NUR 130 Exam 1 UPDATED QUESTIONS
AND CORRECT ANSWERS
Clinical reasoning - CORRECT ANSWER -Thinking process by which a nurse reaches a
clinical judgement and or decision
-
Fine attunement - CORRECT ANSWER How someone reacts and paying close attention
Critical thinking - CORRECT ANSWER -Cognitive process used for the analysis of an issue or
problem
-Knowledge-based
-How we think through a situation, prioritize what needs to be done first, and think about patients'
outcomes
Clinical judgement - CORRECT ANSWER -Interpretation and conclusion about a patient's
needs, concerns, or health problems
-To either take action, improvise new ones, using or modify standard approaches deemed appropriate
for the patient
Environmental factors IMPORTANT
Nursing knowledge is NOT an environmental factor IMPORTANT - CORRECT ANSWER -
Limited staff and equipment
-Stat med vs routine med
Increased respiratory rate - CORRECT ANSWER First sign of sepsis
Defining attributes of clinical judgement - CORRECT ANSWER -Holistic view of the client
situation
-Process orientation
-Reasoning and interpretation
-Ethical comportment
, Holistic view of client - CORRECT ANSWER Looking at the whole person, mind, body and
spirit
Process orientation - CORRECT ANSWER -Asking the patient questions to lead to an answer
-Ability to reflect on something after it is done
-Having goals during the shift
Reasoning and interpretation - CORRECT ANSWER Help to get to the decision
Ethical comportment - CORRECT ANSWER -What is right and what is wrong
Morals - CORRECT ANSWER - Own values and beliefs
-The culture that one grew up in
Evidence based practice - CORRECT ANSWER A problem solving approach to clinical
decision making that combines the best available scientific evidence with best available patient and
practitioner experiential evidence toward optimal healthcare outcomes
-Best evidence to inform practice
Nursing process IMPORTANT - CORRECT ANSWER ADPIE
Assessment (see, hear, feel)
(what meds do you take? why are you here? Did anything happen in the past couple of days) (ex:
headache just developed after a car accident)
Diagnosis (analysis) (ex: head injury)
Planning (Telling the doctor the patient may need a CT scan)
Implementation (Start IV and get ready for CT) (Taking action)
Evaluation (Gets CT and gives medicine to have less of a headache)
Reflection in action - CORRECT ANSWER Happens during the care of the patient
-Observing a patients reaction and deciding if that action has helped with the primary concern
AND CORRECT ANSWERS
Clinical reasoning - CORRECT ANSWER -Thinking process by which a nurse reaches a
clinical judgement and or decision
-
Fine attunement - CORRECT ANSWER How someone reacts and paying close attention
Critical thinking - CORRECT ANSWER -Cognitive process used for the analysis of an issue or
problem
-Knowledge-based
-How we think through a situation, prioritize what needs to be done first, and think about patients'
outcomes
Clinical judgement - CORRECT ANSWER -Interpretation and conclusion about a patient's
needs, concerns, or health problems
-To either take action, improvise new ones, using or modify standard approaches deemed appropriate
for the patient
Environmental factors IMPORTANT
Nursing knowledge is NOT an environmental factor IMPORTANT - CORRECT ANSWER -
Limited staff and equipment
-Stat med vs routine med
Increased respiratory rate - CORRECT ANSWER First sign of sepsis
Defining attributes of clinical judgement - CORRECT ANSWER -Holistic view of the client
situation
-Process orientation
-Reasoning and interpretation
-Ethical comportment
, Holistic view of client - CORRECT ANSWER Looking at the whole person, mind, body and
spirit
Process orientation - CORRECT ANSWER -Asking the patient questions to lead to an answer
-Ability to reflect on something after it is done
-Having goals during the shift
Reasoning and interpretation - CORRECT ANSWER Help to get to the decision
Ethical comportment - CORRECT ANSWER -What is right and what is wrong
Morals - CORRECT ANSWER - Own values and beliefs
-The culture that one grew up in
Evidence based practice - CORRECT ANSWER A problem solving approach to clinical
decision making that combines the best available scientific evidence with best available patient and
practitioner experiential evidence toward optimal healthcare outcomes
-Best evidence to inform practice
Nursing process IMPORTANT - CORRECT ANSWER ADPIE
Assessment (see, hear, feel)
(what meds do you take? why are you here? Did anything happen in the past couple of days) (ex:
headache just developed after a car accident)
Diagnosis (analysis) (ex: head injury)
Planning (Telling the doctor the patient may need a CT scan)
Implementation (Start IV and get ready for CT) (Taking action)
Evaluation (Gets CT and gives medicine to have less of a headache)
Reflection in action - CORRECT ANSWER Happens during the care of the patient
-Observing a patients reaction and deciding if that action has helped with the primary concern
