Critical Thinking Clinical Reasonin
t t t
g and Clinical Judgment:
t t t
A Practical Approach 7th
t t t t
Edition
by Rosalinda Alfaro-LeFevre
t t
TEST BANK t
,CriticaltThinkingtClinicaltReasoningtandtClinicaltJudgmentt7thtEdition:tAtPracticaltApproach
tTesttBanktbytRosalindatAlfaro-LeFevre
TabletoftContents:
1.tWhattaretCriticaltThinking,tClinicaltReasoning,tandtClinicaltJudgment? 3
2.tBecomingtatCriticaltThinker 10
3.tCriticaltThinkingtandtLearningtCultures:tTeaching,tLearning,tandtTakingtTests 18
4.tInterprofessionaltClinicaltReasoning,tDecisiontMaking,tandtJudgment 30
5.tEthicaltReasoning,tProfessionalism,tEvidence-BasedtPractice,tandtQualitytImprovement 42
6.tPracticingtClinicaltReasoning,tClinicaltJudgment,tandtDecision-makingtSkills 66
7.tInterprofessionaltPracticetSkills:tCommunication,tTeamwork,tandtSelf-Management 88
,Chaptert1.tWhattaretCriticaltThinking,tClinicaltReasoning,tandtClinicaltJudgment?
Alfaro-
LeFevre:tCriticaltThinkingtClinicaltReasoningtandtClinicaltJudgmentt7thtEditiontAtPracticaltAp
proachtTesttBank
MultipletChoice
Identifytthetchoicetthattbesttcompletestthetstatementtortanswerstthetquestion.
1. Whichtoftthetfollowingtcharacteristicstdotthetvarioustdefinitionstoftcriticaltthinkingthaveintco
mmon?tCriticaltthinking
1) Requirestreasonedtthought
2) Askstthetquestionstwhy?torthow?
3) Istathierarchicaltprocess
4) Demandstspecializedtthinkingtskills
ANS:t1
ThetdefinitionstlistedtintthettexttastwelltastdefinitionstintBoxt2-
1tstatetthattcriticaltthinkingtrequirestreasoningtortreasonedtthinking.tCriticaltthinkingtistneithertlineart
northierarchical.tThattmeanstthattthetstepstinvolvedtintcriticaltthinkingtaretnottnecessarilytsequential,t
wheretmasterytoftonetsteptistnecessaryttotproceedttotthetnext.tCriticaltthinkingtistatpurposeful,tdynam
ic,tanalytictprocesstthattcontributesttotreasonedtdecisionstandtsoundtcontextualtjudgments.
PTS:1DIF:Moderatethigh-leveltquestion,tanswertnottstatedtverbatim
KEY:tNursingtprocess:tN/At|tClienttneed:tSECEt|tCognitivetlevel:tAnalysis
2. Atfewtnursestontatunitthavetproposedttotthetnursetmanagertthattthetprocesstfortdocumentingtcaret
ontthetunittbetchanged.tTheythavetdescribedtatcompletelytnewtsystem.tWhytisittimportanttfortthetnu
rsetmanagerttothavetatcriticaltattitude?tIttwillthelptthetmanagertto
1) Considertalltthetpossibletadvantagestandtdisadvantages
2) Maintaintantopentmindtabouttthetproposedtchange
3) Applytthetnursingtprocessttotthetsituation
4) MaketatdecisiontbasedtontpasttexperiencetwithtdocumentationtA
NS:t2
Atcriticaltattitudetenablestthetpersonttotthinktfairlytandtkeeptantopentmind.tPTS:1DIF:ModerateKEY:tNu
rsingtprocess:tN/At|tClienttneed:tSECEt|tCognitivetlevel:tComprehension
3. Thetnursethastjusttbeentassignedttotthetclinicaltcaretoftatnewlytadmittedtpatient.tTotknowthowttot
besttcaretfortthetpatient,tthetnursetusestthetnursingtprocess.tWhichtsteptwouldtthenursetprobablytdot
first?
1) Assessment
2) Diagnosis
3) Plantoutcomes
4) Plantinterventions
, ANS:t1
Assessmenttistthetfirsttsteptoftthetnursingtprocess.tThetnursingtdiagnosististderivedtfromtthetdatatgatheredt
duringtassessment,toutcomestfromtthetdiagnosis,tandtinterventionstfromtthetoutcomes.
PTS:1DIF:Easy
KEY:tNursingtprocess:tAssessmentt|tClienttneed:tSECEt|tCognitivetlevel:tApplication
4. Whichtoftthetfollowingtistantexampletofttheoreticaltknowledge?
1) Atnursetuseststerilettechniquettotcatheterizetatpatient.
2) Roomtairthastantoxygentconcentrationtoft21%.
3) Glucosetmonitoringtmachinestshouldtbetcalibratedtdaily.
4) Antirregulartapicalthearttratetshouldtbetcomparedtwithtthetradialtpul
se.
ANS:t2
Theoreticaltknowledgetconsiststoftresearchtfindings,tfacts,tprinciples,tandttheories.tThetoxygentcon
centrationtoftroomtairtistatscientifictfact.tThetotherstaretexamplestoftpracticaltknowledgewhatttotdot
andthowttotdotit.
PTS:1DIF:Moderate;thigh-leveltquestion,tanswertnottstatedtverbatim
KEY:tNursingtprocess:tN/At|tClienttneed:tSECEt|tCognitivetlevel:tApplication
5. Whichtoftthetfollowingtistantexampletoftpracticaltknowledge?t(Assumetalltarettrue.)
1) Thettricuspidtvalvetistbetweentthetrighttatriumtandtventricletoftthetheart.
2) Thetpancreastdoestnottproducetenoughtinsulintinttypet1tdiabetes.
3) Whentassessingtthetabdomen,tyoutshouldtauscultatetbeforetpalpating.
4) Researchtshowstpaintmedicationtgiventintravenouslytactstfastertthantbytothertroutes.
ANS:t3
Practicaltknowledgetistknowingtwhatttotdotandthowttotdotit,tsuchtasthowttotdotantassessment.tThetothe
rstaretexamplestofttheoreticaltknowledge,tanatomyt(tricuspidtvalve),tfactt(typet1tdiabetes),tandtresear
cht(IVtpaintmedication).
PTS:1DIF:Moderatethigh-leveltquestion,tanswertnottstatedtverbatim
KEY:tNursingtprocess:tN/At|tClienttneed:tSECEt|tCognitivetlevel:tApplication
6. Whichtoftthetfollowingtistantexampletoftself-knowledge?tThetnursetthinks,tItknowtthattI
1) Shouldttaketthetclientstapicaltpulsetfort1tminutetbeforetgivingtdigoxin
2) ShouldtfollowtthetclientstwishesteventthoughtittistnottwhattItwouldtwant
3) Havetreligioustbeliefstthattmaytmaketittdifficultttottaketcaretoftsometclients
4) NeedttothonortthetclientstrequesttnotttotdiscussthisthealthtconcerntwithtthetfamilytAN
S:t3