NURS 200 CRITICAL THINKING EXAM
2025
A nurse who uses an incorrect diagnostic label is not accurately..........
- Correct Ans-identifying the piroblem, which is a labeling error
A nurse who selects a diagnostic label based on incorrectly grouped clinical criteria is
making a - Correct Ans-clustering error
A new graduate nurse is working with an experienced nurse to chart assessment
findings. The new nurse notes that the physical therapist wrote on the chart that the
patient is lazy and did not want to participate in assigned therapies this AM. The
experienced nurse asks the new nurse what may be going on here. What is the best
explanation for this statement?
a.
Data on the chart can sometimes be documented in a biased manne
b.
Data on the chart changes as the patient's condition changes.
c.
Data on the chart is usually accurate and can be verified from the patient.
d.
Reading the chart is not a wise use of time as this can be time consuming and tedious. -
Correct Ans-a.
Data on the chart can sometimes be documented in a biased manner
Benners stages of Clinical competence
Stage 1: Novice (beginner) - Correct Ans-- No experience
-lacks confidence to demonstrate
-requires verbal/ physical cues
- unable to use discretionary judgement
- practices in prolonged timing
Benners stages of clinical competence
Stage 2: Advanced Beginner - Correct Ans-- marginally acceptable performance
-prior experience in actual situations
-Skillful in parts of practice
-Requires occasional cues
-Still developing knowledge
- may/ may not be within delayed timing
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Benners stages of clinical competence
Stage 2: Competent - Correct Ans--2-3 years experience in situations
-demonstrates efficiency, coordination and confidence
-establishes plans on perspective
-can base plans of conscious, abstract and analytical skills of problems
-care completed in suitable time frame
Benners stages of clinical competence
Stage 4: Proficient - Correct Ans-- perceives situation as whole not choppy
-can perceive meaning in terms of long term goals
-experienced in what to expect in events and how to modify plans in response
- holistic understanding helps the decision making
- knows what's more important in situations yielding less labor
Benners stages of clinical competence
Stage 5: the Expert - Correct Ans--has intuitive grasp on each situation
-zeroes in with accuracy on problems
-doesn't waste time on unfruitful alternate diagnoses and solutions
- deep understanding, fluid, flexible, highly proficient
- high skilled analytic abilities necessary when other nurses have had no experience
In ADPIE the "A" stands for assessment in which the nurse will Gather, Review and
Verify data. She identifies patterns, clustering or organizing data. In tanners model this
would be compared to.... - Correct Ans-NOTICING
The nurse would gather data, notice info and look for patterns
In ADPIE the "D" and "P" stands for diagnoses and planning. The nurse will identify
problems and risk, prioritize implementations and plan care to reach goal/ outcome for
the patient.
In tanners model this compares to - Correct Ans-INTERPRETING
Where the nurse processes info, identifies problems, determine what data is relevant
and what's not she then makes deductions and forms opinion based off her analysis
In ADPIE the "I" stands for IMPLEMENTATION in which the nurse carries out the plans
that were identified in the planning stage in tanners this compares to - Correct Ans-
RESPONDING the nurse selects course of action, determines priorities, criteria to
evaluate actions
In ADPIE the "E" stands for EVALUATION in which the nurse determines if the first 4
steps of process have met goals then she reassess and revises if needed in Tanners
this compares to - Correct Ans-REFLECTING in which the nurse collects evaluation
data and determines if situation improved, what went wrong/ right or what she can
change in the future
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Reflection in action - Correct Ans-refers to the nurses understandings of patient
responses to nursing actions while care is occurring
reflection on action - Correct Ans-happens after the patient care occurs
he nurse is attending to a patient in a coronary care unit. The nurse is revising the care
plan after evaluating the patient outcomes. Which step of the nursing process is the
nurse performing? Select all that apply. One, some, or all responses may be correct. -
Correct Ans-assessing and evaluating
Professional identity in nursing - Correct Ans-a sense of oneself that is influenced by
characteristics, norms, and values of the nursing discipline, resulting in an individual
thinking, acting, and feeling like a nurse.
The five attributes of professional identity are - Correct Ans-Doing, being, acting
ethically, flourishing and changing identities
Doing - Correct Ans-Incorporating The skill and professional codes and standards of
that are part of the nursing discipline
The nurses functionalistic approach to accomplishing goals
Being - Correct Ans-Adopting the attitudes and behaviors that reflect the value of how
the professional thinks, feels, and acts
acting ethically - Correct Ans-doing the right thing
flourishing - Correct Ans-Positive transformational growth necessary for professional
identity to move past initial phases
qualities for substainable professional life(flourishing) - Correct Ans--engage with the
professions public purpose
- Develop a strong professional identity
-see the world through the lens of the professions moral purpose and standards
-use habits of response to patients, families and colleagues that are aligned with the
professins standards and ideas
-contribute to the ethical quality of the profession
exemplars of professional identity - Correct Ans-integrity, compassion, courage,
humility, advocacy, human flourishing
changing identities - Correct Ans-recognition of changing identities/ assimilation of RN
role
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