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z z z z z z z
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Chapterz2
Chapter 2. Clinical Judgment
z z z
MultiplezChoice
Identifyzthezchoicezthatzbestzcompleteszthezstatementzorzanswerszthezquestion.
z 1. Whichzcharacteristicszdozthezvariouszdefinitionszofzcriticalzthinkingzhavezinzcommon?
1. Requireszreasonablezthought
2. Askszthezquestionsz“Why?”zorz“How?”
3. Iszazhierarchicalzprocess
4. Demandszspecializedzthinkingzskills
z 2. Azfewznurseszonzazunitzhavezproposedztoztheznursezmanagerzchangeszinzthezprocesszforzdocumentingzc
arezonzthezunit.zTheznurseszdescribezazcompletelyznewzsystem.zForzwhichzreasonziszitzimportantzforzthez
nursezmanagerztozhavezazcriticalzattitude?
1. Allzthezpossiblezadvantageszandzdisadvantageszandzmustzbezconsidered.
2. Anzopenzmindzaboutzthezproposedzchangezneedsztozbezmaintained.
3. Theznursingzprocesszneedsztozbezappliedztozthezproposedzchange.
4. Pastzexperiencezwithzdocumentationzneedsztozbezappliedztozthezdecision.
z 3. Theznurseziszassignedztozthezclinicalzcarezofzaznewlyzadmittedzpatient.zTozknowzhowzbestztozcarezforzthe
zpatient,ztheznursezdevelopszazplanzofzcare.z Whichzactionzwillztheznursezinitiallyzperform?
1. Makezanzassessment
2. Makezazdiagnosis
3. Planzoutcomes
4. Planzinterventions
z 4. Nurseszarezconstantlyzconfrontedzbyzsituationszandzconditionszrequiringzthezapplicationzofzvariouszty
peszofzknowledge.zWhichziszanzexamplezofzpracticalzknowledge?
1. Theztricuspidzvalveziszlocatedzbetweenzthezrightzatriumzandzthezventricle.
2. Thezpancreaszdoesznotzproducezenoughzinsulinzinztypez1zdiabetes.
3. Whenzassessingzthezabdomen,zyouzshouldzauscultatezbeforezpalpating.
4. Painzmedicationzgivenzintravenouslyzactszfasterzthanzmedicationzgivenzbyzotherzroutes.
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z z z z z z z
tion Treas z
Chapterz2
z 5. Nursingzeducationzdoesznotzoverridezorzdiminishzself-
knowledge.zWhichziszthezmostzimportantzreasonzforznursesztozdevelopzanzawarenesszaboutzindivi
dualzself-knowledge?
1. Canzbezusedztozhidezpersonalzculturalzbiases
2. Assistszinzdirectingzpatientsztozself-understanding
3. Helpszidentifyzerrorszinznurse’szthinking
4. Aidsztheznursezinzprotectingzpersonalzbeliefs
z 6. Whichziszthezmostzimportantzreasonzforznursesztozbezcriticalzthinkers?
1. Nurseszneedztozfollowzpolicieszandzprocedures.
2. Nurseszworkzwithzotherzhealthcarezteamzmembers.
3. Nurseszcarezforzclientszwhozhavezmultiplezhealthzproblems.
4. Nurseszhaveztozbezflexiblezandzworkzvariablezschedules.
z 7. Theznurseziszadministeringzpainzmedicationztozanzassignedzpatientzeveryz4zhourszaszprescribedzandzba
sedzonzpatient-
statedzpainzlevels.zTheznurse’szactionszarezanzexamplezofzwhichzaspectzofzpatientzcare?
1. Assessmentzdata
2. Nursingzdiagnosis
3. Patientzoutcome
4. Nursingzintervention
z 8. Whatziszclinicalzjudgmentzdefinedzas?
1. Processeszthatzpromotezsafezclientzcarezdecisionszandzoutcomes
2. Avoidszclinicalzthinkingzandzdecisionzmaking
3. Applyingzthezsameztreatmentzregardlesszofzazpatient’szneedszorzhealthzproblems
4. Iszbasedzonznotzaddressingzazpatient’szresponseztozazhealthzproblem
z 9. Whichzcommonalityziszsharedzbyzbothzcriticalzthinkingzandztheznursingzprocess?
1. Theyzarezbothzlinearzprocesseszusedztozguidezone’szthinking.
2. Theyzarezbothzthinkingzmethodszusedztozsolvezazproblem.
3. Theyzbothzusezspecificzstepsztozsolvezazproblem.
4. Theyzbothzusezsimilarzstepsztozsolvezazproblem.
z
10.z Aznursezadmitszazpatientztozthezunitzafterzcompletingzazcomprehensivezinterviewzandzphysi
calzexamination.zWhichzactionzdoesztheznurseztakeztozdevelopzaznursingzdiagnosis?
1. Analyzezthezassessmentzdata.
Copyrightz©z2022zF.zA.zDaviszCompany
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z z z z z z z
tion Treas z
Chapterz2
2. Referztozthezstandardszofzpatientzcare.
3. Selectzappropriatezpatientzcarezinterventions.
4. Askzthezclient’szperceptionszofzthezhealthzproblem.
z 11.zzTheznursezdevelopszazplanzofzcarezforzazpatientzwhoziszatzriskzforzimpairedzskinzintegrity.
Interventionszincludezchangingzthezpatient’szpositionzeveryz2zhourszandzkeepingzthezskinzcleanzandzdr
y.zDuringzthezevaluationzphasezofztheznursingzprocess,zwhichzfindingzvalidateszthezeffectivenesszofzth
ezplanzofzcare?
1. Documentationzreflectszthezperformancezofzcarezinterventions.
2. Reassessmentzindicateszmaintenancezorzimprovementzofzthezcondition.
3. Interventionzperformanceziszverballyzvalidatedzbyzthezassignedzpersonnel.
4. Patientzstateszthatzcarezwaszprovidedzinzanzeffectivezandztimelyzmanner.
z
12.zzzTheznurseziszcaringzforzazpatientzwithzdiabeteszmellituszandzimpairedzskinzintegrity.zWhenzprepa
ringzazplanzofzcare,ztheznursezuseszknowledgezofzthezpatient’szmedicalzconditionzandzthezlatestzguidelin
eszforzprovidingzskinzcare.zAppropriatezinterventionszarezinitiated,zandztheznursezbeginszregularzmonit
oringzforzinterventionzeffectiveness.zWhichznursingzconceptziszbeingzused?
1. Full-spectrumznursing
2. Criticalzthinking
3. Nursingzprocess
4. Nursingzknowledge
z 13.z Whyziszitzimportantzforznursesztozbezcriticalzthinkers?
1. Allzclientszarezuniquezandzhavezindividualzneedszandzdifferences.
2. Allznursingzactionszarezbasedzonztheoreticalzknowledge.
3. Nurseszchooseztheirzactionszprimarilyzfromzprofessionalzguidelines.
4. Nurseszprovidezcarezbasedzonzindividualzclientzpreferences.
z 14.zTheznursezuseszfull-spectrumznursingzandzazcritical-
thinkingzmodelztozorganizezpatientzcare.zIfztheznursezlackszfactszaboutzthezpatient’szpathophysiology,z
azcrediblezsourceziszusedzforzthezinformation.zTheznursezconsiderszalternativezactionszforzimplementin
gzcare,zfactoringzinzthezuniquezqualitieszofzthezpatient.zWhichzcritical-
thinkingzconceptzisztheznursezdemonstrating?
1. Followingzmodelzguidelineszforzspecificzinterventions
2. Usingzlinearzprocessesztozpromotezcriticalzthinking
3. Movingzappropriatelyzbackzandzforthzbetweenzsteps
4. Usingzself-knowledgezinzthezdecision-makingzprocess
Copyrightz©z2022zF.zA.zDaviszCompany
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z z z z z z z
tion Treas z
Chapterz2
Chapter 2. Clinical Judgment
z z z
MultiplezChoice
Identifyzthezchoicezthatzbestzcompleteszthezstatementzorzanswerszthezquestion.
z 1. Whichzcharacteristicszdozthezvariouszdefinitionszofzcriticalzthinkingzhavezinzcommon?
1. Requireszreasonablezthought
2. Askszthezquestionsz“Why?”zorz“How?”
3. Iszazhierarchicalzprocess
4. Demandszspecializedzthinkingzskills
z 2. Azfewznurseszonzazunitzhavezproposedztoztheznursezmanagerzchangeszinzthezprocesszforzdocumentingzc
arezonzthezunit.zTheznurseszdescribezazcompletelyznewzsystem.zForzwhichzreasonziszitzimportantzforzthez
nursezmanagerztozhavezazcriticalzattitude?
1. Allzthezpossiblezadvantageszandzdisadvantageszandzmustzbezconsidered.
2. Anzopenzmindzaboutzthezproposedzchangezneedsztozbezmaintained.
3. Theznursingzprocesszneedsztozbezappliedztozthezproposedzchange.
4. Pastzexperiencezwithzdocumentationzneedsztozbezappliedztozthezdecision.
z 3. Theznurseziszassignedztozthezclinicalzcarezofzaznewlyzadmittedzpatient.zTozknowzhowzbestztozcarezforzthe
zpatient,ztheznursezdevelopszazplanzofzcare.z Whichzactionzwillztheznursezinitiallyzperform?
1. Makezanzassessment
2. Makezazdiagnosis
3. Planzoutcomes
4. Planzinterventions
z 4. Nurseszarezconstantlyzconfrontedzbyzsituationszandzconditionszrequiringzthezapplicationzofzvariouszty
peszofzknowledge.zWhichziszanzexamplezofzpracticalzknowledge?
1. Theztricuspidzvalveziszlocatedzbetweenzthezrightzatriumzandzthezventricle.
2. Thezpancreaszdoesznotzproducezenoughzinsulinzinztypez1zdiabetes.
3. Whenzassessingzthezabdomen,zyouzshouldzauscultatezbeforezpalpating.
4. Painzmedicationzgivenzintravenouslyzactszfasterzthanzmedicationzgivenzbyzotherzroutes.
Copyrightz©z2022zF.zA.zDaviszCompany
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z nga, n
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z z z z z z z
tion Treas z
Chapterz2
z 5. Nursingzeducationzdoesznotzoverridezorzdiminishzself-
knowledge.zWhichziszthezmostzimportantzreasonzforznursesztozdevelopzanzawarenesszaboutzindivi
dualzself-knowledge?
1. Canzbezusedztozhidezpersonalzculturalzbiases
2. Assistszinzdirectingzpatientsztozself-understanding
3. Helpszidentifyzerrorszinznurse’szthinking
4. Aidsztheznursezinzprotectingzpersonalzbeliefs
z 6. Whichziszthezmostzimportantzreasonzforznursesztozbezcriticalzthinkers?
1. Nurseszneedztozfollowzpolicieszandzprocedures.
2. Nurseszworkzwithzotherzhealthcarezteamzmembers.
3. Nurseszcarezforzclientszwhozhavezmultiplezhealthzproblems.
4. Nurseszhaveztozbezflexiblezandzworkzvariablezschedules.
z 7. Theznurseziszadministeringzpainzmedicationztozanzassignedzpatientzeveryz4zhourszaszprescribedzandzba
sedzonzpatient-
statedzpainzlevels.zTheznurse’szactionszarezanzexamplezofzwhichzaspectzofzpatientzcare?
1. Assessmentzdata
2. Nursingzdiagnosis
3. Patientzoutcome
4. Nursingzintervention
z 8. Whatziszclinicalzjudgmentzdefinedzas?
1. Processeszthatzpromotezsafezclientzcarezdecisionszandzoutcomes
2. Avoidszclinicalzthinkingzandzdecisionzmaking
3. Applyingzthezsameztreatmentzregardlesszofzazpatient’szneedszorzhealthzproblems
4. Iszbasedzonznotzaddressingzazpatient’szresponseztozazhealthzproblem
z 9. Whichzcommonalityziszsharedzbyzbothzcriticalzthinkingzandztheznursingzprocess?
1. Theyzarezbothzlinearzprocesseszusedztozguidezone’szthinking.
2. Theyzarezbothzthinkingzmethodszusedztozsolvezazproblem.
3. Theyzbothzusezspecificzstepsztozsolvezazproblem.
4. Theyzbothzusezsimilarzstepsztozsolvezazproblem.
z
10.z Aznursezadmitszazpatientztozthezunitzafterzcompletingzazcomprehensivezinterviewzandzphysi
calzexamination.zWhichzactionzdoesztheznurseztakeztozdevelopzaznursingzdiagnosis?
1. Analyzezthezassessmentzdata.
Copyrightz©z2022zF.zA.zDaviszCompany
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z z z z z z z
tion Treas z
Chapterz2
2. Referztozthezstandardszofzpatientzcare.
3. Selectzappropriatezpatientzcarezinterventions.
4. Askzthezclient’szperceptionszofzthezhealthzproblem.
z 11.zzTheznursezdevelopszazplanzofzcarezforzazpatientzwhoziszatzriskzforzimpairedzskinzintegrity.
Interventionszincludezchangingzthezpatient’szpositionzeveryz2zhourszandzkeepingzthezskinzcleanzandzdr
y.zDuringzthezevaluationzphasezofztheznursingzprocess,zwhichzfindingzvalidateszthezeffectivenesszofzth
ezplanzofzcare?
1. Documentationzreflectszthezperformancezofzcarezinterventions.
2. Reassessmentzindicateszmaintenancezorzimprovementzofzthezcondition.
3. Interventionzperformanceziszverballyzvalidatedzbyzthezassignedzpersonnel.
4. Patientzstateszthatzcarezwaszprovidedzinzanzeffectivezandztimelyzmanner.
z
12.zzzTheznurseziszcaringzforzazpatientzwithzdiabeteszmellituszandzimpairedzskinzintegrity.zWhenzprepa
ringzazplanzofzcare,ztheznursezuseszknowledgezofzthezpatient’szmedicalzconditionzandzthezlatestzguidelin
eszforzprovidingzskinzcare.zAppropriatezinterventionszarezinitiated,zandztheznursezbeginszregularzmonit
oringzforzinterventionzeffectiveness.zWhichznursingzconceptziszbeingzused?
1. Full-spectrumznursing
2. Criticalzthinking
3. Nursingzprocess
4. Nursingzknowledge
z 13.z Whyziszitzimportantzforznursesztozbezcriticalzthinkers?
1. Allzclientszarezuniquezandzhavezindividualzneedszandzdifferences.
2. Allznursingzactionszarezbasedzonztheoreticalzknowledge.
3. Nurseszchooseztheirzactionszprimarilyzfromzprofessionalzguidelines.
4. Nurseszprovidezcarezbasedzonzindividualzclientzpreferences.
z 14.zTheznursezuseszfull-spectrumznursingzandzazcritical-
thinkingzmodelztozorganizezpatientzcare.zIfztheznursezlackszfactszaboutzthezpatient’szpathophysiology,z
azcrediblezsourceziszusedzforzthezinformation.zTheznursezconsiderszalternativezactionszforzimplementin
gzcare,zfactoringzinzthezuniquezqualitieszofzthezpatient.zWhichzcritical-
thinkingzconceptzisztheznursezdemonstrating?
1. Followingzmodelzguidelineszforzspecificzinterventions
2. Usingzlinearzprocessesztozpromotezcriticalzthinking
3. Movingzappropriatelyzbackzandzforthzbetweenzsteps
4. Usingzself-knowledgezinzthezdecision-makingzprocess
Copyrightz©z2022zF.zA.zDaviszCompany
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