Ch 4

18問 • 3年前

問題一覧

1. The patient is complaining of severe incisional pain 2 days after surgery. The patient has morphine ordered intravenously or by mouth. When the nurse chooses to give the medication orally, this is an example of which thought process?

a. Clinical decision-making

2. The nurse is reviewing the last 3 days of a patient’s pain history and notes that the pain level has remained constant. The nurse validates the pain level with the patient and decides to contact the provider for further orders. In this scenario, which process is the nurse is using?

d. Clinical judgment

3. The nurse has been hired for a first job and is nervous about making errors in clinical judgment. It is important for the nurse to realize that clinical reasoning and the ability to make decisions in a clinical setting occurs at which time?

c. When it develops over time with increased knowledge and expertise

4. The nurse is taking an advanced cardiac life support (ACLS) recertification class. As part of that class, the nurse and other nurses in the group rotate responsibilities during multiple mock code exercises simulating cardiac arrest scenarios. The nurse recognizes what process is assigning the nurses to these different responsibilities?

b. Simulation

5. The nurse is preparing to administer an anticoagulant when the patient says, “Why do I have these bruises on my arms?” The nurse reviews the patient’s blood tests and notes an abnormal bleeding time. When the nurse then decides to hold the medication and notify the health care provider, the nurse recognizes this to be an example of which action?

c. Critical thinking

6. The nurse is preparing to restart a patient’s intravenous line and discovers that the patient has no usable veins in either arm. When working to solve this problem, the nurse should carry out which action?

a. Discuss the problem with the nurse in charge.

7. The nurse has finished a shift and is on the way home. During the shift, one of the patients attempted to climb out of bed and fell. When the nurse is returning home and is thinking about what could have been done differently to be prevent the fall, this would be an example of what concept?

d. Reflection

8. When working on the ability to critically think, the nurse needs to assess for personal critical thinking indicators that includes which quality?

a. Being honest

9. The nurse administers an ordered intravenous pain medication that is expected to decrease a patient’s pain level within 5 minutes, but the patient cries out in pain and reports a pain level of 10 at the end of that time frame. What type of refection is it when should the nurse looks for interventions that could be initiated to reduce the patient’s severe pain?

b. Reflect-in-action

10. The NCSBN Clinical Judgment Measurement Model (NCSBN-CJMM) contains six clearly defined steps, with each one identifying a thought process integral to making sound clinical judgments/decisions. The nurse identifies which question to be an example of the step of analyzing cues?

a. “Why is a particular cue or subset of cues of concern?”

11. The nurse identifies what characteristic that would not be needed for personal critical thinking skills to be established?

c. Defensive

12. The nurse identifies which statement to be false regarding professional autonomy?

b. Nursing units within a hospital maintain identical rules about what interventions nurses practicing on all units are permitted to perform.

13. The nurse recognizes that the Lasater Clinical Judgment Rubric does not include which of the following concepts?

c. These four key aspects are listed along the side of the Lasater rubric.

14. The nurse identifies which skills that are not components of both critical thinking and clinical reasoning?

d. Interdependence

15. The nurse is preparing to teach indwelling urinary catheter insertion techniques to a group of graduate nurses. Which teaching–learning strategy would the nurse find most useful in teaching this skill?

b. Simulation

16. The nurse understands that individual attributes and environmental factors influence a nurse’s clinical judgment skills. Which environmental factor would not be included in the list of factors that impact the effectiveness of clinical judgment?

d. Dependence on preceptor

17. A patient is admitted to a skilled nursing facility with a closed head injury. The nurse believes that the patient has been pocketing food in his cheeks during the noon meal although she has not found any food pocketed. The nurse refers the patient to the speech therapist for a swallowing evaluation. The nurse is using which critical thinking component in making this decision?

c. Intuition

18. Clinical judgment models seek to describe the various thought and reasoning activities nurses use when making clinical judgments. The student nurse identifies which clinical judgment model has four key aspects of clinical judgment?

a. Tanner Clinical Judgment Model

NUR 170 exam 4

V Farris · 50問 · 3年前

NUR 170 exam 4