A nurse enters a pt's room at the beginning of the shift to conduct an assessment of his condition
following a blood transfusion. The nurse cared for the pt the previous day as well. The pt has a
number of issues he is willing to share with the nurse, who takes time to explain each issue. The
nurse also assesses the pt and finds no signs or symptoms of a reaction to the blood product. The
nurse observed the pt. 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 pt? (Select all that apply)
1. Working the same shift each day
2. Spending time during the pt. assessment
3. Knowing the early mobility protocol guidelines
4. Caring for the pt on consecutive days
5. Knowing the pattern of pt behavior about ambulation correct answers 2, 4, 5
Match the concepts for a critical thinker with the terms:
a. Anticipate how a pt might respond to treatment
b. Organize assessment on the basis of pt priorities
c. Be objective in asking questions of a pt
d. Be tolerant of a pt's views and beliefs
1. Truth-seeking
2. Open-mindedness
3. Analyticity
4. Systematicity correct answers 1c, 2d, 3a, 4b
A nurse has seen many cancer pt's struggle w/ pain management because they are afraid of
becoming addicted to the medicine. Pain control is a priority for cancer care. By helping pt's
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
3. Clinical reasoning
4. Applying the ethical criteria correct answers 4
The REFLECT model can improve learning after providing pt care. Place the steps of this model
in the correct order:
1. Think about your thoughts an actions at the time of the 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 similar situations in the future
6. Recall any feelings you had at the time of the situation
7. Create a plan for future situations correct answers 3, 1, 6, 2, 5, 7, 4
One element of clinical decision making is knowing the pt. Which of the following activities
affect the nurse's ability to know patients better? (Select all that apply)
1. Caring for similar groups of pt's over time
2. Reading evidence-based practices appropriate to pt's
3. Learning how pt's typically respond to their clinical situation
4. Observing pt's
5. Engaging with pt's experiencing illness correct answers 1, 3, 4, 5
A nurse is preparing medications for a pt. The nurse checks the name of the med on the label
with the name of the med on the doctor's order. At the bedside the nurse checks the pt's name
against the med order as well. Which critical thinking attitude is the nurse following?
1. Responsibility
2. Humility
3. Accurate
, 4. Fairness correct answers 1
A nurse has been caring for a pt with a chronic would 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 a wound. The two decide that because because of the pt's allergy to
a tape, a nonallergenic dressing will be used. The nurse obtains an order from the health care
provider for the new dressing. After two days there is an improvement of the wound. This is an
example of which critical standards? (Select all that apply)
1. Clear
2. Broad
3. Relevant
4. Risk taking
5. Creativity correct answers 3, 4, 5
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 pt by applying Pender's health promotion model,
including the pt's characteristics and experiences and situational influences. She plans to observe
the pt's behavior and consider the pt's psychosocial issues. Such data will offer a clear
understanding to help the nurse identify the pt's needs. This is an ex. of which of the following
concepts? (select all that apply)
1. Diagnostic reasoning
2. Deductive reasoning
3. Inductive reasoning
4. Assessment
5. Problem solving correct answers 2, 4
A nurse is caring for a pt who has poor pain control. The patient has history of opioid abuse.
During the day the pt made frequent requests for pain meds. In order to make an effective
clinical decision about this pt, the nurse needs to ask questions about the data available on the pt
to make a thorough and thoughtful decision. The nurse asks herself, "How does my view about
the pt's pain tolerance compare with the pt's, and does that pose a problem?" This is an example
of: