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chapter 14
Question | Answer |
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Critical decision making process | requires careful reasoning so tht the options for the best clent outcomes are chosen on the basis of the client's condition and the priority of the problem |
Critical thinking | is an active organized, cognitive process used to carefully examine one's thinking and the thinking of others |
Decision making | is an end point of critical thinking that hopefuly leads to problem resolution. |
Diagnostic reasoning | It is a process of determining a client's health status after the nurse assigns meaning to the behaviors. |
Inference | the process of drawing conclusions from realated pieces of evidence |
Intuition | is the direct understanding of particulars in a situation without conscious deliberation |
Nursing Process | a competency when deliverin clent care. Consists of 5 steps: ssessment, diagnosis, planning, implementation, and evaluation |
Problem Solving | involves evaluating the solution over time to be sure that it is still effective. |
Reflection | the process of purposefully thinking back or recalling a situation to discover it's purpose or meaning |
Scientific Method | when testing research questions in nursing practice situations |
This process invloves use of the mind in formining conclusions, making decisions. drawing inferences, and reflecting: | Critical thinking |
The nurse identifies ways he can improve his own performance. He reflects on his nursing experieces. This is an example of the core critical thinking skill: | Self-regualtion |
During the day the nurse spends thime instructing a clent in how to self-administerinsulin. After sicussing the echniques and demonstratin an infection, the nurse has the client try it. After 2 attempts the client obviously does not understand how to prep | are the correct dose. When the nurse returns to the medication room m he discusses the situation w/ the carge nurse, reviewing his approach with the clent and asing for her suggestion on his technique. This is an eg.of REFLEXTION |
An experienced surgical nurse enters surgical client's room and suspects that the client is experiencing a surgical complication. The nurse begins an assessment of VS, the client's wound, and IV line status and an analysis of how the client feels to gath | er information and verify whether the _____ was correct nd a problem really exists Answer: INTUITION |
A nurse uses an institutions' procidure manual to confirm how to insert a Foley catheter. The level of critical thinking the nurse is using is: | Basic critical thinking |
A Client has a nursing diagnosis of anxiety and deficient knowledge concerning his impending surgery. The nurse decides that the cleint's anxiety must be addressed 1st in order for the client to be receptive to any formal instruction about surgery. This | ......decision is considered a part of : PLANNING |
A client had hip surgery 24hrs ago. When the nurse begins the nursing shift, the nurse refers to the written plan of care, noting that the clent had a drainage device collecting wound drainage. The physician's order requires that he physician be notified | ......when drainage in the device exceeds 100ml for the day. When the nurse enters the room, the nurse looks at the device and carefully notes the amount of drainage currenty in the device. This is an example of: EVALUTION |
The nurse asks the client how she feels anut her impending surgery for breat cancer. Before the disscussion the nurse reviewed the description on histextbook of loss and grief in additiion to therapeutic communication principles. The critical thinking com | ..... critical thinking component involved in the nurse's review of the literature is: KNOWLEDGE APPLICATION |
A 72-yr-old woman has been a client on te medical unit for about 4 days. When she was 1st admitted, se was a A&O. For the last 24hrs she became acutely confused and repeatedly attempteted to get out of bed. The nursing staff has discussed the possibility | ....of using restraints; however, one nurse insists that use of orientation and meaningful diversion shoul be tried. This is an example of the critical thinking attitude: THINKING INDEPENDENTLY |
The nurse does not take shortcuts (e.g., failling to identify a clientP when administering medications. This is an example of the critical thinking attitude : | Responsibility and accountability |
Clinical decision making requires the nurse to: | Esablish the weigh criteria in deciding the best choice of therapy for a client |
This is not one of the 5 steps of the nursing process | Hypothesis testing |
Gathering, verifying, and communicating data about the client to establish a database is an exmple of which component of the nursing process? | Assessment |
Completing nursing actions necessay for accomplishing a care plan is an example fo which component of th nursing process? | Evaluation |