TEST BANK Critical Thinking Clinical Reasoning and Clinical Judgment: A Practical Approach 7th Edition by Rosalinda Alfaro-LeFevre

TEST BANK
Critical Thinking Clinical
Reasoning and Clinical Judgment:
A Practical Approach
7th Edition
by Rosalinda Alfaro-LeFevre




TEST BANK

,Critical Thinking Clinical Reasoning and Clinical Judgment 7th Edition: A Practical
Approach Test Bank by Rosalinda Alfaro-LeFevre

Table of Contents:

1. What are Critical Thinking, Clinical Reasoning, and Clinical Judgment? 3

2. Becoming a Critical Thinker 10

3. Critical Thinking and Learning Cultures: Teaching, Learning, and Taking Tests 18

4. Interprofessional Clinical Reasoning, Decision Making, and Judgment 30

5. Ethical Reasoning, Professionalism, Evidence-Based Practice, and Quality Improvement 42

6. Practicing Clinical Reasoning, Clinical Judgment, and Decision-making Skills 66

7. Interprofessional Practice Skills: Communication, Teamwork, and Self-Management 88

,Chapter 1. What are Critical Thinking, Clinical Reasoning, and Clinical Judgment?
Alfaro-LeFevre: Critical Thinking Clinical Reasoning and Clinical Judgment 7th Edition A
Practical Approach Test Bank

Multiple Choice
Identify the choice that best completes the statement or answers the question.

1. Which of the following characteristics do the various definitions of critical thinking havein
common? Critical thinking
1) Requires reasoned thought
2) Asks the questions why? or how?
3) Is a hierarchical process
4) Demands specialized thinking skills

ANS: 1
The definitions listed in the text as well as definitions in Box 2-1 state that critical thinking
requires reasoning or reasoned thinking. Critical thinking is neither linear nor hierarchical. That
means that the steps involved in critical thinking are not necessarily sequential, where mastery of
one step is necessary to proceed to the next. Critical thinking is a purposeful, dynamic, analytic
process that contributes to reasoned decisions and sound contextual judgments.

PTS:1DIF:Moderate high-level question, answer not stated verbatim
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Analysis

2. A few nurses on a unit have proposed to the nurse manager that the process for documenting
care on the unit be changed. They have described a completely new system. Why isit important
for the nurse manager to have a critical attitude? It will help the manager to
1) Consider all the possible advantages and disadvantages
2) Maintain an open mind about the proposed change
3) Apply the nursing process to the situation
4) Make a decision based on past experience with documentation

ANS: 2

A critical attitude enables the person to think fairly and keep an open mind.
PTS:1DIF:ModerateKEY: Nursing process: N/A | Client need: SECE | Cognitive level:
Comprehension
3. The nurse has just been assigned to the clinical care of a newly admitted patient. To know
how to best care for the patient, the nurse uses the nursing process. Which step would thenurse
probably do first?
1) Assessment
2) Diagnosis
3) Plan outcomes
4) Plan interventions

, ANS:y21
Assessmenty2isy2they2firsty2stepy2ofy2they2nursingy2process.y2They2nursingy2diagnosisy2isy2derivedy2fro
my2they2datay2gatheredy2duringy2assessment,y2outcomesy2fromy2they2diagnosis,y2andy2interventionsy2f
romy2they2outcomes.

PTS:1DIF:Easy
KEY:y2Nursingy2process:y2Assessmenty2|y2Clienty2need:y2SECEy2|y2Cognitivey2level:y2Application

4. Whichy2ofy2they2followingy2isy2any2exampley2ofy2theoreticaly2knowledge?
1) Ay2nursey2usesy2steriley2techniquey2toy2catheterizey2ay2patient.
2) Roomy2airy2hasy2any2oxygeny2concentrationy2ofy221%.
3) Glucosey2monitoringy2machinesy2shouldy2bey2calibratedy2daily.
4) Any2irregulary2apicaly2hearty2ratey2shouldy2bey2comparedy2withy2t
hey2radialy2pulse.

ANS:y22
Theoreticaly2knowledgey2consistsy2ofy2researchy2findings,y2facts,y2principles,y2andy2theories.y2T
hey2oxygeny2concentrationy2ofy2roomy2airy2isy2ay2scientificy2fact.y2They2othersy2arey2examplesy2
ofy2practicaly2knowledgewhaty2toy2doy2andy2howy2toy2doy2it.

PTS:1DIF:Moderate;y2high-levely2question,y2answery2noty2statedy2verbatim
KEY:y2Nursingy2process:y2N/Ay2|y2Clienty2need:y2SECEy2|y2Cognitivey2level:y2Application

5. Whichy2ofy2they2followingy2isy2any2exampley2ofy2practicaly2knowledge?y2(Assumey2ally2arey2true.)
1) They2tricuspidy2valvey2isy2betweeny2they2righty2atriumy2andy2ventricley2ofy2they2heart.
2) They2pancreasy2doesy2noty2producey2enoughy2insuliny2iny2typey21y2diabetes.
3) Wheny2assessingy2they2abdomen,y2youy2shouldy2auscultatey2beforey2palpating.
4) Researchy2showsy2painy2medicationy2giveny2intravenouslyy2actsy2fastery2thany2byy2othery2routes.

ANS:y23
Practicaly2knowledgey2isy2knowingy2whaty2toy2doy2andy2howy2toy2doy2it,y2suchy2asy2howy2toy2doy2
any2assessment.y2They2othersy2arey2examplesy2ofy2theoreticaly2knowledge,y2anatomyy2(tricuspidy
2valve),y2facty2(typey21y2diabetes),y2andy2researchy2(IVy2painy2medication).
PTS:1DIF:Moderatey2high-levely2question,y2answery2noty2statedy2verbatim
KEY:y2Nursingy2process:y2N/Ay2|y2Clienty2need:y2SECEy2|y2Cognitivey2level:y2Application

6. Whichy2ofy2they2followingy2isy2any2exampley2ofy2self-
knowledge?y2They2nursey2thinks,y2Iy2knowy2thaty2I
1) Shouldy2takey2they2clientsy2apicaly2pulsey2fory21y2minutey2beforey2givingy2digoxin
2) Shouldy2followy2they2clientsy2wishesy2eveny2thoughy2ity2isy2noty2whaty2Iy2wouldy2want
3) Havey2religiousy2beliefsy2thaty2mayy2makey2ity2difficulty2toy2takey2carey2ofy2somey2clients
4) Needy2toy2honory2they2clientsy2requesty2noty2toy2discussy2hisy2healthy2concerny2wit