EXAM 1 PART 2 WITH QUESTIONS AND
WELL VERIFIED ANSWERS [GRADED A+]
During the change-of-shift report the night nurse states that a client mentioned
having a bad experience with surgery in the past. The nurse was called away and
was unable to continue the conversation with the client. The nurse tells the day
shift nurse about the comment and notes that the client appears anxious. When
the day shift nurse visits the client to clarify the client's bad experience with
surgery, the nurse is exhibiting which aspect of critical thinking?
A. Integrity
B. Discipline
C. Confidence
,D. Perseverance - ANS ---D. Discipline
Discipline includes completing the task at hand, including assessments (which
were not completed on the previous shift). Integrity includes recognizing when
one's opinions conflict with those of others and finding a mutually satisfying
solution. Confidence is demonstrated in one's presentation and belief in one's
knowledge and abilities. Perseverance helps the critical thinker to find
effective solutions to client care problems, especially when they have been
previously unresolved.
A client tells the nurse, "I'm not happy with the way the patient care
technician did my bath. He just seemed to be in a hurry and did not wash my
back like I asked." The nurse decides to go talk with the technician to learn
his side of the story as well. This is an example of:
A. Fairness
B. Curiosity
C. Risk taking
D. Responsibility - ANS ---A. Fairness
Fairness involves analyzing all viewpoints to understand the situation completely
before making a decision. Curiosity gives the critical thinker the motivation to
continue to ask questions and learn more. Risk taking involves trying different
ways to solve problems.
The surgical unit has initiated the use of a pain rating scale to assess the
severity of clients' pain during their postoperative recovery. The nurse assigned
to a client can look at the pain flow sheet to see the client's pain scores over the
,last 24 hours. Use of the pain scale is an example of adherence
to which intellectual standard? - ANS ---D. Consistency
Using the same pain scale for all clients and ratings promotes consistency—
each nurse has the same measurement scale to compare assessments.
Relevance refers to how applicable the assessment is. An assessment has
depth when it deals with less obvious issues. Specificity refers to the ability of
the assessment to provide information about the particular problem of interest.
During the day the nurse spends time instructing a client in how to self-
administer insulin. After discussing the technique and demonstrating an
injection, the nurse asks the client to try it. After the client makes two attempts
it is clear that the client does not understand how to prepare the correct dose.
The nurse discusses the situation with the charge nurse and asks for
suggestions. This is an example of:
A. Reflection
B. Risk taking
C. Problem solving
D. Client assessment - ANS ---C. Problem Solving
This is an example of problem solving because the nurse is taking a problem
to a supervisor for help in finding a different approach. Reflection is the
process of purposefully thinking back and recalling a situation to discover its
purpose or meaning. Risk taking involves trying a different approach. Client
assessment is the first step in the process of instruction.
, A nurse uses an institution's procedure manual to confirm how to insert a
Foley catheter. The level of critical thinking the nurse is using is:
A. Commitment
B. Scientific method
C. Basic critical thinking
D. Complex critical thinking - ANS ---C. Basic critical thinking
At the basic level of critical thinking, a learner trusts the experts and follows a
procedure step by step. Complex critical thinkers separate themselves from
authorities and analyze and examine choices more independently.
Commitment is the third level of critical thinking in which the person anticipates
the need to make choices without assistance from others. The scientific method
is a process of problem solving.
A nurse refers to a client's postsurgical written plan of care, noting that the client
has a drainage device collecting wound drainage. The surgeon is to be notified
when drainage in the device exceeds 100 ml for the day. The nurse carefully
notes the amount of drainage currently in the device. This is an example of:
A. Planning
B. Evaluation
C. Assessment
D. Intervention - ANS ---C. Assessment
Assessment is the process of observing and collecting data. Planning is the step in
which the diagnosis is analyzed for problem resolution. Intervention consists