NSG3100 – Chapter 4-9 Questions With 100%
Correct Answers.
4.7. The nurse identifies that confidence is one of the attributes of successful clinical
judgment. Which statements by the nurse are accurate regarding this attribute? (Select all
that apply.)
a. “Nurses who are confident are more assertive.”
b. “Overconfidence occurs with increased experience.”
c. “Legitimate confidence results from knowledge and willingness to seek guidance from
expert practitioners.”
d. “Overconfidence may lead to negative patient outcomes.”
e. “Confidence in actions is simply reacting to problems.”
a. "Nurses who are confident are more assertive."
c. "Legitimate confidence results from knowledge and willingness to seek guidance from expert
practitioners."
d. "Overconfidence may lead to negative patient outcomes."
4.8. The nurse administers an IV pain medication that has an onset of 5 minutes to a
patient who is reporting a pain level of 9/10. When the patient does not begin to get relief
after the 5-minute time frame, the nurse immediately looks for interventions to help reduce
the pain level. This response is an example of what aspect of Tanner's Clinical Judgment
Model?
a. Reflection-on-action
b. Reflection-in-action
,c. Analysis of cues
d. Information seeking
b. Reflection-in-action
4.9. The nurse recognizes which environmental factors that influence clinical judgment
skills? (Select all that apply.)
a. Cultural values
b. Literature review
c. Cue analysis
d. Complexity of tasks
e. Interruptions
a. Cultural values
d. Complexity of tasks
e. Interruptions
4.10. During the assessment of a patient admitted for a total hip replacement, the nurse
asks the patient to explain prior hospital experiences and, more specifically, any
operative experiences. These questions reflect the nurse’s use of which clinical judgment
attributes? For each potential attribute, mark an X in the corresponding column, to
indicate whether the attribute is effective, ineffective, or unrelated:
Clinical judgment attributes:
Early problem recognition
Strong knowledge base
Self-awareness
Reflection
Intuition
Proficient technical skills
, Effective communication
Courageous
Clinical judgment attributes:
Early problem recognition: effective
Strong knowledge base: effective
Self-awareness: unrelated
Reflection: ineffective
Intuition: effective
Proficient technical skills: unrelated
Effective communication: effective
Courageous: unrelated
5.1. What is the purpose of the nursing process?
a. Providing patient-centered care
b. Identifying members of the health care team
c. Organizing the way nurses think about patient care
d. Facilitating communication among members of the health care team
c. Organizing the way nurses think about patient care
5.2. A patient comes to the emergency department complaining of nausea and vomiting.
What should the nurse ask the patient about first? a. Family history of diabetes
b. Medications the patient is taking
c. Operations the patient has had in the past
d. Severity and duration of the nausea and vomiting
d. Severity and duration of the nausea and vomiting
Correct Answers.
4.7. The nurse identifies that confidence is one of the attributes of successful clinical
judgment. Which statements by the nurse are accurate regarding this attribute? (Select all
that apply.)
a. “Nurses who are confident are more assertive.”
b. “Overconfidence occurs with increased experience.”
c. “Legitimate confidence results from knowledge and willingness to seek guidance from
expert practitioners.”
d. “Overconfidence may lead to negative patient outcomes.”
e. “Confidence in actions is simply reacting to problems.”
a. "Nurses who are confident are more assertive."
c. "Legitimate confidence results from knowledge and willingness to seek guidance from expert
practitioners."
d. "Overconfidence may lead to negative patient outcomes."
4.8. The nurse administers an IV pain medication that has an onset of 5 minutes to a
patient who is reporting a pain level of 9/10. When the patient does not begin to get relief
after the 5-minute time frame, the nurse immediately looks for interventions to help reduce
the pain level. This response is an example of what aspect of Tanner's Clinical Judgment
Model?
a. Reflection-on-action
b. Reflection-in-action
,c. Analysis of cues
d. Information seeking
b. Reflection-in-action
4.9. The nurse recognizes which environmental factors that influence clinical judgment
skills? (Select all that apply.)
a. Cultural values
b. Literature review
c. Cue analysis
d. Complexity of tasks
e. Interruptions
a. Cultural values
d. Complexity of tasks
e. Interruptions
4.10. During the assessment of a patient admitted for a total hip replacement, the nurse
asks the patient to explain prior hospital experiences and, more specifically, any
operative experiences. These questions reflect the nurse’s use of which clinical judgment
attributes? For each potential attribute, mark an X in the corresponding column, to
indicate whether the attribute is effective, ineffective, or unrelated:
Clinical judgment attributes:
Early problem recognition
Strong knowledge base
Self-awareness
Reflection
Intuition
Proficient technical skills
, Effective communication
Courageous
Clinical judgment attributes:
Early problem recognition: effective
Strong knowledge base: effective
Self-awareness: unrelated
Reflection: ineffective
Intuition: effective
Proficient technical skills: unrelated
Effective communication: effective
Courageous: unrelated
5.1. What is the purpose of the nursing process?
a. Providing patient-centered care
b. Identifying members of the health care team
c. Organizing the way nurses think about patient care
d. Facilitating communication among members of the health care team
c. Organizing the way nurses think about patient care
5.2. A patient comes to the emergency department complaining of nausea and vomiting.
What should the nurse ask the patient about first? a. Family history of diabetes
b. Medications the patient is taking
c. Operations the patient has had in the past
d. Severity and duration of the nausea and vomiting
d. Severity and duration of the nausea and vomiting
