ANS: D
According to NANDA, the nursing process is a five-part sys-
tematic decision-making method focusing on identifying
Systematic decision-making method focusing on identi- and treating responses of individuals or groups to actual
fying and treating responses of individuals or groups to or potential alterations in health. ACEN defines critical
actual or potential alterations in health best describes: thinking as, the deliberate nonlinear process of collecting,
interpreting, analyzing, drawing conclusions about, pre-
A. Critical Thinking senting, and evaluating information that is both factual
B. Clinical Reasoning and belief-based. Clinical reasoning-thinking process by
C. Clinical Judgement which a nurse reaches a clinical judgement. A clinical judg-
D. Nursing Process ment is the nurse's determination and provision of appro-
priate care to the patient, refers to the result (outcome)
of critical thinking or clinical reasoning-the conclusion,
decision, or opinion made.
A nurse is caring for a group of clients. Which of the
following actions by the nurse demonstrates the use of
critical thinking skills?
A. Administer an influenza vaccine after asking a client ANS: D
about allergies. The nurse is using critical thinking when analyzing a
B. Check a client's armband before dispensing daily thy- client's critical issues and then planning to intervene with
roid medication to a client who has hypothyroidism. an appropriate action.
C. Give a client who has type 1 diabetes mellitus her morn-
ing dose of insulin after checking her blood glucose level.
D.Intervene after reviewing arterial blood gas results for a
client who is on mechanical ventilation.
The registered nurse (RN) is explaining Tanner's clini-
ANS: C
cal judgment model to a student nurse. Which element
According to Tanner's clinical judgment model, thinking
should the RN explain is needed first to make a clinical
like a nurse begins with nursing education, which teaches
judgment?
fundamental nursing skills and knowledge. Intuition de-
,NSG 100 Exam #1 Review Questions with Verified Answers Graded A+
A. Intuition
velops from experience and nursing knowledge over time.
B. Initiation of practice
Initiation of practice does improve critical thinking skills
C. Nursing school education
but is not the initiating factor.
D. Multiple years of experience
During the process of reflection, what is the most appro-
priate question for a nurse to ask himself or herself? ANS: A
Reflection is the action of retrospectively making sense
A."What could I have done ditterently?" of occurrences, experiences, situations, or decisions and
B."What's going on right now?" learning from them. What did or did not work? What could
C."How can the patient's status change?" have been done ditterently to achieve better outcomes?
D."What should I do to communicate this information?"
Entering a room at 2:00 am, a nurse notes that the patient
is not in bed; the patient is sitting in the chair and states
that she is having diflculty sleeping. Employing critical ANS: B
thinking, the nurse responds by: Critical thinking involves collecting, interpreting, analyz-
A.Assisting the patient back into bed ing, drawing conclusions first prior to acting. A, C and D
B.Asking more about the patient's sleep problem are interventions.
C.Positioning the patient and providing a warm blanket
D.Obtaining an order for a hypnotic medication
ANS: D
Which of the following definitions best describes Critical
Critical thinking is a broad/umbrella term that includes
Thinking?
reasoning outside and inside of the clinical setting. Defin-
ition is from The Accreditation Commission for Education
A. The thinking process by which a nurse reaches a clinical
in Nursing (ACEN). Critical thinking skills are necessary for
judgement.
sound clinical decision making. Clinical Reasoning is the
B.The result (outcome) of critical thinking or clinical rea-
thinking process by which a nurse reaches a clinical judge-
soning-the conclusion, decision, or opinion made
ment. Clinical Judgement refers to the result (outcome)
C.Systematic decision-making method focusing on iden-
of critical thinking or clinical reasoning-the conclusion,
tifying and treating responses of individuals or groups to
decision, or opinion made. Nursing Process: Five-part sys-
actual or potential alterations in health.
tematic decision-making method focusing on identifying
D.The deliberate nonlinear process of collecting, inter-
and treating responses of individuals or groups to actual
, NSG 100 Exam #1 Review Questions with Verified Answers Graded A+
preting, analyzing, drawing conclusions about, present- or potential alterations in health. (NANDA: North American
ing, and evaluating information. Nursing Diagnosis Association)
A nurse completes an initial assessment of a client. The
nurse clusters related data, recognizes a pattern, signs
ANS: B
and symptoms and determines a diagnosis. The nurse
The step of interpreting in Tanner's clinal judgment mod-
is engaged in which step of Tanner's clinical judgment
el includes: Comparing and contrasting data, clustering
model?
related information, recognizing inconsistencies, check-
ing accuracy and reliability, distinguishing relevant from
A.Noticing
irrelevant information and determining the importance of
B.Interpreting
information
C.Responding
D.Reflecting
ANS: C
The purpose of the nursing process is to diagnose and
Which of the statements best describes the purpose of the treat human responses to actual or potential health prob-
nursing process? lems. Simply described as identifying a client's actual
or potential healthcare problems or needs, establishing
A. Deliver care to a client in an organized way. plans to meet the identified needs, and delivering specific
B.Implement a plan that is close to the medical model. nursing interventions to meet those needs. The Nursing
C.Identify client needs and deliver care to meet those Process is the framework within which nurses provide care
needs. to patients in an organized and ettective manner, it is
D.Make sure that standardized care is available to clients. not the purpose. The nursing process is not part of the
medical model. The nursing process is individualized for
each client's care plan. It is not about standardizing care.
ANS: B
The nurse is planning care for a new patient with unstable
The five steps of the nursing process are assessment,
blood glucose levels. Which should be the priority action
diagnosis, planning implementation, and evaluation. The
by the nurse?
nurse should first perform a thorough assessment and
then create a nursing diagnosis based on the assessment
A.Establish a specific nursing diagnosis.
data. The nurse should then create a plan of care with
B.Complete an assessment on the client.
nursing interventions to address the diagnosis, follow the