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A female pt who is receiving chemotherapy for breast cancer tells the nurse, "The treatment for
this cancer is worse than the disease itself. I'm not going to come for my therapy anymore." The
nurse responds by using critical thinking skills to address this patient problem. Which action is
the first step the nurse would take in this process? - ANS ✔✔The nurse reassess the pt and
decides how best to intervene in her care.
The nursing process ensures that nurses are person centered rather than task centered. Rather
than simply approaching a pt to take VS, the nurse thinks, "How is Mrs. Barclay today? Are our
nursing actions helping her achieve her goals? How can we better help her?" This demonstrates
which characteristic of the nursing process? - ANS ✔✔Interpersonal
An experienced nurse tells a beginning nurse not to bother studying too hard, since most clinical
reasoning becomes "second nature" and "intuitive" once you start practicing. What thinking
below should underlie the beginning nurse's response? - ANS ✔✔Intuitive problem solving
comes from years of practice and observation, and novice nurses should base their care on
scientific problem solving.
The nurse uses blended competencies when caring for patients in a rehab facility. Which
examples of interventions involve cognitive skills? Select all that apply. - ANS ✔✔-the nurse uses
critical thinking skills to plan care for a patient
-the nurse learns t he correct dosages for patient pain meds
A nurse uses critical thinking skills to focus on the care plan of an elderly patient who has
dementia and needs placement in a long-term care facility. Which statements describe
characteristics of this type of critical thinking applied to clinical reasoning? Select all that apply. -
ANS ✔✔-it is based on the principles of the nursing process, problem solving, and the scientific
method
, -it is driven by patient, family, and community needs as well as nurses' needs to give competent,
efficient care.
-it is constantly re-evaluating, self-correcting and striving for improvement
A nurse is caring for a patient who has complications r/t type 2 diabetes Mellitus. The nurse
researches new procedures to care for foot ulcers when developing plan of care for this patient.
Which QSEN competency does this action represent? - ANS ✔✔Quality improvement
A nurse is assessing a patient who is diagnosed with anorexia. Following the assessment, the
nurse recommends that the patient meet with a nutritionist. This action best exemplifies the
use of: - ANS ✔✔Clinical judgement
A nurse working in a LTC facility bases patient care in five caring processes: knowing, being with,
doing for, enabling, and maintaining belief. This approach to pt care best describes whose
theory? - ANS ✔✔Swanson's
The nurse practices using critical thinking indicators (CTIs)
when caring for patients in the hospital setting. The best
description of CTIs is: - ANS ✔✔Evidence-based descriptions of behaviors that demonstrate the
knowledge, characteristics, and skills that promote critical thinking in clinical practice
The nurse practitioner is performing a short assessment of a newborn who is displaying signs of
jaundice. The nurse observes the infant's skin color and orders a test for bilirubin levels to
report to the primary care provider. What type of assessment has this nurse performed? - ANS
✔✔Quick priority
The nurse is admitting a 35 y/o pregnant woman to the hospital for treatment of preeclampsia.
The patient asks the nurse: "why are you doing a history and physical exam when the doctor just
did one?" Which statements best explain the primary reasons a nursing assessment is
performed? Select all that apply. - ANS ✔✔-"the nursing assessment will allow us to plan and
deliver individualized, holistic nursing care that draws your strengths."