Nur 142 Chapter 10 - Critical Thinking and Clinical Reasoning

nur-142-chapter-10-critical-thinking-and-clinical-reasoning

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The nurse is providing care to a group of clients. For which situation would the nurse's use of critical thinking be a priority?

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Nurses who utilize good critical thinking skills are able to think and act in areas where there are neither clear answers nor standard procedures. Treatment options, especially for the home health client, can be extensive. There are many points to consider (good and bad), and choosing between treatment options can cause conflict among family members. The nurse in this case must use creativity, analysis based on science, and problem-solving skills—all of which contribute to critical thinking skills.

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A client recovering from a stroke does not want to perform prescribed shoulder exercises. What should the nurse say to the client that demonstrates critical thinking with creativity?

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A student nurse resists when encouraged to be creative when providing client care. What should the nurse educator say to encourage this student to be creative?

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The nurse educator assigns students an activity to implement Socratic questioning in their daily lives. Which question provided by a student demonstrates this reasoning technique?

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A client is experiencing a productive cough, audible coarse crackles, elevated temperature of 102.3F, chills, and body aches. What did the nurse use to determine that this patient is experiencing respiratory compromise?D

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Deductive reasoning is reasoning from the general to the specific. The nurse starts with a framework and makes descriptive interpretations of the client's condition in relation to the framework. Productive cough, crackles, fever, and chills all point to problems with respiratory status

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A client with a PhD in epidemiology has been to numerous physicians and has had numerous laboratory tests, all of which were abnormal, and exploratory surgery, but no one is able to explain the etiology of his problem. The client also states that he has a rare form of a neurological disorder. Which statement should the nurse make that demonstrates critical thinking?

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In critical thinking, the nurse also differentiates statements of fact, inference, judgment, and opinion. The nurse will have to ascertain the accuracy of information and evaluate the credibility of the information sources

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A nurse educator has always believed that lectures with focused outlines are the best way to present theory content in class. A colleague, who teaches the same group of students, but a different subject, utilizes group work and in-class activities to teach difficult content and finds that students perform as well, or better, on their tests. The first educator in this situation is starting to rethink her position. What behavior is the first educator demonstrating?

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Intellectual integrity requires that individuals apply the same rigorous standards of proof to their own knowledge and beliefs as they apply to the knowledge and beliefs of others. Trying new teaching techniques in the hope that students might respond positively shows that the first educator is willing to question her own practices, just as she would question those of another

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The nurse who just moved from an urban area to a sparsely populated rural area understands that certain customs and practices the nurse follows may be quite foreign to the people in the new area. Which attitude of critical thinking is the nurse demonstrating?

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Critical thinkers are open to the possibility that their personal biases or social pressures and customs could unduly affect their thinking. They actively try to examine their own biases and bring them to awareness each time they make a decision. Understanding that how things were done and what practices were common may be completely different in the new surroundings is an example of the nurse implementing this attitude

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The nurse implements a quicker way to set up and initiate an intravenous infusion while still following safe practice. Which attitude of critical thinking is this nurse practicing?

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Nurses who can think for themselves and consider different methods of performing technical skills—not just the way they may have been taught in school—develop an attitude of independence.

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The nurse questions the practice of administering rectal suppositories to residents in a long-term care facility at bedtime, rather than earlier in the day. When told that this is the best time for staff and that's the routine that has been practiced for a long time, the nurse continues to research whether there would be a better time, especially in the best interest of the residents. Which critical thinking attitude is this nurse demonstrating?

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The internal conversation going on within the mind of a critical thinker is filled with questions. The curious nurse may value tradition but is not afraid to examine traditions to be sure they are still valid, as in this case. This nurse is asking valid questions.

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A seasoned nurse uses past experiences and knowledge gained from previous care situations to care for a client with complex health issues. Which attribute of critical thinking is this nurse practicing?

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Reflection involves being able to determine what data are relevant and to make connections between that data and the decisions reached. The nurse reflects on previous clinical experiences similar to this one and determines if the outcomes of care improved the clients’ conditions.

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While listening to a client describe current symptoms, the nurse considers the client’s entire situation. Which attribute of critical thinking is the nurse practicing?

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Context is being considerate of the whole situation—including relationships, background, and environment—and its relevant to the current situation.

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A client complaining of shortness of breath has no pallor, cyanosis, or use of accessory muscles with respirations. The client's respiratory rate is 16 breaths per minute. The nurse is concerned that the client's report and the physical findings conflict. Which standard of critical thinking is the nurse using?

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Logicalness would ask if the report follows from the evidence. In this case, it does not. However, the nurse is still questioning, which shows she is engaged in critically thinking through the situation.

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The nurse enters the room of a critically ill child after sensing that "something" isn't right. Once the nurse determines the child is stable, the nurse continues to perform a check of all the lines and equipment in the room and finds that the last IV solution hung by the previous nurse was not the correct solution. Which problem-solving method did this nurse use?

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Nur 142 Chapter 10 - Critical Thinking and Clinical Reasoning

题 1 of 1

剩下的时间

The nurse is providing care to a group of clients. For which situation would the nurse's use of critical thinking be a priority?

选择正确的答案

(0/0)

说明

A client recovering from a stroke does not want to perform prescribed shoulder exercises. What should the nurse say to the client that demonstrates critical thinking with creativity?

选择正确的答案

(0/0)

A student nurse resists when encouraged to be creative when providing client care. What should the nurse educator say to encourage this student to be creative?

选择正确的答案

(0/0)

The nurse educator assigns students an activity to implement Socratic questioning in their daily lives. Which question provided by a student demonstrates this reasoning technique?

选择正确的答案

(0/0)

A client is experiencing a productive cough, audible coarse crackles, elevated temperature of 102.3F, chills, and body aches. What did the nurse use to determine that this patient is experiencing respiratory compromise?D

选择正确的答案

(0/0)

说明

选择正确的答案

(0/0)

说明

选择正确的答案

(0/0)

说明

The nurse who just moved from an urban area to a sparsely populated rural area understands that certain customs and practices the nurse follows may be quite foreign to the people in the new area. Which attitude of critical thinking is the nurse demonstrating?

选择正确的答案

(0/0)

说明

The nurse implements a quicker way to set up and initiate an intravenous infusion while still following safe practice. Which attitude of critical thinking is this nurse practicing?

选择正确的答案

(0/0)

说明

选择正确的答案

(0/0)

说明

A seasoned nurse uses past experiences and knowledge gained from previous care situations to care for a client with complex health issues. Which attribute of critical thinking is this nurse practicing?

选择正确的答案

(0/0)

说明

While listening to a client describe current symptoms, the nurse considers the client’s entire situation. Which attribute of critical thinking is the nurse practicing?

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说明

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The nurse systematically tries a variety of products to help with healing of a client’s wound. Which problem-solving method is the nurse using?

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