the nurse is caring for a patient who was admitted
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M. 36 The Concept of Clinical Decision Making
M. 36 The Concept of Clinical Decision Making
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M. 36 The Concept of Clinical Decision Making
(Pearson) Exam
Suction and do tracheostomy care on the patient before he goes to a scheduled
procedure.
Which process does the nurse's action define?
Intuition
Clinical decision making
Choosing among alternatives
Trial and error - ANSWER Clinical decision making
The nurse is caring for a patient who was admitted with abdominal pain. The patient's
CBC is within normal limits; however, the nurse continues to suspect that the patient
may have experienced a gastrointestinal bleed and thus monitors the patient closely.
Which cognitive skill is the nurse demonstrating?
Reflection
Intuition
Inquiry
Reasoning - ANSWER Intuition
The nurse educator is discussing Tanner's clinical decision-making model and asks the
students to identify the intent of reflecting.
Which of the following is a correct student's response?
"To gain insight into what is happening"
"To have a feel for what's happening in it"
, "To interpret a situation in deciding on an action"
"To learn from the action so adjustment to future practice can be made" - ANSWER "To
learn from the action so adjustment to future practice can be made"
The nurse is planning to discharge a 76-year-old client to a long-term care facility. The
client would like to be close to family; however, the most appropriate placement for this
client is several miles farther away from the client's family.
What does the nurse do?
.look to unit
Describe the advantages of the most appropriate facility that is farther away.
Tell the client that being close to family is sometimes not a positive thing.
Inform the patient that the facility that is closer to family is not accepting admissions.
Name other facilities so that the patient can make an more informed decision. -
ANSWER Describe the positives of the facility that is a bit further away.
Which action by the nurse indicates support for a preschooler's decision-making ability?
Inviting the child to the interdisciplinary meeting
Soothing the child by rocking the child until calm
Asking the child if they would like to have a scheduled snack before or after going for an
x-ray Showing the child materials that would be used to stitch up the wound in the
child's knee ANSWER Asking the child if they would like to have a scheduled snack
before or after going for an x-ray
The nurse is caring for a toddler who appears to be intimidated by the nurse. The nurse
gives the toddler a disposable tape measure to play with, soothing the child.
Which critical thinking concept is the nurse exemplifying?
Autonomy
Assertiveness
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