Chapter 15: Critical Thinking and Clinical Judgment
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MULTIPLE CHOICE ra
1. Which action should thenursing attendant take when using critical thinking to make clinic
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al decisions?
ar
a. Makes decisions based on intuition. ra ra ra ra
b. Accepts one established way to provide care. ra ra ra ra ra ra
c. Considers what is important in any given situation. ra ra ra ra ra ra ra
d. Reads and follows theheath care provider’s orders.
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ACCURATE ar
ANSWER:-C
A critical thinker considers what is important in each clinical situation, imagines and explores
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alternatives, considers ethical principles, and makes informed decisions about thecare of hospi
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tal client s. Hospital client care can be provided in many ways. theuse of evidencebased knowled
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ge, or knowledge based on research or clinical expertise, makes you an informed critical thinker.
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Following health care provider’s orders is not considered a critical thinking skill. If your knowle
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dg e causes you to question a health care provider’s order, do so.
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DIF:Understand (comprehension) ra
OBJ:Examine thecomponents of critical thinking in clinical decision making.
ra ra ra ra ra ra ra ra ar
TOP:Implementation MSC: Management of Care ra ra
2. Which hospital client scenario of a surgical hospital client in pain is most indicative of critical
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thinking?
a. Administering pain-relief medication according to what was given last shift ra ra ra ra ra ra ra ra ra
b. Offering pain-relief medication based on thehealth care provider’s orders
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c. Asking thehospital client what painrelief methods, pharmacological and nonpharmac
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ological, have worked in thepast ra ra ra ar
d. Explaining to thehospital client ra ra ra ra
that selfreporting of severe pain is not consistent with theminor procedure that
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was performed ra
ACCURATE ar
ANSWER:-C
Asking thehospital client what pain-
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relief methods have worked in thepast is an example of exploring many options for pain relief.
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
Nonpharmacological pain- ra
relief methods are available, as are medications for pain. Administering medication based on a
ra ra ra ar ra ra ra ra ra ra ra ra ra ra
previous assessment is not practicing according to standards of care. thenursing attendant is t
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o conduct an assessment each shift on assigned hospital client s and intervene accordingly. Pa
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in is subjective. thenursing attendant should offer pain-
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relief methods based on thehospital client ’s reports without being judgmental.
ra ra ra ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Examine thecomponents of critical thinking in clinical decision making.
ra ra ra ra ra ra ra ra ar
TOP:Evaluation MSC: Basic Care and Comfort ra ra ra ra
,3. Which action indicates a nursing attendant is being responsible for making clinical decisions?
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a. Applies clear textbook solutions to hospital client s’ problems.
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, b. Takes immediate action when a hospital client ’s condition worsens.
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c. Uses only traditional methods of providing care to hospital client s.
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d. Formulates standardized care plans solely for groups of hospital client s. ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
Registered nursing attendant s are responsible for making clinical decisions to take immediate
ra ra ra ra ra ra ra ra ra ra ra ra ar
action when a hospital client ’s condition worsens. Hospital client care should be based on ev
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
idence-
based practice, not on tradition. Most hospital client s have health care problems for which th
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
ere are no clear textbook solutions. Care plans should be individualized for each hospital clie
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nt , not just for groups.
ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Examine thecomponents of critical thinking in clinical decision making. ra ra ra ra ra ra ra ra ar
TOP:Implementation MSC: Management of Care ra ra
4. A charge nursing attendant is supervising thecare of a new nursing attendant . Which actio
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n by a new nursing attendant indicates thecharge nursing attendant needs to intervene? a.
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Making an ethical clinical decision ra ra ra ra
b. Making an informed clinical decision ra ra ra ra
c. Making a clinical decision in thehospital client ’s best interest ra ra ra ra ra ra ra ra ra
d. Making a clinical decision based on previous shift assessments ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-D ra
The charge nursing attendant must intervene when thenursing attendant is using previous
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shift assessments to plan; this is inappropriate. Nursing attendant s are responsible for asse
ra ra ra ra ra ra ra ra ra ra ra ra ra
ssing their own hospital client s to make decisions. Making informed, ethical decisions in th
ra ra ra ra ra ra ra ra ra ra ra ra ar ra
ehospital client ’s best interest is practicing responsibly and does not need followup from thecha
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rge nursing attendant .
ra ra ra
DIF:Analyze (analysis) ra
OBJ:Examine thecomponents of critical thinking in clinical decision making. ra ra ra ra ra ra ra ra ar
TOP:Evaluation MSC: Management of Care ra ra ra
5. Which action demonstrates a nursing attendant utilizing reflection to improve clinical decisio
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n making?
ar
a. Obtains data in an orderly fashion. ra ra ra ra ra
b. Uses an objective approach in hospital client situations.
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c. Improves a plan of care while thinking back on interventions effectiveness. ra ra ra ra ra ra ra ra ra ra
d. Provides evidence-based explanations and research for care of assigned hospital client s.
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ACCURATE ANSWER:-C ra
Reflection utilizes critical thinking when thinking back on theeffectiveness of interventions
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and how they were performed. It involves purposeful thinking back or recalling a situation to
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discover its purpose or meaning. theother options are not examples of reflection but do repre
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
sent good nursing practice. Using an objective approach and obtaining data in an orderly fashio
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n do not involve purposefully thinking back to discover themeaning or purpose of a situation.
ra ra ra ra ra ra ra ra ra ra ra ra ra ra r
Providing evidencebased explanations for nursing interventions does not always involve thinkin
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g back to disco ver themeaning of a situation.
ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Examine thecomponents of critical thinking in clinical decision making. ra ra ra ra ra ra ra ra ar
TOP:Implementation MSC: Management of Care ra ra
ra ra ra ra ra ra
MULTIPLE CHOICE ra
1. Which action should thenursing attendant take when using critical thinking to make clinic
ra ra ra ra ra ra ra ra ra ra ra ra
al decisions?
ar
a. Makes decisions based on intuition. ra ra ra ra
b. Accepts one established way to provide care. ra ra ra ra ra ra
c. Considers what is important in any given situation. ra ra ra ra ra ra ra
d. Reads and follows theheath care provider’s orders.
ra ra ra ra ra ra
ACCURATE ar
ANSWER:-C
A critical thinker considers what is important in each clinical situation, imagines and explores
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
alternatives, considers ethical principles, and makes informed decisions about thecare of hospi
ra ra ra ra ra ra ra ra ra ra ra
tal client s. Hospital client care can be provided in many ways. theuse of evidencebased knowled
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ge, or knowledge based on research or clinical expertise, makes you an informed critical thinker.
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
Following health care provider’s orders is not considered a critical thinking skill. If your knowle
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
dg e causes you to question a health care provider’s order, do so.
ra ra ra ra ra ra ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Examine thecomponents of critical thinking in clinical decision making.
ra ra ra ra ra ra ra ra ar
TOP:Implementation MSC: Management of Care ra ra
2. Which hospital client scenario of a surgical hospital client in pain is most indicative of critical
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
thinking?
a. Administering pain-relief medication according to what was given last shift ra ra ra ra ra ra ra ra ra
b. Offering pain-relief medication based on thehealth care provider’s orders
ra ra ra ra ra ra ra ra
c. Asking thehospital client what painrelief methods, pharmacological and nonpharmac
ra ra ra ra ra ra ra ra
ological, have worked in thepast ra ra ra ar
d. Explaining to thehospital client ra ra ra ra
that selfreporting of severe pain is not consistent with theminor procedure that
ra ra ra ra ra ra ar ra ra ra ra ra
was performed ra
ACCURATE ar
ANSWER:-C
Asking thehospital client what pain-
ra ra ra ra
relief methods have worked in thepast is an example of exploring many options for pain relief.
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
Nonpharmacological pain- ra
relief methods are available, as are medications for pain. Administering medication based on a
ra ra ra ar ra ra ra ra ra ra ra ra ra ra
previous assessment is not practicing according to standards of care. thenursing attendant is t
ra ra ra ra ra ra ra ra ra ra ra ra ra
o conduct an assessment each shift on assigned hospital client s and intervene accordingly. Pa
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
in is subjective. thenursing attendant should offer pain-
ra ra ra ra ra ra
relief methods based on thehospital client ’s reports without being judgmental.
ra ra ra ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Examine thecomponents of critical thinking in clinical decision making.
ra ra ra ra ra ra ra ra ar
TOP:Evaluation MSC: Basic Care and Comfort ra ra ra ra
,3. Which action indicates a nursing attendant is being responsible for making clinical decisions?
ra ra ra ra ra ra ra ra ra ra ra ra
a. Applies clear textbook solutions to hospital client s’ problems.
ra ra ra ra ra ra ra ra
, b. Takes immediate action when a hospital client ’s condition worsens.
ra ra ra ra ra ra ra ra ra
c. Uses only traditional methods of providing care to hospital client s.
ra ra ra ra ra ra ra ra ra ra
d. Formulates standardized care plans solely for groups of hospital client s. ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
Registered nursing attendant s are responsible for making clinical decisions to take immediate
ra ra ra ra ra ra ra ra ra ra ra ra ar
action when a hospital client ’s condition worsens. Hospital client care should be based on ev
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
idence-
based practice, not on tradition. Most hospital client s have health care problems for which th
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
ere are no clear textbook solutions. Care plans should be individualized for each hospital clie
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
nt , not just for groups.
ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Examine thecomponents of critical thinking in clinical decision making. ra ra ra ra ra ra ra ra ar
TOP:Implementation MSC: Management of Care ra ra
4. A charge nursing attendant is supervising thecare of a new nursing attendant . Which actio
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
n by a new nursing attendant indicates thecharge nursing attendant needs to intervene? a.
ar ra ra ra ra ra ra ra ra ra ra ra
Making an ethical clinical decision ra ra ra ra
b. Making an informed clinical decision ra ra ra ra
c. Making a clinical decision in thehospital client ’s best interest ra ra ra ra ra ra ra ra ra
d. Making a clinical decision based on previous shift assessments ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-D ra
The charge nursing attendant must intervene when thenursing attendant is using previous
ra ra ra ra ra ra ra ra ra ra ra ra
shift assessments to plan; this is inappropriate. Nursing attendant s are responsible for asse
ra ra ra ra ra ra ra ra ra ra ra ra ra
ssing their own hospital client s to make decisions. Making informed, ethical decisions in th
ra ra ra ra ra ra ra ra ra ra ra ra ar ra
ehospital client ’s best interest is practicing responsibly and does not need followup from thecha
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
rge nursing attendant .
ra ra ra
DIF:Analyze (analysis) ra
OBJ:Examine thecomponents of critical thinking in clinical decision making. ra ra ra ra ra ra ra ra ar
TOP:Evaluation MSC: Management of Care ra ra ra
5. Which action demonstrates a nursing attendant utilizing reflection to improve clinical decisio
ra ra ra ra ra ra ra ra ra ra ra
n making?
ar
a. Obtains data in an orderly fashion. ra ra ra ra ra
b. Uses an objective approach in hospital client situations.
ra ra ra ra ra ra ra
c. Improves a plan of care while thinking back on interventions effectiveness. ra ra ra ra ra ra ra ra ra ra
d. Provides evidence-based explanations and research for care of assigned hospital client s.
ra ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-C ra
Reflection utilizes critical thinking when thinking back on theeffectiveness of interventions
ra ra ra ra ra ra ra ra ra ra ra
and how they were performed. It involves purposeful thinking back or recalling a situation to
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
discover its purpose or meaning. theother options are not examples of reflection but do repre
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
sent good nursing practice. Using an objective approach and obtaining data in an orderly fashio
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
n do not involve purposefully thinking back to discover themeaning or purpose of a situation.
ra ra ra ra ra ra ra ra ra ra ra ra ra ra r
Providing evidencebased explanations for nursing interventions does not always involve thinkin
a ra ra ra ra ra ra ra ra ra ra
g back to disco ver themeaning of a situation.
ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Examine thecomponents of critical thinking in clinical decision making. ra ra ra ra ra ra ra ra ar
TOP:Implementation MSC: Management of Care ra ra
