Chapter 1: Clinical Judgment in Nursing Practice
Perry et al.: Clinical Nursing Skills & Techniques, (11th Edition 2024) Test Bank
Question 1 of 16
occurs when a nurse consciously considers whether their judgments were accurate.
The correct answer is: Self-evaluation
When making clinical decisions about patients, nurses consciously consider whether their
judgments were accurate and whether the correct and appropriate decisions were made. This is a
form of self-evaluation.
DIF: Remembering
OBJ: Evaluate the ability to make accurate clinical decisions when performing nursing skills.
TOP: Evaluation of Clinical Judgment
KEY: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
Question 2 of 16
Mr. Michaels has been coming to the pain clinic for the past 6 months. He is very verbalabout
not wanting new nurses to take care of him. Ms. Blake is an RN who has been
working in the pain clinic for 2 weeks and is assigned to care for Mr. Michaels today. Itwill be
important for Ms. Blake to approach Mr. Michaels with .
The correct answer is: confidence
Confidence is displayed when a nurse speaks with conviction to a patient when beginning an
intervention. Do not lead a patient to think that you are unable to perform care safely. Always be
well prepared before performing a nursing activity. Encourage a patient to ask questions.
DIF: Applying
OBJ: Apply critical thinking attitudes during assessment of a patient condition.
TOP: Critical Thinking Attitudes and Applications in Nursing Practice
KEY: Planning
MSC: NCLEX: Psychological Integrity
Question 3 of 16
The sixth component of critical thinking includes intellectual and professional standards.
Professional standards are reflected in the standards of nursing practice that focuses
on a patient’s values and beliefs.
The correct answer is: ethical
Excellent nursing practice reflects ethical standards. Being able to focus on a patient’s values and
beliefs helps you make clinical decisions that are just, respectful of a patient’s choices, and
beneficial to a patient’s well-being.
DIF: Applying
OBJ: Explain how to apply intellectual standards during the nursing process.
TOP: Intellectual Standards/Professional Standards
,KEY: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
Question 4 of 16
During the admission assessment of an 80-year-old female, the nurse notes that the
patient is confused, afebrile, and hypotensive. The nurse knows that in order to make
an accurate nursing diagnosis, more data needs to be gathered and analyzed. This
action by the nurse is classified as
CORRECT diagnostic reasoning.
Specific critical thinking competencies include diagnostic reasoning and
clinical decision making. Diagnostic reasoning is a cognitive process that
involves applying cognitive skills, knowledge, and experience to diagnose
and treat patients (Royce et al., 2019). It requires being able to understand
and think through clinical problems, gather information about the problem,
analyze individual cues, understand the meaning of evidence, and know
when you have enough information to decide on an accurate diagnosis.
DIF: Understanding
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Assessment
MSC: NCLEX: Safe and Effective Care Environment
evaluation.
Specific critical thinking competencies include diagnostic reasoning and
clinical decision making. Diagnostic reasoning is a cognitive process that
involves applying cognitive skills, knowledge, and experience to diagnose
and treat patients (Royce et al., 2019). It requires being able to understand
and think through clinical problems, gather information about the problem,
analyze individual cues, understand the meaning of evidence, and know
when you have enough information to decide on an accurate diagnosis.
DIF: Understanding
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Assessment
MSC: NCLEX: Safe and Effective Care Environment
implementation.
Specific critical thinking competencies include diagnostic reasoning and
clinical decision making. Diagnostic reasoning is a cognitive process that
involves applying cognitive skills, knowledge, and experience to diagnose
and treat patients (Royce et al., 2019). It requires being able to understand
and think through clinical problems, gather information about the problem,
analyze individual cues, understand the meaning of evidence, and know
when you have enough information to decide on an accurate diagnosis.
, DIF: Understanding
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Assessment
MSC: NCLEX: Safe and Effective Care Environment
scientific thinking.
Specific critical thinking competencies include diagnostic reasoning and
clinical decision making. Diagnostic reasoning is a cognitive process that
involves applying cognitive skills, knowledge, and experience to diagnose
and treat patients (Royce et al., 2019). It requires being able to understand
and think through clinical problems, gather information about the problem,
analyze individual cues, understand the meaning of evidence, and know
when you have enough information to decide on an accurate diagnosis.
DIF: Understanding
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Assessment
MSC: NCLEX: Safe and Effective Care Environment
Question 5 of 16
The nurse is caring for a 35-year-old fire fighter admitted with 3rd degree burns over
30% of his body. What process would the nurse use to take action on the priority
problem and plan the management of care?
Review doctor orders
A clinical judgment is defined by the National Council of State Board’s of
Nursing (NCSBN; 2019) as the observed outcome of critical thinking and
decision making. Another definition for clinical judgment is a conclusion
about a patient’s needs or health problems that leads to taking or avoiding
action, using or modifying standard approaches, or creating new
approaches based on the patient’s response (Tanner, 2006).
DIF: Applying
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Planning
MSC: NCLEX: Safe and Effective Care Environment
Orientation to unit
A clinical judgment is defined by the National Council of State Board’s of
Nursing (NCSBN; 2019) as the observed outcome of critical thinking and
, decision making. Another definition for clinical judgment is a conclusion
about a patient’s needs or health problems that leads to taking or avoiding
action, using or modifying standard approaches, or creating new
approaches based on the patient’s response (Tanner, 2006).
DIF: Applying
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Planning
MSC: NCLEX: Safe and Effective Care Environment
Inventory of meds available
A clinical judgment is defined by the National Council of State Board’s of
Nursing (NCSBN; 2019) as the observed outcome of critical thinking and
decision making. Another definition for clinical judgment is a conclusion
about a patient’s needs or health problems that leads to taking or avoiding
action, using or modifying standard approaches, or creating new
approaches based on the patient’s response (Tanner, 2006).
DIF: Applying
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Planning
MSC: NCLEX: Safe and Effective Care Environment
CORRECT Clinical decision making
A clinical judgment is defined by the National Council of State Board’s of
Nursing (NCSBN; 2019) as the observed outcome of critical thinking and
decision making. Another definition for clinical judgment is a conclusion
about a patient’s needs or health problems that leads to taking or avoiding
action, using or modifying standard approaches, or creating new
approaches based on the patient’s response (Tanner, 2006).
DIF: Applying
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Planning
MSC: NCLEX: Safe and Effective Care Environment
Question 6 of 16
Perry et al.: Clinical Nursing Skills & Techniques, (11th Edition 2024) Test Bank
Question 1 of 16
occurs when a nurse consciously considers whether their judgments were accurate.
The correct answer is: Self-evaluation
When making clinical decisions about patients, nurses consciously consider whether their
judgments were accurate and whether the correct and appropriate decisions were made. This is a
form of self-evaluation.
DIF: Remembering
OBJ: Evaluate the ability to make accurate clinical decisions when performing nursing skills.
TOP: Evaluation of Clinical Judgment
KEY: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
Question 2 of 16
Mr. Michaels has been coming to the pain clinic for the past 6 months. He is very verbalabout
not wanting new nurses to take care of him. Ms. Blake is an RN who has been
working in the pain clinic for 2 weeks and is assigned to care for Mr. Michaels today. Itwill be
important for Ms. Blake to approach Mr. Michaels with .
The correct answer is: confidence
Confidence is displayed when a nurse speaks with conviction to a patient when beginning an
intervention. Do not lead a patient to think that you are unable to perform care safely. Always be
well prepared before performing a nursing activity. Encourage a patient to ask questions.
DIF: Applying
OBJ: Apply critical thinking attitudes during assessment of a patient condition.
TOP: Critical Thinking Attitudes and Applications in Nursing Practice
KEY: Planning
MSC: NCLEX: Psychological Integrity
Question 3 of 16
The sixth component of critical thinking includes intellectual and professional standards.
Professional standards are reflected in the standards of nursing practice that focuses
on a patient’s values and beliefs.
The correct answer is: ethical
Excellent nursing practice reflects ethical standards. Being able to focus on a patient’s values and
beliefs helps you make clinical decisions that are just, respectful of a patient’s choices, and
beneficial to a patient’s well-being.
DIF: Applying
OBJ: Explain how to apply intellectual standards during the nursing process.
TOP: Intellectual Standards/Professional Standards
,KEY: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
Question 4 of 16
During the admission assessment of an 80-year-old female, the nurse notes that the
patient is confused, afebrile, and hypotensive. The nurse knows that in order to make
an accurate nursing diagnosis, more data needs to be gathered and analyzed. This
action by the nurse is classified as
CORRECT diagnostic reasoning.
Specific critical thinking competencies include diagnostic reasoning and
clinical decision making. Diagnostic reasoning is a cognitive process that
involves applying cognitive skills, knowledge, and experience to diagnose
and treat patients (Royce et al., 2019). It requires being able to understand
and think through clinical problems, gather information about the problem,
analyze individual cues, understand the meaning of evidence, and know
when you have enough information to decide on an accurate diagnosis.
DIF: Understanding
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Assessment
MSC: NCLEX: Safe and Effective Care Environment
evaluation.
Specific critical thinking competencies include diagnostic reasoning and
clinical decision making. Diagnostic reasoning is a cognitive process that
involves applying cognitive skills, knowledge, and experience to diagnose
and treat patients (Royce et al., 2019). It requires being able to understand
and think through clinical problems, gather information about the problem,
analyze individual cues, understand the meaning of evidence, and know
when you have enough information to decide on an accurate diagnosis.
DIF: Understanding
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Assessment
MSC: NCLEX: Safe and Effective Care Environment
implementation.
Specific critical thinking competencies include diagnostic reasoning and
clinical decision making. Diagnostic reasoning is a cognitive process that
involves applying cognitive skills, knowledge, and experience to diagnose
and treat patients (Royce et al., 2019). It requires being able to understand
and think through clinical problems, gather information about the problem,
analyze individual cues, understand the meaning of evidence, and know
when you have enough information to decide on an accurate diagnosis.
, DIF: Understanding
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Assessment
MSC: NCLEX: Safe and Effective Care Environment
scientific thinking.
Specific critical thinking competencies include diagnostic reasoning and
clinical decision making. Diagnostic reasoning is a cognitive process that
involves applying cognitive skills, knowledge, and experience to diagnose
and treat patients (Royce et al., 2019). It requires being able to understand
and think through clinical problems, gather information about the problem,
analyze individual cues, understand the meaning of evidence, and know
when you have enough information to decide on an accurate diagnosis.
DIF: Understanding
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Assessment
MSC: NCLEX: Safe and Effective Care Environment
Question 5 of 16
The nurse is caring for a 35-year-old fire fighter admitted with 3rd degree burns over
30% of his body. What process would the nurse use to take action on the priority
problem and plan the management of care?
Review doctor orders
A clinical judgment is defined by the National Council of State Board’s of
Nursing (NCSBN; 2019) as the observed outcome of critical thinking and
decision making. Another definition for clinical judgment is a conclusion
about a patient’s needs or health problems that leads to taking or avoiding
action, using or modifying standard approaches, or creating new
approaches based on the patient’s response (Tanner, 2006).
DIF: Applying
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Planning
MSC: NCLEX: Safe and Effective Care Environment
Orientation to unit
A clinical judgment is defined by the National Council of State Board’s of
Nursing (NCSBN; 2019) as the observed outcome of critical thinking and
, decision making. Another definition for clinical judgment is a conclusion
about a patient’s needs or health problems that leads to taking or avoiding
action, using or modifying standard approaches, or creating new
approaches based on the patient’s response (Tanner, 2006).
DIF: Applying
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Planning
MSC: NCLEX: Safe and Effective Care Environment
Inventory of meds available
A clinical judgment is defined by the National Council of State Board’s of
Nursing (NCSBN; 2019) as the observed outcome of critical thinking and
decision making. Another definition for clinical judgment is a conclusion
about a patient’s needs or health problems that leads to taking or avoiding
action, using or modifying standard approaches, or creating new
approaches based on the patient’s response (Tanner, 2006).
DIF: Applying
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Planning
MSC: NCLEX: Safe and Effective Care Environment
CORRECT Clinical decision making
A clinical judgment is defined by the National Council of State Board’s of
Nursing (NCSBN; 2019) as the observed outcome of critical thinking and
decision making. Another definition for clinical judgment is a conclusion
about a patient’s needs or health problems that leads to taking or avoiding
action, using or modifying standard approaches, or creating new
approaches based on the patient’s response (Tanner, 2006).
DIF: Applying
OBJ: Examine the factors influencing diagnostic reasoning when making
clinical judgments.
TOP: Diagnostic reasoning
KEY: Planning
MSC: NCLEX: Safe and Effective Care Environment
Question 6 of 16
