Critical kThinking kClinical kReasoning kand kClinical kJudgment: A kPractical kApproach k7th kEdition

TEST BANK k




Critical Thinking Clinical
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Reasoning and Clinical Judgment:
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A Practical Approach 7th
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k Edition
by Rosalinda Alfaro-LeFevre
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TEST BANK k

,Critical Thinking Clinical Reasoning and Clinical Judgment 7th Edition: A Practical
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Approach Test Bank by Rosalinda Alfaro-LeFevre
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Table of Contents:
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1. What are Critical Thinking, Clinical Reasoning, and Clinical Judgment?
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2. Becoming a Critical Thinker
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3. Critical Thinking and Learning Cultures: Teaching, Learning, and Taking Tests
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4. Interprofessional Clinical Reasoning, Decision Making, and Judgment
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5. Ethical Reasoning, Professionalism, Evidence-Based Practice, and Quality Improvement
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6. Practicing Clinical Reasoning, Clinical Judgment, and Decision-making Skills
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7. Interprofessional Practice Skills: Communication, Teamwork, and Self-Management
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,Chapter 1. What are Critical Thinking, Clinical Reasoning, and Clinical Judgment?
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Alfaro-LeFevre: Critical Thinking Clinical Reasoning and Clinical Judgment 7th Edition A k k k k k k k k k k



Practical Approach Test Bank
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Multiple Choice k




Identify the choice that best completes the statement or answers the question.
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1. Which of the following characteristics do the various definitions of critical thinking havein
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common? Critical thinking
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1) Requires reasoned thought k k




2) Asks the questions why? or how? k k k k k




3) Is a hierarchical process
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4) Demands specialized thinking skills k k k




ANS: 1 k




The definitions listed in the text as well as definitions in Box 2-1 state that critical thinking requires
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reasoning or reasoned thinking. Critical thinking is neither linear nor hierarchical. That means that
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the steps involved in critical thinking are not necessarily sequential, where mastery of one step is
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necessary to proceed to the next. Critical thinking is a purposeful, dynamic, analytic process that
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contributes to reasoned decisions and sound contextual judgments.
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PTS:1DIF:Moderate high-level question, answer not stated verbatim k k k k k k




KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Analysis
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2. A few nurses on a unit have proposed to the nurse manager that the process for documenting
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care on the unit be changed. They have described a completely new system. Why isit important
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for the nurse manager to have a critical attitude? It will help the manager to
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1) Consider all the possible advantages and disadvantages k k k k k k




2) Maintain an open mind about the proposed change k k k k k k k




3) Apply the nursing process to the situation k k k k k k




4) Make a decision based on past experience with documentation
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kANS: 2 k




A critical attitude enables the person to think fairly and keep an open mind. PTS:1DIF:ModerateKEY:
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Nursing process: N/A | Client need: SECE | Cognitive level: Comprehension
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3. The nurse has just been assigned to the clinical care of a newly admitted patient. To know
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how to best care for the patient, the nurse uses the nursing process. Which step would thenurse
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probably do first?
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1) Assessment
2) Diagnosis
3) Plan outcomes k




4) Plan interventions k

, ANS: 1 k




Assessment is the first step of the nursing process. The nursing diagnosis is derived from the data
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gathered during assessment, outcomes from the diagnosis, and interventions from the outcomes.
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PTS:1DIF:Easy
KEY: Nursing process: Assessment | Client need: SECE | Cognitive level: Application
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4. Which of the following is an example of theoretical knowledge?
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1) A nurse uses sterile technique to catheterize a patient.
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2) Room air has an oxygen concentration of 21%.
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3) Glucose monitoring machines should be calibrated daily.
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4) An irregular apical heart rate should be compared with the radial
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pulse.
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ANS: 2 k




Theoretical knowledge consists of research findings, facts, principles, and theories. The oxygen
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concentration of room air is a scientific fact. The others are examples of practical
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knowledgewhat to do and how to do it.
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PTS:1DIF:Moderate; high-level question, answer not stated verbatim k k k k k k




KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
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5. Which of the following is an example of practical knowledge? (Assume all are true.)
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1) The tricuspid valve is between the right atrium and ventricle of the heart.
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2) The pancreas does not produce enough insulin in type 1 diabetes.
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3) When assessing the abdomen, you should auscultate before palpating.
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4) Research shows pain medication given intravenously acts faster than by other routes.
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ANS: 3 k




Practical knowledge is knowing what to do and how to do it, such as how to do an assessment. The
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others are examples of theoretical knowledge, anatomy (tricuspid valve), fact (type 1 diabetes),
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and research (IV pain medication).
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PTS:1DIF:Moderate high-level question, answer not stated verbatim k k k k k k




KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
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6. Which of the following is an example of self-knowledge? The nurse thinks, I know that I
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1) Should take the clients apical pulse for 1 minute before giving digoxin
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2) Should follow the clients wishes even though it is not what I would want
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3) Have religious beliefs that may make it difficult to take care of some clients
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4) Need to honor the clients request not to discuss his health concern with the family
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ANS: 3
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