, Critical Thinking Clinical Reasoning and Clinical Judgment 7th Edition
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A s s
Practical Approach Test Bank s s ss ss
Chapter 1. What are Critical Thinking, Clinical Reasoning, and Clinical Judgment?
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s Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. Which of the following characteristics do the various definitions of
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sscritical thinking have in common? Critical thinking
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1)
Requires reasoned thought ss ss
2)
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Asks the questions why?
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or how?
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3)
Is a hierarchical process
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4)
ss
Demands specialized thinking skills ss ss ss
ANS: 1
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The definitions listed in the text as well as definitions in Box
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s s2-1 state that critical thinking requires reasoning or reasoned thinking.
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s Critical thinking is neither linear nor hierarchical. That means that the
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steps involved in critical thinking are not necessarily sequential, where
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s mastery of
s one step is necessary to proceed to
s thes next. s s s s s s s s s s s s s s s s s s
Critical thinking is a purposeful, dynamic, analytic process that contributes
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ssto reasoned decisions and sound contextual
ss judgments. ss ss ss ss
PTS:1DIF:Moderate high-level question, answer not stated verbatim s s s s s s s s s s s s
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Analysis
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2. A few nurses on a unit have proposed to the nurse
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s s manager that the process for documenting care on the unit be s s s s ss s s s s s s s s s s s s s s
s s changed. They have described a completely new system. Why is it
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s s important for the nurse manager to have a critical attitude? s s s s s s s s s s s s s s s s s s s s It
s s will help the manager to s s s s s s s s
1)
Consider all the possible advantages ss ss ss ss
and disadvantages 2)
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Maintain an open mind about the ss ss ss ss ss
proposed change 3)
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Apply the nursing process to the
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situation 4)
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Make a decision based on past experience with documentation
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ANS: 2
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A critical
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s an s open mind. PTS:1DIF:ModerateKEY: Nursing process: N/A | Client need:
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, SECE | Cognitive level:
ss ss ss ss s s Comprehension
, ss 3.
The nurse has just been assigned to the clinical care s s s s s s s s s s s s s s s s s s s s
of a newly admitted patient. To know how to best care for the patient, the nurse
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uses the nursing process. Which step would the nurse probably do first?
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1)
Assessment
2) ss
Diagnosis
3) ss
Plan outcomes ss
4) ss
Plan interventions ss
ANS: 1
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Assessment is the first step of the nursing process. The nursing s s ss s s s s s s s s s s s s ss s s
diagnosis is derived from the data gathered during assessment, outcomes
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from the diagnosis, and interventions from the outcomes. PTS:1DIF:Easy
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KEY: Nursing process: Assessment | Client need: SECE | Cognitive level:
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Application
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4. Which of the following is an example of
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theoretical knowledge? 1)
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A nurse uses sterile technique to catheterize a
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patient. 2)
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Room air has an oxygen concentration of
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21%. 3)
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Glucose monitoring machines should be ss ss ss ss
calibrated daily. 4)
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An irregular apical heart rate should be compared with the
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radial pulse. ANS: 2
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Theoretical knowledge consists of research findings, facts, principles, and theories. The
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oxygen concentration of room air is a scientific fact. The others
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are examples of practical knowledgewhat
s s s s to do and how to do s s ss s s s s s s s s s s s s s s
it.s s
PTS:1DIF:Moderate; high-level question, answer not stated verbatim s s s s s s s s s s s s
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
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5. Which of the following is an example of practical knowledge?
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(Assume all are true.) 1)
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The tricuspid valve is between the right atrium and ventricle of
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the heart. 2)
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The pancreas does not produce enough insulin in
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type 1 diabetes. 3)
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When assessing the abdomen, you should auscultate before
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palpating. 4)
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Research shows pain medication given intravenously acts faster than by
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other routes. ANS: 3
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A s s
Practical Approach Test Bank s s ss ss
Chapter 1. What are Critical Thinking, Clinical Reasoning, and Clinical Judgment?
ss ss ss ss ss ss ss ss ss ss
s Multiple Choice
s ss
Identify the choice that best completes the statement or answers the question.
s s s s s s s s s s s s s s s s s s s s s s
1. Which of the following characteristics do the various definitions of
ss ss ss ss ss ss ss ss ss ss
sscritical thinking have in common? Critical thinking
ss ss ss ss ss
1)
Requires reasoned thought ss ss
2)
ss
Asks the questions why?
ss ss ss
or how?
ss ss
3)
Is a hierarchical process
ss ss ss
4)
ss
Demands specialized thinking skills ss ss ss
ANS: 1
ss ss
The definitions listed in the text as well as definitions in Box
s s s s s s s s s s s s s s s s s s s s s s
s s2-1 state that critical thinking requires reasoning or reasoned thinking.
s s s s s s ss s s s s s s s s s s
s Critical thinking is neither linear nor hierarchical. That means that the
s s s s s s s s s s s ss s s s s s s s s
steps involved in critical thinking are not necessarily sequential, where
s s s s s s s s s s s s s s s s ss s s
s mastery of
s one step is necessary to proceed to
s thes next. s s s s s s s s s s s s s s s s s s
Critical thinking is a purposeful, dynamic, analytic process that contributes
s s s s s s s s ss ss ss ss ss
ssto reasoned decisions and sound contextual
ss judgments. ss ss ss ss
PTS:1DIF:Moderate high-level question, answer not stated verbatim s s s s s s s s s s s s
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Analysis
s s s s s s ss s s s s s s s s s s s s s s
2. A few nurses on a unit have proposed to the nurse
s s s s s s s s s s s s s s s s s s s s s s
s s manager that the process for documenting care on the unit be s s s s ss s s s s s s s s s s s s s s
s s changed. They have described a completely new system. Why is it
s s s s s s s s ss ss ss s s s s
s s important for the nurse manager to have a critical attitude? s s s s s s s s s s s s s s s s s s s s It
s s will help the manager to s s s s s s s s
1)
Consider all the possible advantages ss ss ss ss
and disadvantages 2)
ss ss ss
Maintain an open mind about the ss ss ss ss ss
proposed change 3)
ss ss ss
Apply the nursing process to the
ss ss ss ss ss
situation 4)
ss ss
Make a decision based on past experience with documentation
ss ss ss ss ss ss ss ss
ANS: 2
s s ss
A critical
s s attitude enables the person to think fairly and
s s keep s s s s s s s s s s s s s s s s
s an s open mind. PTS:1DIF:ModerateKEY: Nursing process: N/A | Client need:
s s s s ss ss ss ss ss ss ss
, SECE | Cognitive level:
ss ss ss ss s s Comprehension
, ss 3.
The nurse has just been assigned to the clinical care s s s s s s s s s s s s s s s s s s s s
of a newly admitted patient. To know how to best care for the patient, the nurse
s s s s s s ss s s ss ss ss ss ss ss ss ss ss ss ss
uses the nursing process. Which step would the nurse probably do first?
ss ss ss ss s s s s s s s s s s s s s s s s
1)
Assessment
2) ss
Diagnosis
3) ss
Plan outcomes ss
4) ss
Plan interventions ss
ANS: 1
ss ss
Assessment is the first step of the nursing process. The nursing s s ss s s s s s s s s s s s s ss s s
diagnosis is derived from the data gathered during assessment, outcomes
s s ss ss ss s s s s s s s s s s s s
from the diagnosis, and interventions from the outcomes. PTS:1DIF:Easy
s s s s s s s s ss s s s s ss ss
KEY: Nursing process: Assessment | Client need: SECE | Cognitive level:
s s s s s s s s s s s s s s s s s s s s
Application
s s
4. Which of the following is an example of
ss ss ss ss ss ss ss ss
theoretical knowledge? 1)
s s ss ss
A nurse uses sterile technique to catheterize a
ss ss ss ss ss ss ss
patient. 2)
ss ss
Room air has an oxygen concentration of
ss ss ss ss ss ss
21%. 3)
ss ss
Glucose monitoring machines should be ss ss ss ss
calibrated daily. 4)
ss ss ss
An irregular apical heart rate should be compared with the
ss ss ss ss ss ss ss ss ss
radial pulse. ANS: 2
ss s s ss ss
Theoretical knowledge consists of research findings, facts, principles, and theories. The
ss ss s s ss ss ss ss ss ss ss
oxygen concentration of room air is a scientific fact. The others
s s s s s s s s s s s s s s s s s s s s s s
are examples of practical knowledgewhat
s s s s to do and how to do s s ss s s s s s s s s s s s s s s
it.s s
PTS:1DIF:Moderate; high-level question, answer not stated verbatim s s s s s s s s s s s s
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
s s s s s s ss s s s s s s s s s s s s s s
5. Which of the following is an example of practical knowledge?
ss ss ss ss s s ss ss ss ss s s
(Assume all are true.) 1)
ss s s ss s s ss
The tricuspid valve is between the right atrium and ventricle of
ss ss ss ss ss ss ss ss ss ss
the heart. 2)
s s s s ss
The pancreas does not produce enough insulin in
ss ss ss ss ss ss ss
type 1 diabetes. 3)
ss ss ss ss
When assessing the abdomen, you should auscultate before
ss ss ss ss ss ss ss
palpating. 4)
ss ss
Research shows pain medication given intravenously acts faster than by
ss ss ss ss ss ss ss ss ss
other routes. ANS: 3
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