NSG 310 - Nursing process, Assessment
(CH. 2, 3, 4) Questions and Correct
Answers
1 ✅Critical thinking and the nursing process have which of the following in common?
Both:
1) Are important to use in nursing practice
2) Use an ordered series of steps
3) Are patient-specific processes
4) Were developed specifically for nursing
2 ✅In which step of the nursing process does the nurse analyze data and identify
client problems?
1) Assessment
2) Diagnosis
3) Planning outcomes
4) Evaluation
evaluation ✅In which phase of the nursing process does the nurse decide whether her
actions have successfully treated the client's health problem? ________________
1
(Rationale:
The most basic reason is that self-knowledge directly affects the nurse's thinking and
the actions he chooses. Indirectly, thinking is involved in identifying effective
interventions, communicating, and learning procedures. However, because identifying
personal biases affects all the other nursing actions, it is the most basic reason.)
✅What is the most basic reason that self-knowledge is important for nurses? Because
it helps the nurse to:
1) Identify personal biases that may affect his thinking and actions.
2) Identify the most effective interventions for a patient.
3) Communicate more efficiently with colleagues, patients, and families.
4) Learn and remember new procedures and techniques.
3 ✅Arrange the steps of the nursing process in the sequence in which they generally
occur.
A. Assessment
B. Evaluation
C. Planning outcomes
D. Planning interventions
E. Diagnosis
1) E, B, A, D, C
,2) A, B, C, D, E
3) A, E, C, D, B
4) D, A, B, E, C
1 ✅How are critical-thinking skills and critical-thinking attitudes similar? Both are:
1) Influences on the nurse's problem-solving and decision making
2) Like feelings rather than cognitive activities
3) Cognitive activities rather than feelings
4) Applicable in all aspects of a person's life
2 ✅The nurse is preparing to admit a patient from the emergency department. The
patient has chronic lung disease and has used tobacco for 30+ years. The nurse used
to smoke a pack of cigarettes a day and worked very hard to quit smoking. She thinks to
herself, "I know I tend to disapprove of people who use tobacco, especially when they
have a serious lung condition; I figure if I can stop smoking, they should be able to. I
must remember how difficult that is, and be very careful not to let be judgmental of this
patient." This best illustrates:
1) Theoretical knowledge
2) Self-knowledge
3) Using reliable resources
4) Use of the nursing process
4
(Contextual awareness is noticing what is happening in the total situation, including
environmental influences (transportation). Inquiry is applying standards of good
reasoning to your thinking (e.g., What framework should I use to organize my
information?). Reflecting skeptically involves questioning, analyzing, and reflecting on
the rationale for your decisions (e.g., In priority order, what should I do now and why?).
Analyzing assumptions requires recognizing that you are making an assumption, and
then examining the beliefs that underlie your choices.) ✅A clinic client has not been
keeping his scheduled follow-up appointments. In talking with him about that, the nurse
asks, "Do you have a car or other transportation to bring you to the clinic?" Which
critical-thinking process does that question illustrate?
1) Inquiry based on credible sources
2) Reflective skepticism
3) Analyzing assumptions
4) Contextual awareness
1, 2
(Rationale:
Nursing is an applied discipline—The nurse not only knew facts about blood pressure,
gastrointestinal tract motility, blood pressure drugs, and vomiting; he also followed
through with actions—he did not merely memorize and regurgitate the facts.
Nursing uses knowledge from other fields—The nurse used knowledge from physiology
(about high blood pressure and about the relationship of gastrointestinal motility to
, vomiting). The nurse used knowledge from pharmacology regarding the absorption of
oral medications, as well as about the desired effects of the blood pressure medication.
Nursing is certainly fast paced and it requires ethical knowledge. However, there is
nothing in this scenario to illustrate those two characteristics of nursing. There is not
enough information to assume that there was any immediate urgency in the situation
that would require the nurse to rush, nor is there clearly any ethica ✅A patient with
high blood pressure receives a daily oral medication to control his blood pressure.
However, he has been vomiting for the past 24 hours. The nurse knows that oral
medications are absorbed in the gastrointestinal tract, and that without the drug, the
patient's blood pressure may become dangerously high. So the nurse notifies the
primary provider to see whether the drug can be given by another route (e.g.,
intravenously or rectally). The nurse's thinking and actions illustrate which of the
following? (Select all that apply)
1) Nursing is an applied discipline.
2) Nursing uses knowledge from other fields.
3) Nursing is fast paced.
4) Nursing requires ethical knowledge.
4 ✅After assessing a patient, the nurse is analyzing and synthesizing the data she
obtained. She thinks, "I know the patient must sit up to breathe; his respirations are
shallow and fast; and he is pale. What does this mean? What are some possible
explanations for these symptoms?" Which of the following critical-thinking attitudes is
the nurse illustrating?
1) Fair-mindedness
2) Independent thinking
3) Intellectual courage
4) Intellectual curiosity
2 ✅Which statement about the nursing process is correct?
1) It was developed from the ANA Standards of Care.
2) It is a problem-solving method to guide nursing activities.
3) It is a linear process with separate, distinct steps.
4) It involves care that only the nurse will give.
2
(Rationale:
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 knowledge—what to do and how to do it.) ✅Which of the following is an
example of theoretical knowledge?
1) A nurse uses sterile technique to catheterize a patient.
2) Room air has an oxygen concentration of approximately 21%.
3) Glucose-monitoring machines should be calibrated daily.
4) An irregular apical heart rate should be compared with the radial pulse.
