During the change-of- B B
shift report the night nurse states that a client mentioned having a bad experience with surger
B B B B B B B B B B B B B B B
y in the past. The nurse was called away and was unable to continue the conversation with the
B B B B B B B B B B B B B B B B B
Bclient. The nurse tells the day shift nurse about the comment and notes that the client appear
B B B B B B B B B B B B B B B B
s anxious. When the day shift nurse visits the client to clarify the client's bad experience with s
B B B B B B B B B B B B B B B B B
urgery, the nurse is exhibiting which aspect of critical thinking?
B B B B B B B B B
A. IntegrityB
B. Discipline
B
C. Confidence
B
D. Perseverance - ANSWER-
B B B D. Discipline
B
Discipline includes completing the task at hand, including assessments (which were not compl
B B B B B B B B B B B B
eted on the previous shift). Integrity includes recognizing when one's opinions conflict with th
B B B B B B B B B B B B B
ose of others and finding a mutually satisfying solution. Confidence is demonstrated in one's p
B B B B B B B B B B B B B B
resentation and belief in one's knowledge and abilities. Perseverance helps the critical thinker
B B B B B B B B B B B B B
to find effective solutions to client care problems, especially when they have been previously
B B B B B B B B B B B B B B
unresolved.
A client tells the nurse, "I'm not happy with the way the patient care technician did my bath. H
B B B B B B B B B B B B B B B B B B
e just seemed to be in a hurry and did not wash my back like I asked." The nurse decides to go t
B B B B B B B B B B B B B B B B B B B B B B
alk with the technician to learn his side of the story as well. This is an example of:
B B B B B B B B B B B B B B B B B
A. Fairness B
B. CuriosityB
C. Risk taking
B B
D. Responsibility - ANSWER-
B B B A. Fairness
B
,Fairness involves analyzing all viewpoints to understand the situation completely before maki
B B B B B B B B B B B
ng a decision. Curiosity gives the critical thinker the motivation to continue to ask questions an
B B B B B B B B B B B B B B B
d learn more. Risk taking involves trying different ways to solve problems.
B B B B B B B B B B B
The surgical unit has initiated the use of a pain rating scale to assess the severity of clients' pai
B B B B B B B B B B B B B B B B B B
n during their postoperative recovery. The nurse assigned to a client can look at the pain flow s
B B B B B B B B B B B B B B B B B
heet to see the client's pain scores over the last 24 hours. Use of the pain scale is an example o
B B B B B B B B B B B B B B B B B B B B
f adherence to which intellectual standard? - ANSWER-
B B B B B B B D. Consistency B
Using the same pain scale for all clients and ratings promotes consistency—
B B B B B B B B B B B
each nurse has the same measurement scale to compare assessments. Relevance refers to ho
B B B B B B B B B B B B B
w applicable the assessment is. An assessment has depth when it deals with less obvious issue
B B B B B B B B B B B B B B B
s. Specificity refers to the ability of the assessment to provide information about the particular
B B B B B B B B B B B B B B
Bproblem of interest. B B
During the day the nurse spends time instructing a client in how to self-
B B B B B B B B B B B B B
administer insulin. After discussing the technique and demonstrating an injection, the nurse a
B B B B B B B B B B B B
sks the client to try it. After the client makes two attempts it is clear that the client does not un
B B B B B B B B B B B B B B B B B B B B
derstand how to prepare the correct dose. The nurse discusses the situation with the charge n
B B B B B B B B B B B B B B B
urse and asks for suggestions. This is an example of:
B B B B B B B B B
A. Reflection
B
B. Risk taking
B B
C. Problem solving
B B
D. Client assessment - ANSWER-
B B B B C. Problem Solving
B B
This is an example of problem solving because the nurse is taking a problem to a supervisor for
B B B B B B B B B B B B B B B B B
help in finding a different approach. Reflection is the process of purposefully thinking back an
B B B B B B B B B B B B B B B
d recalling a situation to discover its purpose or meaning. Risk taking involves trying a different
B B B B B B B B B B B B B B B
approach. Client assessment is the first step in the process of instruction.
B B B B B B B B B B B B
A nurse uses an institution's procedure manual to confirm how to insert a Foley catheter. The l
B B B B B B B B B B B B B B B B
evel of critical thinking the nurse is using is:
B B B B B B B B
A. Commitment
B
,B. Scientific method
B B
C. Basic critical thinking
B B B
D. Complex critical thinking - ANSWER-
B B B B B C. Basic critical thinking
B B B
At the basic level of critical thinking, a learner trusts the experts and follows a procedure step
B B B B B B B B B B B B B B B B B
by step. Complex critical thinkers separate themselves from authorities and analyze and exami
B B B B B B B B B B B B
ne choices more independently. Commitment is the third level of critical thinking in which the
B B B B B B B B B B B B B B B
person anticipates the need to make choices without assistance from others. The scientific me
B B B B B B B B B B B B B
thod is a process of problem solving.
B B B B B B
A nurse refers to a client's postsurgical written plan of care, noting that the client has a drainag
B B B B B B B B B B B B B B B B B
e device collecting wound drainage. The surgeon is to be notified when drainage in the device
B B B B B B B B B B B B B B B B
exceeds 100 ml for the day. The nurse carefully notes the amount of drainage currently in the
B B B B B B B B B B B B B B B B B
device. This is an example of: B B B B B
A. Planning
B
B. Evaluation
B
C. Assessment
B
D. Intervention - ANSWER-
B B B C. Assessment
B
Assessment is the process of observing and collecting data. Planning is the step in which the di
B B B B B B B B B B B B B B B B
agnosis is analyzed for problem resolution. Intervention consists of the steps actually taken aft
B B B B B B B B B B B B B
er planning. Evaluation measures the effectiveness of the plan.
B B B B B B B B
The nurse asks a client how she feels about impending surgery for breast cancer. Before initiati
B B B B B B B B B B B B B B B
ng the discussion the nurse reviewed information about loss and grief in addition to therapeut
B B B B B B B B B B B B B B
ic communication principles. The critical thinking component involved in the nurse's review of
B B B B B B B B B B B B B
the literature is:
B B
A) Experience
B
B) Problem solving
B B
C) Knowledge application
B B
D) Clinical decision making - ANSWER-
B B B B B C. Knowledge application
B B
, The nurse sought appropriate information to be able to communicate more knowledgeably wi
B B B B B B B B B B B B
th the client. Experience is acquired through clinical learning situations. Problem solving is a s
B B B B B B B B B B B B B B
eries of steps to resolve a problem. Clinical decision making is a process in which critical thinki
B B B B B B B B B B B B B B B B
ng steps are followed for problem resolution.
B B B B B B
Which of the following is the most accurate information to give a nurse during change-of-
B B B B B B B B B B B B B B
shift reporting? B
A) Client refuses to take medications.
B B B B B
B) Client reports sharp pain in left anterior knee.
B B B B B B B B
C) Client encouraged to consume more fluids.
B B B B B B
D) Client expressed concern about pending surgery. - ANSWER-
B B B B B B B B
B. Client reports sharp pain in elft anterior knee
B B B B B B B B
The information in option 2 represents objective data that the nurse can use as part of baselin
B B B B B B B B B B B B B B B B
e information. "Encouraged" and "more" are vague terms. "Concern" is also vague; relating th
B B B B B B B B B B B B B
e exact concern would be more accurate. Option 1 may be true, but accurate data would also r
B B B B B B B B B B B B B B B B B
eport why the client refused medication.
B B B B B
On entering a client's room during change-of-
B B B B B B
shift rounds, the nurse notices that the client and spouse have their backs turned to each othe
B B B B B B B B B B B B B B B B
r, and both have their arms folded across their chests. The best action for the nurse to take at t
B B B B B B B B B B B B B B B B B B B
his time is to:
B B B
A) Introduce himself or herself and begin discharge teaching.
B B B B B B B B
B) Proceed with the tasks the nurse was intending to perform.
B B B B B B B B B B
C) Say nothing and leave quickly, closing the door behind.
B B B B B B B B B
D) Ask the client and spouse if they need some time alone right now. - ANSWER-
B B B B B B B B B B B B B B B
D. Ask the client and spouse if they need smoe time alone right now.
B B B B B B B B B B B B B
The situation suggests that the nurse entered during a stressful time. Offering privacy would b
B B B B B B B B B B B B B B
e appropriate. Because the situation indicates tension between the couple, this is not the time
B B B B B B B B B B B B B B
to initiate teaching.
B B B
shift report the night nurse states that a client mentioned having a bad experience with surger
B B B B B B B B B B B B B B B
y in the past. The nurse was called away and was unable to continue the conversation with the
B B B B B B B B B B B B B B B B B
Bclient. The nurse tells the day shift nurse about the comment and notes that the client appear
B B B B B B B B B B B B B B B B
s anxious. When the day shift nurse visits the client to clarify the client's bad experience with s
B B B B B B B B B B B B B B B B B
urgery, the nurse is exhibiting which aspect of critical thinking?
B B B B B B B B B
A. IntegrityB
B. Discipline
B
C. Confidence
B
D. Perseverance - ANSWER-
B B B D. Discipline
B
Discipline includes completing the task at hand, including assessments (which were not compl
B B B B B B B B B B B B
eted on the previous shift). Integrity includes recognizing when one's opinions conflict with th
B B B B B B B B B B B B B
ose of others and finding a mutually satisfying solution. Confidence is demonstrated in one's p
B B B B B B B B B B B B B B
resentation and belief in one's knowledge and abilities. Perseverance helps the critical thinker
B B B B B B B B B B B B B
to find effective solutions to client care problems, especially when they have been previously
B B B B B B B B B B B B B B
unresolved.
A client tells the nurse, "I'm not happy with the way the patient care technician did my bath. H
B B B B B B B B B B B B B B B B B B
e just seemed to be in a hurry and did not wash my back like I asked." The nurse decides to go t
B B B B B B B B B B B B B B B B B B B B B B
alk with the technician to learn his side of the story as well. This is an example of:
B B B B B B B B B B B B B B B B B
A. Fairness B
B. CuriosityB
C. Risk taking
B B
D. Responsibility - ANSWER-
B B B A. Fairness
B
,Fairness involves analyzing all viewpoints to understand the situation completely before maki
B B B B B B B B B B B
ng a decision. Curiosity gives the critical thinker the motivation to continue to ask questions an
B B B B B B B B B B B B B B B
d learn more. Risk taking involves trying different ways to solve problems.
B B B B B B B B B B B
The surgical unit has initiated the use of a pain rating scale to assess the severity of clients' pai
B B B B B B B B B B B B B B B B B B
n during their postoperative recovery. The nurse assigned to a client can look at the pain flow s
B B B B B B B B B B B B B B B B B
heet to see the client's pain scores over the last 24 hours. Use of the pain scale is an example o
B B B B B B B B B B B B B B B B B B B B
f adherence to which intellectual standard? - ANSWER-
B B B B B B B D. Consistency B
Using the same pain scale for all clients and ratings promotes consistency—
B B B B B B B B B B B
each nurse has the same measurement scale to compare assessments. Relevance refers to ho
B B B B B B B B B B B B B
w applicable the assessment is. An assessment has depth when it deals with less obvious issue
B B B B B B B B B B B B B B B
s. Specificity refers to the ability of the assessment to provide information about the particular
B B B B B B B B B B B B B B
Bproblem of interest. B B
During the day the nurse spends time instructing a client in how to self-
B B B B B B B B B B B B B
administer insulin. After discussing the technique and demonstrating an injection, the nurse a
B B B B B B B B B B B B
sks the client to try it. After the client makes two attempts it is clear that the client does not un
B B B B B B B B B B B B B B B B B B B B
derstand how to prepare the correct dose. The nurse discusses the situation with the charge n
B B B B B B B B B B B B B B B
urse and asks for suggestions. This is an example of:
B B B B B B B B B
A. Reflection
B
B. Risk taking
B B
C. Problem solving
B B
D. Client assessment - ANSWER-
B B B B C. Problem Solving
B B
This is an example of problem solving because the nurse is taking a problem to a supervisor for
B B B B B B B B B B B B B B B B B
help in finding a different approach. Reflection is the process of purposefully thinking back an
B B B B B B B B B B B B B B B
d recalling a situation to discover its purpose or meaning. Risk taking involves trying a different
B B B B B B B B B B B B B B B
approach. Client assessment is the first step in the process of instruction.
B B B B B B B B B B B B
A nurse uses an institution's procedure manual to confirm how to insert a Foley catheter. The l
B B B B B B B B B B B B B B B B
evel of critical thinking the nurse is using is:
B B B B B B B B
A. Commitment
B
,B. Scientific method
B B
C. Basic critical thinking
B B B
D. Complex critical thinking - ANSWER-
B B B B B C. Basic critical thinking
B B B
At the basic level of critical thinking, a learner trusts the experts and follows a procedure step
B B B B B B B B B B B B B B B B B
by step. Complex critical thinkers separate themselves from authorities and analyze and exami
B B B B B B B B B B B B
ne choices more independently. Commitment is the third level of critical thinking in which the
B B B B B B B B B B B B B B B
person anticipates the need to make choices without assistance from others. The scientific me
B B B B B B B B B B B B B
thod is a process of problem solving.
B B B B B B
A nurse refers to a client's postsurgical written plan of care, noting that the client has a drainag
B B B B B B B B B B B B B B B B B
e device collecting wound drainage. The surgeon is to be notified when drainage in the device
B B B B B B B B B B B B B B B B
exceeds 100 ml for the day. The nurse carefully notes the amount of drainage currently in the
B B B B B B B B B B B B B B B B B
device. This is an example of: B B B B B
A. Planning
B
B. Evaluation
B
C. Assessment
B
D. Intervention - ANSWER-
B B B C. Assessment
B
Assessment is the process of observing and collecting data. Planning is the step in which the di
B B B B B B B B B B B B B B B B
agnosis is analyzed for problem resolution. Intervention consists of the steps actually taken aft
B B B B B B B B B B B B B
er planning. Evaluation measures the effectiveness of the plan.
B B B B B B B B
The nurse asks a client how she feels about impending surgery for breast cancer. Before initiati
B B B B B B B B B B B B B B B
ng the discussion the nurse reviewed information about loss and grief in addition to therapeut
B B B B B B B B B B B B B B
ic communication principles. The critical thinking component involved in the nurse's review of
B B B B B B B B B B B B B
the literature is:
B B
A) Experience
B
B) Problem solving
B B
C) Knowledge application
B B
D) Clinical decision making - ANSWER-
B B B B B C. Knowledge application
B B
, The nurse sought appropriate information to be able to communicate more knowledgeably wi
B B B B B B B B B B B B
th the client. Experience is acquired through clinical learning situations. Problem solving is a s
B B B B B B B B B B B B B B
eries of steps to resolve a problem. Clinical decision making is a process in which critical thinki
B B B B B B B B B B B B B B B B
ng steps are followed for problem resolution.
B B B B B B
Which of the following is the most accurate information to give a nurse during change-of-
B B B B B B B B B B B B B B
shift reporting? B
A) Client refuses to take medications.
B B B B B
B) Client reports sharp pain in left anterior knee.
B B B B B B B B
C) Client encouraged to consume more fluids.
B B B B B B
D) Client expressed concern about pending surgery. - ANSWER-
B B B B B B B B
B. Client reports sharp pain in elft anterior knee
B B B B B B B B
The information in option 2 represents objective data that the nurse can use as part of baselin
B B B B B B B B B B B B B B B B
e information. "Encouraged" and "more" are vague terms. "Concern" is also vague; relating th
B B B B B B B B B B B B B
e exact concern would be more accurate. Option 1 may be true, but accurate data would also r
B B B B B B B B B B B B B B B B B
eport why the client refused medication.
B B B B B
On entering a client's room during change-of-
B B B B B B
shift rounds, the nurse notices that the client and spouse have their backs turned to each othe
B B B B B B B B B B B B B B B B
r, and both have their arms folded across their chests. The best action for the nurse to take at t
B B B B B B B B B B B B B B B B B B B
his time is to:
B B B
A) Introduce himself or herself and begin discharge teaching.
B B B B B B B B
B) Proceed with the tasks the nurse was intending to perform.
B B B B B B B B B B
C) Say nothing and leave quickly, closing the door behind.
B B B B B B B B B
D) Ask the client and spouse if they need some time alone right now. - ANSWER-
B B B B B B B B B B B B B B B
D. Ask the client and spouse if they need smoe time alone right now.
B B B B B B B B B B B B B
The situation suggests that the nurse entered during a stressful time. Offering privacy would b
B B B B B B B B B B B B B B
e appropriate. Because the situation indicates tension between the couple, this is not the time
B B B B B B B B B B B B B B
to initiate teaching.
B B B
