ss ss ss ss ss ss ss ss ss
Material
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Material
Critical s s s s Thinking s s Clinical s s s s Reasoning s and Clinical Judgment
s s s s s s s s s s s s s 7th s s s s Edition s s s s A
Practical s s s s Approach Test Bank
Chapter 1. What are Critical Thinking, Clinical Reasoning, and Clinical Judgment?
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Multiple Choice ss
Identify the choice that best completes the statement or answers the question.
1. Which of the following characteristics do the various
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definitions of critical thinking have in common? Critical thinking
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1)
Requires reasonedthought kj
ss2)
Asks the questions why? or ss ss ss ss
sshow?
3)
Is a hierarchical process
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ss4)
Demands specialized thinking skills ss ss ss
ssANS: 1 ss
The definitions listed in the text as well as definitions in Box 2-1 s
state that critical thinking requires reasoning or reasoned thinking.
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Critical thinking is neither linear nor hierarchical. That ss s s s s s s s s ss s
means that the steps s s s s s s
involved in critical thinking are not necessarily sequential, s s s s s s s s s s ss
where mastery
s s of one step is necessary to ss
proceed to the next.
Critical thinking is a purposeful, dynamic, analytic process that s s s s s s s s
contributes to reasoned decisions and sound contextual judgments.
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PTS:1DIF:Moderate high-level question, answer not stated verbatim
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Analysis s s s s
2. A few nurses on a unit have proposed to the nurse
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ss manager that the process for documenting care on the unit be ss s s s s s s s s s s s s
s changed. They have described a completely new system. Why
s is s s s s s s s s ss ss ss
it important for the nurse manager to have a s s
s critical attitude?
s It will help the manager to s s ss s s s s
1)
Consider all the possible advantages and ss ss ss ss ss
ssdisadvantages 2) ss
Maintain an open mind about the ss ss ss ss ss
ssproposed change 3) ss ss
Apply the nursing process to the ss ss ss ss ss
sssituation 4) ss
Make a decision based on past experience with documentation
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ANS: 2ss ss
A critical attitude enables the person to think fairly and keep an
s s
open mind. PTS:1DIF:ModerateKEY: Nursing process: N/A | Client need: SECE |
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Cognitive level: Comprehension ss
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Material
3. The nurse has just been assigned to the clinical care
of a ss newly admitted patient. To know how to best care for the patient, the
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nurse s s
uses the nursing process. Which step would the nurse probably
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s do first? 1)
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Assessment
2)ss
Diagnosis
3)ss
Planoutcomes
4) ss
Planinterventions
ANS: 1ss ss
Assessment is the first step of the nursing process. The nursing diagnosis s s s s
is derived from the data gathered
ss s s during assessment, outcomes ss s s s s
from the diagnosis, and interventions from the outcomes. ss s s ss ss
PTS:1DIF:Easy
ss
KEY: Nursing process: Assessment | Client need: SECE | Cognitive level: Application s s s s s s
4. Which of the following is an example of ss ss ss ss ss ss ss ss
theoretical knowledge? 1)
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A nurse uses sterile technique to catheterize a
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patient. 2)
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Room air has an oxygen concentration of ss ss ss ss ss ss
21%. 3)
ss ss
Glucose monitoring machines should be calibrated ss ss ss ss ss
daily. 4)
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An irregular apical heart rate should be compared with the radial
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pulse. ANS: 2 ss ss ss
Theoretical knowledge consists of research findings, facts, principles, and theories. The
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oxygen concentration of room air is a scientific fact. The others
ss s
are examples of practical knowledgewhat to do and how to do
ss ss s s s
it. s s
PTS:1DIF:Moderate; high-level question, answer not stated verbatim
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application s s s s s s
5. Which of the following is an example of practical
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knowledge? (Assume all are true.) 1) ss s s ss ss
The tricuspid valve is between the right atrium and ventricle of
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the heart. 2) ss ss
The pancreas does not produce enough insulin
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in type 1 diabetes. 3)
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When assessing the abdomen, you should auscultate before
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palpating. 4)
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Research shows pain medication given intravenously acts faster than by other
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routes. ANS: 3 ss ss ss
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Material
Practical knowledge is knowing what to do and how to do it, s
such as how to do an assessment. The others are examples of
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theoretical knowledge, anatomy (tricuspid valve), fact (type 1 diabetes),
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and research (IV pain medication).
ss
PTS:1DIF:Moderate high-level question, answer not stated verbatim
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application s s s s s s
6. Which of the following is an example of self-knowledge?
s s
The nurses s thinks, I know that I 1)
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Should take the clients apical pulse for 1 minute before giving
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digoxin 2)ss ss
Should follow the clients wishes even though it
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is not what I would
ss s s want 3) ss ss ss ss
Have religious beliefs that may make it difficult to
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take care of some clients 4)
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Need to honor the clients request not to discuss his health concern s s s s s s s s s s s s s s
with the family ANS: 3
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Self-knowledge is being aware of your religious and cultural s s s s s s s s s s s s s s s s
sbeliefs and values. Taking the
s pulseis s an s example s s ss ss
of practical knowledge. Following client wishes and ss
shonorings client requests are examples of ethical knowledge. s s s s s s s s s s ss
PTS:1DIFifficult; high-level question, answer not stated verbatim | V1, high-level ss ss ss ss ss ss ss ss ss
question, answer not stated verbatim
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KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application s s s s s s
7. Which of the following is the most important reason for
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nurses to be critical thinkers? 1)
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Nurses need to follow policies and
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ssprocedures. 2) ss
Nurses work with other healthcare team
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ssmembers. 3) ss
Nurses care for clients who have multiple health
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ssproblems. 4) ss
Nurses have to be flexible and work variable
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ssschedules. ANS: 3 ss ss
Critical thinking is essential for client care, particularly when the
s
care is complex, involving numerous health issues. Following policies and
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procedures does not necessarily require critical thinking, ss and working ss ss s s s s s
with others or being flexible and working ss
different schedules
s s do not necessarily require critical ss s s s s
thinking.
s s
PTS:1DIF:Moderate; high-level question, answer not stated verbatim
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application s s s s s s
8. The nurse administering pain medication every 4 hours is
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an example of which
s s s s aspect of patient care? s s ss ss ss ss
1)
Assessment data kj
ss2)
Nursing diagnosis