Question 1

The nurse is preparing to admit a patient from the emergency department.The transferring nurse reports that the patient is obese.The nurse has been overweight at one time and works very hard now to maintain a healthy weight.She immediately thinks,"I know I tend to feel negatively about obese people; I figure if I can stop eating,they should be able to.I must remember how very difficult that is and be very careful not to be judgmental of this patient." Which is the nurse illustrating?

Accepted Answer

The nurse is demonstrating self-knowledge, which involves being aware of personal biases and making an effort to overcome them in order to provide unbiased and patient-centered care. The nurse recognizes her own past struggles with weight and is actively working to avoid being judgmental towards obese patients. This demonstrates a high level of self-awareness and a commitment to providing empathetic and nonjudgmental care.

Question 2

In caring for a patient with comorbidities,the nurse draws upon her knowledge of diabetes and skin integrity.In a spirit of inquiry,she looks up the latest guidelines for providing skin care and includes them in the plan of care.The nurse provides skin care according to the procedural guidelines and begins regular monitoring to evaluate the effectiveness of the interventions.Which best describes these activities?

Accepted Answer

These activities best describe full-spectrum nursing, which involves integrating knowledge, inquiry, and practical skills to provide comprehensive care.

Question 3

The nurse administering pain medication every 4 hours is an example of which aspect of patient care?

Accepted Answer

Administering pain medication every 4 hours is a nursing intervention, which is an action taken by the nurse to address a patient's needs.

Question 4

During an assessment of a newly admitted client the nurse measures blood pressure,abdominal circumference,and pulse rate.Which critical-thinking skill is the nurse using?

Accepted Answer

The nurse is objectively gathering information on the client's health status by measuring blood pressure, abdominal circumference, and pulse rate. This requires the critical-thinking skill of gathering information on a problem or issue.

Question 5

Which characteristic do the various definitions of critical thinking have in common?

Accepted Answer

Critical thinking universally involves reasoned thought, where individuals analyze and evaluate an issue or idea based on evidence and reasoning rather than on emotion or personal preference.

Question 6

A nurse admits a patient to the unit after completing a comprehensive interview and physical examination.Which action must the nurse implement to develop a nursing diagnosis?

Accepted Answer

To develop a nursing diagnosis, the nurse must first analyze the assessment data gathered during the interview and physical examination. This will help to identify the patient's actual and potential health problems, as well as any contributing factors that may need to be addressed in the care plan. Consultation of standards of care and deciding which interventions are appropriate may come later in the care planning process. Asking the client's perceptions of their health problem may also be helpful, but it is not the primary action needed to develop a nursing diagnosis.

Question 7

A few nurses on a unit have proposed to the nurse manager that the process for documenting care on the unit be changed.They have described a completely new system.The nurse should have a critical attitude because it helps the manager to do which item?

Accepted Answer

The answer of A few nurses on a unit have...

Question 8

What do critical thinking and the nursing process have in common?

Accepted Answer

Both critical thinking and the nursing process are methods used to solve problems, though they may not necessarily follow the same steps or be linear.

Question 9

Which differentiates a nursing diagnosis from a medical diagnosis?

Accepted Answer

A nursing diagnosis is based on a client's response to a health problem rather than the medical diagnosis, which focuses on the disease or injury itself. Nursing diagnoses are also typically written in terms of the client's actual or potential responses to the problem, rather than using medical terminology. Presentation of signs and symptoms may be a part of both medical and nursing diagnoses, but the focus and approach are different.

Question 10

The staff development instructor prepares an in-service presentation on full-spectrum nursing for new graduate nurses.Which statement should the instructor emphasize as being the key point about this delivery approach?

Accepted Answer

Full-spectrum nursing is an approach that integrates thinking,doing, and caring to provide comprehensive and holistic care to patients. It addresses the physical, emotional, social, and spiritual aspects of care, and encourages nurses to collaborate with other healthcare professionals to plan and deliver care. While assessment is important, it is not the sole focus of full-spectrum nursing, and interventions are not solely based on client responses.

Question 11

The nurse has just been assigned to the clinical care of a newly admitted patient.To know how to best care for the patient,the nurse uses the nursing process.Which step would the nurse probably do first?

Accepted Answer

The nursing process starts with assessment, as this is the step where the nurse gathers subjective and objective data about the patient's health status, including their medical history, vital signs, symptoms, and other relevant information. Only once the nurse has obtained a comprehensive assessment can they move on to the other steps, including diagnosis, planning outcomes, and planning interventions.

Question 12

Which statement about the nursing process is correct?

Accepted Answer

The nursing process is a problem-solving method that organizes and guides nursing activities, and it consists of five interconnected steps that are not necessarily linear: assessment, diagnosis, planning, implementation, and evaluation. The nursing process is a collaborative effort that involves healthcare professionals from different disciplines, and it provides a framework for individualized nursing care that is evidence-based and patient-centered. While nurses play a crucial role in the nursing process, they work in partnership with patients, families, and other members of the healthcare team to achieve optimal outcomes.

Question 13

The nurse developed a care plan for a patient to help prevent Impaired Skin Integrity.The nurse ensured the nursing assistive personnel changed the patient's position every 2 hours.In the evaluation phase of the nursing process,which would the nurse do first?

Accepted Answer

Judging whether the interventions achieved the stated outcomes is the first step in the evaluation phase of the nursing process, as it directly assesses the effectiveness of the implemented care plan in addressing the patient's specific health issue, in this case, preventing impaired skin integrity.

Question 14

Which is an example of practical knowledge?

Accepted Answer

Practical knowledge refers to the application of theoretical knowledge in real-life situations, and option C exemplifies this by providing a procedural instruction for healthcare practitioners.

Answer: D
 Option D presents realistic and important information for healthcare professionals to consider when deciding the most appropriate administration route for pain medication.

Question 15

A new graduate asks the manager to explain the purpose of full-spectrum nursing.How should the manager respond?

Accepted Answer

Full-spectrum nursing is focused on achieving safe and effective care while promoting good patient outcomes. This approach involves providing comprehensive care that meets all of the patient's physical, emotional, and spiritual needs. It also involves collaborating with other healthcare professionals to ensure that the patient receives the best possible care. While cost-effectiveness, overtime, and regulatory compliance are all important factors in nursing, they are not the primary focus of full-spectrum nursing.

Question 16

The nurse maintains eye contact while a client explains the symptoms of a current health problem.Which critical-thinking skill is the nurse using?

Accepted Answer

By maintaining eye contact while listening to the client, the nurse is exhibiting the critical-thinking skill of "listening carefully; reading thoughtfully." This skill involves actively paying attention, seeking clarification when necessary, and interpreting the information being provided.

Question 17

The nurse is assigned to care for a client with Guillain-Barré syndrome; however,the nurse does not understand the disorder.What is the best way for the nurse to address this gap in knowledge?

Accepted Answer

The best way for the nurse to address the gap in knowledge is to research and read about the disorder. This will provide the nurse with a foundation of knowledge to effectively care for the client with Guillain-Barré syndrome. The nurse can also consult other resources, such as textbooks or reputable websites, to further enhance their understanding. Talking with the family or completing the client assessment may provide additional information but will not necessarily address the knowledge gap. Asking another nurse to explain the disorder may have limitations in terms of the accuracy and completeness of the information provided.

Question 18

Which is an example of theoretical knowledge?

Accepted Answer

Theoretical knowledge is knowledge that is based on theories or concepts rather than direct experience or practical application. Option B is an example of theoretical knowledge as it is a scientific fact about the composition of room air, rather than a practical procedure or guideline.

Question 19

Which is an example of self-knowledge if thought or stated by the nurse?

Accepted Answer

Option C demonstrates self-knowledge by acknowledging the nurse's religious beliefs, which may impact her ability to care for certain clients. It shows that the nurse is aware of her own biases and limitations, which is an important aspect of self-awareness and self-reflection. Options A, B, and D relate to specific nursing tasks or ethical considerations but do not necessarily demonstrate self-knowledge.

Question 20

Which is the most important reason for nurses to be critical thinkers?

Accepted Answer

Nurses care for clients who have multiple health problems, which requires critical thinking skills to prioritize care and make informed decisions about interventions and treatments.

Answer: B 
 Nurses work with other healthcare team members, which requires critical thinking skills to communicate effectively, collaborate on care plans, and evaluate the effectiveness of interventions.

Quiz 2: Critical Thinking the Nursing Process