Ati rn community health proctored exam 2

ATI RN COMMUNITY HEALTH PROCTORED EXAM
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(Detail Solutions) VE
B B




RIFIED Q AND A
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, ATI RN COMMUNITY HEALTH PROCTORED EXAM
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(Detail Solutions) B




1. A charge nurse is supervising the care of a new nurse. Which action by a
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new nurse indicates the charge nurse needs to intervene?
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a. Making an ethical clinical decision
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b. Making an informed clinical decision
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c. Making a clinical decision in the patient’s best interest
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d. Making a clinical decision based on previous shift assessments
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ANS: D B


The charge nurse must intervene when the nurse is using previous shift assessmentst
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o make a decision; this is inappropriate. Nurses are responsible for assessing their o
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wn patients to make decisions. Making informed, ethical decisions in the patient’s b
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est interest is practicing responsibly and does not need follow-
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up from the charge nurse.
B B B B



2. Which action demonstrates a nurse utilizing reflection to improve clinical
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decision making? B


a. Obtains data in an orderly fashionB B B B B




b. Uses an objective approach in patient situations
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Improves a plan of care while thinking back on interventions
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c. effectiveness
Provides evidence-based explanations and research for care of
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d. assigned patients B B



ANS: C B



Reflection utilizes critical thinking when thinking back on the effectiveness of
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interventions and how they were performed. It involves purposeful thinking back
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or recalling a situation to discover its purpose or meaning. The other options are
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not examples of reflection but do represent good nursing practice. Using an objec
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tive approach and obtaining data in an orderly fashion do not involve purposefull
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y thinking back to discover the meaning or purpose of a situation.
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, Providing evidence-based explanations for nursing interventions does not always
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involve thinking back to discover the meaning of a situation.
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3. A nursing instructor needs to evaluate students’ abilities to synthesize
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data and identify relationships between nursing diagnoses. Which learningassignme
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nt is best suited for this instructor’s needs?
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a. Concept mapping B




b. Reflective journaling B


c. Lecture and discussion B B



d. Reading assignment with a written summary B B B B B




ANS: A B


Concept mapping challenges the student to synthesize data and identify relations
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hips between nursing diagnoses. The primary purpose of concept mapping is to b
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etter synthesize relevant data about a patient, including assessment data, nursing
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diagnoses, health needs, nursing interventions, andevaluation measures.
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Reflective journaling involves thinking back to clarify concepts. Reading assignmen
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ts and lecture do not best provide an instructor the ability to evaluatestudents’ abiliti
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es to synthesize data.
B B B



4. A nurse is using a critical thinking model to provide care. Which component
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is first that helps a nurse make clinical decisions?
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a. Attitude

b. Experience
c. Nursing process B



d. Specific knowledge base B B




ANS: D B


The first component of the critical thinking model is a nurse’s specific knowledg
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e base. After acquiring a sound knowledge base, the nurse can then apply knowle
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dge to different clinical situations using the nursing process to gainvaluable expe
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rience. Clinical learning experiences are necessary to acquire clinical decision-
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Bmaking skills. The nursing process competency is the third component of the cri
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tical thinking model. Eleven attitudes define the central
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