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chapter 8 critical thinking, nursing process, and clinical judgment – Flashcards

Steven Colyer

7 July 2022

question

critical thinking in nursing needs to include which of the following important variables

answer

consideration of ethics and responsible decision making

question

a nursing student asks a faculty member how to improve critical thinking. which response by the faculty is best?

answer

"pay close attention to how you solve problems; assess your own style of thinking."

question

which of the following is a characteristic of an accomplished critical thinker

answer

inquisitiveness

question

which of the following statements describes the purpose of the nursing process

answer

process used to identify and solve patient problems

question

which of the following is considered subjective data in information gathering from the patient

answer

pain

question

a nursing student is complaining about writing care plans. which response by the faculty is best to help the student see the importance of this activity

answer

"the nursing process is a way to systematically think about and use patient data"

question

which of the following is considered objective data obtained from the patient

answer

blood pressure is 110/70 at 8 pm

question

the nurse observes a patient lying rigidly in bed and taking shallow breaths. the patient reports a pain score of 4 out of 5 and says "my leg hurts". the nurse determines that the objective and subjective data are

answer

congruent and support that the patient is in pain

question

a nurse is admitting a non-English speaking patient to the hospital unit. which is the best method of obtaining data from the patient

answer

interviewing the patient using a professional interpreter

question

what is the primary method of obtaining patient data

answer

interview with patient

question

what does the process of analysis of patient data directly result in

answer

identifying actual or potential problems amendable to nursing intervention

question

which of the following describes the primary difference between nursing diagnosis and medical diagnosis

answer

nursing diagnosis identify problems that can be treated with independent nursing actions

question

which of the following is a correctly stated nursing diagnosis

answer

fluid volume deficit related to vomiting as evidence by increased heart rate and decreased urine output

question

a patient is admitted with the diagnosis of bronchitis, congestive heart failure and fever. the nurse's assessment find a temperature of 101 F, peripheral edema and rhonchi. which of the following is the best etiology to support the nursing diagnosis of ineffective airway clearance?

answer

retained secretions

question

why is the etiology of the nursing diagnosis statement important?

answer

if the etiology is incorrect, the nursing interventions are likely to be ineffective

question

a patient is admitted with asthma. the nurses assessment finds a temperature of 99 F, wheezing, speaking in three-word phrases, and respiratory rate of 16 breaths/minute. which of the following are the best defining characteristics to support the diagnosis of ineffective airway clearance related to inflammation and constriction of the bronchial tree

answer

wheezing and speaking in three-word phrases

question

which of the following patient problems is given the highest priority by the nurse

answer

impaired tissue perfusion, cerebral, related to hypoxia as manifested by decreased level of consciousness

question

which of the following patient problems is given highest priority by the nurse using Maslows hierarchy needs

answer

ineffective airway clearance related to retained secretions

question

the identification of nursing diagnosis and goal setting should ideally be a collaborative process between the nurse and which other party?

answer

patient

question

which of the following statements has all the necessary criteria for a well-written outcome

answer

patient will consume 50% of meals with no nausea and vomiting by 24 hours post surgery

question

a patient in respiratory distress is placed on oxygen. which is the most appropriate short-term goal

answer

patient maintains an oxygen saturation of 90% during the shift

question

which of the following is an appropriate long term goal to measure diabetes control for a patient whom diabetes has been newly diagnosed

answer

patient's A1c will be 5% at year 1 postdiagnosis

question

which of the following is an independent nursing intervention

answer

teaching a patient with congestive heart failure to weigh herself daily

question

which of the following represents an interdependent nursing action

answer

participating in a "code"

question

the use of standardized plans of care for different patient populations has...

answer

required the nurse to individualize the plan of care to the patient

question

the nurse instructs the patient about incentive spirometry as preoperative teaching. which phase of the nursing process does this illustrate

answer

implementation

question

in the nursing process the evaluation phase is used to determine the...

answer

degree of outcome achievement

question

a nurse reviewing a patient's care plan notes a goal of "patient will ambulate 50 ft. 3x in the hallway today" according to bloom, what taxonomic category is this goal

answer

psychomotor domain

question

a "well-cultivated critical thinker" is an individual who does which of the following

answer

raises questions recognizes alternative ways to see problems

question

several methods have been developed to assist nurses in organizing patient data. they include

answer

hendersons 14 nursing problems gordons 11 functional health patterns abdellahs 21 nursing problems

question

developing clinical judgment is a professional responsibility of the nurse. which statements indicate behaviors that improve clinical judgment

answer

"i always assess before acting and make changes as needed" "i look for research findings to support my nursing actions" "i believe that every patient deserves my very best efforts" "i have read the professional nursing standards"

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question

critical thinking in nursing needs to include which of the following important variables

answer

consideration of ethics and responsible decision making

question

a nursing student asks a faculty member how to improve critical thinking. which response by the faculty is best?

answer

"pay close attention to how you solve problems; assess your own style of thinking."

question

which of the following is a characteristic of an accomplished critical thinker

answer

inquisitiveness

question

which of the following statements describes the purpose of the nursing process

answer

process used to identify and solve patient problems

question

which of the following is considered subjective data in information gathering from the patient

answer

pain

question

a nursing student is complaining about writing care plans. which response by the faculty is best to help the student see the importance of this activity

answer

"the nursing process is a way to systematically think about and use patient data"

question

which of the following is considered objective data obtained from the patient

answer

blood pressure is 110/70 at 8 pm

question

answer

congruent and support that the patient is in pain

question

a nurse is admitting a non-English speaking patient to the hospital unit. which is the best method of obtaining data from the patient

answer

interviewing the patient using a professional interpreter

question

what is the primary method of obtaining patient data

answer

interview with patient

question

what does the process of analysis of patient data directly result in

answer

identifying actual or potential problems amendable to nursing intervention

question

which of the following describes the primary difference between nursing diagnosis and medical diagnosis

answer

nursing diagnosis identify problems that can be treated with independent nursing actions

question

which of the following is a correctly stated nursing diagnosis

answer

fluid volume deficit related to vomiting as evidence by increased heart rate and decreased urine output

question

answer

retained secretions

question

why is the etiology of the nursing diagnosis statement important?

answer

if the etiology is incorrect, the nursing interventions are likely to be ineffective

question

answer

wheezing and speaking in three-word phrases

question

which of the following patient problems is given the highest priority by the nurse

answer

impaired tissue perfusion, cerebral, related to hypoxia as manifested by decreased level of consciousness

question

which of the following patient problems is given highest priority by the nurse using Maslows hierarchy needs

answer

ineffective airway clearance related to retained secretions

question

the identification of nursing diagnosis and goal setting should ideally be a collaborative process between the nurse and which other party?

answer

patient

question

which of the following statements has all the necessary criteria for a well-written outcome

answer

patient will consume 50% of meals with no nausea and vomiting by 24 hours post surgery

question

a patient in respiratory distress is placed on oxygen. which is the most appropriate short-term goal

answer

patient maintains an oxygen saturation of 90% during the shift

question

which of the following is an appropriate long term goal to measure diabetes control for a patient whom diabetes has been newly diagnosed

answer

patient's A1c will be 5% at year 1 postdiagnosis

question

which of the following is an independent nursing intervention

answer

teaching a patient with congestive heart failure to weigh herself daily

question

which of the following represents an interdependent nursing action

answer

participating in a "code"

question

the use of standardized plans of care for different patient populations has...

answer

required the nurse to individualize the plan of care to the patient

question

the nurse instructs the patient about incentive spirometry as preoperative teaching. which phase of the nursing process does this illustrate

answer

implementation

question

in the nursing process the evaluation phase is used to determine the...

answer

degree of outcome achievement

question

a nurse reviewing a patient's care plan notes a goal of "patient will ambulate 50 ft. 3x in the hallway today" according to bloom, what taxonomic category is this goal

answer

psychomotor domain

question

a "well-cultivated critical thinker" is an individual who does which of the following

answer

raises questions recognizes alternative ways to see problems

question

several methods have been developed to assist nurses in organizing patient data. they include

answer

hendersons 14 nursing problems gordons 11 functional health patterns abdellahs 21 nursing problems

question

developing clinical judgment is a professional responsibility of the nurse. which statements indicate behaviors that improve clinical judgment

answer

chapter 8 critical thinking, nursing process, and clinical judgment – Flashcards

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