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Terms in this set (90)
While assessing a patient, the nurse D. Problem Solving
observes the patient's IV line is not
infusing at the ordered rate. The
nurse assesses the patient for pain at
the IV site, checks the flow regulator
on the tubing, looks to see if the
patient is lying on the tubing, checks
the point of connection between the
tubing and the IV catheter, and then
checks the condition of the site
where the IV catheter enters the
patient's skin. After the nurse
readjusts the flow rate, the infusion
begins at the correct rate. This is an
example of:
A. inference
B. Diagnostic reasoning
C. Competency
D. Problem solving
,The nurse sits down to talk with a A. Diagnostic reasoning
patient who lost her sister 2 weeks
ago. The patient reports she is
unable to sleep, feels very fatigued
during the day, and is having trouble
at work. The nurse asks her to clarify
the type of trouble. The patient
explains she can't concentrate or
even solve simple problems. The
nurse records the results of the
assessment, describing the patient as
having ineffective coping. This is an
example of :
A. diagnostic reasoning
B. Competency
C. Inference
D. Problem Solving
A patient on a surgical unit develops C. Conducting reflective practice
sudden shortness of breath and a
drop in BP. The staff respond, but the
patient dies 30 minutes later. the
manager on the nursing unit calls the
staff involved in the emergency
response together, The staff
discusses what occurred over the 30
minute time frame, the actions taken,
and whether other steps should have
been implemented. The nurses in this
situation are:
A. problem solving
B. showing humility
C. conducting reflective practice
D. Exercising responsibility
,A nurse has worked on an oncology C. Analyticity
unit for 3 years. One patient has D. Self confidence
become visibly weaker and states, "I
feel funny". The nurse knows how
patients often have behavior
changes before developing sepsis
when they have cancer. The nurse
asks the patient questions to assess
thinking skills and notices the patient
shivering. The nurse goes to the
phone, calls the physician, and
begins the conversation by saying, "I
believe that your patient is
developing sepsis. I want to report
symptoms I'm seeing." What
examples of critical thinking
concepts does the nurse show?
(Select all that apply)
A. Experience
B. Ethical
C. Analyticity
D. Self-confidence
E. Risk taking
, A nurse who is working on a surgical A&C
unit is caring for four different
patients. Patient A will be discharged
home and is in need of instruction
about wound care. Patients B and C
have returned from the operating
room within an hour of each other,
and both require vital signs and
monitoring of their intravenous (IV)
lines.
Patient D is resting following a visit
by physical therapy. Which of the
following activities by the nurse
represent(s) use of clinical decision
making for groups of patients?
(Select all that apply.)
A. consider how to involve patient A
in deciding whether to involve the
family caregiver in wound care
instruction
B. Think about past experience with
patients who develop postoperative
complications
C. Decide which activities can be
combined for patients B and C
D. Carefully gather any assessment
info and identify patient problems