NR224 EXAM 1 STUDY GUIDE rated by gold , download for grade A

Exam 1 Study Guide Chapter 15: Critical Thinking in Nursing Practice 1. What is the definition of critical thinking? – the ability to think in a systemic and logical manner with openness to question and reflect on the reasoning process 2. What are characteristics of critical thinking? – open-mindedness, continual inquiry, perseverance, combined with a willingness to look at each unique patient situation and determine which identified assumptions are true and relevant. 3. What is clinical decision making? – a product of critical thinking, focuses on problem resolution. 4. Describe and explain the critical thinking model, what are the components and levels? a. Includes 3 levels i. Basic – Nurses follow a step-by-step process without deviation from the plan. ii. Complex – Nurses analyze and examines choices; they realize that alternative (or even conflicting) solutions exist iii. Commitment – Nurses anticipate needs and make choices with no assistance from others b. Components of critical thinking i. Specific knowledge base – allows nurse to better anticipate or identify problems by understanding their origin and nature ii. Experience iii. Competencies – applying critical thinking to each part of the nursing process iv. Attitudes – how does the nurse approach the problem v. Standards – intellectual (logical / rational) and professional (ethical) c. What is needed first before anything else? 5. Describe the following terms and know examples of each: a. Interpretation – an explanation. Be orderly in data collection, look for patterns to categorize data, and clarify any uncertain data. b. Analysis – recognizing patterns or trends and comparing them with standards. Be open minded when you look at patient information, make accurate assumptions. c. Inference – conclusion based on evidence and reasoning. Look at meaning and importance of findings, does the patient’s data help you see that a problem exists?d. Evaluation – A process that critically examines a program. Look at all solutions objectively. Use criteria to determine results of nursing actions, reflect on your own behavior. e. Explanation – A statement that makes something clear. support your findings and conclusion. f. Self-regulation – reflecting on your own experiences and connecting your actions with outcomes. g. Confidence – belief in oneself, feeling certain about an accomplishment or task. Learn how to introduce yourself with a patient, speak with conviction, be well prepared and encourage patients to ask questions. Don’t let patients think you’re unable to perform care. h. Independence – challenging ways others think and considering all sides of the situation. Develop this by looking at different views on the same subject – talk with other nurses, read different literature. i. Fairness – dealing justly with situations without prejudice or bias. Listen to both sides. j. Responsibility – knowing your accountable for your decisions, actions, and critical thinking k. Risk taking – recommend alternatives and questioning approaches using your knowledge l. Discipline – being orderly and systematic when collecting information or taking action, be thorough in what you do with good time management m. Perseverance – means to keep looking for more resources until you find a successful approach. n. Creativity – look for different approaches if interventions aren’t working for the patient. o. Curiosity- always ask why, explore and learn more about the patient. p. Integrity – recognize when your opinions conflict with those of the patient. Do not compromise nursing standards or honesty in delivering care. q. Humility – recognize when you need more information to make a decision. Ask for help when needed. r. Truth seeking – seek the true meaning of a situation