NUR 224 TEST 2 QUESTIONS & ANSWERS
The nurse is providing care to a group of clients. For which situation would the nurses
use of critical thinking be a priority? - Answers - Educating a home health client about
treatment options
A client recovering from a stroke does not want to perform prescribed shoulder
exercises. What should the nurse say to the client that demonstrates critical thinking
with creativity? - Answers - Heres a marker. See how many circles you can make on
this board in 10 minutes
A student nurse resists when encouraged to be creative when providing client care.
What should the nurse educator say to encourage this student to be creative? -
Answers - Creativity allows unique solutions to unique problems
The nurse educator assigns students an activity to implement Socratic questioning in
their daily lives. Which question provided by a student demonstrates this reasoning
technique? - Answers - What makes you think cramming for a test is an ineffective way
to study?
A client complaining of shortness of breath has no pallor, cyanosis, or use of accessory
muscles with respirations. The clients respiratory rate is 16 breaths per minute. The
nurse is concerned that the clients report and the physical findings conflict. Which
standard of critical thinking is the nurse using? - Answers - Logical reasoning
The nurse enters the room of a critically ill child after sensing that something isn't right.
Once the nurse determines the child is stable, the nurse continues to perform a check of
all the lines and equipment in the room and finds that the last IV solution hung by the
previous nurse was not the correct solution. Which problem solving method did this
nurse use? - Answers - Intuition
The nurse systematically tries a variety of products to help with healing of a clients
wound. Which problem solving method is the nurse using? - Answers - Trial and error
A client with unstable cardiac dysrhythmias has orders for medications, one of which is
by oral route, the other by IV delivery. The nurse realizes that the IV route would be
fastest, but is also concerned about the side effects that this drug may produce and the
fact that the client has never taken the drug, so any adverse effect is unknown. Which
part of the decision-making process is the nurse using? - Answers - Seek alternatives
Prior to providing client care, the nurse reviews previous shift charting and the
responses to nursing interventions. Which decision-making action is the nurse using? -
Answers - Evaluate the outcome
,Parents ask why invasive diagnostic tests were prescribed for their ill child. The nurse
has just gotten out of report and has not had a chance to review additional information.
What should the nurse respond to the parents? - Answers - I'm not sure I can answer
your question just now
A client complaining of extreme low back pain is pale and diaphoretic and walks bent at
the waist. Before taking vital signs, the nurse suspects that the blood pressure and
heart rate will be elevated. What thought process did the nurse use to come to this
conclusion? - Answers - Inference
The nurse completes collecting data from a client and determines a list of problems.
Which step in the nursing process should the nurse perform next? - Answers - Plan
While caring for a client of a different culture, the nurse becomes disturbed when the
clients spouse makes all the decisions about care and treatments. What behavior is this
nurse demonstrating? - Answers - Opinion
The staff nurse asks why unlicensed assistive personnel are responsible for stocking
the unit refrigerator with refreshments when dietary personnel place the items on the
shelf in the kitchen. What characteristic of critical thinking is this nurse demonstrating? -
Answers - Developing rationales
A clinical instructor senses that a student has been struggling with clinical skills learned
in lab. To combat this, the educator pairs the student with a staff nurse who has clients
with a variety of treatments and cares. Which type of problem solving is the instructor
using? - Answers - Intuition
The nurse desires to improve critical thinking skills when providing client care. On which
attributes should the nurse focus when developing these skills? - Answers -
Independence
Intellectual humility
Fair-mindedness
Confidence
Perseverance
During a clinical conference, a staff nurse states that critical thinking is essential when
providing client care. What additional statements should this nurse make to support the
use of critical thinking? - Answers - Patient acuity is so much greater than it was even
10 years ago
Care delivery systems are only as good as the nurses delivering care
With health care being so expensive, nursing has to take on responsibility to keep the
costs controlled
My practice involves caring for clients who require care that didnt even exist when I
went to school
, The nurse manager determines that a new staff nurse is demonstrating characteristics
of a critical thinker. What did the manager observe the nurse perform? - Answers -
Listening with empathy to a client who recently has been diagnosed
Questioning a medication order that does not appear to meet the clients needs for pain
management
Exhibiting a willingness to try alternate methods of addressing a clients care needs
Practicing nursing in a culturally competent fashion
A client is experiencing a productive cough, audible coarse crackles, elevated
temperature of 102.3F, chills, and body aches. What did the nurse use to determine that
this patient is experiencing respiratory compromise? - Answers - Deductive reasoning
A client with a PhD in epidemiology has been to numerous physicians and has had
numerous laboratory tests, all of which were abnormal, and exploratory surgery, but no
one is able to explain the etiology of his problem. The client also states that he has a
rare form of a neurological disorder. Which statement should the nurse make that
demonstrates critical thinking? - Answers - Describe what tests you've had and explain
the symptoms of this disorder
A nurse educator has always believed that lectures with focused outlines are the best
way to present theory content in class. A colleague, who teaches the same group of
students, but a different subject, utilizes group work and in-class activities to teach
difficult content and finds that students perform as well, or better, on their tests. The first
educator in this situation is starting to rethink her position. What behavior is the first
educator demonstrating? - Answers - Integrity
The nurse who just moved from an urban area to a sparsely populated rural area
understands that certain customs and practices the nurse follows may be quite foreign
to the people in the new area. Which attitude of critical thinking is the nurse
demonstrating? - Answers - Insight into egocentricity
The nurse implements a quicker way to set up and initiate an intravenous infusion while
still following safe practice. Which attitude of critical thinking is this nurse practicing? -
Answers - Independence
The nurse questions the practice of administering rectal suppositories to residents in a
long-term care facility at bedtime, rather than earlier in the day. When told that this is
the best time for staff and thats the routine that has been practiced for a long time, the
nurse continues to research whether there would be a better time, especially in the best
interest of the residents. Which critical thinking attitude is this nurse demonstrating? -
Answers - Curiosity
A seasoned nurse uses past experiences and knowledge gained from previous care
situations to care for a client with complex health issues. Which attribute of critical
thinking is this nurse practicing? - Answers - Reflection
The nurse is providing care to a group of clients. For which situation would the nurses
use of critical thinking be a priority? - Answers - Educating a home health client about
treatment options
A client recovering from a stroke does not want to perform prescribed shoulder
exercises. What should the nurse say to the client that demonstrates critical thinking
with creativity? - Answers - Heres a marker. See how many circles you can make on
this board in 10 minutes
A student nurse resists when encouraged to be creative when providing client care.
What should the nurse educator say to encourage this student to be creative? -
Answers - Creativity allows unique solutions to unique problems
The nurse educator assigns students an activity to implement Socratic questioning in
their daily lives. Which question provided by a student demonstrates this reasoning
technique? - Answers - What makes you think cramming for a test is an ineffective way
to study?
A client complaining of shortness of breath has no pallor, cyanosis, or use of accessory
muscles with respirations. The clients respiratory rate is 16 breaths per minute. The
nurse is concerned that the clients report and the physical findings conflict. Which
standard of critical thinking is the nurse using? - Answers - Logical reasoning
The nurse enters the room of a critically ill child after sensing that something isn't right.
Once the nurse determines the child is stable, the nurse continues to perform a check of
all the lines and equipment in the room and finds that the last IV solution hung by the
previous nurse was not the correct solution. Which problem solving method did this
nurse use? - Answers - Intuition
The nurse systematically tries a variety of products to help with healing of a clients
wound. Which problem solving method is the nurse using? - Answers - Trial and error
A client with unstable cardiac dysrhythmias has orders for medications, one of which is
by oral route, the other by IV delivery. The nurse realizes that the IV route would be
fastest, but is also concerned about the side effects that this drug may produce and the
fact that the client has never taken the drug, so any adverse effect is unknown. Which
part of the decision-making process is the nurse using? - Answers - Seek alternatives
Prior to providing client care, the nurse reviews previous shift charting and the
responses to nursing interventions. Which decision-making action is the nurse using? -
Answers - Evaluate the outcome
,Parents ask why invasive diagnostic tests were prescribed for their ill child. The nurse
has just gotten out of report and has not had a chance to review additional information.
What should the nurse respond to the parents? - Answers - I'm not sure I can answer
your question just now
A client complaining of extreme low back pain is pale and diaphoretic and walks bent at
the waist. Before taking vital signs, the nurse suspects that the blood pressure and
heart rate will be elevated. What thought process did the nurse use to come to this
conclusion? - Answers - Inference
The nurse completes collecting data from a client and determines a list of problems.
Which step in the nursing process should the nurse perform next? - Answers - Plan
While caring for a client of a different culture, the nurse becomes disturbed when the
clients spouse makes all the decisions about care and treatments. What behavior is this
nurse demonstrating? - Answers - Opinion
The staff nurse asks why unlicensed assistive personnel are responsible for stocking
the unit refrigerator with refreshments when dietary personnel place the items on the
shelf in the kitchen. What characteristic of critical thinking is this nurse demonstrating? -
Answers - Developing rationales
A clinical instructor senses that a student has been struggling with clinical skills learned
in lab. To combat this, the educator pairs the student with a staff nurse who has clients
with a variety of treatments and cares. Which type of problem solving is the instructor
using? - Answers - Intuition
The nurse desires to improve critical thinking skills when providing client care. On which
attributes should the nurse focus when developing these skills? - Answers -
Independence
Intellectual humility
Fair-mindedness
Confidence
Perseverance
During a clinical conference, a staff nurse states that critical thinking is essential when
providing client care. What additional statements should this nurse make to support the
use of critical thinking? - Answers - Patient acuity is so much greater than it was even
10 years ago
Care delivery systems are only as good as the nurses delivering care
With health care being so expensive, nursing has to take on responsibility to keep the
costs controlled
My practice involves caring for clients who require care that didnt even exist when I
went to school
, The nurse manager determines that a new staff nurse is demonstrating characteristics
of a critical thinker. What did the manager observe the nurse perform? - Answers -
Listening with empathy to a client who recently has been diagnosed
Questioning a medication order that does not appear to meet the clients needs for pain
management
Exhibiting a willingness to try alternate methods of addressing a clients care needs
Practicing nursing in a culturally competent fashion
A client is experiencing a productive cough, audible coarse crackles, elevated
temperature of 102.3F, chills, and body aches. What did the nurse use to determine that
this patient is experiencing respiratory compromise? - Answers - Deductive reasoning
A client with a PhD in epidemiology has been to numerous physicians and has had
numerous laboratory tests, all of which were abnormal, and exploratory surgery, but no
one is able to explain the etiology of his problem. The client also states that he has a
rare form of a neurological disorder. Which statement should the nurse make that
demonstrates critical thinking? - Answers - Describe what tests you've had and explain
the symptoms of this disorder
A nurse educator has always believed that lectures with focused outlines are the best
way to present theory content in class. A colleague, who teaches the same group of
students, but a different subject, utilizes group work and in-class activities to teach
difficult content and finds that students perform as well, or better, on their tests. The first
educator in this situation is starting to rethink her position. What behavior is the first
educator demonstrating? - Answers - Integrity
The nurse who just moved from an urban area to a sparsely populated rural area
understands that certain customs and practices the nurse follows may be quite foreign
to the people in the new area. Which attitude of critical thinking is the nurse
demonstrating? - Answers - Insight into egocentricity
The nurse implements a quicker way to set up and initiate an intravenous infusion while
still following safe practice. Which attitude of critical thinking is this nurse practicing? -
Answers - Independence
The nurse questions the practice of administering rectal suppositories to residents in a
long-term care facility at bedtime, rather than earlier in the day. When told that this is
the best time for staff and thats the routine that has been practiced for a long time, the
nurse continues to research whether there would be a better time, especially in the best
interest of the residents. Which critical thinking attitude is this nurse demonstrating? -
Answers - Curiosity
A seasoned nurse uses past experiences and knowledge gained from previous care
situations to care for a client with complex health issues. Which attribute of critical
thinking is this nurse practicing? - Answers - Reflection
