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A nurse enters a patient's room at the beginning of a shift to assess
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his condition following a blood transfusion. The nurse cared for t
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he patient on the previous day as well. The patient has several issu
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es he wishes to share with the nurse, who takes time to explore eac
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h issue. The nurse also assesses the patient and finds no signs or s
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ymptoms of a reaction to the blood product. The nurse observed t
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he patient the prior day and sees a change in his behavior—
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a reluctance to get out of bed and ambulate. Which of the followin
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g actions improve the nurse's ability to make clinical decisions ab
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out this patient? (Select all that apply.)
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1. Working the same shift each day
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2. Spending time during the patient assessment
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3. Knowing the early mobility protocol guidelines
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4. Caring for the patient on consecutive days
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5. Knowing the pattern of patient behavior about ambulation -
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correct answer ✔ ✔ 2, 4, 5
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2. Match the concepts for a critical thinker on the left with the app
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lication of the term on the right, ,. ,. ,. ,. ,. ,.
Concepts for Critical Thinkers ,. ,. ,. ,.
,___ 1. Truth seeking
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___ 2. Open-mindedness
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___ 3. Analyticity
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___ 4. Systematicity
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Term Application ,.
a. Anticipate how a patient might respond to a treatment.
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b. Organize assessment on the basis of patient priorities.
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c. Be objective in asking patient questions.
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d. Be tolerant of the patient's views and beliefs. - correct answer
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✔ ✔ 1. C ,. ,.
2. D
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3. A
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4. B
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3. A nurse has seen many cancer patients struggle with pain mana
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gement because they are afraid of becoming addicted to the medic
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ine. Pain control is a priority for cancer care. By helping patients f
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ocus on their values and beliefs about pain control, a nurse can be
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st make clinical decisions. This is an example of:
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1. Creativity
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, 2. Fairness
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3. Clinical reasoning
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4. Applying ethical criteria - correct answer ✔ ✔ 4
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4. The REFLECT model can improve learning after providing pat
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ient care. Place the steps of this model in the correct order:
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1. Think about your thoughts and actions at the time of a situation.
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2. Review the knowledge you gained from the experience.
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3. Review the facts of the situation.
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4. Set a schedule for completing your plan of action.
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5. Consider options for handling a similar situation in the future.
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6. Recall any feelings you had at the time of the situation.
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7. Create a plan for future situations. - correct answer ✔ ✔
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3, 1, 6, 2, 5, 7
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5. One element of clinical decision making is knowing the patient.
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Which of the following activities affect a nurse's ability to know
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patients better? (Select all that apply.)
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1. Caring for similar groups of patients over time
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2. Reading the evidence-based practices appropriate to patients
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