A nurse enters a patient's room at the beginning of a shift to assess his condition following a blood
transfusion. The nurse cared for the patient on the previous day as well. The patient has several issues
he wishes to share with the nurse, who takes time to explore each issue. The nurse also assesses the
patient and finds no signs or symptoms of a reaction to the blood product. The nurse observed the
patient the prior day and sees a change in his behavior—a reluctance to get out of bed and ambulate.
Which of the following actions improve the nurse's ability to make clinical decisions about this patient?
(Select all that apply.)
1. Working the same shift each day
2. Spending time during the patient assessment
3. Knowing the early mobility protocol guidelines
4. Caring for the patient on consecutive days
5. Knowing the pattern of patient behavior about ambulation - (ANSWER)2, 4, 5
2. Match the concepts for a critical thinker on the left with the application of the term on the right,
Concepts for Critical Thinkers
___ 1. Truth seeking
___ 2. Open-mindedness
___ 3. Analyticity
___ 4. Systematicity
Term Application
a. Anticipate how a patient might respond to a treatment.
b. Organize assessment on the basis of patient priorities.
c. Be objective in asking patient questions.
d. Be tolerant of the patient's views and beliefs. - (ANSWER)1. C
2. D
3. A
4. B
3. A nurse has seen many cancer patients struggle with pain management because they are afraid of
becoming addicted to the medicine. Pain control is a priority for cancer care. By helping patients focus
,NURS 1100 Test 1 Review Questions With Complete Solutions
on their values and beliefs about pain control, a nurse can best make clinical decisions. This is an
example of:
1. Creativity
2. Fairness
3. Clinical reasoning
4. Applying ethical criteria - (ANSWER)4
4. The REFLECT model can improve learning after providing patient care. Place the steps of this model in
the correct order:
1. Think about your thoughts and actions at the time of a situation.
2. Review the knowledge you gained from the experience.
3. Review the facts of the situation.
4. Set a schedule for completing your plan of action.
5. Consider options for handling a similar situation in the future.
6. Recall any feelings you had at the time of the situation.
7. Create a plan for future situations. - (ANSWER)3, 1, 6, 2, 5, 7
5. One element of clinical decision making is knowing the patient. Which of the following activities affect
a nurse's ability to know patients better? (Select all that apply.)
1. Caring for similar groups of patients over time
2. Reading the evidence-based practices appropriate to patients
3. Learning how patients typically respond to their clinical situations
4. Observing patients
5. Engaging with patients experiencing illness - (ANSWER)1, 3, 4, 5
6. A nurse is preparing medications for a patient. The nurse checks the name of the medication on the
label with the name of the medication on the health care provider's order. At the bedside, the nurse
checks the patient's name against the medication order as well. The nurse is following which critical
thinking attitude?
1. Responsibility
, NURS 1100 Test 1 Review Questions With Complete Solutions
2. Humility
3. Accuracy
4. Fairness - (ANSWER)1
7. A nurse has been caring for a patient with a chronic wound that has not been healing. The nurse talks
with a nurse specialist in wound care to find alternative approaches from what the health care provider
ordered for dressing the wound. The two decide that because of the patient's allergy to tape, a
nonallergenic dressing will be used. The nurse obtains an order from the health care provider for the
new dressing. After 2 days there is improvement in the wound. This is an example of which critical
thinking standards? (Select all that apply.)
1. Clarity
2. Broadness
3. Relevance
4. Risk taking
5. Creativity - (ANSWER)3, 4, 5
8. A nurse is assigned to care for a woman who is expecting her first child. The nurse organizes herself
and plans to gather data about the patient by applying Pender's health promotion model, including the
patient's characteristics and experiences and situational influences. She plans to observe patient
behavior and consider the patient's psychosocial issues. Such data will offer a clear understanding to
help the nurse identify the patient's needs. This is an example of which of the following concepts?
(Select all that apply.)
1. Diagnostic reasoning
2. Deductive reasoning
3. Inductive reasoning
4. Assessment
5. Problem solving - (ANSWER)2, 4
9. A nurse is caring for a patient who has poor pain control. The patient has a history of opioid abuse.
During the day, the patient made frequent requests for a pain medication. To make an effective clinical
decision about this patient, the nurse needs to ask questions about the data available on the patient to
make a thorough and thoughtful decision. The nurse asks herself, "How does my view about the