Critical Thinking Clinical
Reasoning and Clinical Judgment:
A Practical Approach
7th Edition
by Rosalinda Alfaro-LeFevre
TEST BANK f l
,CriticalflThinkingflClinicalflReasoningflandflClinicalflJudgmentfl7thflEdition:flAflPracticalflAp
proachflTestflBankflbyflRosalindaflAlfaro-LeFevre
TableflofflContents:
1.flWhatflareflCriticalflThinking,flClinicalflReasoning,flandflClinicalflJudgment? 3
2.flBecomingflaflCriticalflThinker 10
3.flCriticalflThinkingflandflLearningflCultures:flTeaching,flLearning,flandflTakingflTests 18
4.flInterprofessionalflClinicalflReasoning,flDecisionflMaking,flandflJudgment 30
5.flEthicalflReasoning,flProfessionalism,flEvidence-BasedflPractice,flandflQualityflImprovement 42
6.flPracticingflClinicalflReasoning,flClinicalflJudgment,flandflDecision-makingflSkills 66
7.flInterprofessionalflPracticeflSkills:flCommunication,flTeamwork,flandflSelf-Management 88
,Chapterfl1.flWhatflareflCriticalflThinking,flClinicalflReasoning,flandflClinicalflJudgment?
Alfaro-
LeFevre:flCriticalflThinkingflClinicalflReasoningflandflClinicalflJudgmentfl7thflEditionflAflPracti
calflApproachflTestflBank
MultipleflChoice
Identifyfltheflchoiceflthatflbestflcompletesfltheflstatementflorflanswersfltheflquestion.
1. Whichfloffltheflfollowingflcharacteristicsfldofltheflvariousfldefinitionsflofflcriticalflthinkingflha
veinflcommon?flCriticalflthinking
1) Requiresflreasonedflthought
2) Asksfltheflquestionsflwhy?florflhow?
3) Isflaflhierarchicalflprocess
4) Demandsflspecializedflthinkingflskills
ANS:fl1
ThefldefinitionsfllistedflinflthefltextflasflwellflasfldefinitionsflinflBoxfl2-
1flstateflthatflcriticalflthinkingflrequiresflreasoningflorflreasonedflthinking.flCriticalflthinkingflisflneit
herfllinearflnorflhierarchical.flThatflmeansflthatfltheflstepsflinvolvedflinflcriticalflthinkingflareflnotflne
cessarilyflsequential,flwhereflmasteryfloffloneflstepflisflnecessaryfltoflproceedfltofltheflnext.flCriticalfl
thinkingflisflaflpurposeful,fldynamic,flanalyticflprocessflthatflcontributesfltoflreasonedfldecisionsflan
dflsoundflcontextualfljudgments.
PTS:1DIF:Moderateflhigh-levelflquestion,flanswerflnotflstatedflverbatim
KEY:flNursingflprocess:flN/Afl|flClientflneed:flSECEfl|flCognitivefllevel:flAnalysis
2. Aflfewflnursesflonflaflunitflhaveflproposedfltofltheflnurseflmanagerflthatfltheflprocessflforfldocum
entingflcareflonfltheflunitflbeflchanged.flTheyflhavefldescribedflaflcompletelyflnewflsystem.flWhyflis
itflimportantflforfltheflnurseflmanagerfltoflhaveflaflcriticalflattitude?flItflwillflhelpfltheflmanagerflto
1) Considerflallfltheflpossiblefladvantagesflandfldisadvantages
2) Maintainflanflopenflmindflaboutfltheflproposedflchange
3) Applyfltheflnursingflprocessfltofltheflsituation
4) Makeflafldecisionflbasedflonflpastflexperienceflwithfldocumentati
onflANS:fl2
Aflcriticalflattitudeflenablesfltheflpersonfltoflthinkflfairlyflandflkeepflanflopenflmind.flPTS:1DIF:Moderat
eKEY:flNursingflprocess:flN/Afl|flClientflneed:flSECEfl|flCognitivefllevel:flComprehension
3. Theflnurseflhasfljustflbeenflassignedfltofltheflclinicalflcareflofflaflnewlyfladmittedflpatient.flToflk
nowflhowfltoflbestflcareflforfltheflpatient,fltheflnurseflusesfltheflnursingflprocess.flWhichflstepflwoul
dflthenurseflprobablyfldoflfirst?
1) Assessment
2) Diagnosis
3) Planfloutcomes
4) Planflinterventions
, ANS:fl1
Assessmentflisfltheflfirstflstepfloffltheflnursingflprocess.flTheflnursingfldiagnosisflisflderivedflfromflthefldat
aflgatheredflduringflassessment,floutcomesflfromflthefldiagnosis,flandflinterventionsflfromflthefloutcome
s.
PTS:1DIF:Easy
KEY:flNursingflprocess:flAssessmentfl|flClientflneed:flSECEfl|flCognitivefllevel:flApplication
4. Whichfloffltheflfollowingflisflanflexamplefloffltheoreticalflknowledge?
1) Aflnurseflusesflsterilefltechniquefltoflcatheterizeflaflpatient.
2) Roomflairflhasflanfloxygenflconcentrationfloffl21%.
3) Glucoseflmonitoringflmachinesflshouldflbeflcalibratedfldaily.
4) Anflirregularflapicalflheartflrateflshouldflbeflcomparedflwithfltheflra
dialflpulse.
ANS:fl2
Theoreticalflknowledgeflconsistsflofflresearchflfindings,flfacts,flprinciples,flandfltheories.flThefloxy
genflconcentrationflofflroomflairflisflaflscientificflfact.flTheflothersflareflexamplesflofflpracticalflkn
owledgewhatfltofldoflandflhowfltofldoflit.
PTS:1DIF:Moderate;flhigh-levelflquestion,flanswerflnotflstatedflverbatim
KEY:flNursingflprocess:flN/Afl|flClientflneed:flSECEfl|flCognitivefllevel:flApplication
5. Whichfloffltheflfollowingflisflanflexampleflofflpracticalflknowledge?fl(Assumeflallflarefltrue.)
1) Thefltricuspidflvalveflisflbetweenfltheflrightflatriumflandflventriclefloffltheflheart.
2) Theflpancreasfldoesflnotflproduceflenoughflinsulinflinfltypefl1fldiabetes.
3) Whenflassessingfltheflabdomen,flyouflshouldflauscultateflbeforeflpalpating.
4) Researchflshowsflpainflmedicationflgivenflintravenouslyflactsflfasterflthanflbyflotherflroutes.
ANS:fl3
Practicalflknowledgeflisflknowingflwhatfltofldoflandflhowfltofldoflit,flsuchflasflhowfltofldoflanflassess
ment.flTheflothersflareflexamplesfloffltheoreticalflknowledge,flanatomyfl(tricuspidflvalve),flfactfl(ty
pefl1fldiabetes),flandflresearchfl(IVflpainflmedication).
PTS:1DIF:Moderateflhigh-levelflquestion,flanswerflnotflstatedflverbatim
KEY:flNursingflprocess:flN/Afl|flClientflneed:flSECEfl|flCognitivefllevel:flApplication
6. Whichfloffltheflfollowingflisflanflexampleflofflself-knowledge?flTheflnurseflthinks,flIflknowflthatflI
1) Shouldfltakefltheflclientsflapicalflpulseflforfl1flminuteflbeforeflgivingfldigoxin
2) ShouldflfollowfltheflclientsflwishesflevenflthoughflitflisflnotflwhatflIflwouldflwant
3) Haveflreligiousflbeliefsflthatflmayflmakeflitfldifficultfltofltakeflcareflofflsomeflclients
4) Needfltoflhonorfltheflclientsflrequestflnotfltofldiscussflhisflhealthflconcernflwithfltheflfa