Fundamentals
of Nursing 2nd
Edition Yoost &
Crawford
, Fundamentals of Nursing 2nd Edition Yoost Test Bank
Chapter 04: Critical Thinking in Nursing
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 2nd Edition
MULTIPLE CHOICE
1. The patient is complaining of severe incisional pain 2 days after surgery. The patient has
Morphine ordered intravenously or by mouth. When the nurse chooses to give the medication
orally, this is an example of which thought process?
a. Decision making
b. Reasoning
c. Problem solving
d. Judgment
ANS: A
Decision making requires choosing a solution to a problem. Reasoning is the process by
which a nurse is able to focus and filter information and determine what is most important to
consider. A systematic, analytic approach in finding solutions is termed problem solving, and
judgment is the process of forming an opinion by comparing solutions through reasoning.
DIF: Remembering OBJ: 4.1 TOP: Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control NOT: Concepts: Clinical Judgment
2. The nurse is reviewing the last 3 days of a patient’s pain history and notes that the pain level
has remained constant. The nurse validates the pain level with the patient and decides to
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contact the provider for furtherUorders.
B.COM which process is the nurse is using?
this scenario,
a. Decision making
b. Reasoning
c. Problem solving
d. Judgment
ANS: D
Processes dependent on critical thinking include problem solving, decision making, reasoning,
and judgment. Judgment is the process of forming an opinion by comparing solutions through
reasoning. The nurse observes that the patient’s pain level is not decreasing and further
assesses the pain level through discussions with the patient. The nurse concludes that the
patient’s pain should be further addressed and contacts the provider. Decision making requires
choosing a solution to a problem. The student is making a decision by reviewing two pertinent
resources related to the removal of staples. Reasoning is the process by which a nurse links
thoughts, ideas and facts together in a logical way. A systematic approach in finding solutions
is termed problem solving.
DIF: Remembering OBJ: 4.1 TOP: Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control NOT: Concepts: Clinical Judgment
3. The nurse has been hired for a first job and is nervous about making errors in clinical
judgment. It is important for the nurse to realize that clinical reasoning and the ability to make
decisions in a clinical setting occurs at which time?
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