NURS 1100 test 1 review questions
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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
Ans: 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
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___ 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.
Ans: 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 on their values and beliefs about pain control, a nurse can best
make clinical decisions. This is an example of:
1. Creativity
2. Fairness
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3. Clinical reasoning
4. Applying ethical criteria
Ans: 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.
Ans: 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
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