Test Bank for Critical Thinking, Clinical Reasoning,
and Clinical Judgment a Practical Approach 7th
Edition by Rosalinda Alfaro-LeFevre
,Chapter 1. What are Critical Thinking, Clinical Reasoning, and Clinical Judgment?
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which of these characteristics do the various definitions of critical thinking havein
common? Critical thinking
1)
Requires reasoned thought
2)
Asks the questions why? or how?
3)
Is a hierarchical process
4)
Demands specialized thinking skills
ANS✔✔ 1
The definitions listed in the text as well as definitions in Box 2-1 state that critical thinking requires
reasoning or reasoned thinking. Critical thinking is neither linear nor hierarchical. That means that
the steps involved in critical thinking are not necessarily sequential, where mastery ofone step is
necessary to proceed to the next. Critical thinking is a purposeful, dynamic, analytic process that
contributes to reasoned decisions and sound contextual judgments.
PTS:1DIF:Moderate high-level question, answer not stated verbatim
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Analysis
2. A few nurses on a unit have proposed to the nursing practitioner manager that the
process for documenting care on the unit be changed. They have described a completely new
system. Why isit important for the nursing practitioner manager to have a critical attitude? It
will help the manager to
1)
Consider all the possible advantages and disadvantages2)
Maintain an open mind about the proposed change
3)
Apply the nursing process to the situation
4)
Make a decision based on past experience with documentation
,ANS✔✔ 2
A critical attitude enables the person to think fairly and keep an open mind.
PTS:1DIF:ModerateKEY: Nursing process: N/A | Client need: SECE | Cognitive level:
Comprehension
3. The nursing practitioner has just been assigned to the clinical care of a newly admitted
client. To know how to best care for the client, the nursing practitioner uses the nursing
process. Which step would thenursing practitioner probably do first?
1)
Assessment
2)
Diagnosis
3)
Plan outcomes
4)
Plan interventions
ANS✔✔1
Assessment is the first step of the nursing process. The nursing diagnosis is derived from the data
gathered during assessment, outcomes from the diagnosis, and interventions from the outcomes.
PTS:1DIF:Easy
KEY: Nursing process: Assessment | Client need: SECE | Cognitive level: Application
4. Which of these is an example of theoretical knowledge?1) A
nursing practitioner uses sterile technique to catheterize a client.2)
Room air has an oxygen concentration of 21%.
3)
Glucose monitoring machines should be calibrated daily.4)
An irregular apical heart rate should be compared with the radial pulse. ANS✔✔
2
Theoretical knowledge consists of research findings, facts, principles, and theories. The oxygen
concentration of room air is a scientific fact. The others are examples of practical knowledgewhat
to do and how to do it.
PTS:1DIF:Moderate; high-level question, answer not stated verbatim
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
5. Which of these is an example of practical knowledge? (Assume all are true.)1) The
, tricuspid valve is between the right atrium and ventricle of the heart.2)
The pancreas does not produce enough insulin in type 1 diabetes.3)
When assessing the abdomen, you should auscultate before palpating.4)
Research shows pain medication given intravenously acts faster than by other routes.
ANS✔✔ 3
Practical knowledge is knowing what to do and how to do it, such as how to do an assessment.
The others are examples of theoretical knowledge, anatomy (tricuspid valve), fact (type 1
diabetes), and research (IV pain medication).
PTS:1DIF:Moderate high-level question, answer not stated verbatim
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
6. Which of these is an example of self-knowledge? The nursing practitioner thinks, I know
that I1) Should take the clients apical pulse for 1 minute before giving digoxin2)
Should follow the clients wishes even though it is not what I would want3)
Have religious beliefs that may make it difficult to take care of some clients4)
Need to honor the clients request not to discuss his health concern with the family
ANS✔✔ 3
Self-knowledge is being aware of your religious and cultural beliefs and values. Taking the pulseis an
example of practical knowledge. Following client wishes and honoring client requests are examples
of ethical knowledge.
PTS:1DIFifficult; high-level question, answer not stated verbatim | V1, high-level question,
answer not stated verbatim
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
7. Which of these is the most important reason for nurses to be critical thinkers?1) Nurses
need to follow policies and procedures.
2)
Nurses work with other healthcare team members.
3)
Nurses care for clients who have multiple health problems.4)
Nurses have to be flexible and work variable schedules.
ANS✔✔ 3
Critical thinking is essential for client care, particularly when the care is complex, involving
numerous health issues. Following policies and procedures does not necessarily require critical
thinking, and working with others or being flexible and working different schedules do not
