,Critical Thinking Clinical Reasoning and Clinical Judgment 7th Edition A
f e f e f e f e f e f e f e f e f e
Practical Approach Test Bank f e f e f e f e f e
Chapter 1. What are Critical Thinking, Clinical Reasoning, and Clinical Judgment?
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f Multiple Choice
e fe
Identify the choice that best completes the statement or answers the question.
f e f e f e f e f e f e f e f e f e f e f e
1. Which of the following characteristics do the various definitions of
f e fe fe fe f e f e f e fe f e f e
critical thinking
f e have in common? Critical thinking
fe fe fe fe fe
1)
Requires reasoned thought fe fe
2)
fe
Asks the questions why? or
fe fe fe fe
how?
fe
3)
Is a hierarchical process
fe fe fe
4)
fe
Demands specialized thinking skills fe fe fe
ANS: 1
fe fe
The definitions listed in the text as well as definitions in Box 2-1
f e f e f e f e f e f e f e f e f e f e f e f e
f state that critical thinking requires reasoning or reasoned thinking. Critical
e f e f e fe f e f e f e f e f e f e
f thinking is neither linear nor hierarchical. That means that the steps
e f e f e f e f e fe f e f e f e f e f e
involved in critical thinking are not necessarily sequential, where mastery of
f e f e f e f e f e f e f e fe f e f e f e
f one step is necessary to proceed to the next.
e f e f e f e f e f e f e f e f e
Critical thinking is a purposeful, dynamic, analytic process that contributes to
f e f e f e f e f e f e f e f e f e f e
reasoned decisions and sound contextual judgments.
f e fe fe fe fe
PTS:1DIF:Moderate high-level question, answer not stated verbatim f e f e f e f e f e f e
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Analysis
f e f e f e f e f e f e f e f e f e f e f e
2. A few nurses on a unit have proposed to the nurse
f e f e f e f e f e f e f e f e f e f e f e
f e manager that the process for documenting care on the unit be changed. f e f e fe f e f e f e f e f e f e f e f e
f e They have described a completely new system.
f e Why is it important f e f e fe fe fe f e f e f e
f e for the nurse manager to have a critical attitude? It will help
f e f e f e f e f e f e f e f e f e f e f e
f e the manager to f e f e
1)
Consider all the possible advantages and fe fe fe fe fe
disadvantages 2)
fe fe
Maintain an open mind about the fe fe fe fe fe
proposed change 3)
fe fe fe
Apply the nursing process to thefe fe fe fe fe
situation 4)
fe fe
Make a decision based on past experience with documentation
fe fe fe fe fe fe fe fe
ANS: 2
f e fe
A critical attitude enables the person to think fairly and keep an
f e f e f e f e f e f e f e f e f e f e f e
f open mind. PTS:1DIF:ModerateKEY: Nursing process: N/A | Client need: SECE |
e f e fe f e fe fe fe fe fe fe fe
Cognitive level: Comprehension
fe fe f e
, The nurse has just been assigned to the clinical care fe 3. f e f e f e f e f e f e f e f e f e f e
f of a newly admitted patient. To know how to best care for the patient, the nurse
e f e f e fe f e fe fe fe fe fe fe fe fe fe fe fe
uses the nursing process. Which step would the nurse probably do first?
fe fe fe fe f e f e f e f e f e f e f e f e
1)
Assessment
2)
fe
Diagnosis
3)
fe
Plan outcomes fe
4)
fe
Plan interventions fe
ANS: 1
fe fe
Assessment is the first step of the nursing process. The nursing diagnosis f e f e f e f e f e f e f e f e f e f e f e
is derived from the data gathered during assessment, outcomes from the
f e f e fe f e f e f e f e f e f e f e f e
diagnosis, and interventions from the outcomes. PTS:1DIF:Easy
f e f e fe f e f e fe fe
KEY: Nursing process: Assessment | Client need: SECE | Cognitive level: Application
f e f e f e f e f e f e f e f e f e f e f e
4. Which of the following is an example of fe fe fe fe fe fe fe fe
f etheoretical knowledge? 1) fe fe
A nurse uses sterile technique to catheterize a
fe fe fe fe fe fe fe
fepatient. 2) fe
Room air has an oxygen concentration of
fe fe fe fe fe fe
fe21%. 3) fe
Glucose monitoring machines should be calibrated fe fe fe fe fe
daily. 4)
fe fe
An irregular apical heart rate should be compared with the radial
fe fe fe f e fe fe fe fe fe fe
f pulse. ANS: 2
e fe fe
Theoretical knowledge consists of research findings, facts, principles, and theories. The
fe fe f e fe fe fe fe fe fe fe
f eoxygen concentration of room air is a scientific fact. The others f e f e f e f e f e f e f e f e f e f e
f are examples of practical knowledgewhat to do and how to do it.
e f e f e fe f e f e f e f e f e f e f e f e
PTS:1DIF:Moderate; high-level question, answer not stated verbatim f e f e f e f e f e f e
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
f e f e f e f e f e f e f e f e f e f e f e
5. Which of the following is an example of practical knowledge?
f e f e f e f e f e f e f e f e f e f e
(Assume all are true.) 1)
f e f e fe f e fe
The tricuspid valve is between the right atrium and ventricle of
fe fe fe fe fe fe fe fe fe fe
f the heart. 2)
e f e fe
The pancreas does not produce enough insulin in
fe f e fe f e fe f e f e
fe type 1 diabetes. 3) fe fe fe
When assessing the abdomen, you should auscultate before
fe fe fe fe fe fe fe
fepalpating. 4) fe
Research shows pain medication given intravenously acts faster than by other
fe fe fe fe fe fe fe fe fe fe
f routes. ANS: 3
e fe fe
, Practical knowledge is knowing what to do and how to do it,
f e f e f e f e f e f e f e f e f e f e f e
f such as how to do an assessment. The others are examples of
e f e f e f e fe f e f e f e f e f e f e f e
theoretical knowledge, anatomy (tricuspid valve),
f e fact (type 1 diabetes),
f e f e fe fe f e f e f e
f and research (IV pain medication).
e f e f e f e f e
PTS:1DIF:Moderate high-level question, answer not stated verbatim f e f e f e f e f e f e
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
f e f e f e f e f e f e f e f e f e f e f e
6. Which of the following is an example of self-knowledge? The
f e f e f e f e f e f e f e f e f e f e
nurse thinks, I know that I 1)
f e f e f e fe fe fe fe
Should take the clients apical pulse for 1 minute before giving
fe fe fe fe fe fe fe fe fe fe
f digoxin 2)
e fe
Should follow the clients wishes even though it is not
f e fe f e f e f e f e f e fe f e
what I would
f e want 3)
fe fe fe
Have religious beliefs that may make it difficult to take care of
f e f e f e f e f e fe f e f e f e f e f e
some clients 4)
f e fe fe
Need to honor the clients request not to discuss his health concern
f e f e f e f e f e f e f e fe f e f e f e
with the family ANS: 3
f e f e fe fe fe
Self-knowledge is being aware of your religious and cultural beliefs and values. f e f e f e f e f e f e f e f e f e f e f e
f eTaking the pulse is an example of practical knowledge. Following
fe f e f e f e f e f e f e f e f e
f client wishes and honoring client requests are examples of ethical
e f e f e f e f e f e f e f e f e f e
f eknowledge.
PTS:1DIFifficult; high-level question, answer not stated verbatim | V1, high-level fe fe fe fe fe fe fe fe fe
question, answer not stated verbatim
f e fe fe fe fe
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
f e f e f e f e f e f e f e f e f e f e f e
7. Which of the following is the most important reason for
f e f e f e f e f e f e f e f e f e f e
f nurses to be critical thinkers? 1)
e f e f e fe fe fe
Nurses need to follow policies and
fe fe fe fe fe
procedures. 2)
fe fe
Nurses work with other healthcare team
fe fe fe fe fe
members. 3)
fe fe
Nurses care for clients who have multiple health
fe fe fe fe fe fe fe
feproblems. 4) fe
Nurses have to be flexible and work variable
fe fe fe fe fe fe fe
feschedules. ANS: 3 fe fe
Critical thinking is essential for client care, particularly when the
f e f e f e f e f e f e f e f e f e
f care is complex, involving numerous health issues. Following policies and
e f e f e fe fe fe fe fe fe fe
procedures does not necessarily require critical thinking, and working with
fe fe fe fe f e f e f e f e f e f e
f others or being flexible and working different schedules do not
e f e f e f e f e f e f e f e f e f e
necessarily require critical thinking.
f e f e f e f e
PTS:1DIF:Moderate; high-level question, answer not stated verbatim f e f e f e f e f e f e
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
f e f e f e f e f e f e f e f e f e f e f e
8. The nurse administering pain medication every 4 hours is an
f e f e f e f e f e f e f e f e f e fe
example of which aspect of patient care?
f e f e fe f e fe fe fe
1)
Assessment data fe
2)
fe
Nursing diagnosis f e
f e f e f e f e f e f e f e f e f e
Practical Approach Test Bank f e f e f e f e f e
Chapter 1. What are Critical Thinking, Clinical Reasoning, and Clinical Judgment?
fe fe fe fe fe fe fe fe fe fe
f Multiple Choice
e fe
Identify the choice that best completes the statement or answers the question.
f e f e f e f e f e f e f e f e f e f e f e
1. Which of the following characteristics do the various definitions of
f e fe fe fe f e f e f e fe f e f e
critical thinking
f e have in common? Critical thinking
fe fe fe fe fe
1)
Requires reasoned thought fe fe
2)
fe
Asks the questions why? or
fe fe fe fe
how?
fe
3)
Is a hierarchical process
fe fe fe
4)
fe
Demands specialized thinking skills fe fe fe
ANS: 1
fe fe
The definitions listed in the text as well as definitions in Box 2-1
f e f e f e f e f e f e f e f e f e f e f e f e
f state that critical thinking requires reasoning or reasoned thinking. Critical
e f e f e fe f e f e f e f e f e f e
f thinking is neither linear nor hierarchical. That means that the steps
e f e f e f e f e fe f e f e f e f e f e
involved in critical thinking are not necessarily sequential, where mastery of
f e f e f e f e f e f e f e fe f e f e f e
f one step is necessary to proceed to the next.
e f e f e f e f e f e f e f e f e
Critical thinking is a purposeful, dynamic, analytic process that contributes to
f e f e f e f e f e f e f e f e f e f e
reasoned decisions and sound contextual judgments.
f e fe fe fe fe
PTS:1DIF:Moderate high-level question, answer not stated verbatim f e f e f e f e f e f e
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Analysis
f e f e f e f e f e f e f e f e f e f e f e
2. A few nurses on a unit have proposed to the nurse
f e f e f e f e f e f e f e f e f e f e f e
f e manager that the process for documenting care on the unit be changed. f e f e fe f e f e f e f e f e f e f e f e
f e They have described a completely new system.
f e Why is it important f e f e fe fe fe f e f e f e
f e for the nurse manager to have a critical attitude? It will help
f e f e f e f e f e f e f e f e f e f e f e
f e the manager to f e f e
1)
Consider all the possible advantages and fe fe fe fe fe
disadvantages 2)
fe fe
Maintain an open mind about the fe fe fe fe fe
proposed change 3)
fe fe fe
Apply the nursing process to thefe fe fe fe fe
situation 4)
fe fe
Make a decision based on past experience with documentation
fe fe fe fe fe fe fe fe
ANS: 2
f e fe
A critical attitude enables the person to think fairly and keep an
f e f e f e f e f e f e f e f e f e f e f e
f open mind. PTS:1DIF:ModerateKEY: Nursing process: N/A | Client need: SECE |
e f e fe f e fe fe fe fe fe fe fe
Cognitive level: Comprehension
fe fe f e
, The nurse has just been assigned to the clinical care fe 3. f e f e f e f e f e f e f e f e f e f e
f of a newly admitted patient. To know how to best care for the patient, the nurse
e f e f e fe f e fe fe fe fe fe fe fe fe fe fe fe
uses the nursing process. Which step would the nurse probably do first?
fe fe fe fe f e f e f e f e f e f e f e f e
1)
Assessment
2)
fe
Diagnosis
3)
fe
Plan outcomes fe
4)
fe
Plan interventions fe
ANS: 1
fe fe
Assessment is the first step of the nursing process. The nursing diagnosis f e f e f e f e f e f e f e f e f e f e f e
is derived from the data gathered during assessment, outcomes from the
f e f e fe f e f e f e f e f e f e f e f e
diagnosis, and interventions from the outcomes. PTS:1DIF:Easy
f e f e fe f e f e fe fe
KEY: Nursing process: Assessment | Client need: SECE | Cognitive level: Application
f e f e f e f e f e f e f e f e f e f e f e
4. Which of the following is an example of fe fe fe fe fe fe fe fe
f etheoretical knowledge? 1) fe fe
A nurse uses sterile technique to catheterize a
fe fe fe fe fe fe fe
fepatient. 2) fe
Room air has an oxygen concentration of
fe fe fe fe fe fe
fe21%. 3) fe
Glucose monitoring machines should be calibrated fe fe fe fe fe
daily. 4)
fe fe
An irregular apical heart rate should be compared with the radial
fe fe fe f e fe fe fe fe fe fe
f pulse. ANS: 2
e fe fe
Theoretical knowledge consists of research findings, facts, principles, and theories. The
fe fe f e fe fe fe fe fe fe fe
f eoxygen concentration of room air is a scientific fact. The others f e f e f e f e f e f e f e f e f e f e
f are examples of practical knowledgewhat to do and how to do it.
e f e f e fe f e f e f e f e f e f e f e f e
PTS:1DIF:Moderate; high-level question, answer not stated verbatim f e f e f e f e f e f e
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
f e f e f e f e f e f e f e f e f e f e f e
5. Which of the following is an example of practical knowledge?
f e f e f e f e f e f e f e f e f e f e
(Assume all are true.) 1)
f e f e fe f e fe
The tricuspid valve is between the right atrium and ventricle of
fe fe fe fe fe fe fe fe fe fe
f the heart. 2)
e f e fe
The pancreas does not produce enough insulin in
fe f e fe f e fe f e f e
fe type 1 diabetes. 3) fe fe fe
When assessing the abdomen, you should auscultate before
fe fe fe fe fe fe fe
fepalpating. 4) fe
Research shows pain medication given intravenously acts faster than by other
fe fe fe fe fe fe fe fe fe fe
f routes. ANS: 3
e fe fe
, Practical knowledge is knowing what to do and how to do it,
f e f e f e f e f e f e f e f e f e f e f e
f such as how to do an assessment. The others are examples of
e f e f e f e fe f e f e f e f e f e f e f e
theoretical knowledge, anatomy (tricuspid valve),
f e fact (type 1 diabetes),
f e f e fe fe f e f e f e
f and research (IV pain medication).
e f e f e f e f e
PTS:1DIF:Moderate high-level question, answer not stated verbatim f e f e f e f e f e f e
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
f e f e f e f e f e f e f e f e f e f e f e
6. Which of the following is an example of self-knowledge? The
f e f e f e f e f e f e f e f e f e f e
nurse thinks, I know that I 1)
f e f e f e fe fe fe fe
Should take the clients apical pulse for 1 minute before giving
fe fe fe fe fe fe fe fe fe fe
f digoxin 2)
e fe
Should follow the clients wishes even though it is not
f e fe f e f e f e f e f e fe f e
what I would
f e want 3)
fe fe fe
Have religious beliefs that may make it difficult to take care of
f e f e f e f e f e fe f e f e f e f e f e
some clients 4)
f e fe fe
Need to honor the clients request not to discuss his health concern
f e f e f e f e f e f e f e fe f e f e f e
with the family ANS: 3
f e f e fe fe fe
Self-knowledge is being aware of your religious and cultural beliefs and values. f e f e f e f e f e f e f e f e f e f e f e
f eTaking the pulse is an example of practical knowledge. Following
fe f e f e f e f e f e f e f e f e
f client wishes and honoring client requests are examples of ethical
e f e f e f e f e f e f e f e f e f e
f eknowledge.
PTS:1DIFifficult; high-level question, answer not stated verbatim | V1, high-level fe fe fe fe fe fe fe fe fe
question, answer not stated verbatim
f e fe fe fe fe
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
f e f e f e f e f e f e f e f e f e f e f e
7. Which of the following is the most important reason for
f e f e f e f e f e f e f e f e f e f e
f nurses to be critical thinkers? 1)
e f e f e fe fe fe
Nurses need to follow policies and
fe fe fe fe fe
procedures. 2)
fe fe
Nurses work with other healthcare team
fe fe fe fe fe
members. 3)
fe fe
Nurses care for clients who have multiple health
fe fe fe fe fe fe fe
feproblems. 4) fe
Nurses have to be flexible and work variable
fe fe fe fe fe fe fe
feschedules. ANS: 3 fe fe
Critical thinking is essential for client care, particularly when the
f e f e f e f e f e f e f e f e f e
f care is complex, involving numerous health issues. Following policies and
e f e f e fe fe fe fe fe fe fe
procedures does not necessarily require critical thinking, and working with
fe fe fe fe f e f e f e f e f e f e
f others or being flexible and working different schedules do not
e f e f e f e f e f e f e f e f e f e
necessarily require critical thinking.
f e f e f e f e
PTS:1DIF:Moderate; high-level question, answer not stated verbatim f e f e f e f e f e f e
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
f e f e f e f e f e f e f e f e f e f e f e
8. The nurse administering pain medication every 4 hours is an
f e f e f e f e f e f e f e f e f e fe
example of which aspect of patient care?
f e f e fe f e fe fe fe
1)
Assessment data fe
2)
fe
Nursing diagnosis f e
