Critical Thinking, Clinical Reasoning, and Clinical Judgment A Practical Approach 7th Edition by Rosalinda Alfaro-LeFevre, Verified Chapters 1 - 7, Complete Newest Version

,Critical Thinking Clinical Reasoning and Clinical Judgment 7th Edition A
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Practical Approach Test Bank k j k j k j k j k j




Chapter 1. What are Critical Thinking, Clinical Reasoning, and Clinical Judgment?
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k Multiple Choice
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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
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critical thinking
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1)
Requires reasoned thought kj kj




2)
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Asks the questions why? or
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how?
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3)
Is a hierarchical process
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4)
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Demands specialized thinking skills kj kj kj




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



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
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k j manager that the process for documenting care on the unit be changed. k j k j kj k j k j k j k j k j k j k j k j




k j They have described a completely new system.
k j Why is it important k j k j kj kj kj k j k j k j




k j for the nurse manager to have a critical attitude? It will help
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k j the manager to k j k j



1)
Consider all the possible advantages and kj kj kj kj kj




disadvantages 2)
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Maintain an open mind about the kj kj kj kj kj




proposed change 3)
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Apply the nursing process to the
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situation 4)
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Make a decision based on past experience with documentation
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ANS: 2
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A critical attitude enables the person to think fairly and keep an
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k open mind. PTS:1DIF:ModerateKEY: Nursing process: N/A | Client need: SECE |
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Cognitive level: Comprehension
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, The nurse has just been assigned to the clinical carekj 3. k j k j k j k j k j k j k j k j k j k j




k of a newly admitted patient. To know how to best care for the patient, the nurse
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uses the nursing process. Which step would the nurse probably do first?
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1)
Assessment
2)
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Diagnosis
3)
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Plan outcomes kj




4)
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Plan interventions kj




ANS: 1
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Assessment is the first step of the nursing process. The nursing diagnosis k j k j k j k j k j k j k j k j k j k j k j




is derived from the data gathered during assessment, outcomes from the
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k diagnosis, and interventions from the outcomes. PTS:1DIF:Easy
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KEY: Nursing process: Assessment | Client need: SECE | Cognitive level: Application
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4. Which of the following is an example ofkj kj kj kj kj kj kj kj




k jtheoretical knowledge? 1) kj kj




A nurse uses sterile technique to catheterize a
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kjpatient. 2) kj




Room air has an oxygen concentration of
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kj21%. 3) kj




Glucose monitoring machines should be calibrated kj kj kj kj kj




daily. 4)
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An irregular apical heart rate should be compared with the radial
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k pulse. ANS: 2
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Theoretical knowledge consists of research findings, facts, principles, and theories. The
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k joxygen concentration of room air is a scientific fact. The others k j k j k j k j k j k j k j k j k j k j




k are examples of practical knowledgewhat to do and how to do it.
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PTS:1DIF:Moderate; high-level question, answer not stated verbatim k j k j k j k j k j k j



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?
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(Assume all are true.) 1)
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The tricuspid valve is between the right atrium and ventricle of
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k the heart. 2)
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The pancreas does not produce enough insulin in
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kj type 1 diabetes. 3) kj kj kj




When assessing the abdomen, you should auscultate before
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kjpalpating. 4) kj




Research shows pain medication given intravenously acts faster than by other
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k routes. ANS: 3
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, Practical knowledge is knowing what to do and how to do it,
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k such as how to do an assessment. The others are examples of
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theoretical knowledge, anatomy (tricuspid valve),
k j fact (type 1 diabetes),k j k j kj kj k j k j k j




k and research (IV pain medication).
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PTS:1DIF:Moderate high-level question, answer not stated verbatim k j k j k j k j k j k j



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
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k nurse thinks, I know that I 1)
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Should take the clients apical pulse for 1 minute before giving
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k digoxin 2)
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Should follow the clients wishes even though it is not
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what I would
k j want 3)
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Have religious beliefs that may make it difficult to take care of
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some clients 4)
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Need to honor the clients request not to discuss his health concern
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k with the family ANS: 3
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Self-knowledge is being aware of your religious and cultural beliefs and values. k j k j k j k j k j k j kj k j k j k j k j




k jTaking the pulse is an example of practical knowledge. Following
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k client wishes and honoring client requests are examples of ethical
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k jknowledge.
PTS:1DIFifficult; high-level question, answer not stated verbatim | V1, high-level kj kj kj kj kj kj kj kj kj




question, answer not stated verbatim
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KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
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7. Which of the following is the most important reason for
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k nurses to be critical thinkers? 1)
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Nurses need to follow policies and
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procedures. 2)
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Nurses work with other healthcare team
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members. 3)
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Nurses care for clients who have multiple health
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Nurses have to be flexible and work variable
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kjschedules. ANS: 3 kj kj




Critical thinking is essential for client care, particularly when the
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k care is complex, involving numerous health issues. Following policies and
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procedures does not necessarily require critical thinking, and working with
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k others or being flexible and working different schedules do not
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necessarily require critical thinking.
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PTS:1DIF:Moderate; high-level question, answer not stated verbatim k j k j k j k j k j k j



KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
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8. The nurse administering pain medication every 4 hours is an
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example of which aspect of patient care?
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1)
Assessment data kj




2)
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Nursing diagnosis k j