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Utmb critical thinking adult 1 exam 1
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Utmb critical thinking adult 1 exam 1
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Utmb critical thinking adult 1 exam 1Critical thinking - correct answer-A continuous process characterized by open-mindedness,
continual inquiry, and perseverance, combined with a willingness to look at each unique
patient situation and determine which identified assumptions are true and relevant
Patients often have problems - correct answer-for which no textbook answer exists
Clinical decision making - correct answer-Involves judgement that includes critical and
reflective thinking and action and application of scientific and practical logic
Applying ethical criteria - correct answer-A nurse has seen many cancer patients struggle
with pain management because they are afraid of becoming addicted to the medicine. Pain
control is a priority for cancer care. By helping patients focus on their values and beliefs
about pain control, a nurse can beat make clinical decisions. This is an example of:
Basic critical thinking - correct answer-A nurse prepares to insert a Foley catheter. The
procedure manual calls for the patient to lie in the dorsal recumbent position. The patient
complains of having back pain when lying on her back. Despite this, the nurse positions the
patient supine with knees flexed as the manual recommends and begins to insert the
catheter. This is an example of:
Responsible - critical thinking attitude - correct answer-A nurse is preparing meds for a
patient. The nurse checks the name of the med on the label with the name of the med on the
doctors order. At the bedside the nurse checks the patients name against the med order as
well. The nurse is following which critical thinking attitude:
Confidence - critical thinking attitude - correct answer-Is the belief in oneself, ones
judgement and psychomotor skills, and ones possession of the knowledge and the ability to
throne critically and draw appropriate conclusions
Thinking independently - critical thinking attitude - correct answer-When nurses ask
questions and look for the evidence behind clinical problems. Ex: why is one type of surgical
dressing ordered over another?
Fairness - critical thinking attitude - correct answer-Bias and prejudice does not enter into a
decision. Ex: regardless of how you feel about obesity, you do not allow personal attitudes to
influence the way you care for a patient who is overweight.
Discipline - critical thinking attitude - correct answer-Misses few details and is orderly or
systematic when collecting info, making decisions, or taking action. Ex: you have a patient
who is in pain. Instead of asking the patient, how severe 0-10, you also ask more specific
questions about the characteristics of pain.
Perseverance- critical thinking attitude - correct answer-Determined to find effective
solutions to patient care problems. Means to keep looking for more resources until you find a
, successful approach. Ex: patient who is unable to speak following throat surgery poses
challenges for the nurse to be able to communicate effectively, you would use this attitude to
try different communication approaches.
Creativity - critical thinking attitude - correct answer-Original thinking. Find solutions outside
the standard routines of care while still following standards of practice. Ex: a home care
nurse has to find a way to help an older patient with arthritis have greater mobility in the
home. Nurse uses wooden blocks to elevate the chair legs so the patient is able to sit and
stand with little discomfort.
Curiosity - critical thinking attitude - correct answer-Favorite questions is why. Having this
sense motivates you to inquire further and investigate a Clincial situation so you get all the
information you need to make a decision.
Integrity - clincial thinking attitude - correct answer-Question and test their own knowledge
and beliefs. Is honest and willing to admit to mistakes or inconsistencies in their own
behavior, ideas, and beliefs.
Humility - critical thinking attitude - correct answer-Important to admit to any limitation in your
knowledge and skill.
Reflection - correct answer-Turning over a subject in the kind and thinking about it seriously.
It involves purposeful thinking back and recalling a situation to discover it's purpose or
meaning. What did I see before? How did I act? What could have I done differently?
Evidence based knowledge - correct answer-Knowledge based on research or clinical
expertise, makes you an informed critical thinker.
Scientific method steps - correct answer-1 identify the problem
2 collect data
3 formulate a questions or hypothesis
4 test the question or hypothesis
5 evaluate results of the test or study
Problem solving - correct answer-Involves evaluating a situation over time, identifying
possible solutions, and trying a solution over time to make sure that it is effective.
Decision making - correct answer-Is a product of critical thinking that focuses on problem
resolution. Ex: occurs when a person decides on the choice of a health care provider.
Diagnostic reasoning - correct answer-Analytical process for determining a patients health
problem. Ex: a nurse enter a 72 yr old patients home and begins to observe her behaviors
and examine her physical condition. The nurse learns that the patient lives alone and has
bruising. When watching the patient walk, the nurse notes that she has an unsteady gait and
leans. The patient admits to having fallen in the past. The nurse identifies the patient as
having a nursing diagnosis of risk for falls.
Truth seeking - correct answer-Be objective in asking questions of a patient
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