ATI RN COMMUNITY HEALTH PROCTORED EXAM
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(Detail Solutions) VE
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RIFIED Q AND A
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, ATI RN COMMUNITY HEALTH PROCTORED EXAM
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(Detail Solutions) g
1. A charge nurse is supervising the care of a new nurse. Which action by ane
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w nurse indicates the charge nurse needs to intervene?
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a. Making an ethical clinical decision g g g g
b. Making an informed clinical decision g g g g
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 g
The charge nurse must intervene when the nurse is using previous shift assessmentsto
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make a decision; this is inappropriate. Nurses are responsible for assessing their own
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patients to make decisions. Making informed, ethical decisions in the patient’s best in
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terest is practicing responsibly and does not need follow-up from the charge nurse.
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2. Which action demonstrates a nurse utilizing reflection to improve clinicald
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ecision making? g
a. Obtains data in an orderly fashion g g g g g
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 g g
ANS: C g
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 backor
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grecalling a situation to discover its purpose or meaning. The other options are not e
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xamples of reflection but do represent good nursing practice. Using an objective ap
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proach and obtaining data in an orderly fashion do not involve purposefully thinkin
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g 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 learningassignmen
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t is best suited for this instructor’s needs?
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a. Concept mapping g
b. Reflective journaling g
c. Lecture and discussion g g
d. Reading assignment with a written summary g g g g g
ANS: A g
Concept mapping challenges the student to synthesize data and identify relationshi
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ps between nursing diagnoses. The primary purpose of concept mapping is to bette
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r synthesize relevant data about a patient, including assessment data, nursing diagn
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oses, health needs, nursing interventions, andevaluation measures.
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Reflective journaling involves thinking back to clarify concepts. Reading assignment
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s and lecture do not best provide an instructor the ability to evaluatestudents’ abilities
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to synthesize data.
g g
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 g
d. Specific knowledge base g g
ANS: D g
The first component of the critical thinking model is a nurse’s specific knowledge
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base. After acquiring a sound knowledge base, the nurse can then apply knowledge
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to different clinical situations using the nursing process to gainvaluable experienc
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e. Clinical learning experiences are necessary to acquire clinical decision-
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making skills. The nursing process competency is the third component of the critic
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al thinking model. Eleven attitudes define the central
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g g g g g
(Detail Solutions) VE
g g
RIFIED Q AND A
g g g
, ATI RN COMMUNITY HEALTH PROCTORED EXAM
g g g g g
(Detail Solutions) g
1. A charge nurse is supervising the care of a new nurse. Which action by ane
g g g g g g g g g g g g g g g
w nurse indicates the charge nurse needs to intervene?
g g g g g g g g
a. Making an ethical clinical decision g g g g
b. Making an informed clinical decision g g g g
c. Making a clinical decision in the patient’s best interest
g g g g g g g g
d. Making a clinical decision based on previous shift assessments
g g g g g g g g
ANS: D g
The charge nurse must intervene when the nurse is using previous shift assessmentsto
g g g g g g g g g g g g g g
make a decision; this is inappropriate. Nurses are responsible for assessing their own
g g g g g g g g g g g g g
patients to make decisions. Making informed, ethical decisions in the patient’s best in
g g g g g g g g g g g g
terest is practicing responsibly and does not need follow-up from the charge nurse.
g g g g g g g g g g g g
2. Which action demonstrates a nurse utilizing reflection to improve clinicald
g g g g g g g g g g
ecision making? g
a. Obtains data in an orderly fashion g g g g g
b. Uses an objective approach in patient situations
g g g g g g
Improves a plan of care while thinking back on interventions
g g g g g g g g g
c. effectiveness
Provides evidence-based explanations and research for care of
g g g g g g g
d. assigned patients g g
ANS: C g
Reflection utilizes critical thinking when thinking back on the effectiveness of
g g g g g g g g g g
interventions and how they were performed. It involves purposeful thinking backor
g g g g g g g g g g g
grecalling a situation to discover its purpose or meaning. The other options are not e
g g g g g g g g g g g g g g
xamples of reflection but do represent good nursing practice. Using an objective ap
g g g g g g g g g g g g
proach and obtaining data in an orderly fashion do not involve purposefully thinkin
g g g g g g g g g g g g
g back to discover the meaning or purpose of a situation.
g g g g g g g g g g
, Providing evidence-based explanations for nursing interventions does not always
g g g g g g g g
involve thinking back to discover the meaning of a situation.
g g g g g g g g g
3. A nursing instructor needs to evaluate students’ abilities to synthesize
g g g g g g g g g
data and identify relationships between nursing diagnoses. Which learningassignmen
g g g g g g g g g
t is best suited for this instructor’s needs?
g g g g g g g
a. Concept mapping g
b. Reflective journaling g
c. Lecture and discussion g g
d. Reading assignment with a written summary g g g g g
ANS: A g
Concept mapping challenges the student to synthesize data and identify relationshi
g g g g g g g g g g
ps between nursing diagnoses. The primary purpose of concept mapping is to bette
g g g g g g g g g g g g
r synthesize relevant data about a patient, including assessment data, nursing diagn
g g g g g g g g g g g
oses, health needs, nursing interventions, andevaluation measures.
g g g g g g g
Reflective journaling involves thinking back to clarify concepts. Reading assignment
g g g g g g g g g
s and lecture do not best provide an instructor the ability to evaluatestudents’ abilities
g g g g g g g g g g g g g g g
to synthesize data.
g g
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?
g g g g g g g g
a. Attitude
b. Experience
c. Nursing process g
d. Specific knowledge base g g
ANS: D g
The first component of the critical thinking model is a nurse’s specific knowledge
g g g g g g g g g g g g g
base. After acquiring a sound knowledge base, the nurse can then apply knowledge
g g g g g g g g g g g g
to different clinical situations using the nursing process to gainvaluable experienc
g g g g g g g g g g g g
e. Clinical learning experiences are necessary to acquire clinical decision-
g g g g g g g g g
making skills. The nursing process competency is the third component of the critic
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al thinking model. Eleven attitudes define the central
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