PNC4 Exam #1 Questions With Complete Solutions
A nurse wishes to obtain data about a new patient's self-esteem. To gain the clearest picture, the nurse
uses which assessment technique? - (ANSWER)Interviewing the patient in an unstructured format
Lewin's Change Model - (ANSWER)"Unfreezing"
• Unfreezing is the process which involves finding a method of making it possible for people to let go of
an old pattern that was counterproductive in some way.
"Moving to a new level or Changing" or Movement
• This stage involves a process of change in thoughts, feeling, behavior, or all three, that is in some way
more liberating or more productive.
"Refreezing"
• Refreezing is establishing the change as a new habit, so that it now becomes the "standard operating
procedure."
A nursing instructor assigns their clinical group the task of writing a journal depicting the student's
clinical day. What is the most likely rationale for this assignment? - (ANSWER)Journaling allows
reflection, an important critical thinking skill.
Which statement is included in the clinical reasoning communication category? - (ANSWER)Relying
heavily on analytic reasoning that requires systematically breaking a situation down into parts,
examining alternatives, and weighing options.
The nurse teaches a student nurse about how to apply the Tanner Model of Clinical Judgment when
providing patient care. Which statement made by the student nurse indicates that teaching was
successful? - (ANSWER)The Tanner Model has four aspects of clinical judgment.
The nurse uses clinical judgment to compare actual nursing outcomes to the expected nursing outcomes
to - (ANSWER)Determine if progress is made or to determine if revisions are needed.
Nurses design interventions that are: - (ANSWER)Based on clinical reasoning and expected to help the
patient meet goals quickly
, PNC4 Exam #1 Questions With Complete Solutions
An interpretivist nurse is caring for a patient in the hospital setting. Which of the following factors will
the interpretivist consider when caring for this patient? (Select all that apply.) - (ANSWER)Context of
care
What the nurse personally brings to the caring encounter
The nurse's previous experiences, values, and emotions
You are a new graduate nurse working with a nurse who has been out of school for 10 years. The
seasoned nurse states, "I don't see the difference between this clinical reasoning and the nursing
process." Which of the following statements would be an appropriate response? (Select all that apply.) -
(ANSWER)Clinical reasoning involves reflecting on interventions and reevaluating the plan of care based
on the results of reflection.
Clinical reasoning is the thinking process by which a nurse reaches a clinical judgment.
Clinical reasoning is an iterative process of noticing, interpreting, and responding-reasoning in transition
with a fine attunement to the patient and how the patient responds to the nurse's actions.
A homeless man presents to the emergency room with hypothermia. He tells the nurse that he is
positive for human immunodeficiency virus (HIV) and sought revenge by deliberately having sex with his
mate, who does not know of his HIV status. This patient is violating which ethical principle? -
(ANSWER)Beneficence
A patient and her husband used in vitro fertilization to become pregnant. The unused sperm were
frozen so the couple could have more children later. They bore a little girl who was diagnosed with
leukemia when she was 5 years old. The child now needs a bone marrow transplant (BMT). The best
chance of a match for the BMT is a sibling. The couple would like to use the sperm to have another child
so that they can increase the likelihood of a match. The nurse realizes that the unborn child poses an
ethical dilemma involving which principle? - (ANSWER)Human dignity
Which ethical term matches this statement: "A problem for which in order to do something right you
have to do something wrong"? - (ANSWER)Ethical dilemma
A nurse wishes to obtain data about a new patient's self-esteem. To gain the clearest picture, the nurse
uses which assessment technique? - (ANSWER)Interviewing the patient in an unstructured format
Lewin's Change Model - (ANSWER)"Unfreezing"
• Unfreezing is the process which involves finding a method of making it possible for people to let go of
an old pattern that was counterproductive in some way.
"Moving to a new level or Changing" or Movement
• This stage involves a process of change in thoughts, feeling, behavior, or all three, that is in some way
more liberating or more productive.
"Refreezing"
• Refreezing is establishing the change as a new habit, so that it now becomes the "standard operating
procedure."
A nursing instructor assigns their clinical group the task of writing a journal depicting the student's
clinical day. What is the most likely rationale for this assignment? - (ANSWER)Journaling allows
reflection, an important critical thinking skill.
Which statement is included in the clinical reasoning communication category? - (ANSWER)Relying
heavily on analytic reasoning that requires systematically breaking a situation down into parts,
examining alternatives, and weighing options.
The nurse teaches a student nurse about how to apply the Tanner Model of Clinical Judgment when
providing patient care. Which statement made by the student nurse indicates that teaching was
successful? - (ANSWER)The Tanner Model has four aspects of clinical judgment.
The nurse uses clinical judgment to compare actual nursing outcomes to the expected nursing outcomes
to - (ANSWER)Determine if progress is made or to determine if revisions are needed.
Nurses design interventions that are: - (ANSWER)Based on clinical reasoning and expected to help the
patient meet goals quickly
, PNC4 Exam #1 Questions With Complete Solutions
An interpretivist nurse is caring for a patient in the hospital setting. Which of the following factors will
the interpretivist consider when caring for this patient? (Select all that apply.) - (ANSWER)Context of
care
What the nurse personally brings to the caring encounter
The nurse's previous experiences, values, and emotions
You are a new graduate nurse working with a nurse who has been out of school for 10 years. The
seasoned nurse states, "I don't see the difference between this clinical reasoning and the nursing
process." Which of the following statements would be an appropriate response? (Select all that apply.) -
(ANSWER)Clinical reasoning involves reflecting on interventions and reevaluating the plan of care based
on the results of reflection.
Clinical reasoning is the thinking process by which a nurse reaches a clinical judgment.
Clinical reasoning is an iterative process of noticing, interpreting, and responding-reasoning in transition
with a fine attunement to the patient and how the patient responds to the nurse's actions.
A homeless man presents to the emergency room with hypothermia. He tells the nurse that he is
positive for human immunodeficiency virus (HIV) and sought revenge by deliberately having sex with his
mate, who does not know of his HIV status. This patient is violating which ethical principle? -
(ANSWER)Beneficence
A patient and her husband used in vitro fertilization to become pregnant. The unused sperm were
frozen so the couple could have more children later. They bore a little girl who was diagnosed with
leukemia when she was 5 years old. The child now needs a bone marrow transplant (BMT). The best
chance of a match for the BMT is a sibling. The couple would like to use the sperm to have another child
so that they can increase the likelihood of a match. The nurse realizes that the unborn child poses an
ethical dilemma involving which principle? - (ANSWER)Human dignity
Which ethical term matches this statement: "A problem for which in order to do something right you
have to do something wrong"? - (ANSWER)Ethical dilemma
