Critical Thinking In Nursing Practice

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Nursing Today
The Health Care Delivery System
Community-Based Nursing Practice
Theoretical Foundations of Nursing Practice
Evidence-Based Practice
Health and Wellness
Caring in Nursing Practice
Caring for the Cancer Survivor
Cultural Awareness
Caring for Families
Developmental Theories
Conception Through Adolescence
Young and Middle Adults
Older Adult
Critical Thinking in Nursing Practice
Nursing Assessment
Nursing Diagnosis
Planning Nursing Care
Implementing Nursing Care
Evaluation
Managing Patient Care
Ethics and Values
Legal Implications in Nursing Practice
Communication
Patient Education
Documentation and Informatics
Patient Safety and Quality
Immobility
Infection Prevention and Control
Vital Signs
Health Assessment and Physical Examination
Medication Administration
Complementary and Alternative Therapies
Self-Concept
Sexuality
Spiritual Health
The Experience of Loss, Death, and Grief
Stress and Coping
Activity and Exercise
Hygiene
Oxygenation
Fluid, Electrolyte, and Acid-Base Balance
Sleep
Pain Management
Nutrition
Urinary Elimination
Bowel Elimination
Skin Integrity and Wound Care
Sensory Alterations
Care of Surgical Patients

All Questions

Question 1

Free

Multiple Choice

Which action should the nurse take when using critical thinking to make clinical decisions?

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Make decisions based on intuition.

Accept one established way to provide care.

Consider what is important in a given situation.

Read and follow the heath care provider's orders.

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Question 2

Free

Multiple Choice

Which patient scenario of a surgical patient in pain is most indicative of critical thinking?

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Administering pain-relief medication according to what was given last shift

Offering pain-relief medication based on the health care provider's orders

Asking the patient what pain-relief methods, pharmacological and nonpharmacological, have worked in the past

Explaining to the patient that self-reporting of severe pain is not consistent with the minor procedure that was performed

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Question 3

Free

Multiple Choice

Which action indicates a registered nurse is being responsible for making clinical decisions?

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Applies clear textbook solutions to patients' problems

Takes immediate action when a patient's condition worsens

Uses only traditional methods of providing care to patients

Formulates standardized care plans solely for groups of patients

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Question 4

Free

Multiple Choice

A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates the charge nurse needs to intervene?

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Making an ethical clinical decision

Making an informed clinical decision

Making a clinical decision in the patient's best interest

Making a clinical decision based on previous shift assessments

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Question 5

Free

Multiple Choice

Which action demonstrates a nurse utilizing reflection to improve clinical decision making?

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Obtains data in an orderly fashion

Uses an objective approach in patient situations

Improves a plan of care while thinking back on interventions effectiveness

Provides evidence-based explanations and research for care of assigned patients

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Question 6

Multiple Choice

A nursing instructor needs to evaluate students' abilities to synthesize data and identify relationships between nursing diagnoses. Which learning assignment is best suited for this instructor's needs?

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Concept mapping

Reflective journaling

Lecture and discussion

Reading assignment with a written summary

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Question 7

Multiple Choice

A nurse is using a critical thinking model to provide care. Which component is first that helps a nurse make clinical decisions?

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Attitude

Experience

Nursing process

Specific knowledge base

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Question 8

Multiple Choice

Which action by a nurse indicates application of the critical thinking model to make the best clinical decisions?

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Drawing on past clinical experiences to formulate standardized care plans

Relying on recall of information from past lectures and textbooks

Depending on the charge nurse to determine priorities of care

Using the nursing process

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Question 9

Multiple Choice

A nurse is using the critical thinking skill of evaluation. Which action will the nurse take?

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Examine the meaning of data.

Support findings and conclusions.

Review the effectiveness of nursing actions.

Search for links between the data and the nurse's assumptions.

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Question 10

Multiple Choice

The patient appears to be in no apparent distress, but vital signs taken by assistive personnel reveal an extremely low pulse. The nurse then auscultates an apical pulse and asks the patient whether there is any history of heart problems. The nurse is utilizing which critical thinking skill?

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Evaluation

Explanation

Interpretation

Self-regulation

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Question 11

Multiple Choice

A patient continues to report postsurgical incision pain at a level of 9 out of 10 after pain medicine is given. The next dose of pain medicine is not due for another hour. What should the critically thinking nurse do first?

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Explore other options for pain relief.

Discuss the surgical procedure and reason for the pain.

Explain to the patient that nothing else has been ordered.

Offer to notify the health care provider after morning rounds are completed.

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Question 12

Multiple Choice

Which action should the nurse take to best develop critical thinking skills?

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Study 3 hours more each night.

Attend all inservice opportunities.

Actively participate in clinical experiences.

Interview staff nurses about their nursing experiences.

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Question 13

Multiple Choice

While caring for a hospitalized older-adult female post hip surgery, the nurse is faced with the task of inserting an indwelling urinary catheter, which involves rotating the hip into a contraindicated position. Which action should the nurse take?

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Postpone catheter insertion until the next shift.

Adapt the positioning technique to the situation.

Notify the health care provider for a urologist consult.

Follow textbook procedure with contraindicated position.

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Question 14

Multiple Choice

The nurse enters a room to find the patient sitting up in bed crying. How will the nurse display a critical thinking attitude in this situation?

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Provide privacy and check on the patient 30 minutes later.

Set a box of tissues at the patient's bedside before leaving the room.

Limit visitors while the patient is upset.

Ask the patient about the crying.

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Question 15

Multiple Choice

A patient is having trouble reaching the water fountain while holding on to crutches. The nurse suggests that the patient place the crutches against the wall while stabilizing him or herself with two hands on the water fountain. Which critical thinking attitude did the nurse use in this situation?

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Humility

Creativity

Risk taking

Confidence

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Question 16

Multiple Choice

A nurse is pulled from the surgical unit to work on the oncology unit. Which action by the nurse displays humility and responsibility?

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Refusing the assignment

Asking for an orientation to the unit

Admitting lack of knowledge and going home

Assuming that patient care will be the same as on the other units

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Question 17

Multiple Choice

A nurse is using professional standards to influence clinical decisions. What is the rationale for the nurse's actions?

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Establishes minimal passing standards for testing

Utilizes evidence-based practice based on nurses' needs

Bypasses the patient's feelings to promote ethical standards

Uses critical thinking for the highest level of quality nursing care

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Question 18

Multiple Choice

A nurse who is caring for a patient with a pressure ulcer applies the recommended dressing according to hospital policy. Which standard is the nurse following?

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Fairness

Intellectual standards

Independent reasoning

Institutional practice guidelines

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Question 19

Multiple Choice

A nurse is reviewing care plans. Which finding, if identified in a plan of care, should the registered nurse revise?

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Patient's outcomes for learning

Nurse's assumptions about hospital discharge

Identification of several actual health problems

Documentation of patient's ability to meet the goal

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Question 20

Multiple Choice

Which findings will alert the nurse that stress is present when making a clinical decision? (Select all that apply.)

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Tense muscles

Reactive responses

Trouble concentrating

Very tired feelings

Managed emotions

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