WELL DETAILED
Chapter 15
1. Two patient deaths have occurred on a medical unit in the last month. The staff notices
that everyone feels pressured and team members are getting into more arguments. As a
nurse on the unit, what will best help you manage this stress?
A. Keep a journal
B. Participate in a unit meeting to discuss feelings about the patient deaths
C. Ask the nurse manager to assign you to less difficult patients
D. Review the policy and procedure manual on proper care of patients after death -
ANSWER B. Participate in a unit meeting to discuss feelings about the patient deaths
Chapter 15
2. A nurse has seen many cancer patients struggle with pain management because they are
afraid of becoming addicted to the medicine. Pain control is a priority for cancer care. By
helping patients focus on their values and beliefs about pain control, a nurse can best make
clinical decisions. This is an example of:
A. Creativity.
B. Fairness.
C. Clinical reasoning.
D. Applying ethical criteria. - ANSWER D. Applying ethical criteria
Chapter 15
3. A nurse prepares to insert a foley catheter. The procedure manual calls for the patient to
lie in the dorsal recumbent position. The patient complains of having back pain when lying
on her back. Despite this, the nurse positions the patient supine with knees flexed as the
manual recommends and begins to insert the catheter. This is an example of:
1
,A. Accuracy
B. Reflection
C. Risk taking
D. Basic critical thinking - ANSWER D. Basic critical thinking
Chapter 15
4. A nurse is preparing medications for a patient. The nurse checks the name of the
medication on the label with the name of the medication on the doctor's order. At the
bedside the nurse checks the patient's name against the medication order as well. The nurse
is following which critical thinking attitude:
A. Responsible
B. Complete
C. Accurate
D. Broad - ANSWER A. Responsible
Chapter 15
5. A nurse on a busy medicine unit is assigned to four patients. It is 10 AM. Two patients
have medications due and one of those has a specimen of urine to be collected. One patient
is having complications from surgery and is being prepared to return to the operating room.
The fourth patient requires instructions about activity restrictions before going home this
afternoon. Which of the following should the nurse use in making clinical decisions
appropriate for the patient group? (Select all that apply.)
A. Consider availability of assistive personnel to obtain the specimen
B. Combine activities to resolve more than one patient problem
C. Analyze the diagnoses/problems and decide which are most urgent based on patients'
needs
D. Plan a family conference for tomorrow to make decisions about resources the patient will
need to go home
2
,E. Identify the nursing diagnoses for the patient going home - ANSWER A. Consider
availability of assistive personnel to obtain the specimen, B. Combine activities to resolve
more than one patient problem, C. Analyze the diagnoses.problems and decide which are
most urgent based on patients' needs
Chapter 15
6. By knowing known criteria in conducting an assessment such as reviewing with a patient
the typical characteristics of pain, a nurse is demonstrating which critical thinking attitude?
A. Curiosity
B. Adequacy
C. Discipline
D. Thinking independently - ANSWER C. Discipline
Chapter 15
7. A nurse just started working at a well-baby clinic. One of her recent experiences was to
help a mother learn the steps of breastfeeding. During the first clinic visit the mother had
difficulty positioning the baby during feeding. After the visit the nurse considers what
affected the inability of the mother to breastfeed, including the mother's obesity and
inexperience. The nurse's review of the situation is called:
A. Reflection.
B. Perseverance.
C. Intuition.
D. Problem solving. - ANSWER A. Reflection
Chapter 15
8. Place the steps of the scientific method in their correct order with number 1 being the
first step of the process.
3
, A. Formulate a question or hypothesis.
B. Evaluate results of the study.
C. Collect data.
D. Identify the problem.
E. Test the question or hypothesis. - ANSWER D, C, A, E, B
Chapter 15
9. A nurse changed a patient's surgical wound dressing the day before and now prepares for
another dressing change. The nurse had difficulty removing the gauze from the wound bed
yesterday, causing the patient discomfort. Today he gives the patient an analgesic 30
minutes before the dressing change. Then he adds some sterile saline to loosen the gauze
for a few minutes before removing it. The patient reports that the procedure was much
more comfortable. Which of the following describes the nurse's approach to the dressing
change? (Select all that apply.)
A. Clinical inference
B. Basic critical thinking
C. Complex critical thinking
D. Experience
E. Reflection - ANSWER C. Complex critical thinking correct, D. Experience
Chapter 15
10. Which of the following describes a nurse's application of a specific knowledge base
during critical thinking? (Select all that apply.)
A. Initiative in reading current evidence from the literature
B. Application of nursing theory
C. Reviewing policy and procedure manual
D. Considering holistic view of patient needs
4
Chapter 15
1. Two patient deaths have occurred on a medical unit in the last month. The staff notices
that everyone feels pressured and team members are getting into more arguments. As a
nurse on the unit, what will best help you manage this stress?
A. Keep a journal
B. Participate in a unit meeting to discuss feelings about the patient deaths
C. Ask the nurse manager to assign you to less difficult patients
D. Review the policy and procedure manual on proper care of patients after death -
ANSWER B. Participate in a unit meeting to discuss feelings about the patient deaths
Chapter 15
2. A nurse has seen many cancer patients struggle with pain management because they are
afraid of becoming addicted to the medicine. Pain control is a priority for cancer care. By
helping patients focus on their values and beliefs about pain control, a nurse can best make
clinical decisions. This is an example of:
A. Creativity.
B. Fairness.
C. Clinical reasoning.
D. Applying ethical criteria. - ANSWER D. Applying ethical criteria
Chapter 15
3. A nurse prepares to insert a foley catheter. The procedure manual calls for the patient to
lie in the dorsal recumbent position. The patient complains of having back pain when lying
on her back. Despite this, the nurse positions the patient supine with knees flexed as the
manual recommends and begins to insert the catheter. This is an example of:
1
,A. Accuracy
B. Reflection
C. Risk taking
D. Basic critical thinking - ANSWER D. Basic critical thinking
Chapter 15
4. A nurse is preparing medications for a patient. The nurse checks the name of the
medication on the label with the name of the medication on the doctor's order. At the
bedside the nurse checks the patient's name against the medication order as well. The nurse
is following which critical thinking attitude:
A. Responsible
B. Complete
C. Accurate
D. Broad - ANSWER A. Responsible
Chapter 15
5. A nurse on a busy medicine unit is assigned to four patients. It is 10 AM. Two patients
have medications due and one of those has a specimen of urine to be collected. One patient
is having complications from surgery and is being prepared to return to the operating room.
The fourth patient requires instructions about activity restrictions before going home this
afternoon. Which of the following should the nurse use in making clinical decisions
appropriate for the patient group? (Select all that apply.)
A. Consider availability of assistive personnel to obtain the specimen
B. Combine activities to resolve more than one patient problem
C. Analyze the diagnoses/problems and decide which are most urgent based on patients'
needs
D. Plan a family conference for tomorrow to make decisions about resources the patient will
need to go home
2
,E. Identify the nursing diagnoses for the patient going home - ANSWER A. Consider
availability of assistive personnel to obtain the specimen, B. Combine activities to resolve
more than one patient problem, C. Analyze the diagnoses.problems and decide which are
most urgent based on patients' needs
Chapter 15
6. By knowing known criteria in conducting an assessment such as reviewing with a patient
the typical characteristics of pain, a nurse is demonstrating which critical thinking attitude?
A. Curiosity
B. Adequacy
C. Discipline
D. Thinking independently - ANSWER C. Discipline
Chapter 15
7. A nurse just started working at a well-baby clinic. One of her recent experiences was to
help a mother learn the steps of breastfeeding. During the first clinic visit the mother had
difficulty positioning the baby during feeding. After the visit the nurse considers what
affected the inability of the mother to breastfeed, including the mother's obesity and
inexperience. The nurse's review of the situation is called:
A. Reflection.
B. Perseverance.
C. Intuition.
D. Problem solving. - ANSWER A. Reflection
Chapter 15
8. Place the steps of the scientific method in their correct order with number 1 being the
first step of the process.
3
, A. Formulate a question or hypothesis.
B. Evaluate results of the study.
C. Collect data.
D. Identify the problem.
E. Test the question or hypothesis. - ANSWER D, C, A, E, B
Chapter 15
9. A nurse changed a patient's surgical wound dressing the day before and now prepares for
another dressing change. The nurse had difficulty removing the gauze from the wound bed
yesterday, causing the patient discomfort. Today he gives the patient an analgesic 30
minutes before the dressing change. Then he adds some sterile saline to loosen the gauze
for a few minutes before removing it. The patient reports that the procedure was much
more comfortable. Which of the following describes the nurse's approach to the dressing
change? (Select all that apply.)
A. Clinical inference
B. Basic critical thinking
C. Complex critical thinking
D. Experience
E. Reflection - ANSWER C. Complex critical thinking correct, D. Experience
Chapter 15
10. Which of the following describes a nurse's application of a specific knowledge base
during critical thinking? (Select all that apply.)
A. Initiative in reading current evidence from the literature
B. Application of nursing theory
C. Reviewing policy and procedure manual
D. Considering holistic view of patient needs
4
