chapter 8 critical thinking, nursing process, and clinical judgment

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critical thinking in nursing needs to include which of the following important variables
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consideration of ethics and responsible decision making
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a nursing student asks a faculty member how to improve critical thinking. which response by the faculty is best?
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“pay close attention to how you solve problems; assess your own style of thinking.”
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which of the following is a characteristic of an accomplished critical thinker
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inquisitiveness
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which of the following statements describes the purpose of the nursing process
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process used to identify and solve patient problems
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which of the following is considered subjective data in information gathering from the patient
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pain
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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
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“the nursing process is a way to systematically think about and use patient data”
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which of the following is considered objective data obtained from the patient
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blood pressure is 110/70 at 8 pm
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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
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congruent and support that the patient is in pain
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a nurse is admitting a non-English speaking patient to the hospital unit. which is the best method of obtaining data from the patient
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interviewing the patient using a professional interpreter
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what is the primary method of obtaining patient data
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interview with patient
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what does the process of analysis of patient data directly result in
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identifying actual or potential problems amendable to nursing intervention
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which of the following describes the primary difference between nursing diagnosis and medical diagnosis
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nursing diagnosis identify problems that can be treated with independent nursing actions
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which of the following is a correctly stated nursing diagnosis
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fluid volume deficit related to vomiting as evidence by increased heart rate and decreased urine output
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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?
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retained secretions
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why is the etiology of the nursing diagnosis statement important?
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if the etiology is incorrect, the nursing interventions are likely to be ineffective
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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
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wheezing and speaking in three-word phrases
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which of the following patient problems is given the highest priority by the nurse
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impaired tissue perfusion, cerebral, related to hypoxia as manifested by decreased level of consciousness
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which of the following patient problems is given highest priority by the nurse using Maslows hierarchy needs
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ineffective airway clearance related to retained secretions
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the identification of nursing diagnosis and goal setting should ideally be a collaborative process between the nurse and which other party?
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patient
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which of the following statements has all the necessary criteria for a well-written outcome
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patient will consume 50% of meals with no nausea and vomiting by 24 hours post surgery
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a patient in respiratory distress is placed on oxygen. which is the most appropriate short-term goal
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patient maintains an oxygen saturation of 90% during the shift
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which of the following is an appropriate long term goal to measure diabetes control for a patient whom diabetes has been newly diagnosed
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patient’s A1c will be 5% at year 1 postdiagnosis
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which of the following is an independent nursing intervention
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teaching a patient with congestive heart failure to weigh herself daily
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which of the following represents an interdependent nursing action
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participating in a “code”
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the use of standardized plans of care for different patient populations has…
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required the nurse to individualize the plan of care to the patient
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the nurse instructs the patient about incentive spirometry as preoperative teaching. which phase of the nursing process does this illustrate
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implementation
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in the nursing process the evaluation phase is used to determine the…
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degree of outcome achievement
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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
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psychomotor domain
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a “well-cultivated critical thinker” is an individual who does which of the following
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raises questions recognizes alternative ways to see problems
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several methods have been developed to assist nurses in organizing patient data. they include
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hendersons 14 nursing problems gordons 11 functional health patterns abdellahs 21 nursing problems
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developing clinical judgment is a professional responsibility of the nurse. which statements indicate behaviors that improve clinical judgment
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“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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