With Complete Solutions
7. What phrase best describes the essence of critical thinking?
a. Understanding without conscious reasoning
b. Providing care based on nursing experience
c. Consulting with a primary care provider
d. Seeking solutions to problems Correct Answer d. Seeking
solutions to problems
A disoriented patient is admitted to the hospital accompanied by
his spouse. From whom should the nurse collect subjective data
on this patient?
a. An experienced nurse on the unit
b. The patient's medical record
c. The patient's wife
d. His physician Correct Answer c. The patient's wife
A group of nursing students is discussing the importance of
accurately selecting Nursing diagnoses. Which ideas offered in
the students' discussion are reasons for choosing the diagnoses
carefully? (Select all that apply.)
a. Patient satisfaction
b. Positive patient outcomes
c. Quality patient care
d. Help develop standardized care plans
e. Determine appropriate interventions Correct Answer a,b,c,e
,A group of patients in a community center attend a nursing-led
information session on the risks of contracting tuberculosis.
After the presentation, several patients ask the nurse for
additional web-based resources regarding the lung disease.
Which type of nursing diagnosis would the nurse choose for the
community care plan?
a. Risk
b. Actual
c. Health-promotion
d. Potential Correct Answer c. Health-promotion
A new graduate nurse explains a new approach in the
positioning of patients with chronic low back pain. The nurse
preceptor responds, "That is not the way we do it here." The
preceptor's response illustrates which error in critical thinking?
a. Lack of information
b. Erroneous assumptions
c. Illogical thinking
d. Bias Correct Answer c. Illogical thinking
A nurse admits a 5-year-old female to the postanesthesia unit
following a tonsillectomy. The child is crying. What should be
the nurse's first action?
a. Tell the child that if she stops crying, her parents can be with
her.
b. Check to see what pain medication is ordered for the child.
c. Notify the surgeon of the child's postoperative condition.
d. Assess the child to determine why she is crying. Correct
Answer d. Assess the child to determine why she is crying.
,A nurse admits a patient to the cardiac care unit following the
placement of a cardiac stent. Which step of the nursing process
does the nurse do first?
a. Planning
b. Assessment
c. Evaluation
d. Implementation Correct Answer b. Assessment
A nurse completes a care plan for an assigned patient diagnosed
with an inflammation of the pericardium. Which diagnosis
written on the plan indicates a need for further instruction on
using the nursing process?
a. Pericarditis
b. Acute pain
c. Anxiety
d. Activity intolerance Correct Answer a. Pericarditis
A patient comes to the emergency department complaining of
nausea and vomiting. What should the nurse ask the patient
about first?
a. Family history of diabetes
b. Medications the patient is taking
c. Operations the patient has had in the past
d. Severity and duration of the nausea and vomiting Correct
Answer d. Severity and duration of the nausea and vomiting
A patient discusses his job stress and family relationships with
the nurse during his health history interview. In which
organizational framework is this type of data likely to be
recorded most extensively?
, a. Body systems model
b. Physical assessment model
c. Head-to-toe assessment model
d. Functional health patterns model Correct Answer d.
Functional health patterns model
A patient is admitted to the Emergency Department after
experiencing severe chest pain and difficulty in taking deep
breaths. The patient anxiously tells the nurse, "My father died
suddenly of a heart attack at the age of 52. I'm so scared." Which
Nursing diagnoses are appropriate for this situation? (Select all
that apply.)
a. Acute pain
b. Fear
c. Risk for aspiration
d. Risk for infection
e. Impaired role performance Correct Answer a,b
A patient is admitted to the nursing unit with numbness and
tingling in the right hand, pain in the cervical spine, and
occasional loss of consciousness. Into which functional health
pattern would the nurse organize this data?
a. Self-perception and self-concept
b. Coping and stress tolerance
c. Cognition and perception
d. Activity and exercise Correct Answer c. Cognition and
perception
A patient is receiving an experimental drug for leukemia. The
nurse is worried that the drug may cause a reduction in platelets