Atlanta Campus
Exam 1 Key
Concepts
Review of Knowledge (ROK)
NR224 – Fundamentals of Nursing I
Unit 1 NR 224 Exam 1 Key Concepts
Concepts Chapters 15, 16, 28,29,38, & 39.
Key Concepts
Chapter 15: Critical Thinking in Nursing
1. Discuss the importance of critical thinking in nursing practice.
Be able to think in a systematic and logical manner
Having 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.
Analyzing information and evaluating and drawing conclusions
Using evidence- based knowledge in critical thinking
Basically using the nursing process ...
2. Discuss the factors that need to be considered when making clinical decisions.
i. Discuss the levels of the critical thinking model. Basic, Complex, Commitment
Basic Critical Thinking-
Basic critical think level - the learner trusts that expert have the right answers for every problem.
They are likely to follow the procedure step by step without adjusting it to meet a patient’s unique needs
Inexperienced
Typically has weak competencies
Inflexible attitudes
Ex: positioning to minimize the patient’s pain or mobility restrictions.
For example: Referring to hospital policy and procedure for guidelines in inserting a Foley
catheter.
May not be able to modify for patients with unique needs.
Answers to complex problems as either right or wrong.
Learns to accept the diverse opinions and values or experts.
Inexperience, weak competencies, inflexible attitudes restrict a person’s ability to move to the next level of
critical thinking.
Complex Critical Thinking –
Begin to rely less on experts and trust their own decisions more.
Ex: rather than using a procedure manual, you analyze the clinical situation and examine choices more
Dr. CA 1
, Atlanta Campus
Exam 1 Key
Concepts
independently.
A complex thinker considers different options from routine procedures.
More experience than basic
Uses different approaches for same therapy
Commitment –
You anticipate when to make choices without assistance from others and accept accountability for decision
made.
You choose an action or belief that is based on the available alternatives and support it.
You consider the results of the decision and determine whether it was appropriate.
3. List the critical thinking attitudes.
Confidence-
Gaining more experience in reasoning and decision making, does not hesitate to disagree and be troubles,
thereby acting as a role model to colleagues.
Speaks with conviction to a patient when you begin an intervention
Do not lead the patient to think you are unable to perform a task.
Thinking independently-
Be open minded about different interventions.
Talk with other nurses to share ideas about nursing interventions.
Fairness-
Listen to both side of a discussion.
Responsibility and authority –
Ask for help if you are uncertain about a nursing skill
Responsible for correctly performing nursing care activities on the basic standard of practice
Risk Taking-
If your knowledge causes you to question a healthcare providers order, do so
Be willing to recommended alternative approaches to nursing care when colleagues are having little success
with patients.
Disciple
Be through in whatever you do
Used known scientific and practice-based criteria for activities such as assessment and evaluation. Mange your
time effectively.
Perseverance: Determined to find effective solutions
Creativity: Original thinking.
Curiosity: Always ask "why?"
Integrity: Continually test your own knowledge and beliefs.
Humility: Admit to personal limitations in knowledge and skill.
4. List and provide an example of each critical thinking skill.
Interpretation: Collect and clarify data (nursing diagnosis)
Dr. CA 2
, Atlanta Campus
Exam 1 Key
Concepts
Analysis: Be open-minded as you look at data. Do not make assumptions-is data true or are
there options?
Inference: Look at meaning and significance-does the data confirm a problem exists? Are there
relationships about finding? Do data about the patient help to see the problem?
Evaluation: Look objectively. Use criteria such as expected outcomes.
Explanation: Support your findings and conclusions. Use knowledge and experience to choose
strategies to use in the care of patients.
Self-regulation: Reflect on our experiences. Identify ways to improve performance.
5. Discuss and provide an example of each of the concepts of a critical thinker.
Truth seeking- Seek the true meaning of a situation. Be honest and objective when asking
questions.
EX:
Open-mindedness- Be tolerant of different views. Be sensitive to your own prejudices. Respect
the rights of others with differing opinions.
Analyticity- Analyze problematic situations. Anticipate results or consequences. Use evidence-
based knowledge.
Systematicity- Be organized, focused, work hard in any inquiry
Self-confidence- Trust your own reasoning process.
Inquisitiveness- Be eager to acquire knowledge.
Maturity- Reflect on your own judgments, cognitive maturity.
6. Discuss the nursing process and its purpose.
diagnose and treat human responses to actual or potential health problems including:
Patient symptoms
Physiological and psychological reactions to treatment
Need for knowledge
Patient's ability to cope with loss
The nursing process allows nurses to help patients meet
agreed-on outcomes for better health.
Five steps:
Assessment- gather information
Diagnosis- identify problem
Planning-set goals (outcomes) and appropriate nursing interventions
Implementation- perform nursing actions
Evaluation- determine if goals are met
Dr. CA 3
Exam 1 Key
Concepts
Review of Knowledge (ROK)
NR224 – Fundamentals of Nursing I
Unit 1 NR 224 Exam 1 Key Concepts
Concepts Chapters 15, 16, 28,29,38, & 39.
Key Concepts
Chapter 15: Critical Thinking in Nursing
1. Discuss the importance of critical thinking in nursing practice.
Be able to think in a systematic and logical manner
Having 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.
Analyzing information and evaluating and drawing conclusions
Using evidence- based knowledge in critical thinking
Basically using the nursing process ...
2. Discuss the factors that need to be considered when making clinical decisions.
i. Discuss the levels of the critical thinking model. Basic, Complex, Commitment
Basic Critical Thinking-
Basic critical think level - the learner trusts that expert have the right answers for every problem.
They are likely to follow the procedure step by step without adjusting it to meet a patient’s unique needs
Inexperienced
Typically has weak competencies
Inflexible attitudes
Ex: positioning to minimize the patient’s pain or mobility restrictions.
For example: Referring to hospital policy and procedure for guidelines in inserting a Foley
catheter.
May not be able to modify for patients with unique needs.
Answers to complex problems as either right or wrong.
Learns to accept the diverse opinions and values or experts.
Inexperience, weak competencies, inflexible attitudes restrict a person’s ability to move to the next level of
critical thinking.
Complex Critical Thinking –
Begin to rely less on experts and trust their own decisions more.
Ex: rather than using a procedure manual, you analyze the clinical situation and examine choices more
Dr. CA 1
, Atlanta Campus
Exam 1 Key
Concepts
independently.
A complex thinker considers different options from routine procedures.
More experience than basic
Uses different approaches for same therapy
Commitment –
You anticipate when to make choices without assistance from others and accept accountability for decision
made.
You choose an action or belief that is based on the available alternatives and support it.
You consider the results of the decision and determine whether it was appropriate.
3. List the critical thinking attitudes.
Confidence-
Gaining more experience in reasoning and decision making, does not hesitate to disagree and be troubles,
thereby acting as a role model to colleagues.
Speaks with conviction to a patient when you begin an intervention
Do not lead the patient to think you are unable to perform a task.
Thinking independently-
Be open minded about different interventions.
Talk with other nurses to share ideas about nursing interventions.
Fairness-
Listen to both side of a discussion.
Responsibility and authority –
Ask for help if you are uncertain about a nursing skill
Responsible for correctly performing nursing care activities on the basic standard of practice
Risk Taking-
If your knowledge causes you to question a healthcare providers order, do so
Be willing to recommended alternative approaches to nursing care when colleagues are having little success
with patients.
Disciple
Be through in whatever you do
Used known scientific and practice-based criteria for activities such as assessment and evaluation. Mange your
time effectively.
Perseverance: Determined to find effective solutions
Creativity: Original thinking.
Curiosity: Always ask "why?"
Integrity: Continually test your own knowledge and beliefs.
Humility: Admit to personal limitations in knowledge and skill.
4. List and provide an example of each critical thinking skill.
Interpretation: Collect and clarify data (nursing diagnosis)
Dr. CA 2
, Atlanta Campus
Exam 1 Key
Concepts
Analysis: Be open-minded as you look at data. Do not make assumptions-is data true or are
there options?
Inference: Look at meaning and significance-does the data confirm a problem exists? Are there
relationships about finding? Do data about the patient help to see the problem?
Evaluation: Look objectively. Use criteria such as expected outcomes.
Explanation: Support your findings and conclusions. Use knowledge and experience to choose
strategies to use in the care of patients.
Self-regulation: Reflect on our experiences. Identify ways to improve performance.
5. Discuss and provide an example of each of the concepts of a critical thinker.
Truth seeking- Seek the true meaning of a situation. Be honest and objective when asking
questions.
EX:
Open-mindedness- Be tolerant of different views. Be sensitive to your own prejudices. Respect
the rights of others with differing opinions.
Analyticity- Analyze problematic situations. Anticipate results or consequences. Use evidence-
based knowledge.
Systematicity- Be organized, focused, work hard in any inquiry
Self-confidence- Trust your own reasoning process.
Inquisitiveness- Be eager to acquire knowledge.
Maturity- Reflect on your own judgments, cognitive maturity.
6. Discuss the nursing process and its purpose.
diagnose and treat human responses to actual or potential health problems including:
Patient symptoms
Physiological and psychological reactions to treatment
Need for knowledge
Patient's ability to cope with loss
The nursing process allows nurses to help patients meet
agreed-on outcomes for better health.
Five steps:
Assessment- gather information
Diagnosis- identify problem
Planning-set goals (outcomes) and appropriate nursing interventions
Implementation- perform nursing actions
Evaluation- determine if goals are met
Dr. CA 3
