, CriticalmThinkingmClinicalmReasoningmandmClinicalmJudgmentm7thmEditionmAmPracticalm
ApproachmTestmBank
Chapterm1.mWhatmaremCriticalmThinking,mClinicalmReasoning,mandmClinicalmJudgmen
t?mMultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersmthemquestion.
m
m 1.mWhichmofmthemfollowingmcharacteristicsmdomthemvariousmdefinitionsmofmcriticalmthinkingmh
aveminmcommon?mCriticalmthinking
1)
Requiresmreasonedmthough
tm2)
Asksmthemquestionsmwhy?mormhow
?m3)
Ismamhierarchicalmproces
sm4)
DemandsmspecializedmthinkingmskillsmA
NS:m1
ThemdefinitionsmlistedminmthemtextmasmwellmasmdefinitionsminmBoxm2-
1mstatemthatmcriticalmthinkingmrequiresmreasoningmormreasonedmthinking.mCriticalmthinkingmismneithe
rmlinearmnormhierarchical.mThatmmeansmthatmthemstepsminvolvedminmcriticalmthinkingmaremnotmnecessa
rilymsequential,mwheremmasterymofmonemstepmismnecessarymtomproceedmtomthemnext.mCriticalmthinking
mismampurposeful,mdynamic,manalyticmprocessmthatmcontributesmtomreasonedmdecisionsmandmsoundmco
ntextualmjudgments.
PTS:1DIF:Moderatemhigh-levelmquestion,manswermnotmstatedmverbatim
KEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mAnalysis
m
m2.mAmfewmnursesmonmamunitmhavemproposedmtomthemnursemmanagermthatmthemprocessmformdocu
mentingmcaremonmthemunitmbemchanged.mTheymhavemdescribedmamcompletelymnewmsystem.mWhymismit
mimportantmformthemnursemmanagermtomhavemamcriticalmattitude?mItmwillmhelpmthemmanagermto
1)
Considermallmthempossiblemadvantagesmandmdisadvantage
sm2)
Maintainmanmopenmmindmaboutmthemproposedmchang
em3)
Applymthemnursingmprocessmtomthemsituatio
nm4)
Makemamdecisionmbasedmonmpastmexperiencemwithmdocumentati
onmANS:m2
Amcriticalmattitudemenablesmthempersonmtomthinkmfairlymandmkeepmanmopenmmind.mPTS:1DIF:Moderat
eKEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mComprehension
,m
m 3.mThemnursemhasmjustmbeenmassignedmtomthemclinicalmcaremofmamnewlymadmittedmpatient.mTo
mknowmhowmtombestmcaremformthempatient,mthemnursemusesmthemnursingmprocess.mWhichmstepmwould
mthemnursemprobablymdomfirst?
1)
Assessment
2)
m
Diagnosis
3)
m
Planmoutcomes
4)
m
Planminterventions
ANS:m1
m
Assessmentmismthemfirstmstepmofmthemnursingmprocess.mThemnursingmdiagnosismismderivedmfrommthemd
atamgatheredmduringmassessment,moutcomesmfrommthemdiagnosis,mandminterventionsmfrommthemoutco
mes.mPTS:1DIF:Easy
KEY:mNursingmprocess:mAssessmentm|mClientmneed:mSECEm|mCognitivemlevel:mApplication
m
m 4.mWhichmofmthemfollowingmismanmexamplemofmtheoreticalmknowledg
e?m1)
Amnursemusesmsterilemtechniquemtomcatheterizemampatien
t.m2)
Roommairmhasmanmoxygenmconcentrationmofm21
%.m3)
Glucosemmonitoringmmachinesmshouldmbemcalibratedmdail
y.m4)
Anmirregularmapicalmheartmratemshouldmbemcomparedmwithmthemradialmpul
se.mANS:m2
Theoreticalmknowledgemconsistsmofmresearchmfindings,mfacts,mprinciples,mandmtheories.mThemoxyg
enmconcentrationmofmroommairmismamscientificmfact.mThemothersmaremexamplesmofmpracticalmknowle
dgewhatmtomdomandmhowmtomdomit.
PTS:1DIF:Moderate;mhigh-levelmquestion,manswermnotmstatedmverbatim
KEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mApplication
m
m 5.mWhichmofmthemfollowingmismanmexamplemofmpracticalmknowledge?m(Assumemallmaremtr
ue.)m1)
Themtricuspidmvalvemismbetweenmthemrightmatriummandmventriclemofmthemhea
rt.m2)
Thempancreasmdoesmnotmproducemenoughminsulinminmtypem1mdiabet
es.m3)
Whenmassessingmthemabdomen,myoumshouldmauscultatembeforempalpatin
g.m4)
Researchmshowsmpainmmedicationmgivenmintravenouslymactsmfastermthanmbymothermrout
es.mANS:m3
, Practicalmknowledgemismknowingmwhatmtomdomandmhowmtomdomit,msuchmasmhowmtomdomanmassessm
ent.mThemothersmaremexamplesmofmtheoreticalmknowledge,manatomym(tricuspidmvalve),mfactm(typem
1mdiabetes),mandmresearchm(IVmpainmmedication).
PTS:1DIF:Moderatemhigh-levelmquestion,manswermnotmstatedmverbatim
KEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mApplication
m m6.mWhichmofmthemfollowingmismanmexamplemofmself-
knowledge?mThemnursemthinks,mImknowmthatmIm1)
Shouldmtakemthemclientsmapicalmpulsemform1mminutembeforemgivingmdigox
inm2)
ShouldmfollowmthemclientsmwishesmevenmthoughmitmismnotmwhatmImwouldmw
antm3)
Havemreligiousmbeliefsmthatmmaymmakemitmdifficultmtomtakemcaremofmsomemclie
ntsm4)
Needmtomhonormthemclientsmrequestmnotmtomdiscussmhismhealthmconcernmwithmthemfam
ilymANS:m3
Self-
knowledgemismbeingmawaremofmyourmreligiousmandmculturalmbeliefsmandmvalues.mTakingmthempulsemis
manmexamplemofmpracticalmknowledge.mFollowingmclientmwishesmandmhonoringmclientmrequestsmarem
examplesmofmethicalmknowledge.
PTS:1DIFifficult;mhigh-levelmquestion,manswermnotmstatedmverbatimm|mV1,mhigh-
levelmquestion,manswermnotmstatedmverbatim
KEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mApplication
m
m 7.mWhichmofmthemfollowingmismthemmostmimportantmreasonmformnursesmtombemcriticalmthink
ers?m1)
Nursesmneedmtomfollowmpoliciesmandmprocedure
s.m2)
Nursesmworkmwithmothermhealthcaremteammmember
s.m3)
Nursesmcaremformclientsmwhomhavemmultiplemhealthmproblem
s.m4)
Nursesmhavemtombemflexiblemandmworkmvariablemschedules
.mANS:m3
Criticalmthinkingmismessentialmformclientmcare,mparticularlymwhenmthemcaremismcomplex,minvolving
mnumerousmhealthmissues.mFollowingmpoliciesmandmproceduresmdoesmnotmnecessarilymrequiremcriti
calmthinking,mandmworkingmwithmothersmormbeingmflexiblemandmworkingmdifferentmschedulesmdomn
otmnecessarilymrequiremcriticalmthinking.
PTS:1DIF:Moderate;mhigh-levelmquestion,manswermnotmstatedmverbatim
KEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mApplication
m
m8.mThemnursemadministeringmpainmmedicationmeverym4mhoursmismanmexamplemofmwhichmaspect
mofm
patientmcare?
1)
Assessmentmdata
2)
m
Nursingmdiagnosis
ApproachmTestmBank
Chapterm1.mWhatmaremCriticalmThinking,mClinicalmReasoning,mandmClinicalmJudgmen
t?mMultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersmthemquestion.
m
m 1.mWhichmofmthemfollowingmcharacteristicsmdomthemvariousmdefinitionsmofmcriticalmthinkingmh
aveminmcommon?mCriticalmthinking
1)
Requiresmreasonedmthough
tm2)
Asksmthemquestionsmwhy?mormhow
?m3)
Ismamhierarchicalmproces
sm4)
DemandsmspecializedmthinkingmskillsmA
NS:m1
ThemdefinitionsmlistedminmthemtextmasmwellmasmdefinitionsminmBoxm2-
1mstatemthatmcriticalmthinkingmrequiresmreasoningmormreasonedmthinking.mCriticalmthinkingmismneithe
rmlinearmnormhierarchical.mThatmmeansmthatmthemstepsminvolvedminmcriticalmthinkingmaremnotmnecessa
rilymsequential,mwheremmasterymofmonemstepmismnecessarymtomproceedmtomthemnext.mCriticalmthinking
mismampurposeful,mdynamic,manalyticmprocessmthatmcontributesmtomreasonedmdecisionsmandmsoundmco
ntextualmjudgments.
PTS:1DIF:Moderatemhigh-levelmquestion,manswermnotmstatedmverbatim
KEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mAnalysis
m
m2.mAmfewmnursesmonmamunitmhavemproposedmtomthemnursemmanagermthatmthemprocessmformdocu
mentingmcaremonmthemunitmbemchanged.mTheymhavemdescribedmamcompletelymnewmsystem.mWhymismit
mimportantmformthemnursemmanagermtomhavemamcriticalmattitude?mItmwillmhelpmthemmanagermto
1)
Considermallmthempossiblemadvantagesmandmdisadvantage
sm2)
Maintainmanmopenmmindmaboutmthemproposedmchang
em3)
Applymthemnursingmprocessmtomthemsituatio
nm4)
Makemamdecisionmbasedmonmpastmexperiencemwithmdocumentati
onmANS:m2
Amcriticalmattitudemenablesmthempersonmtomthinkmfairlymandmkeepmanmopenmmind.mPTS:1DIF:Moderat
eKEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mComprehension
,m
m 3.mThemnursemhasmjustmbeenmassignedmtomthemclinicalmcaremofmamnewlymadmittedmpatient.mTo
mknowmhowmtombestmcaremformthempatient,mthemnursemusesmthemnursingmprocess.mWhichmstepmwould
mthemnursemprobablymdomfirst?
1)
Assessment
2)
m
Diagnosis
3)
m
Planmoutcomes
4)
m
Planminterventions
ANS:m1
m
Assessmentmismthemfirstmstepmofmthemnursingmprocess.mThemnursingmdiagnosismismderivedmfrommthemd
atamgatheredmduringmassessment,moutcomesmfrommthemdiagnosis,mandminterventionsmfrommthemoutco
mes.mPTS:1DIF:Easy
KEY:mNursingmprocess:mAssessmentm|mClientmneed:mSECEm|mCognitivemlevel:mApplication
m
m 4.mWhichmofmthemfollowingmismanmexamplemofmtheoreticalmknowledg
e?m1)
Amnursemusesmsterilemtechniquemtomcatheterizemampatien
t.m2)
Roommairmhasmanmoxygenmconcentrationmofm21
%.m3)
Glucosemmonitoringmmachinesmshouldmbemcalibratedmdail
y.m4)
Anmirregularmapicalmheartmratemshouldmbemcomparedmwithmthemradialmpul
se.mANS:m2
Theoreticalmknowledgemconsistsmofmresearchmfindings,mfacts,mprinciples,mandmtheories.mThemoxyg
enmconcentrationmofmroommairmismamscientificmfact.mThemothersmaremexamplesmofmpracticalmknowle
dgewhatmtomdomandmhowmtomdomit.
PTS:1DIF:Moderate;mhigh-levelmquestion,manswermnotmstatedmverbatim
KEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mApplication
m
m 5.mWhichmofmthemfollowingmismanmexamplemofmpracticalmknowledge?m(Assumemallmaremtr
ue.)m1)
Themtricuspidmvalvemismbetweenmthemrightmatriummandmventriclemofmthemhea
rt.m2)
Thempancreasmdoesmnotmproducemenoughminsulinminmtypem1mdiabet
es.m3)
Whenmassessingmthemabdomen,myoumshouldmauscultatembeforempalpatin
g.m4)
Researchmshowsmpainmmedicationmgivenmintravenouslymactsmfastermthanmbymothermrout
es.mANS:m3
, Practicalmknowledgemismknowingmwhatmtomdomandmhowmtomdomit,msuchmasmhowmtomdomanmassessm
ent.mThemothersmaremexamplesmofmtheoreticalmknowledge,manatomym(tricuspidmvalve),mfactm(typem
1mdiabetes),mandmresearchm(IVmpainmmedication).
PTS:1DIF:Moderatemhigh-levelmquestion,manswermnotmstatedmverbatim
KEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mApplication
m m6.mWhichmofmthemfollowingmismanmexamplemofmself-
knowledge?mThemnursemthinks,mImknowmthatmIm1)
Shouldmtakemthemclientsmapicalmpulsemform1mminutembeforemgivingmdigox
inm2)
ShouldmfollowmthemclientsmwishesmevenmthoughmitmismnotmwhatmImwouldmw
antm3)
Havemreligiousmbeliefsmthatmmaymmakemitmdifficultmtomtakemcaremofmsomemclie
ntsm4)
Needmtomhonormthemclientsmrequestmnotmtomdiscussmhismhealthmconcernmwithmthemfam
ilymANS:m3
Self-
knowledgemismbeingmawaremofmyourmreligiousmandmculturalmbeliefsmandmvalues.mTakingmthempulsemis
manmexamplemofmpracticalmknowledge.mFollowingmclientmwishesmandmhonoringmclientmrequestsmarem
examplesmofmethicalmknowledge.
PTS:1DIFifficult;mhigh-levelmquestion,manswermnotmstatedmverbatimm|mV1,mhigh-
levelmquestion,manswermnotmstatedmverbatim
KEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mApplication
m
m 7.mWhichmofmthemfollowingmismthemmostmimportantmreasonmformnursesmtombemcriticalmthink
ers?m1)
Nursesmneedmtomfollowmpoliciesmandmprocedure
s.m2)
Nursesmworkmwithmothermhealthcaremteammmember
s.m3)
Nursesmcaremformclientsmwhomhavemmultiplemhealthmproblem
s.m4)
Nursesmhavemtombemflexiblemandmworkmvariablemschedules
.mANS:m3
Criticalmthinkingmismessentialmformclientmcare,mparticularlymwhenmthemcaremismcomplex,minvolving
mnumerousmhealthmissues.mFollowingmpoliciesmandmproceduresmdoesmnotmnecessarilymrequiremcriti
calmthinking,mandmworkingmwithmothersmormbeingmflexiblemandmworkingmdifferentmschedulesmdomn
otmnecessarilymrequiremcriticalmthinking.
PTS:1DIF:Moderate;mhigh-levelmquestion,manswermnotmstatedmverbatim
KEY:mNursingmprocess:mN/Am|mClientmneed:mSECEm|mCognitivemlevel:mApplication
m
m8.mThemnursemadministeringmpainmmedicationmeverym4mhoursmismanmexamplemofmwhichmaspect
mofm
patientmcare?
1)
Assessmentmdata
2)
m
Nursingmdiagnosis
