manuals
IS reading current evidence from literature
holistic vie of patient needs
application of nursing theory
making decisions about a group of patients: - Answer-combine activities to resolve more
than one patient problem
consider use of assistive personnel
analyze diagnoses/problems and decide which are most urgent based on patient needs
What separates RNs from technicians? - Answer-clinical decision making: making
decisions on the basis of clinical information
What involves open-mindedness, continual inquiry, and perseverance, combined with a
willingness to look at each unique patient situation and determine which identified
assumptions are true and relevant? - Answer-Critical thinking
The use of ______ ______ ______ makes you an informed critical thinker. - Answer-
evidence based knowledge
Why is the care provided by a nurse who applies critical thinking better than the care
provided by a nurse that doesn't? - Answer-The nurse is better able to (1) anticipate the
patient's needs, (2) identify comfort problems, and (3) offer appropriate care
No critical thinking = carelessly formed quick solutions
What are concepts for a critical thinker? - Answer-truth seeking
open-mindedness
, analyticity (anticipate potential results/consequences, value reason, use EBP)
systematicity (head-to-toe assessments--organized, focused work hard in inquiry)
self-confidence
inquisitiveness
maturity (multiple solutions acceptable--reflect on your own judgments)
What process involves turning over a subject in the mind and thinking about it seriously
(purposeful thinking back or recalling a situation to discover its purpose or meaning)? -
Answer-reflection
What level of thinking follows procedures verbatim (no adjustments) and answers are
only right or wrong (only one right answer)? - Answer-basic critical thinking (level 1
nurses)
Complex critical thinkers differ from commitment thinkers how? - Answer-Complex =
begin to separate from experts opinion only and use analysis + independent thinking
more; realize conflicting solutions exist
Commitment = ANTICIPATE when to make choices without assistance from other and
ACCEPT responsibility for decisions made--choose action + support it (risk takers)
diagnostic reasoning - Answer-assigning meaning to the behaviors and physical signs
and symptoms presented by a patient
- begins when you first interact with the patient
What is inference and what type of reasoning is it apart of? - Answer-drawing a
conclusion from a different little pieces of information (patient reports dyspnea, night
sweats, fever, weight loss, and 2 years in India without TB skin test = possible TB
infection)
Clinical decision making must include ____ ____ ______ in order the patient to feel
cared about. - Answer-knowing the patient
What is clinical decision making?
a. choosing the options for the best patient outcomes on the basis of a patient's
condition and the priority of the problem
b. a five step nursing process that requires a nurse to use the general and specific
critical thinking competencies
c. a methodical way to solve problems using reasoning used when testing research
questions
d. purposeful think back or recalling a situation to discover its purpose or meaning -
Answer-Answer = A
B. nursing process
C. scientific method
D. reflection
