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WorksheetsFunda Ch.10 - Critical Thinking & Clinical Reasoning
Total questions: 10
Worksheet time: 20mins
A client with diarrhea also has a primary care provider’s order for a bulk laxative daily. The nurse, not realizing that bulk laxatives can help solidify certain types of diarrhea, concludes, “The primary care provider does not know the client has diarrhea.” What type of statement is this?
A fact
An inference
A judgement
An opinion
A client reports feeling hungry, but does not eat when food is served. Using clinical reasoning skills, the nurse should perform which of the following?
Assess why the client is not ingesting the food provided
Continue to leave the food at the bedside until the client is hungry enough to eat
Notify the primary care provider that tube feeding may be indicated soon
Believe the client is not really hungry
A client complains of shortness of breath. During assessment the nurse observes that the client has edema of the left leg only. The nurse reviews evidence-based practice literature and reflects on a previous client with the same clinical manifestations. What do these actions represent?
Clinical judgement
Clinical Reasoning
Reflection
Intuition
The client who is short of breath benefits from the head of the bed being elevated. Because this position can result in skin breakdown in the sacral area, the nurse decides to study the amount of sacral pressure occurring in other positions. What decision making is the nurse engaging in?
The research method
Intuition
The nursing process
The trial-and-error method
In the clinical reasoning process, the nurse sets and weighs the criteria, examines alternatives, and performs which of the following before implementing a plan?
Reexamines the purpose for making the decision
Consults the client and family members to determine their view of the criteria
Identifies and considers various means for reaching the outcomes
Determines the logical course of action should intervening problems arise
The nurse is concerned about a client who begins to breathe very rapidly. Which action by the nurse reflects clinical reasoning?
Notify the primary care provider
Obtain vital signs and oxygen saturation
Request a chest x-ray
Call the rapid response team
The nurse is teaching a client about wound care during a followup visit in the client’s home. Which critical thinking attitude causes the nurse to reconsider the plan and supports evidence based practice when the client states, “I just don’t know how I can afford these dressings”?
Integrity
Intellectual humility
Confidence
Independence
When the nurse considers that a client is from a developing country and may have a positive tuberculosis test due to a prior vaccination, which critical thinking attitude and skill is the nurse practicing?
Creating environments that support critical thinking
Tolerating dissonance and ambiguity
Self-assessment
Seeking situations where good thinking is practiced
A client in a cardiac rehabilitation program says to the nurse, “I have to eat a low-sodium diet for the rest of my life, and I hate it!” Which is the most appropriate response by the nurse?
“I will get a dietary consult to talk to you before next week.”
“What do you think is so difficult about following a low-sodium diet?”
“At least you survived a heart attack and are able to return to work.”
“You may not need to follow a low-sodium diet for as long as you think.”
Which reasoning process describes the nurse’s actions when the nurse evaluates possible solutions for care of an infected wound for optimal client outcomes?
Intuition
Research process
Trial and error
Problem solving
