NR226 FUNDAMENTALS WEEK 1 EXAM 1 QUESTIONS
WITH COMPLETE SOLUTIONS
Clinical Judgment
in Nursing Practice - VERIFIED ANSWER✔✔-Registered nurses (RNs) are responsible for making accurate
and appropriate clinical decisions or judgments.
Nurses must learn to question, wonder, and explore different perspectives and interpretations to find a
solution that benefits the patient.
critical thinking - VERIFIED ANSWER✔✔-The ability to think in a systematic and logical manner with
openness to question and reflect on the reasoning process
A continuous process characterized by open-mindedness, continual inquiry, and perseverance,
combined with a willingness to look at each unique patient situation and determine which identified
assumptions are true and relevant
Recognizing that an issue exists, analyzing information, evaluating information, and drawing conclusions
Reflection - VERIFIED ANSWER✔✔-The ability to act on the basis of critical thinking comes with
experience.
Turning over a subject in the mind and thinking about it seriously.
Is not intuitive.
reflection - VERIFIED ANSWER✔✔-When you care for patients, begin by thinking about previous
situations and considering relevant issues: What did I notice before? How did I act? What could I have
done differently? What should I do next time in the same situation?
,Research shows that when nurses reflect on past experiences, they perceive that their knowledge
increases and their critical thinking moves to a higher level.
Reflection involves playing back a situation in your mind and taking time to honestly review everything
you remember about it.
Reflective reasoning improves the accuracy of making diagnostic conclusions.
By reviewing your previous actions you see successes and opportunities for improvement.
Always be cautious in using reflection.
Reliance on it can block thinking and not allow you to look at newer evidence or subtle aspects of
situations that you have not encountered.
levels of critical thinking - VERIFIED ANSWER✔✔-level 1 basic
level 2 complex
level 3 commitment
basic critical thinking - VERIFIED ANSWER✔✔-thinking is concrete and based on a set of rules or
principles.
the nursing student uses a hospital procedure manual to confirm how to change an IV dressing. You
follow step by step.
complex critical thinking - VERIFIED ANSWER✔✔-begin to separate themselves from the experts ex.
while inserting a feeding tube you recognize that your pt. cannot swallow easily. thus you adapt how
you insert it.
,commitment critical thinking - VERIFIED ANSWER✔✔-you anticipat when to make choices without
assistance from other and accept accountability for decisons made.
components of critical thinking - VERIFIED ANSWER✔✔-specific knowledge base
experience
competencies
attitudes
standards
specific knowledge base - VERIFIED ANSWER✔✔-knowledge prepares yo to better anticipate and
identify pts problem by understanding their origin and nature
experience - VERIFIED ANSWER✔✔-clinical learning experiences are necessary to acquire clinical
decision making skills
competencies - VERIFIED ANSWER✔✔-you will apply critical thinking componenets during each step of
the nursing process.
attitudes - VERIFIED ANSWER✔✔-11 attitudes define the central features of a critical thinker and how
successful critical thinker approaches a problem
11 attitudes of critical thinking - VERIFIED ANSWER✔✔-confidence-belief in oneself, one's judgment and
psychomotor skills and one's possession of the knowledge and to think critcally and draw appropriate
conclusions
thinking independently- dont accept another person's ideas without question
, fairness- deal with situations justly, no bias or prejudice enter into a decision
responsibility and accountability- correctly performing nursing care activities on the basis of standards
and practice.
risk taking-willingness to take risks when trying different ways to solve problems
discipline- miss few details and is orderly or systematic when collecting data, making decisions, or taking
action
perserverance- find effective solutions to pt care problems. especially when problems remain
unresolved or recur.
creativity- you find solutions outside the standard routine of care while still following standards of
practice
curiosity- favorite question Why? investigate a clinical situation so you get all the information you need
to make a decision
integrity- hones and willing to admit mistakes or inconsistencies.
humility- admit your limitations in your knowledge and skill. a pts safety are at risk
Critical Thinking Competencies - VERIFIED ANSWER✔✔-General critical thinking
Specific critical thinking
general critical thinking - VERIFIED ANSWER✔✔-Scientific method
Problem solving
WITH COMPLETE SOLUTIONS
Clinical Judgment
in Nursing Practice - VERIFIED ANSWER✔✔-Registered nurses (RNs) are responsible for making accurate
and appropriate clinical decisions or judgments.
Nurses must learn to question, wonder, and explore different perspectives and interpretations to find a
solution that benefits the patient.
critical thinking - VERIFIED ANSWER✔✔-The ability to think in a systematic and logical manner with
openness to question and reflect on the reasoning process
A continuous process characterized by open-mindedness, continual inquiry, and perseverance,
combined with a willingness to look at each unique patient situation and determine which identified
assumptions are true and relevant
Recognizing that an issue exists, analyzing information, evaluating information, and drawing conclusions
Reflection - VERIFIED ANSWER✔✔-The ability to act on the basis of critical thinking comes with
experience.
Turning over a subject in the mind and thinking about it seriously.
Is not intuitive.
reflection - VERIFIED ANSWER✔✔-When you care for patients, begin by thinking about previous
situations and considering relevant issues: What did I notice before? How did I act? What could I have
done differently? What should I do next time in the same situation?
,Research shows that when nurses reflect on past experiences, they perceive that their knowledge
increases and their critical thinking moves to a higher level.
Reflection involves playing back a situation in your mind and taking time to honestly review everything
you remember about it.
Reflective reasoning improves the accuracy of making diagnostic conclusions.
By reviewing your previous actions you see successes and opportunities for improvement.
Always be cautious in using reflection.
Reliance on it can block thinking and not allow you to look at newer evidence or subtle aspects of
situations that you have not encountered.
levels of critical thinking - VERIFIED ANSWER✔✔-level 1 basic
level 2 complex
level 3 commitment
basic critical thinking - VERIFIED ANSWER✔✔-thinking is concrete and based on a set of rules or
principles.
the nursing student uses a hospital procedure manual to confirm how to change an IV dressing. You
follow step by step.
complex critical thinking - VERIFIED ANSWER✔✔-begin to separate themselves from the experts ex.
while inserting a feeding tube you recognize that your pt. cannot swallow easily. thus you adapt how
you insert it.
,commitment critical thinking - VERIFIED ANSWER✔✔-you anticipat when to make choices without
assistance from other and accept accountability for decisons made.
components of critical thinking - VERIFIED ANSWER✔✔-specific knowledge base
experience
competencies
attitudes
standards
specific knowledge base - VERIFIED ANSWER✔✔-knowledge prepares yo to better anticipate and
identify pts problem by understanding their origin and nature
experience - VERIFIED ANSWER✔✔-clinical learning experiences are necessary to acquire clinical
decision making skills
competencies - VERIFIED ANSWER✔✔-you will apply critical thinking componenets during each step of
the nursing process.
attitudes - VERIFIED ANSWER✔✔-11 attitudes define the central features of a critical thinker and how
successful critical thinker approaches a problem
11 attitudes of critical thinking - VERIFIED ANSWER✔✔-confidence-belief in oneself, one's judgment and
psychomotor skills and one's possession of the knowledge and to think critcally and draw appropriate
conclusions
thinking independently- dont accept another person's ideas without question
, fairness- deal with situations justly, no bias or prejudice enter into a decision
responsibility and accountability- correctly performing nursing care activities on the basis of standards
and practice.
risk taking-willingness to take risks when trying different ways to solve problems
discipline- miss few details and is orderly or systematic when collecting data, making decisions, or taking
action
perserverance- find effective solutions to pt care problems. especially when problems remain
unresolved or recur.
creativity- you find solutions outside the standard routine of care while still following standards of
practice
curiosity- favorite question Why? investigate a clinical situation so you get all the information you need
to make a decision
integrity- hones and willing to admit mistakes or inconsistencies.
humility- admit your limitations in your knowledge and skill. a pts safety are at risk
Critical Thinking Competencies - VERIFIED ANSWER✔✔-General critical thinking
Specific critical thinking
general critical thinking - VERIFIED ANSWER✔✔-Scientific method
Problem solving