NSG3007FinalExam 1.Criticalthinkinginnursingneeds toincludewhichofthe followingimportantvariables? a.Considerationofethicsandresponsibledecisionmaking b.Abilitytoactquickly,oftenonimpulse c.Abilitytodeterminethebestnursinginterventionsregardlessofpatient'svalues andbeliefs d.Flexiblethinkingthatrarelyfollowsapatternorconsidersstandards ANS:A Feedback Criticalthinkinginnursingisbasedonethicsandstandardsoftheprofession. Criticalthinkingisconsciouslydeveloped,complex,andpurposeful,never impulsive. Criticalthinkinganddecisionmakingarebasedonpatient'svaluesandbeliefs. Criticalthinkingisbasedonadecision-makingmodelandnursingstandards. DIF: CognitiveLevel:Comprehension REF:p.154 2.A nursing student asks a faculty member how to improve critical thinking. Which response bythe faculty is best? a."Don'tworrytoomuch; itwillcome withtime andexperience." b."Paycloseattention tohowyousolveproblems;assessyourownstyleof thinking." c."Spendtimeshadowinganexperiencednursetoseehowitisdone." d."Useethicalstandardstoguidehowyouapproachpatientsituations." ANS:BFeedback Althoughtimeandexperienceareimportantindevelopingcriticalthinking,peopl eactually mustactively considerhowtheythinkinordertoimprove criticalthinking. Makingthinking afocusofconcernandactivelythinkingaboutitisthebest advisethefacultycangive. Whileobserving anexperiencednursemaybehelpful,the studentneedstobeanactiveparticipanttoimprovecriticalthinking. Usingethicalandprofessionalstandardsisapartofcriticalthinking, butthat is onlyaportionofwhatmakesagoodcriticalthinker. DIF: CognitiveLevel:Analysis REF:p.154 3.Whichofthe followingisacharacteristicofanaccomplishedcriticalthinker? a.Inquisitiveness b.Narrowfocus c.Unaffectedbyotherarguments d.Quickdecisionmaking[Type text] ANS:A Feedback Theaccomplishedcriticalthinkerneedstoaskquestionswhenthingsdonot seemquiteright. Theaccomplishedcriticalthinkerthinksbroadly,consideringallpossibilities. Theaccomplishedcriticalthinkerconsidersallinformationandallarguments beforedeciding onacourseofaction. The accomplished critical thinker considers the facts, fits them into knownpatterns,considersallaspects oftheproblem,andmakesdecisionsbasedon knowledge,notoninstinct. DIF: CognitiveLevel:Comprehension REF:p.153 4.Whichofthe followingstatementsdescribesthepurposeofthenursingprocess? a.Processofdocumentationdesignedtodecreaseliability b.Processdesignedtomaximizereimbursementpotential c.Asophisticatedtime-managementstrategy d.Processusedtoidentifyandsolvepatientproblems ANS:D Feedback Althoughproperdocumentation ispart ofthenursingprocess,itisaproblem- solvingprocess,notadocumentationprocess. Thenursingprocessisnotusedwithreimbursementpotentialinmind.[Type text] Thenursingprocessisnotatime-managementstrategy. Thepurposeofthenursingprocessisto identifyandsolvepatientproblems. DIF: CognitiveLevel:Knowledge REF:p.156 5.Whichofthe followingisconsideredsubjectivedataininformationgatheringfromthepatient? a.Pulseandbloodpressuremeasurements b.ECGpattern c.Diaphoresis d.Pain ANS:D Feedback Pulserateandblood pressuremeasurementsaresignsorobjectivedata thatcan beconfirmedbyobservation. TheECGpatternisobjectivedata. Diaphoresisisobjectivedata. Subjectivedataarethepatient'sperceptions,sometimescalled"symptoms." DIF: CognitiveLevel:Comprehension REF:p.157 6.A nursing student is complaining about writing care plans. Which response by the faculty is bestto help thestudentsee theimportanceof this activity? a."Usingthenursingprocesswillhelpnursesgetreimbursementfortheirservices." b."Youneedawrittenplanofcaresoeveryoneisonthesamepageasyouare." c."Thenursingprocessisawaytosystematically thinkabout andusepatientdata." d."Moststatenurse practiceactsrequire them,soyouneedtolearn howtodothem." ANS:C Feedback Demonstratinguseofthenursingprocessmaybe importantin obtaining reimbursement,butitisnottheprimary reasonforusingthe nursingprocess(and writing careplans). Havingadetailed planthatothernursescanfollowisimportant, butit isnotthe primaryreasonforusingthenursingprocess(andwritingcareplans). Writingcareplansteachesstudentstousethenursingprocess,whichisa[Type text] systematicwayofthinkingaboutandprocessingpatientdata. State nurse practice acts do require that nurses demonstrate the use of thenursingprocess,butthisstatementdoesnotdescribewhytheprocessitselfis important. DIF: CognitiveLevel:Comprehension REF:p.156 A