Canadian Fundamentals Of Nursing 5th Edition By Potter Perry – Test Bank

Chapter 11: Critical Thinking in Nursing Practice

Test Bank

MULTIPLE CHOICE

1.Which of the following best reflects the philosophy of critical thinking as taught by a nurse teacher to a nursing student?

a. “Don’t draw subjective inferences about your patient; be more objective.”

b. “Please think harder; I am looking for a single solution.”

c. “Trust your feelings; don’t be concerned about trying to find a rationale to support your decision.”

d. “Think about what is important in the situation, and make informed decisions about the patient’s concerns.”

ANS: D

2. What is the second component of critical thinking in the “critical thinking model”?

a. Experience

b. Competencies

c. Specific knowledge

d. Diagnostic reasoning

ANS: A

DIF:Cognitive Level: KnowledgeREF:page 143, Figure 11-1

OBJ: 3 TOP: Nursing Process: Planning MSC: CRNE: CH-7

3.The nurse enters the room of a patient who has a history of heart disease. On looking at the patient, the nurse feels that something is “not right” with the patient, and proceeds to take the vital signs. What is this nurse acting on?

a. Intuition

b. Reflection

c. Knowledge

d. Scientific method

ANS: A

DIF: Cognitive Level: Analysis REF: page 146 OBJ: 5

TOP:Nursing Process: AssessmentMSC:CRNE: CH-3

4.Which of the following nursing interventions is the best example of the implementation part of the nursing process?

a. Determining that the patient’s ankle edema is worse after he ambulates

b. Asking the patient to rate his ankle pain after receiving oral pain medication

c. Arranging for the patient to receive pain medication

d. Crushing the patient’s pain medication to facilitate easier swallowing and thus minimize choking

ANS: D

DIF:Cognitive Level: AnalysisREF:page 147, Figure 11-2

OBJ: 7 TOP: Nursing Process: Implementation MSC: CRNE: CH-13

5.The nurse is working with a patient who has recently had a colostomy. The patient is having difficulty using the supplies that are provided for the ostomy care. The nurse investigates the other types of available supplies and works with the patient to see which ones work best for him or her. This is an example of which type of critical thinking strategy?

a. Inference

b. Management

c. Problem solving

d. Diagnostic reasoning

ANS: C

DIF: Cognitive Level: Comprehension REF: page 145 OBJ: 8

TOP:Nursing Process: ImplementationMSC:CRNE: CH-13

6.Which one of the following is an example of a nurse’s statement that reflects using the scientific method in the nursing process?

a. “My instincts tell me that the patient is getting depressed.”

b. “The patient doesn’t look the same today. I think something is wrong.”

c. “The patient’s husband told me that the patient is feeling uncomfortable.”

d. “The patient seems to be having more pain today than yesterday, and her blood pressure (BP) is elevated.”

ANS: D

DIF: Cognitive Level: Comprehension REF: page 146 OBJ: 7

TOP:Nursing Process: ImplementationMSC:CRNE: CH-10

7.The nurse decides to administer tablets of acetaminophen (Tylenol) instead of the ibuprofen she has been giving one of her orthopedic patients, in accordance with the prescriber’s order. Which step of the nursing process does this address?

a. Assessment

b. Nursing diagnosis

c. Planning

d. Implementation

ANS: D

DIF: Cognitive Level: Application REF: page 147 OBJ: 7

TOP:Nursing Process: ImplementationMSC:CRNE: CH-49

8.The nurse has a multiple patient assignment on the surgical unit. When beginning the shift, the nurse needs to determine which postoperative patient should be seen first. Which one of the following patients should the nurse see first?

a. The patient is reported as having a BP of 90/50 mm Hg.

b. The patient received medication for pain ten minutes ago.

c. The patient needs to be out of bed and ambulating.

d. The patient requires instructions for wound care.

ANS: A

DIF: Cognitive Level: Analysis REF: page 147 OBJ: 8

TOP:Nursing Process: PlanningMSC:CRNE: CH-22

9.Which of the following levels of critical thinking is an example of critical thinking at the complex level?

a. Following a procedure for catheterization step by step

b. Giving medication at the time ordered

c. Discussing alternative pain management techniques

d. Reviewing the patient’s medical records thoroughly