TEST BANK FOR CRITICAL THINKING, CLINICAL REASONING, AND CLINICAL
JUDGMENT: A PRACTICAL APPROACH 7TH EDITION BY ROSALINDA ALFARO-
LEFEVRE||ISBN NO:10,0275972356||ISBN NO:13,978-0323581257||ALL
CHAPTERS||COMPLETE GUIDE A+
,TABLE OF CONTENTS
CHAPTER 1. WHAT ARE CRITICAL THINKING, CLINICAL REASONING, AND CLINICAL JUDGMENT? ........ 2
CHAPTER 2. BECOMING A CRITICAL THINKER ....................................................................................... 10
CHAPTER 3. CRITICAL THINKING AND LEARNING CULTURES: TEACHING, LEARNING, AND TAKING
TESTS ..................................................................................................................................................... 19
CHAPTER 4. INTERPROFESSIONAL CLINICAL REASONING, DECISION MAKING, AND JUDGMENT........ 32
CHAPTER 5. ETHICAL REASONING, PROFESSIONALISM, EVIDENCE-BASED PRACTICE, AND QUALITY
IMPROVEMENT ..................................................................................................................................... 45
CHAPTER 6. PRACTICING CLINICAL REASONING, CLINICAL JUDGMENT, AND DECISION-MAKING SKILLS
.............................................................................................................................................................. 72
CHAPTER 7. INTERPROFESSIONAL PRACTICE SKILLS: COMMUNICATION, TEAMWORK, AND SELF-
MANAGEMENT...................................................................................................................................... 92
CRITICAL THINKING CLINICAL REASONING AND CLINICAL JUDGMENT 7TH EDITION A PRACTICAL
APPROACH TEST BANK
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 THE FOLLOWING CHARACTERISTICS DO THE VARIOUS DEFINITIONS OF
CRITICAL THINKING HAVE IN COMMON? CRITICAL THINKING
1)
REQUIRES REASONED THOUGHT 2)
ASKS THE QUESTIONS WHY? OR HOW? 3)
IS A HIERARCHICAL PROCESS 4)
DEMANDS SPECIALIZED THINKING SKILLS CORRECT 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 OF ONE 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 NURSE MANAGER THAT THE
PROCESS FOR DOCUMENTING CARE ON THE UNIT BE CHANGED. THEY HAVE DESCRIBED A
COMPLETELY NEW SYSTEM. WHY IS IT IMPORTANT FOR THE NURSE MANAGER TO HAVE A CRITICAL
ATTITUDE? IT WILL HELP THE MANAGER TO
1)
CONSIDER ALL THE POSSIBLE ADVANTAGES AND DISADVANTAGES 2)
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 CORRECT 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 NURSE HAS JUST BEEN ASSIGNED TO THE CLINICAL CARE OF A NEWLY ADMITTED
PATIENT. TO KNOW HOW TO BEST CARE FOR THE PATIENT, THE NURSE USES THE NURSING
PROCESS. WHICH STEP WOULD THE NURSE PROBABLY DO FIRST?
1)
ASSESSMENT 2)
DIAGNOSIS 3)
PLAN OUTCOMES 4)
PLAN INTERVENTIONS CORRECT 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 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 21%. 3)
GLUCOSE MONITORING MACHINES SHOULD BE CALIBRATED DAILY. 4)
AN IRREGULAR APICAL HEART RATE SHOULD BE COMPARED WITH THE RADIAL PULSE. CORRECT
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 THE FOLLOWING 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. CORRECT 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 THE FOLLOWING IS AN EXAMPLE OF SELF-KNOWLEDGE? THE NURSE THINKS, I
KNOW THAT I 1)
SHOULD TAKE THE CLIENTS APICAL PULSE FOR 1 MINUTE BEFORE GIVING DIGOXIN 2)
SHOULD FOLLOW THE CLIENTS WISHES EVEN THOUGH IT IS NOT WHAT I WOULD WANT 3)
HAVE RELIGIOUS BELIEFS THAT MAY MAKE IT DIFFICULT TO TAKE CARE OF SOME CLIENTS 4)
NEED TO HONOR THE CLIENTS REQUEST NOT TO DISCUSS HIS HEALTH CONCERN WITH THE FAMILY
CORRECT ANS> 3
SELF-KNOWLEDGE IS BEING AWARE OF YOUR RELIGIOUS AND CULTURAL BELIEFS AND VALUES.
TAKING THE PULSE IS 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 THE FOLLOWING 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)
