NR224- Fundamentals: Skills- Week 1 Review UPDATED ACTUAL Questions
and CORRECT Answers
Is a conclusion about a patient's needs or health problems that leads to a decision to
A clinical judgment is: take or avoid action, use or modify standard approaches or create new approaches
based on the patient's response.
Define evidence-based knowledge. Evidence-based knowledge is knowledge based on research or clinical expertise.
a. Why does the patient have this condition?
b. How does the condition normally affect a patient physically and psychologically?
c. Are the signs and symptoms shown by the patient what I would expect for the
Critical thinking is a way of thinking about condition or situation?
clinical situations by asking questions such d. Are the signs and symptoms associated with worsening of the condition?
as: e. What do I really know about this patient's situation?
f. What other ways can I collect data to help me understand the problem more fully?
g. Do I require more information?
h. What care options do I have?
a. recognize cues
b. analyze cues
Identify the six cognitive skills that enable
c. prioritize problems/diagnoses
nurses to apply the process in clinical
d. generate solutions
decision making:
e. take actions
f. evaluate outcomes
,Match the following cognitive processes to 5. c
critical thinking competencies. 6. d
7. a
5 ________ Scientific method 8. g
6 ________ Problem solving 9. b
7 _______ Decision making 10. f
8 ________ Diagnostic reasoning 11. e
9 _______ Inference
10 _______ Clinical decision making
11 _______ Nursing process
a. Focuses on problem resolution
b. Process of drawing conclusions from
related pieces of evidence
c. Systematic, ordered approach to
gathering data and solving problems
d. Obtain information and then use the
information plus what you already know to
find a solution
e. Five-step clinical decision-making
approach
f. Careful reasoning so the best options are
chosen for the best outcomes
g. Determining a patient's health status
after you have assigned meaning to the
behaviors and symptoms presented
Explain the two types of interpretation of a. Inductive reasoning moves from reviewing specific data elements to make an
facts and observations: inference by forming a conclusion about the related pieces of evidence.
a. Inductive reasoning:
b. Deductive reasoning: b. Deductive reasoning moves from the general to the specific.
a. Critical thinking competence - diagnostic reasoning and clinical decision-making
ability
b. Specific knowledge base - patient data, basic and nursing science, nursing and
healthcare theory
The clinical thinking model includes six
c. Experience personal, clinical practice, skill competence.
components of critical thinking in nursing
d. Environment - time pressure, setting, task complexity
judgment; identify them and give an
e. Attitudes: confidence, independence, fairness, responsibility, risk taking, discipline,
example:
perseverance, creativity, curiosity, intellectual integrity, humility
f. Standards: intellectual standards is a guideline or principle for rational thought;
professional standards refer to the standard of practice, ethical criteria for nursing
judgments, criteria for evaluation, professional responsibility.
R-recall the events
E-examine your responses
F-acknowledge your feelings
List the steps of a model for using
L-learn from the experiences
reflection in your practice:
E-explore options
C-create a plan of action
T-set a time
a. What did I learn from the experience?
List some examples of questions that you b. Did I respond appropriately in this situation?
would use in your journal for self- c. What were the consequences of my actions?
evaluation: d. How might I act differently in the future?
e. Was I working from tradition or evidence-based practices?
, a. Reflective journaling which helps to clarify concepts
b. Meeting with colleagues to discuss and examine work experiences and validate
List ways the nurse can evaluate his or her
decisions
clinical judgments:
c. Concept mapping is a visual representation of patient problems and interventions
that show their relationships to one another.
You are removing your patient's food tray a. The nurse needs to recognize that many assumptions (beliefs) could interfere with
and notice that the food is still on the tray. the patient eating; such as, the food presented is not culturally appropriate. These
When you assess the patient, he states he assumptions must be clarified. The aim of critical thinking is the ability to focus on the
feels hungry but does not eat his food important issues at hand (not eating his food) and make decisions that produce
when it is served. desired outcomes.
a. Using critical thinking skills, the nurse b. Knowing the patient is central to individualizing nursing care so a patient feels
would perform what? cared for and cared about. Specific questions to ask: Why is this patient not eating
b. What specific questions could I ask this the food that is given to him? What do I really know about this patient's dietary
patient to better understand the issue? habits? What options do I have?
Clinical decision making requires the nurse 4. Establish and weigh criteria in deciding the best choice of therapy for a patient.
to:
Involves recognizing an issue exists, analyzing information, evaluating information,
1. Improve a patient's health and making conclusions
2. Standardize care for the patient
3. Follow the health care provider's orders
for patient care
4. Establish and weigh criteria in deciding
the best choice of therapy for a patient
Which of the following is not one of the 4. Hypothesis testing
five steps of the nursing process?
The five steps are assessment, diagnosis, planning, interventions, and evaluation.
1. Planning
2. Evaluation
3. Assessment
4. Hypothesis testing
and CORRECT Answers
Is a conclusion about a patient's needs or health problems that leads to a decision to
A clinical judgment is: take or avoid action, use or modify standard approaches or create new approaches
based on the patient's response.
Define evidence-based knowledge. Evidence-based knowledge is knowledge based on research or clinical expertise.
a. Why does the patient have this condition?
b. How does the condition normally affect a patient physically and psychologically?
c. Are the signs and symptoms shown by the patient what I would expect for the
Critical thinking is a way of thinking about condition or situation?
clinical situations by asking questions such d. Are the signs and symptoms associated with worsening of the condition?
as: e. What do I really know about this patient's situation?
f. What other ways can I collect data to help me understand the problem more fully?
g. Do I require more information?
h. What care options do I have?
a. recognize cues
b. analyze cues
Identify the six cognitive skills that enable
c. prioritize problems/diagnoses
nurses to apply the process in clinical
d. generate solutions
decision making:
e. take actions
f. evaluate outcomes
,Match the following cognitive processes to 5. c
critical thinking competencies. 6. d
7. a
5 ________ Scientific method 8. g
6 ________ Problem solving 9. b
7 _______ Decision making 10. f
8 ________ Diagnostic reasoning 11. e
9 _______ Inference
10 _______ Clinical decision making
11 _______ Nursing process
a. Focuses on problem resolution
b. Process of drawing conclusions from
related pieces of evidence
c. Systematic, ordered approach to
gathering data and solving problems
d. Obtain information and then use the
information plus what you already know to
find a solution
e. Five-step clinical decision-making
approach
f. Careful reasoning so the best options are
chosen for the best outcomes
g. Determining a patient's health status
after you have assigned meaning to the
behaviors and symptoms presented
Explain the two types of interpretation of a. Inductive reasoning moves from reviewing specific data elements to make an
facts and observations: inference by forming a conclusion about the related pieces of evidence.
a. Inductive reasoning:
b. Deductive reasoning: b. Deductive reasoning moves from the general to the specific.
a. Critical thinking competence - diagnostic reasoning and clinical decision-making
ability
b. Specific knowledge base - patient data, basic and nursing science, nursing and
healthcare theory
The clinical thinking model includes six
c. Experience personal, clinical practice, skill competence.
components of critical thinking in nursing
d. Environment - time pressure, setting, task complexity
judgment; identify them and give an
e. Attitudes: confidence, independence, fairness, responsibility, risk taking, discipline,
example:
perseverance, creativity, curiosity, intellectual integrity, humility
f. Standards: intellectual standards is a guideline or principle for rational thought;
professional standards refer to the standard of practice, ethical criteria for nursing
judgments, criteria for evaluation, professional responsibility.
R-recall the events
E-examine your responses
F-acknowledge your feelings
List the steps of a model for using
L-learn from the experiences
reflection in your practice:
E-explore options
C-create a plan of action
T-set a time
a. What did I learn from the experience?
List some examples of questions that you b. Did I respond appropriately in this situation?
would use in your journal for self- c. What were the consequences of my actions?
evaluation: d. How might I act differently in the future?
e. Was I working from tradition or evidence-based practices?
, a. Reflective journaling which helps to clarify concepts
b. Meeting with colleagues to discuss and examine work experiences and validate
List ways the nurse can evaluate his or her
decisions
clinical judgments:
c. Concept mapping is a visual representation of patient problems and interventions
that show their relationships to one another.
You are removing your patient's food tray a. The nurse needs to recognize that many assumptions (beliefs) could interfere with
and notice that the food is still on the tray. the patient eating; such as, the food presented is not culturally appropriate. These
When you assess the patient, he states he assumptions must be clarified. The aim of critical thinking is the ability to focus on the
feels hungry but does not eat his food important issues at hand (not eating his food) and make decisions that produce
when it is served. desired outcomes.
a. Using critical thinking skills, the nurse b. Knowing the patient is central to individualizing nursing care so a patient feels
would perform what? cared for and cared about. Specific questions to ask: Why is this patient not eating
b. What specific questions could I ask this the food that is given to him? What do I really know about this patient's dietary
patient to better understand the issue? habits? What options do I have?
Clinical decision making requires the nurse 4. Establish and weigh criteria in deciding the best choice of therapy for a patient.
to:
Involves recognizing an issue exists, analyzing information, evaluating information,
1. Improve a patient's health and making conclusions
2. Standardize care for the patient
3. Follow the health care provider's orders
for patient care
4. Establish and weigh criteria in deciding
the best choice of therapy for a patient
Which of the following is not one of the 4. Hypothesis testing
five steps of the nursing process?
The five steps are assessment, diagnosis, planning, interventions, and evaluation.
1. Planning
2. Evaluation
3. Assessment
4. Hypothesis testing
