roachrTestrBank
Chapterr1.rWhatrarerCriticalrThinking,rClinicalrReasoning,randrClinicalrJudgment?rM
ultiplerChoice
Identifyrtherchoicerthatrbestrcompletesrtherstatementrorranswersrtherquestion.
r
r 1.rWhichrofrtherfollowingrcharacteristicsrdorthervariousrdefinitionsrofrcriticalrthinkingrhaverinrc
ommon?rCriticalrthinking
1)
Requiresrreasonedrthoughtr
2)
Asksrtherquestionsrwhy?rorrhow?r3
)
Israrhierarchicalrprocessr
4)
DemandsrspecializedrthinkingrskillsrA
NS:r1
TherdefinitionsrlistedrinrthertextrasrwellrasrdefinitionsrinrBoxr2-
1rstaterthatrcriticalrthinkingrrequiresrreasoningrorrreasonedrthinking.rCriticalrthinkingrisrneitherrlinea
rrnorrhierarchical.rThatrmeansrthatrtherstepsrinvolvedrinrcriticalrthinkingrarernotrnecessarilyrsequentia
l,rwherermasteryrofronersteprisrnecessaryrtorproceedrtorthernext.rCriticalrthinkingrisrarpurposeful,rdyna
mic,ranalyticrprocessrthatrcontributesrtorreasonedrdecisionsrandrsoundrcontextualrjudgments.
PTS:1DIF:Moderaterhigh-levelrquestion,ranswerrnotrstatedrverbatim
KEY:rNursingrprocess:rN/Ar|rClientrneed:rSECEr|rCognitiverlevel:rAnalysis
r
r2.rArfewrnursesronrarunitrhaverproposedrtorthernursermanagerrthatrtherprocessrforrdocumentingrc
areronrtherunitrberchanged.rTheyrhaverdescribedrarcompletelyrnewrsystem.rWhyrisritrimportantrforrther
nursermanagerrtorhaverarcriticalrattitude?rItrwillrhelprthermanagerrto
1)
Considerrallrtherpossibleradvantagesrandrdisadvantagesr2
)
Maintainranropenrmindraboutrtherproposedrchanger3)
Applyrthernursingrprocessrtorthersituationr4
)
MakerardecisionrbasedronrpastrexperiencerwithrdocumentationrA
NS:r2
Arcriticalrattituderenablesrtherpersonrtorthinkrfairlyrandrkeepranropenrmind.rPTS:1DIF:ModerateKEY:r
Nursingrprocess:rN/Ar|rClientrneed:rSECEr|rCognitiverlevel:rComprehension
,r
r3.rThernurserhasrjustrbeenrassignedrtortherclinicalrcarerofrarnewlyradmittedrpatient.rTorknowrh
owrtorbestrcarerforrtherpatient,rthernurserusesrthernursingrprocess.rWhichrsteprwouldrthernurserproba
blyrdorfirst?
1)
Assessmentr
2)
Diagnosisr
3)
Planroutcomesr
4)
Planrinterventionsr
ANS:r1
Assessmentrisrtherfirstrsteprofrthernursingrprocess.rThernursingrdiagnosisrisrderivedrfromrtherdatargath
eredrduringrassessment,routcomesrfromrtherdiagnosis,randrinterventionsrfromrtheroutcomes.rPTS:1D
IF:Easy
KEY:rNursingrprocess:rAssessmentr|rClientrneed:rSECEr|rCognitiverlevel:rApplication
r r4.rWhichrofrtherfollowingrisranrexamplerofrtheoreticalrknowledge?r1)
Arnurserusesrsterilertechniquertorcatheterizerarpatient.r2)
Roomrairrhasranroxygenrconcentrationrofr21%.r3)
Glucosermonitoringrmachinesrshouldrbercalibratedrdaily.r4
)
Anrirregularrapicalrheartrratershouldrbercomparedrwithrtherradialrpulse.rA
NS:r2
Theoreticalrknowledgerconsistsrofrresearchrfindings,rfacts,rprinciples,randrtheories.rTheroxygenrco
ncentrationrofrroomrairrisrarscientificrfact.rTherothersrarerexamplesrofrpracticalrknowledgewhatrtord
orandrhowrtordorit.
PTS:1DIF:Moderate;rhigh-levelrquestion,ranswerrnotrstatedrverbatim
KEY:rNursingrprocess:rN/Ar|rClientrneed:rSECEr|rCognitiverlevel:rApplication
r r5.rWhichrofrtherfollowingrisranrexamplerofrpracticalrknowledge?r(Assumerallrarertrue.)r1)
Thertricuspidrvalverisrbetweenrtherrightratriumrandrventriclerofrtherheart.r2)
Therpancreasrdoesrnotrproducerenoughrinsulinrinrtyper1rdiabetes.r3)
Whenrassessingrtherabdomen,ryourshouldrauscultaterbeforerpalpating.r4)
Researchrshowsrpainrmedicationrgivenrintravenouslyractsrfasterrthanrbyrotherrroutes.rA
NS:r3
, Practicalrknowledgerisrknowingrwhatrtordorandrhowrtordorit,rsuchrasrhowrtordoranrassessment.rTher
othersrarerexamplesrofrtheoreticalrknowledge,ranatomyr(tricuspidrvalve),rfactr(typer1rdiabetes),ran
drresearchr(IVrpainrmedication).
PTS:1DIF:Moderaterhigh-levelrquestion,ranswerrnotrstatedrverbatim
KEY:rNursingrprocess:rN/Ar|rClientrneed:rSECEr|rCognitiverlevel:rApplication
r r6.rWhichrofrtherfollowingrisranrexamplerofrself-knowledge? rThernurserthinks,rIrknowrthatrIr1)
Shouldrtakertherclientsrapicalrpulserforr1rminuterbeforergivingrdigoxinr2)
ShouldrfollowrtherclientsrwishesrevenrthoughritrisrnotrwhatrIrwouldrwantr3)
Haverreligiousrbeliefsrthatrmayrmakeritrdifficultrtortakercarerofrsomerclientsr4)
NeedrtorhonorrtherclientsrrequestrnotrtordiscussrhisrhealthrconcernrwithrtherfamilyrAN
S:r3
Self-
knowledgerisrbeingrawarerofryourrreligiousrandrculturalrbeliefsrandrvalues.rTakingrtherpulserisranrexa
mplerofrpracticalrknowledge.rFollowingrclientrwishesrandrhonoringrclientrrequestsrarerexamplesrofre
thicalrknowledge.
PTS:1DIFifficult;rhigh-levelrquestion,ranswerrnotrstatedrverbatimr|rV1,rhigh-
levelrquestion,ranswerrnotrstatedrverbatim
KEY:rNursingrprocess:rN/Ar|rClientrneed:rSECEr|rCognitiverlevel:rApplication
r r7.rWhichrofrtherfollowingrisrthermostrimportantrreasonrforrnursesrtorbercriticalrthinkers?r1)
Nursesrneedrtorfollowrpoliciesrandrprocedures.r2
)
Nursesrworkrwithrotherrhealthcarerteamrmembers.r3
)
Nursesrcarerforrclientsrwhorhavermultiplerhealthrproblems.r4)
Nursesrhavertorberflexiblerandrworkrvariablerschedules.rA
NS:r3
Criticalrthinkingrisressentialrforrclientrcare,rparticularlyrwhenrthercarerisrcomplex,rinvolvingrnume
rousrhealthrissues.rFollowingrpoliciesrandrproceduresrdoesrnotrnecessarilyrrequirercriticalrthinking
,randrworkingrwithrothersrorrbeingrflexiblerandrworkingrdifferentrschedulesrdornotrnecessarilyrrequ
irercriticalrthinking.
PTS:1DIF:Moderate;rhigh-levelrquestion,ranswerrnotrstatedrverbatim
KEY:rNursingrprocess:rN/Ar|rClientrneed:rSECEr|rCognitiverlevel:rApplication
r
r8.rThernurseradministeringrpainrmedicationreveryr4rhoursrisranrexamplerofrwhichraspectrofrpati
entrcare?
1)
Assessmentrdatar
2)
Nursingrdiagnosis