, Critical gThinking gClinical gReasoning gand gClinical gJudgment g7th gEdition gA gPractical
gApproach gTest gBank
Chapter g1. gWhat gare gCritical gThinking, gClinical gReasoning, gand gClinical gJudgment?
gMultiple gChoice
Identify gthe gchoice gthat gbest gcompletes gthe gstatement gor ganswers gthe gquestion.
g1. gWhich gof gthe gfollowing gcharacteristics gdo gthe gvarious gdefinitions gof gcritical gthinking
ghave gin gcommon? gCritical gthinking
1)
Requires greasoned gthought
g2)
Asks gthe gquestions gwhy? gor ghow?
g3)
Is ga ghierarchical gprocess
g4)
Demands gspecialized gthinking gskills
gANS: g1
The gdefinitions glisted gin gthe gtext gas gwell gas gdefinitions gin gBox g2-1 gstate gthat gcritical gthinking
grequires greasoning gor greasoned gthinking. gCritical gthinking gis gneither glinear gnor ghierarchical.
gThat gmeans gthat gthe gsteps ginvolved gin gcritical gthinking gare gnot gnecessarily gsequential, gwhere
gmastery gof gone gstep gis gnecessary gto gproceed gto gthe gnext. gCritical gthinking gis ga gpurposeful,
gdynamic, ganalytic gprocess gthat gcontributes gto greasoned gdecisions gand gsound gcontextual
gjudgments.
PTS:1DIF:Moderate ghigh-level gquestion, ganswer gnot gstated gverbatim
KEY: gNursing gprocess: gN/A g| gClient gneed: gSECE g| gCognitive glevel:gAnalysis
g2. gA gfew gnurses gon ga gunit ghave gproposed gto gthe gnurse gmanager gthat gthe gprocess gfor
gdocumenting gcare gon gthe gunit gbe gchanged. gThey ghave gdescribed ga gcompletely gnew gsystem. gWhy
gis git gimportant gfor gthe gnurse gmanager gto ghave ga gcritical gattitude? gIt gwill ghelp gthe gmanager gto
1)
Consider gall gthe gpossible gadvantages gand gdisadvantages
g2)
Maintain gan gopen gmind gabout gthe gproposed gchange
g3)
Apply gthe gnursing gprocess gto gthe gsituation
g4)
Make ga gdecision gbased gon gpast gexperience gwith gdocumentation
gANS: g2
A gcritical gattitude genables gthe gperson gto gthink gfairly gand gkeep gan gopen gmind.
gPTS:1DIF:ModerateKEY: gNursing gprocess: gN/A g| gClient gneed: gSECE g| gCognitive glevel:
gComprehension
, g 3. gThe gnurse ghas gjust gbeen gassigned gto gthe gclinical gcare gof ga gnewly gadmitted gpatient. gTo
gknow ghow gto gbest gcare gfor gthe gpatient, gthe gnurse guses gthe gnursing gprocess. gWhich gstep gwould
gthe gnurse gprobably gdo gfirst?
1)
Assessment
g2)
Diagnosis
g3)
Plan goutcomes
g4)
Plan ginterventions
gANS: g1
Assessment gis gthe gfirst gstep gof gthe gnursing gprocess. gThe gnursing gdiagnosis gis gderived gfrom gthe
gdata ggathered gduring gassessment, goutcomes gfrom gthe gdiagnosis, gand ginterventions gfrom gthe
goutcomes. gPTS:1DIF:Easy
KEY: gNursing gprocess: gAssessment g| gClient gneed: gSECE g| gCognitive glevel:gApplication
g4. gWhich gof gthe gfollowing gis gan gexample gof gtheoretical
gknowledge? g1)
A gnurse guses gsterile gtechnique gto gcatheterize ga gpatient.
g2)
Room gair ghas gan goxygen gconcentration gof g21%.
g3)
Glucose gmonitoring gmachines gshould gbe gcalibrated gdaily.
g4)
An girregular gapical gheart grate gshould gbe gcompared gwith gthe gradial gpulse.
gANS: g2
Theoretical gknowledge gconsists gof gresearch gfindings, gfacts, gprinciples, gand gtheories. gThe goxygen
gconcentration gof groom gair gis ga gscientific gfact. gThe gothers gare gexamples gof gpractical
gknowledgewhat gto gdo gand ghow gto gdo git.
PTS:1DIF:Moderate; ghigh-level gquestion, ganswer gnot gstated gverbatim
KEY: gNursing gprocess: gN/A g| gClient gneed: gSECE g| gCognitive glevel:gApplication
g5. gWhich gof gthe gfollowing gis gan gexample gof gpractical gknowledge? g(Assume gall gare
gtrue.) g1)
The gtricuspid gvalve gis gbetween gthe gright gatrium gand gventricle gof gthe gheart.
g2)
The gpancreas gdoes gnot gproduce genough ginsulin gin gtype g1 gdiabetes.
g3)
When gassessing gthe gabdomen, gyou gshould gauscultate gbefore gpalpating.
g4)
Research gshows gpain gmedication ggiven gintravenously gacts gfaster gthan gby gother groutes.
gANS: g3
, Practical gknowledge gis gknowing gwhat gto gdo gand ghow gto gdo git, gsuch gas ghow gto gdo gan gassessment.
gThe gothers gare gexamples gof gtheoretical gknowledge, ganatomy g(tricuspid gvalve), gfact g(type g1
gdiabetes), gand gresearch g(IV gpain gmedication).
PTS:1DIF:Moderate ghigh-level gquestion, ganswer gnot gstated gverbatim
KEY: gNursing gprocess: gN/A g| gClient gneed: gSECE g| gCognitive glevel:gApplication
g6. gWhich gof gthe gfollowing gis gan gexample gof gself-knowledge? gThe gnurse gthinks, gI gknow
gthat gI g1)
Should gtake gthe gclients gapical gpulse gfor g1 gminute gbefore ggiving
gdigoxin g2)
Should gfollow gthe gclients gwishes geven gthough git gis gnot gwhat gI gwould gwant
g3)
Have greligious gbeliefs gthat gmay gmake git gdifficult gto gtake gcare gof gsome gclients
g4)
Need gto ghonor gthe gclients grequest gnot gto gdiscuss ghis ghealth gconcern gwith gthe gfamily
gANS: g3
Self-knowledge gis gbeing gaware gof gyour greligious gand gcultural gbeliefs gand gvalues. gTaking gthe
gpulse gis gan gexample gof gpractical gknowledge. g Following gclient gwishes gand ghonoring gclient
grequests gare gexamples gof gethical gknowledge.
PTS:1DIFifficult; ghigh-level gquestion, ganswer gnot gstated gverbatim g| gV1, ghigh-level gquestion,
ganswer gnot gstated gverbatim
KEY: gNursing gprocess: gN/A g| gClient gneed: gSECE g| gCognitive glevel:gApplication
g7. gWhich gof gthe gfollowing gis gthe gmost gimportant greason gfor gnurses gto gbe gcritical
gthinkers? g1)
Nurses gneed gto gfollow gpolicies gand gprocedures.
g2)
Nurses gwork gwith gother ghealthcare gteam gmembers.
g3)
Nurses gcare gfor gclients gwho ghave gmultiple ghealth gproblems.
g4)
Nurses ghave gto gbe gflexible gand gwork gvariable gschedules.
gANS: g3
Critical gthinking gis gessential gfor gclient gcare, gparticularly gwhen gthe gcare gis gcomplex, ginvolving
gnumerous ghealth gissues. gFollowing gpolicies gand gprocedures gdoes gnot gnecessarily grequire gcritical
gthinking, gand gworking gwith gothers gor gbeing gflexible gand gworking gdifferent gschedules gdo gnot
gnecessarily grequire gcritical gthinking.
PTS:1DIF:Moderate; ghigh-level gquestion, ganswer gnot gstated gverbatim
KEY: gNursing gprocess: gN/A g| gClient gneed: gSECE g| gCognitive glevel:gApplication
g8. gThe gnurse gadministering gpain gmedication gevery g4 ghours gis gan gexample gof gwhich gaspect
gof gpatient gcare?
1)
Assessment gdata
g2)
Nursing gdiagnosis
gApproach gTest gBank
Chapter g1. gWhat gare gCritical gThinking, gClinical gReasoning, gand gClinical gJudgment?
gMultiple gChoice
Identify gthe gchoice gthat gbest gcompletes gthe gstatement gor ganswers gthe gquestion.
g1. gWhich gof gthe gfollowing gcharacteristics gdo gthe gvarious gdefinitions gof gcritical gthinking
ghave gin gcommon? gCritical gthinking
1)
Requires greasoned gthought
g2)
Asks gthe gquestions gwhy? gor ghow?
g3)
Is ga ghierarchical gprocess
g4)
Demands gspecialized gthinking gskills
gANS: g1
The gdefinitions glisted gin gthe gtext gas gwell gas gdefinitions gin gBox g2-1 gstate gthat gcritical gthinking
grequires greasoning gor greasoned gthinking. gCritical gthinking gis gneither glinear gnor ghierarchical.
gThat gmeans gthat gthe gsteps ginvolved gin gcritical gthinking gare gnot gnecessarily gsequential, gwhere
gmastery gof gone gstep gis gnecessary gto gproceed gto gthe gnext. gCritical gthinking gis ga gpurposeful,
gdynamic, ganalytic gprocess gthat gcontributes gto greasoned gdecisions gand gsound gcontextual
gjudgments.
PTS:1DIF:Moderate ghigh-level gquestion, ganswer gnot gstated gverbatim
KEY: gNursing gprocess: gN/A g| gClient gneed: gSECE g| gCognitive glevel:gAnalysis
g2. gA gfew gnurses gon ga gunit ghave gproposed gto gthe gnurse gmanager gthat gthe gprocess gfor
gdocumenting gcare gon gthe gunit gbe gchanged. gThey ghave gdescribed ga gcompletely gnew gsystem. gWhy
gis git gimportant gfor gthe gnurse gmanager gto ghave ga gcritical gattitude? gIt gwill ghelp gthe gmanager gto
1)
Consider gall gthe gpossible gadvantages gand gdisadvantages
g2)
Maintain gan gopen gmind gabout gthe gproposed gchange
g3)
Apply gthe gnursing gprocess gto gthe gsituation
g4)
Make ga gdecision gbased gon gpast gexperience gwith gdocumentation
gANS: g2
A gcritical gattitude genables gthe gperson gto gthink gfairly gand gkeep gan gopen gmind.
gPTS:1DIF:ModerateKEY: gNursing gprocess: gN/A g| gClient gneed: gSECE g| gCognitive glevel:
gComprehension
, g 3. gThe gnurse ghas gjust gbeen gassigned gto gthe gclinical gcare gof ga gnewly gadmitted gpatient. gTo
gknow ghow gto gbest gcare gfor gthe gpatient, gthe gnurse guses gthe gnursing gprocess. gWhich gstep gwould
gthe gnurse gprobably gdo gfirst?
1)
Assessment
g2)
Diagnosis
g3)
Plan goutcomes
g4)
Plan ginterventions
gANS: g1
Assessment gis gthe gfirst gstep gof gthe gnursing gprocess. gThe gnursing gdiagnosis gis gderived gfrom gthe
gdata ggathered gduring gassessment, goutcomes gfrom gthe gdiagnosis, gand ginterventions gfrom gthe
goutcomes. gPTS:1DIF:Easy
KEY: gNursing gprocess: gAssessment g| gClient gneed: gSECE g| gCognitive glevel:gApplication
g4. gWhich gof gthe gfollowing gis gan gexample gof gtheoretical
gknowledge? g1)
A gnurse guses gsterile gtechnique gto gcatheterize ga gpatient.
g2)
Room gair ghas gan goxygen gconcentration gof g21%.
g3)
Glucose gmonitoring gmachines gshould gbe gcalibrated gdaily.
g4)
An girregular gapical gheart grate gshould gbe gcompared gwith gthe gradial gpulse.
gANS: g2
Theoretical gknowledge gconsists gof gresearch gfindings, gfacts, gprinciples, gand gtheories. gThe goxygen
gconcentration gof groom gair gis ga gscientific gfact. gThe gothers gare gexamples gof gpractical
gknowledgewhat gto gdo gand ghow gto gdo git.
PTS:1DIF:Moderate; ghigh-level gquestion, ganswer gnot gstated gverbatim
KEY: gNursing gprocess: gN/A g| gClient gneed: gSECE g| gCognitive glevel:gApplication
g5. gWhich gof gthe gfollowing gis gan gexample gof gpractical gknowledge? g(Assume gall gare
gtrue.) g1)
The gtricuspid gvalve gis gbetween gthe gright gatrium gand gventricle gof gthe gheart.
g2)
The gpancreas gdoes gnot gproduce genough ginsulin gin gtype g1 gdiabetes.
g3)
When gassessing gthe gabdomen, gyou gshould gauscultate gbefore gpalpating.
g4)
Research gshows gpain gmedication ggiven gintravenously gacts gfaster gthan gby gother groutes.
gANS: g3
, Practical gknowledge gis gknowing gwhat gto gdo gand ghow gto gdo git, gsuch gas ghow gto gdo gan gassessment.
gThe gothers gare gexamples gof gtheoretical gknowledge, ganatomy g(tricuspid gvalve), gfact g(type g1
gdiabetes), gand gresearch g(IV gpain gmedication).
PTS:1DIF:Moderate ghigh-level gquestion, ganswer gnot gstated gverbatim
KEY: gNursing gprocess: gN/A g| gClient gneed: gSECE g| gCognitive glevel:gApplication
g6. gWhich gof gthe gfollowing gis gan gexample gof gself-knowledge? gThe gnurse gthinks, gI gknow
gthat gI g1)
Should gtake gthe gclients gapical gpulse gfor g1 gminute gbefore ggiving
gdigoxin g2)
Should gfollow gthe gclients gwishes geven gthough git gis gnot gwhat gI gwould gwant
g3)
Have greligious gbeliefs gthat gmay gmake git gdifficult gto gtake gcare gof gsome gclients
g4)
Need gto ghonor gthe gclients grequest gnot gto gdiscuss ghis ghealth gconcern gwith gthe gfamily
gANS: g3
Self-knowledge gis gbeing gaware gof gyour greligious gand gcultural gbeliefs gand gvalues. gTaking gthe
gpulse gis gan gexample gof gpractical gknowledge. g Following gclient gwishes gand ghonoring gclient
grequests gare gexamples gof gethical gknowledge.
PTS:1DIFifficult; ghigh-level gquestion, ganswer gnot gstated gverbatim g| gV1, ghigh-level gquestion,
ganswer gnot gstated gverbatim
KEY: gNursing gprocess: gN/A g| gClient gneed: gSECE g| gCognitive glevel:gApplication
g7. gWhich gof gthe gfollowing gis gthe gmost gimportant greason gfor gnurses gto gbe gcritical
gthinkers? g1)
Nurses gneed gto gfollow gpolicies gand gprocedures.
g2)
Nurses gwork gwith gother ghealthcare gteam gmembers.
g3)
Nurses gcare gfor gclients gwho ghave gmultiple ghealth gproblems.
g4)
Nurses ghave gto gbe gflexible gand gwork gvariable gschedules.
gANS: g3
Critical gthinking gis gessential gfor gclient gcare, gparticularly gwhen gthe gcare gis gcomplex, ginvolving
gnumerous ghealth gissues. gFollowing gpolicies gand gprocedures gdoes gnot gnecessarily grequire gcritical
gthinking, gand gworking gwith gothers gor gbeing gflexible gand gworking gdifferent gschedules gdo gnot
gnecessarily grequire gcritical gthinking.
PTS:1DIF:Moderate; ghigh-level gquestion, ganswer gnot gstated gverbatim
KEY: gNursing gprocess: gN/A g| gClient gneed: gSECE g| gCognitive glevel:gApplication
g8. gThe gnurse gadministering gpain gmedication gevery g4 ghours gis gan gexample gof gwhich gaspect
gof gpatient gcare?
1)
Assessment gdata
g2)
Nursing gdiagnosis