Exam 8: Critical Thinking, the Nursing Process, and Clinical Judgment

A patient is admitted with the diagnosis of bronchitis, congestive heart failure, and fever. The nurse's assessment finds a temperature of 101° F, peripheral edema, and rhonchi. Which of the following is the best etiology to support the nursing diagnosis of ineffective airway clearance?

Which of the following is considered objective data obtained from the patient?

Which of the following statements describes the purpose of the nursing process?

A patient is admitted with asthma. The nurse's assessment finds a temperature of 99° F, wheezing, speaking in three-word phrases, and respiratory rate of 16 breaths per minute. Which of the following are the best defining characteristics to support the diagnosis of ineffective airway clearance related to inflammation and constriction of the bronchial tree?

A "well-cultivated critical thinker" is an individual who does which of the following? (Select all that apply.)

The nurse instructs the patient about incentive spirometry as preoperative teaching. Which phase of the nursing process does this illustrate?

A nursing student asks a faculty member how to improve critical thinking. Which response by the faculty is best?

The identification of nursing diagnosis and goal setting should ideally be a collaborative process between the nurse and which other party?

Which of the following is considered subjective data in information gathering from the patient?

Which of the following is an independent nursing intervention?

Several methods have been developed to assist nurses in organizing patient data. They include (Select all that apply.)

Which of the following patient problems is given the highest priority by the nurse using Maslow's hierarchy of needs?

The nurse is admitting a patient for surgery. The patient is twisting a handkerchief over and over while saying, "I'm going to have a little mole removed. I'm not worried. The surgery will take only an hour, and then I will go home. I've never been sick a day in my life, so I'll be fine." The nurse finds the following during her physical assessment: blood pressure is 150/90; temperature is 98.6° F; pulse is 88 beats per minute; respiration is 20 breaths per minute; black, brown, and red pigmented pea-sized raised area on her shoulder. Which of the above information would be considered subjective data? (Select all that apply.)

Critical thinking in nursing needs to include which of the following important variables?

Which of the following is a characteristic of an accomplished critical thinker?

Which of the following describes the primary difference between nursing diagnoses and medical diagnoses?

Developing sound clinical judgment is a professional responsibility of the nurse. Which statements indicate behaviors that improve clinical judgment? (Select all that apply.)

In the nursing process, the evaluation phase is used to determine the

Which of the following is a correctly stated nursing diagnosis?

A patient is in respiratory distress and placed on oxygen. Which is the most appropriate short-term goal?