Chapter 13: Blended Competencies, Clinical Reasoning, and
Processes of Person-Centered Care - N3632 Questions With
Complete Solutions
A female patient who is receiving chemotherapy for breast
cancer tells the nurse, "The treatment for this cancer is worse
than the disease itself. I'm not going to come for my therapy
anymore." The nurse responds by using critical thinking skills to
address this patient problem. Which action is the first step the
nurse would take in this process?
a. The nurse judges whether the patient database is adequate to
address the problem.
b. The nurse considers whether or not to suggest a counseling
session for the patient.
c. The nurse reassesses the patient and decides how best to
intervene in her care.
d. The nurse identifies several options for intervening in the
patient's care and critiques the merit of each option. Correct
Answers c. The nurse reassesses the patient and decides how
best to intervene in her care.
> The first step when thinking critically about a situation is to
identify the purpose or goal of your thinking
A nurse cannot find the posterior tibial pulse on a patient. She
repositions her fingers and applies less pressure. This is an
example of what kind of problem solving?
a. critical
b. intuitive
c. trial-and-error
, d. scientific Correct Answers c. trial-and-error
> testing any number of solutions until one is found that works
for that particular problem;
> A: not a thing
> B: uses that "internal prompting" or "gut feeling"
> D: uses scientific method
A nurse is assessing a patient who is diagnosed with anorexia.
Following the assessment, the nurse recommends that the patient
meet with a nutritionist. This action best exemplifies the use of:
a. Clinical judgment
b. Clinical reasoning
c. Critical thinking
d. Blended competencies Correct Answers a. Clinical judgment
> clinical judgment refers to the result or outcome of critical
thinking or clinical reasoning
> clinical reasoning usually refers to ways of thinking about
patient care issues (determining, preventing, and managing
patient problems)
> critical thinking is a broad term that includes reasoning both
outside and inside of the clinical setting
> blended competencies are the cognitive, technical,
interpersonal, and ethical and legal skills combined with the
willingness to use them
A nurse is caring for a patient who has complications related to
type 2 diabetes mellitus. The nurse researches new procedures to
care for foot ulcers when developing a care plan for this patient.
Which QSEN competency does this action represent?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
