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Chapter 2. Clinical Judgment
n n n
MultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
n 1. Whichncharacteristicsndonthenvariousndefinitionsnofncriticalnthinkingnhaveninncommon?
1. Requiresnreasonablenthought
2. Asksnthenquestionsn“Why?”norn“How?”
3. Isnanhierarchicalnprocess
4. Demandsnspecializednthinkingnskills
n 2. Anfewnnursesnonnanunitnhavenproposedntonthennursenmanagernchangesninnthenprocessnforndocumentingn
carenonnthenunit.nThennursesndescribenancompletelynnewnsystem.nFornwhichnreasonnisnitnimportantnfornt
hennursenmanagerntonhavenancriticalnattitude?
1. Allnthenpossiblenadvantagesnandndisadvantagesnandnmustnbenconsidered.
2. Annopennmindnaboutnthenproposednchangenneedsntonbenmaintained.
3. Thennursingnprocessnneedsntonbenappliedntonthenproposednchange.
4. Pastnexperiencenwithndocumentationnneedsntonbenappliedntonthendecision.
n 3. Thennursenisnassignedntonthenclinicalncarenofnannewlynadmittednpatient.nTonknownhownbestntoncarenfornth
enpatient,nthennursendevelopsnanplannofncare.nWhichnactionnwillnthennurseninitiallynperform?
1. Makenannassessment
2. Makenandiagnosis
3. Plannoutcomes
4. Planninterventions
n 4. Nursesnarenconstantlynconfrontednbynsituationsnandnconditionsnrequiringnthenapplicationnofnvariousnt
ypesnofnknowledge.nWhichnisnannexamplenofnpracticalnknowledge?
1. Thentricuspidnvalvenisnlocatednbetweennthenrightnatriumnandnthenventricle.
2. Thenpancreasndoesnnotnproducenenoughninsulinninntypen1ndiabetes.
3. Whennassessingnthenabdomen,nyounshouldnauscultatenbeforenpalpating.
4. Painnmedicationngivennintravenouslynactsnfasternthannmedicationngivennbynothernroutes.
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n 5. Nursingneducationndoesnnotnoverridenorndiminishnself-
knowledge.nWhichnisnthenmostnimportantnreasonnfornnursesntondevelopnannawarenessnaboutnindivi
dualnself-knowledge?
1. Cannbenusedntonhidenpersonalnculturalnbiases
2. Assistsninndirectingnpatientsntonself-understanding
3. Helpsnidentifynerrorsninnnurse’snthinking
4. Aidsnthennurseninnprotectingnpersonalnbeliefs
n 6. Whichnisnthenmostnimportantnreasonnfornnursesntonbencriticalnthinkers?
1. Nursesnneedntonfollownpoliciesnandnprocedures.
2. Nursesnworknwithnothernhealthcarenteamnmembers.
3. Nursesncarenfornclientsnwhonhavenmultiplenhealthnproblems.
4. Nursesnhaventonbenflexiblenandnworknvariablenschedules.
n 7. Thennursenisnadministeringnpainnmedicationntonannassignednpatientneveryn4nhoursnasnprescribednandnb
asednonnpatient-
statednpainnlevels.nThennurse’snactionsnarenannexamplenofnwhichnaspectnofnpatientncare?
1. Assessmentndata
2. Nursingndiagnosis
3. Patientnoutcome
4. Nursingnintervention
n 8. Whatnisnclinicalnjudgmentndefinednas?
1. Processesnthatnpromotensafenclientncarendecisionsnandnoutcomes
2. Avoidsnclinicalnthinkingnandndecisionnmaking
3. Applyingnthensamentreatmentnregardlessnofnanpatient’snneedsnornhealthnproblems
4. Isnbasednonnnotnaddressingnanpatient’snresponsentonanhealthnproblem
n 9. Whichncommonalitynisnsharednbynbothncriticalnthinkingnandnthennursingnprocess?
1. Theynarenbothnlinearnprocessesnusedntonguidenone’snthinking.
2. Theynarenbothnthinkingnmethodsnusedntonsolvenanproblem.
3. Theynbothnusenspecificnstepsntonsolvenanproblem.
4. Theynbothnusensimilarnstepsntonsolvenanproblem.
n
10.n Annursenadmitsnanpatientntonthenunitnafterncompletingnancomprehensiveninterviewnandnphys
icalnexamination.nWhichnactionndoesnthennursentakentondevelopnannursingndiagnosis?
1. Analyzenthenassessmentndata.
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2. Referntonthenstandardsnofnpatientncare.
3. Selectnappropriatenpatientncareninterventions.
4. Asknthenclient’snperceptionsnofnthenhealthnproblem.
n 11.nnThennursendevelopsnanplannofncarenfornanpatientnwhonisnatnrisknfornimpairednskinnintegrity.
Interventionsnincludenchangingnthenpatient’snpositionneveryn2nhoursnandnkeepingnthenskinncleannandnd
ry.nDuringnthenevaluationnphasenofnthennursingnprocess,nwhichnfindingnvalidatesntheneffectivenessnofn
thenplannofncare?
1. Documentationnreflectsnthenperformancenofncareninterventions.
2. Reassessmentnindicatesnmaintenancenornimprovementnofnthencondition.
3. Interventionnperformancenisnverballynvalidatednbynthenassignednpersonnel.
4. Patientnstatesnthatncarenwasnprovidedninnanneffectivenandntimelynmanner.
n
12.nnnThennursenisncaringnfornanpatientnwithndiabetesnmellitusnandnimpairednskinnintegrity.nWhennprep
aringnanplannofncare,nthennursenusesnknowledgenofnthenpatient’snmedicalnconditionnandnthenlatestnguidel
inesnfornprovidingnskinncare.nAppropriateninterventionsnareninitiated,nandnthennursenbeginsnregularnm
onitoringnforninterventionneffectiveness.nWhichnnursingnconceptnisnbeingnused?
1. Full-spectrumnnursing
2. Criticalnthinking
3. Nursingnprocess
4. Nursingnknowledge
n 13.n Whynisnitnimportantnfornnursesntonbencriticalnthinkers?
1. Allnclientsnarenuniquenandnhavenindividualnneedsnandndifferences.
2. Allnnursingnactionsnarenbasednonntheoreticalnknowledge.
3. Nursesnchoosentheirnactionsnprimarilynfromnprofessionalnguidelines.
4. Nursesnprovidencarenbasednonnindividualnclientnpreferences.
n 14.nThennursenusesnfull-spectrumnnursingnandnancritical-
thinkingnmodelntonorganizenpatientncare.nIfnthennursenlacksnfactsnaboutnthenpatient’snpathophysiology,
nancrediblensourcenisnusednforntheninformation.nThennursenconsidersnalternativenactionsnfornimplementi
ngncare,nfactoringninnthenuniquenqualitiesnofnthenpatient.nWhichncritical-
thinkingnconceptnisnthennursendemonstrating?
1. Followingnmodelnguidelinesnfornspecificninterventions
2. Usingnlinearnprocessesntonpromotencriticalnthinking
3. Movingnappropriatelynbacknandnforthnbetweennsteps
4. Usingnself-knowledgeninnthendecision-makingnprocess
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n n n n n n n
tion Treas n
Chaptern2
Chapter 2. Clinical Judgment
n n n
MultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
n 1. Whichncharacteristicsndonthenvariousndefinitionsnofncriticalnthinkingnhaveninncommon?
1. Requiresnreasonablenthought
2. Asksnthenquestionsn“Why?”norn“How?”
3. Isnanhierarchicalnprocess
4. Demandsnspecializednthinkingnskills
n 2. Anfewnnursesnonnanunitnhavenproposedntonthennursenmanagernchangesninnthenprocessnforndocumentingn
carenonnthenunit.nThennursesndescribenancompletelynnewnsystem.nFornwhichnreasonnisnitnimportantnfornt
hennursenmanagerntonhavenancriticalnattitude?
1. Allnthenpossiblenadvantagesnandndisadvantagesnandnmustnbenconsidered.
2. Annopennmindnaboutnthenproposednchangenneedsntonbenmaintained.
3. Thennursingnprocessnneedsntonbenappliedntonthenproposednchange.
4. Pastnexperiencenwithndocumentationnneedsntonbenappliedntonthendecision.
n 3. Thennursenisnassignedntonthenclinicalncarenofnannewlynadmittednpatient.nTonknownhownbestntoncarenfornth
enpatient,nthennursendevelopsnanplannofncare.nWhichnactionnwillnthennurseninitiallynperform?
1. Makenannassessment
2. Makenandiagnosis
3. Plannoutcomes
4. Planninterventions
n 4. Nursesnarenconstantlynconfrontednbynsituationsnandnconditionsnrequiringnthenapplicationnofnvariousnt
ypesnofnknowledge.nWhichnisnannexamplenofnpracticalnknowledge?
1. Thentricuspidnvalvenisnlocatednbetweennthenrightnatriumnandnthenventricle.
2. Thenpancreasndoesnnotnproducenenoughninsulinninntypen1ndiabetes.
3. Whennassessingnthenabdomen,nyounshouldnauscultatenbeforenpalpating.
4. Painnmedicationngivennintravenouslynactsnfasternthannmedicationngivennbynothernroutes.
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n 5. Nursingneducationndoesnnotnoverridenorndiminishnself-
knowledge.nWhichnisnthenmostnimportantnreasonnfornnursesntondevelopnannawarenessnaboutnindivi
dualnself-knowledge?
1. Cannbenusedntonhidenpersonalnculturalnbiases
2. Assistsninndirectingnpatientsntonself-understanding
3. Helpsnidentifynerrorsninnnurse’snthinking
4. Aidsnthennurseninnprotectingnpersonalnbeliefs
n 6. Whichnisnthenmostnimportantnreasonnfornnursesntonbencriticalnthinkers?
1. Nursesnneedntonfollownpoliciesnandnprocedures.
2. Nursesnworknwithnothernhealthcarenteamnmembers.
3. Nursesncarenfornclientsnwhonhavenmultiplenhealthnproblems.
4. Nursesnhaventonbenflexiblenandnworknvariablenschedules.
n 7. Thennursenisnadministeringnpainnmedicationntonannassignednpatientneveryn4nhoursnasnprescribednandnb
asednonnpatient-
statednpainnlevels.nThennurse’snactionsnarenannexamplenofnwhichnaspectnofnpatientncare?
1. Assessmentndata
2. Nursingndiagnosis
3. Patientnoutcome
4. Nursingnintervention
n 8. Whatnisnclinicalnjudgmentndefinednas?
1. Processesnthatnpromotensafenclientncarendecisionsnandnoutcomes
2. Avoidsnclinicalnthinkingnandndecisionnmaking
3. Applyingnthensamentreatmentnregardlessnofnanpatient’snneedsnornhealthnproblems
4. Isnbasednonnnotnaddressingnanpatient’snresponsentonanhealthnproblem
n 9. Whichncommonalitynisnsharednbynbothncriticalnthinkingnandnthennursingnprocess?
1. Theynarenbothnlinearnprocessesnusedntonguidenone’snthinking.
2. Theynarenbothnthinkingnmethodsnusedntonsolvenanproblem.
3. Theynbothnusenspecificnstepsntonsolvenanproblem.
4. Theynbothnusensimilarnstepsntonsolvenanproblem.
n
10.n Annursenadmitsnanpatientntonthenunitnafterncompletingnancomprehensiveninterviewnandnphys
icalnexamination.nWhichnactionndoesnthennursentakentondevelopnannursingndiagnosis?
1. Analyzenthenassessmentndata.
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2. Referntonthenstandardsnofnpatientncare.
3. Selectnappropriatenpatientncareninterventions.
4. Asknthenclient’snperceptionsnofnthenhealthnproblem.
n 11.nnThennursendevelopsnanplannofncarenfornanpatientnwhonisnatnrisknfornimpairednskinnintegrity.
Interventionsnincludenchangingnthenpatient’snpositionneveryn2nhoursnandnkeepingnthenskinncleannandnd
ry.nDuringnthenevaluationnphasenofnthennursingnprocess,nwhichnfindingnvalidatesntheneffectivenessnofn
thenplannofncare?
1. Documentationnreflectsnthenperformancenofncareninterventions.
2. Reassessmentnindicatesnmaintenancenornimprovementnofnthencondition.
3. Interventionnperformancenisnverballynvalidatednbynthenassignednpersonnel.
4. Patientnstatesnthatncarenwasnprovidedninnanneffectivenandntimelynmanner.
n
12.nnnThennursenisncaringnfornanpatientnwithndiabetesnmellitusnandnimpairednskinnintegrity.nWhennprep
aringnanplannofncare,nthennursenusesnknowledgenofnthenpatient’snmedicalnconditionnandnthenlatestnguidel
inesnfornprovidingnskinncare.nAppropriateninterventionsnareninitiated,nandnthennursenbeginsnregularnm
onitoringnforninterventionneffectiveness.nWhichnnursingnconceptnisnbeingnused?
1. Full-spectrumnnursing
2. Criticalnthinking
3. Nursingnprocess
4. Nursingnknowledge
n 13.n Whynisnitnimportantnfornnursesntonbencriticalnthinkers?
1. Allnclientsnarenuniquenandnhavenindividualnneedsnandndifferences.
2. Allnnursingnactionsnarenbasednonntheoreticalnknowledge.
3. Nursesnchoosentheirnactionsnprimarilynfromnprofessionalnguidelines.
4. Nursesnprovidencarenbasednonnindividualnclientnpreferences.
n 14.nThennursenusesnfull-spectrumnnursingnandnancritical-
thinkingnmodelntonorganizenpatientncare.nIfnthennursenlacksnfactsnaboutnthenpatient’snpathophysiology,
nancrediblensourcenisnusednforntheninformation.nThennursenconsidersnalternativenactionsnfornimplementi
ngncare,nfactoringninnthenuniquenqualitiesnofnthenpatient.nWhichncritical-
thinkingnconceptnisnthennursendemonstrating?
1. Followingnmodelnguidelinesnfornspecificninterventions
2. Usingnlinearnprocessesntonpromotencriticalnthinking
3. Movingnappropriatelynbacknandnforthnbetweennsteps
4. Usingnself-knowledgeninnthendecision-makingnprocess
Copyrightn©n2022nF.nA.nDavisnCompany
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