NR 226 Fundamentals Week 1 Exam 1 – Nursing Leadership & Management Practice
Questions and Study Guide
Clinical Judgment
in Nursing Practice - correct answer ✔✔Registered nurses (RNs) are responsible for making
accurate and appropriate clinical decisions or judgments.
Nurses must learn to question, wonder, and explore different perspectives and interpretations
to find a solution that benefits the patient.
critical thinking - correct answer ✔✔The ability to think in a systematic and logical manner with
openness to question and reflect on the reasoning process
A continuous process characterized by open-mindedness, continual inquiry, and perseverance,
combined with a willingness to look at each unique patient situation and determine which
identified assumptions are true and relevant
Recognizing that an issue exists, analyzing information, evaluating information, and drawing
conclusions
Reflection - correct answer ✔✔The ability to act on the basis of critical thinking comes with
experience.
Turning over a subject in the mind and thinking about it seriously.
Is not intuitive.
reflection - correct answer ✔✔When you care for patients, begin by thinking about previous
situations and considering relevant issues: What did I notice before? How did I act? What could I
have done differently? What should I do next time in the same situation?
,Research shows that when nurses reflect on past experiences, they perceive that their
knowledge increases and their critical thinking moves to a higher level.
Reflection involves playing back a situation in your mind and taking time to honestly review
everything you remember about it.
Reflective reasoning improves the accuracy of making diagnostic conclusions.
By reviewing your previous actions you see successes and opportunities for improvement.
Always be cautious in using reflection.
Reliance on it can block thinking and not allow you to look at newer evidence or subtle aspects
of situations that you have not encountered.
levels of critical thinking - correct answer ✔✔level 1 basic
level 2 complex
level 3 commitment
basic critical thinking - correct answer ✔✔thinking is concrete and based on a set of rules or
principles.
the nursing student uses a hospital procedure manual to confirm how to change an IV dressing.
You follow step by step.
,complex critical thinking - correct answer ✔✔begin to separate themselves from the experts ex.
while inserting a feeding tube you recognize that your pt. cannot swallow easily. thus you adapt
how you insert it.
commitment critical thinking - correct answer ✔✔you anticipat when to make choices without
assistance from other and accept accountability for decisons made.
components of critical thinking - correct answer ✔✔specific knowledge base
experience
competencies
attitudes
standards
specific knowledge base - correct answer ✔✔knowledge prepares yo to better anticipate and
identify pts problem by understanding their origin and nature
experience - correct answer ✔✔clinical learning experiences are necessary to acquire clinical
decision making skills
competencies - correct answer ✔✔you will apply critical thinking componenets during each
step of the nursing process.
attitudes - correct answer ✔✔11 attitudes define the central features of a critical thinker and
how successful critical thinker approaches a problem
, 11 attitudes of critical thinking - correct answer ✔✔confidence-belief in oneself, one's judgment
and psychomotor skills and one's possession of the knowledge and to think critcally and draw
appropriate conclusions
thinking independently- dont accept another person's ideas without question
fairness- deal with situations justly, no bias or prejudice enter into a decision
responsibility and accountability- correctly performing nursing care activities on the basis of
standards and practice.
risk taking-willingness to take risks when trying different ways to solve problems
discipline- miss few details and is orderly or systematic when collecting data, making decisions,
or taking action
perserverance- find effective solutions to pt care problems. especially when problems remain
unresolved or recur.
creativity- you find solutions outside the standard routine of care while still following standards
of practice
curiosity- favorite question Why? investigate a clinical situation so you get all the information
you need to make a decision
integrity- hones and willing to admit mistakes or inconsistencies.
Questions and Study Guide
Clinical Judgment
in Nursing Practice - correct answer ✔✔Registered nurses (RNs) are responsible for making
accurate and appropriate clinical decisions or judgments.
Nurses must learn to question, wonder, and explore different perspectives and interpretations
to find a solution that benefits the patient.
critical thinking - correct answer ✔✔The ability to think in a systematic and logical manner with
openness to question and reflect on the reasoning process
A continuous process characterized by open-mindedness, continual inquiry, and perseverance,
combined with a willingness to look at each unique patient situation and determine which
identified assumptions are true and relevant
Recognizing that an issue exists, analyzing information, evaluating information, and drawing
conclusions
Reflection - correct answer ✔✔The ability to act on the basis of critical thinking comes with
experience.
Turning over a subject in the mind and thinking about it seriously.
Is not intuitive.
reflection - correct answer ✔✔When you care for patients, begin by thinking about previous
situations and considering relevant issues: What did I notice before? How did I act? What could I
have done differently? What should I do next time in the same situation?
,Research shows that when nurses reflect on past experiences, they perceive that their
knowledge increases and their critical thinking moves to a higher level.
Reflection involves playing back a situation in your mind and taking time to honestly review
everything you remember about it.
Reflective reasoning improves the accuracy of making diagnostic conclusions.
By reviewing your previous actions you see successes and opportunities for improvement.
Always be cautious in using reflection.
Reliance on it can block thinking and not allow you to look at newer evidence or subtle aspects
of situations that you have not encountered.
levels of critical thinking - correct answer ✔✔level 1 basic
level 2 complex
level 3 commitment
basic critical thinking - correct answer ✔✔thinking is concrete and based on a set of rules or
principles.
the nursing student uses a hospital procedure manual to confirm how to change an IV dressing.
You follow step by step.
,complex critical thinking - correct answer ✔✔begin to separate themselves from the experts ex.
while inserting a feeding tube you recognize that your pt. cannot swallow easily. thus you adapt
how you insert it.
commitment critical thinking - correct answer ✔✔you anticipat when to make choices without
assistance from other and accept accountability for decisons made.
components of critical thinking - correct answer ✔✔specific knowledge base
experience
competencies
attitudes
standards
specific knowledge base - correct answer ✔✔knowledge prepares yo to better anticipate and
identify pts problem by understanding their origin and nature
experience - correct answer ✔✔clinical learning experiences are necessary to acquire clinical
decision making skills
competencies - correct answer ✔✔you will apply critical thinking componenets during each
step of the nursing process.
attitudes - correct answer ✔✔11 attitudes define the central features of a critical thinker and
how successful critical thinker approaches a problem
, 11 attitudes of critical thinking - correct answer ✔✔confidence-belief in oneself, one's judgment
and psychomotor skills and one's possession of the knowledge and to think critcally and draw
appropriate conclusions
thinking independently- dont accept another person's ideas without question
fairness- deal with situations justly, no bias or prejudice enter into a decision
responsibility and accountability- correctly performing nursing care activities on the basis of
standards and practice.
risk taking-willingness to take risks when trying different ways to solve problems
discipline- miss few details and is orderly or systematic when collecting data, making decisions,
or taking action
perserverance- find effective solutions to pt care problems. especially when problems remain
unresolved or recur.
creativity- you find solutions outside the standard routine of care while still following standards
of practice
curiosity- favorite question Why? investigate a clinical situation so you get all the information
you need to make a decision
integrity- hones and willing to admit mistakes or inconsistencies.
