,1. Which of the following is the most critical step in ensuring clinical
reasoning in a nursing context?
a) Identifying nursing diagnoses
b) Collecting patient data
c) Evaluating outcomes
d) Implementing interventions
Answer: b) Collecting patient data
Rationale: Collecting patient data is essential as it provides the
foundation for all subsequent reasoning and decision-making.
2. A nurse is using a clinical judgment framework to assess a patient with
chest pain. What is the first core competency of the framework?
a) Implementation
b) Evaluation
c) Assessment
d) Diagnosis
Answer: c) Assessment
Rationale: Assessment is the initial step in identifying patient needs,
which is crucial for effective clinical judgment.
3. When prioritizing patient care, which patient should the nurse assess
first?
, a) A patient with stable asthma
b) A patient post-operation, stable vitals
c) A patient with acute chest pain
d) A patient scheduled for elective surgery
Answer: c) A patient with acute chest pain
Rationale: Acute chest pain is a potential sign of a life-threatening
condition and should be prioritized for assessment.
4. In the context of clinical reasoning, what does the acronym SBAR stand
for?
a) Situation, Background, Assessment, Recommendation
b) Situation, Background, Action, Review
c) Summary, Background, Action, Report
d) Situation, Brief, Assessment, Response
Answer: a) Situation, Background, Assessment, Recommendation
Rationale: SBAR is a structured communication method that facilitates
effective information exchange.
5. Which type of cognitive bias may lead a nurse to overlook critical patient
information?
a) Confirmation bias
b) Anchoring bias
c) Hindsight bias
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