Nursing 101 Exam #2 Questions with
Complete Solutions
What is Critical Thinking? - Answer--Not a linear step by step process
-Process acquired through hard work, commitment, and an active curiosity toward
learning
-Decision making is the skill that separates the professional nurse from technical or
ancillary staff
Characteristics of Critical Thinking - Answer-*Cognitive thinking*
-Broad term
-Knowledge, evidence, and science based
-Process acquired through hard work, commitment, and an active curiosity toward
learning
-Purposeful, controlled, and you use well written strategies to get the desired results
A nurse is caring for a patient who has been ordered a medication that the nurse has
never given before. Prior to giving the medication, the nurse uses an electronic
database to gather information about the medication. Which of the following
components of critical thinking is the nurse demonstrating?
A) Competence
B) Knowledge
C) Experience
D) Independent Thinker - Answer-B) Knowledge
Mrs. Castlio has late stage cancer and is not expected to live more than a few months.
With chemotherapy, she could live perhaps a year or two more. She cannot decide what
to do. She knows that the chemotherapy will have unpleasant side effects, and can be
very expensive, and she wants to protect her family from the emotional and financial
hardships of a lingering illness. She is showing physical signs of anxiety and distress
(increased heart rate, restlessness, tearfulness). You, the nurse, want to provide her
support for her decision, whatever it may be.
1) What theoretical knowledge do you need to help Mrs. Castlio? - Answer-You have to
know about cancer. What are the side effects of chemotherapy? What will that mean for
her and her quality of life? What will she expect if she decides to do chemotherapy?
You also need to know about anxiety and how it affects the physiological parts of your
body. What are her coping skills?
Mrs. Castlio has late stage cancer and is not expected to live more than a few months.
With chemotherapy, she could live perhaps a year or two more. She cannot decide what
to do. She knows that the chemotherapy will have unpleasant side effects, and can be
very expensive, and she wants to protect her family from the emotional and financial
hardships of a lingering illness. She is showing physical signs of anxiety and distress
, (increased heart rate, restlessness, tearfulness). You, the nurse, want to provide her
support for her decision, whatever it may be.
2) In relation to critical thinking skills: what details represent the patient situation? -
Answer-What is the patient data? What are the patient's preferences? What about the
context of the situation? This patient is clearly worried about the expenses of this-limited
funds. She also wants to protect her family from the emotional hardships of the illness,
not just the financial hardships.
Mrs. Castlio has late stage cancer and is not expected to live more than a few months.
With chemotherapy, she could live perhaps a year or two more. She cannot decide what
to do. She knows that the chemotherapy will have unpleasant side effects, and can be
very expensive, and she wants to protect her family from the emotional and financial
hardships of a lingering illness. She is showing physical signs of anxiety and distress
(increased heart rate, restlessness, tearfulness). You, the nurse, want to provide her
support for her decision, whatever it may be.
3) What practical knowledge do you need to help Mrs. Castlio? - Answer-You must have
effective therapeutic communication with this patient. You must know how to administer
chemo medications. You need vital signs to help & ADLs.
Mrs. Castlio has late stage cancer and is not expected to live more than a few months.
With chemotherapy, she could live perhaps a year or two more. She cannot decide what
to do. She knows that the chemotherapy will have unpleasant side effects, and can be
very expensive, and she wants to protect her family from the emotional and financial
hardships of a lingering illness. She is showing physical signs of anxiety and distress
(increased heart rate, restlessness, tearfulness). You, the nurse, want to provide her
support for her decision, whatever it may be.
4) Depending on Mrs. Castlio's decision, think of one ethical issues that might arise for
you, the nurse, or members of her family later on. - Answer-What if she decides not to
do chemo therapy? Does she have the right to do that? Would it be wrong to convince
her to have treatment? To impress my personal values and opinions? What if the family
doesn't agree? What kind of ethical issues may arise?
Definition of Nursing Process - Answer-The nursing process is a cyclical, critical thinking
process that consist of five steps to follow in a purposeful, goal directed, systematic way
to achieve optimal client outcomes.
Purpose of the Nursing Process - Answer-It's a dynamic, continuous, client centered,
problem-solving, and decision making framework that is foundational to nursing
practice. *It is a variation of scientific reasoning that helps nurses organize nursing care
and apply the optimal available evidence to care delivery.*
Steps of the Nursing Process - Answer-1) Assessment
2) Diagnosis
3) Planning
4) Implementation
5) Evaluation