RNSG 1137 Final Exam Questions With
Verified Answers
A class of nursing students is in their first semester of nursing school. The instructor explains
that one of the changes they will undergo while in nursing school is learning to "think like a
nurse." What is the most current model of this thinking process?
A) Critical-thinking Model
B) Nursing Process Model
C) Clinical Judgment Model
D) Active Practice Model - answer✔C) Clinical Judgment Model
The nursing student uses evidence-based practice findings in the development of a care plan.
This is an example of which type of nursing skill?
A) Cognitive skill
B) Technical skill
C) Interpersonal skill
D) Ethical/legal skill - answer✔A) Cognitive skill
A nurse has come on day shift and is assessing the client's intravenous setup. The nurse notes
that there is a mini-bag of the client's antibiotic hanging as a piggyback, but that the bag is still
full. The nurse examines the patient's medication administration record (MAR) and concludes
that the night nurse likely hung the antibiotic but failed to start the infusion. As a result, the
antibiotic is three hours late and the nurse has consequently filled out an incident report. In
doing so, the nurse has exhibited which of the following?
D) Cognitive skills - answer✔A) Ethical/legal skills
What is a systematic way to form and shape one's thinking?
A) Critical thinking
B) Intuitive thinking
C) Trial-and-error
D) Interpersonal values - answer✔A) Critical Thinking
What step in the nursing process is most closely associated with cognitively skilled nurses?
A) Assessing
B) Planning
C) Implementing
D) Evaluating - answer✔B) Planning
Members of the staff on a hospital unit are critical of a client's family, who has different cultural
beliefs about health and illness. A student assigned to the patient does not agree, based on her
care of the client and family. What critical thinking attitude is the student demonstrating?
A) Being curious and persevering
B) Being creative
C) Demonstrating confidence
Tanner's Clinical Judgement Model (NOTICING) - answer✔-recognizing a potential issue,
perceptually grasping the situation
Tanner's Clinical Judgement Model (REFLECTING) - answer✔SAME AS REMEMBERING:
attending to patient's responses to nursing action while in the process of acting
Tanner's Clinical Judgement Model (INTERPRETING) - answer✔-reasoning pattern, analytical,
intuitive, narrative, developing a sufficient understanding of the situation
Tanner's Clinical Judgement Model (OBSERVATION & INTERPRETATION) - answer✔hallmarks of
trained nursing practice
Tanner's Clinical Judgement Model (RESPONDING) - answer✔deciding on the court of action
deemed appropriate for the situation, which may include, NO IMMEDIATE ACTION
Reflection IN action - answer✔-happens in real time while care is occurring
-refers to nurses' ability to "read" the patient—how he or she is responding to the nursing
intervention and adjust the interventions based on that assessment.
Reflection ON action - answer✔-occurs after the fact and involves thinking through a situation
that has occurred in the past
-showing what nurses gain from their experience contributes to their ongoing clinical
knowledge development and their capacity for clinical judgment in future situations.
Supports the idea that nurses engage in a complex process of clinical reasoning when caring for
patients. Nurses draw on personal knowledge and experience from various situations and
consider the contextual background of the clinical culture. - answer✔CLINICAL JUDGEMENT
MODEL
Critical thinking concepts, when used in the Nursing Process, will result in________________. -
answer✔Clinical judgement
clinical judgement - answer✔refers to the nurse's interpretation and inferences that influence
his/her actions in a care-giving setting.
clinical judgement are influenced by.... - answer✔the context in which the situation occurs and
the culture of the nursing care unit
Five conclusions of the CLINICAL JUDGEMENT MODEL - answer✔(1) Clinical judgments are more
influenced by what nurses bring to the situation than the objective data about the situation at
hand;
(2) Sound clinical judgment rests to some degree on knowing the patient and his or her typical
pattern of responses, as well as an engagement with the patient and his or her concerns;
(3) Clinical judgments are influenced by the context in which the situation occurs and the
culture of the nursing care unit;
(4) Nurses use a variety of reasoning patterns alone or in combination; and
(5) Reflection on practice is often triggered by a breakdown in clinical judgment and is critical
for the development of clinical knowledge and improvement in clinical reasoning.
A care conference has been organized for a patient with complex medical and psychosocial
needs. When applying the principles of critical thinking to this patient's care planning, the nurse
should most exemplify what characteristic?
A) Willingness to observe behaviors
B) A desire to utilize the nursing scope of practice fully
C) An ability to base decisions on what has happened in the past
D) Openness to various viewpoints - answer✔D) openness to various veiwpoints
Achieving adequate pain management for a postoperative patient will require sophisticated
critical thinking skills by the nurse. What are the potential benefits of critical thinking in
nursing? Select all that apply.
A) Enhancing the nurse's clinical decision making
B) Identifying the patient's individual preferences
C) Planning the best nursing actions to assist the patient
D) Increasing the accuracy of the nurse's judgments
E) Helping identify the patient's priority needs - answer✔A) Enhancing the nurse's clinical
decision making
C) Planning the best nursing actions to assist the patient
D) Increasing the accuracy of the nurse's judgments
E) Helping identify the patient's priority needs
The nursing instructor cites a list of skills that support critical thinking in clinical situations. The
nurse should describe skills in which of the following domains? Select all that apply.
A) Self-esteem
B) Self-regulation
C) Inference
D) Autonomy
E) Interpretation - answer✔B) Self-regulation
C) Inference
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