Final Exam: RNSG 1137 Final Exam
The instructor explains that one of the changes they will undergo while in nursing school is learning to
"think like a nurse." What is the most current model of this thinking process? - ANSWER:Clinical
Judgement Model : To depict the process of "thinking like a nurse," Tanner (2006) developed a model
known as the clinical judgment model.
The nursing student uses evidence-based practice findings in the development of a care plan. This is an
example of which type of nursing skill? - ANSWER:cognitive skills : which is characterized by identifying
rationales for plan of care and selecting nursing interventions
The nurse examines the patient's medication administration record (MAR) and concludes that the night
nurse likely hung the antibiotic but failed to start the infusion. As a result, the antibiotic is three hours
late and the nurse has consequently filled out an incident report. In doing so, the nurse has exhibited
which of the following? - ANSWER:Ethical and Legal skills
Reporting problems and unacceptable practices is an aspect of ethical/legal skills.
What is a systematic way to form and shape one's thinking? - ANSWER:Critical thinking is defined as "a
systematic way to form and shape one's thinking.
What step in the nursing process is most closely associated with cognitively skilled nurses? -
ANSWER:Planning _ Cognitively skilled nurses are critical thinkers and are able to plan those nursing
interventions that are most likely to yield the desired outcomes.
Members of the staff on a hospital unit are critical of a client's family, who has different cultural beliefs
about health and illness. A student assigned to the patient does not agree, based on her care of the
client and family. What critical thinking attitude is the student demonstrating? - ANSWER:Independent
thinking - do not let the status quo or a persuasive individual control their thinking.
2. Clinical Judgement
#1,2,3,4 Brunner A care conference has been organized for a patient with complex medical and
psychosocial needs. When applying the principles of critical thinking to this patient's care planning, the
nurse should most exemplify what characteristic? - ANSWER:Openness to various viewpoints : inherent
in critical thinking;
Achieving adequate pain management for a postoperative patient will require sophisticated critical
thinking skills by the nurse. What are the potential benefits of critical thinking in nursing? Select all that
apply.
A) Enhancing the nurse's clinical decision making
B) Identifying the patient's individual preferences
C) Planning the best nursing actions to assist the patient
D) Increasing the accuracy of the nurse's judgments
, E) Helping identify the patient's priority needs - ANSWER:A, C, D, E
The nursing instructor cites a list of skills that support critical thinking in clinical situations. The nurse
should describe skills in
which of the following domains? Select all that apply.
A) Self-esteem
B) Self-regulation
C) Inference
D) Autonomy
E) Interpretation - ANSWER:B, C, E
A nurse sees a patient with a diagnosis of anorexia and orders a diet/nutrition consult what clinical
reasoning skill
is used? - ANSWER:Clinical Judgment
The nurse is providing care for a patient with chronic obstructive pulmonary disease (COPD). The nurse's
most recent
assessment reveals an SaO2 of 89%. The nurse is aware that part of critical thinking is determining the
significance of data that
have been gathered. What characteristic of critical thinking is used in determining the best response to
this assessment
finding? - ANSWER:interpretation
A nurse uses critical thinking every day when going through the nursing process. Which of the following
is an outcome of
critical thinking in nursing practice? - ANSWER:comprehensive plan of care with maximized potential for
success.
??Nurses apply critical thinking to clinical reasoning and judgment in their nursing practice every day.
Which of the following
are characteristics of this practice? Select all that apply.
A) It is guided by standards, policies and procedures, ethics codes, and laws.
B) It is based on principles of nursing process, problem solving, and the scientific method.
C) It carefully identifies the key problems, issues, and risks involved.
D) It is driven by the nurse's need to document competent, efficient care.
The instructor explains that one of the changes they will undergo while in nursing school is learning to
"think like a nurse." What is the most current model of this thinking process? - ANSWER:Clinical
Judgement Model : To depict the process of "thinking like a nurse," Tanner (2006) developed a model
known as the clinical judgment model.
The nursing student uses evidence-based practice findings in the development of a care plan. This is an
example of which type of nursing skill? - ANSWER:cognitive skills : which is characterized by identifying
rationales for plan of care and selecting nursing interventions
The nurse examines the patient's medication administration record (MAR) and concludes that the night
nurse likely hung the antibiotic but failed to start the infusion. As a result, the antibiotic is three hours
late and the nurse has consequently filled out an incident report. In doing so, the nurse has exhibited
which of the following? - ANSWER:Ethical and Legal skills
Reporting problems and unacceptable practices is an aspect of ethical/legal skills.
What is a systematic way to form and shape one's thinking? - ANSWER:Critical thinking is defined as "a
systematic way to form and shape one's thinking.
What step in the nursing process is most closely associated with cognitively skilled nurses? -
ANSWER:Planning _ Cognitively skilled nurses are critical thinkers and are able to plan those nursing
interventions that are most likely to yield the desired outcomes.
Members of the staff on a hospital unit are critical of a client's family, who has different cultural beliefs
about health and illness. A student assigned to the patient does not agree, based on her care of the
client and family. What critical thinking attitude is the student demonstrating? - ANSWER:Independent
thinking - do not let the status quo or a persuasive individual control their thinking.
2. Clinical Judgement
#1,2,3,4 Brunner A care conference has been organized for a patient with complex medical and
psychosocial needs. When applying the principles of critical thinking to this patient's care planning, the
nurse should most exemplify what characteristic? - ANSWER:Openness to various viewpoints : inherent
in critical thinking;
Achieving adequate pain management for a postoperative patient will require sophisticated critical
thinking skills by the nurse. What are the potential benefits of critical thinking in nursing? Select all that
apply.
A) Enhancing the nurse's clinical decision making
B) Identifying the patient's individual preferences
C) Planning the best nursing actions to assist the patient
D) Increasing the accuracy of the nurse's judgments
, E) Helping identify the patient's priority needs - ANSWER:A, C, D, E
The nursing instructor cites a list of skills that support critical thinking in clinical situations. The nurse
should describe skills in
which of the following domains? Select all that apply.
A) Self-esteem
B) Self-regulation
C) Inference
D) Autonomy
E) Interpretation - ANSWER:B, C, E
A nurse sees a patient with a diagnosis of anorexia and orders a diet/nutrition consult what clinical
reasoning skill
is used? - ANSWER:Clinical Judgment
The nurse is providing care for a patient with chronic obstructive pulmonary disease (COPD). The nurse's
most recent
assessment reveals an SaO2 of 89%. The nurse is aware that part of critical thinking is determining the
significance of data that
have been gathered. What characteristic of critical thinking is used in determining the best response to
this assessment
finding? - ANSWER:interpretation
A nurse uses critical thinking every day when going through the nursing process. Which of the following
is an outcome of
critical thinking in nursing practice? - ANSWER:comprehensive plan of care with maximized potential for
success.
??Nurses apply critical thinking to clinical reasoning and judgment in their nursing practice every day.
Which of the following
are characteristics of this practice? Select all that apply.
A) It is guided by standards, policies and procedures, ethics codes, and laws.
B) It is based on principles of nursing process, problem solving, and the scientific method.
C) It carefully identifies the key problems, issues, and risks involved.
D) It is driven by the nurse's need to document competent, efficient care.
