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22 Cards in this Set

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What is critical thinking?
an intentional higher level reasoning process that is intellectually delineated by one's worldview, knowledge, and experience with skills, attitudes, and standards as a guide for rational judgement and action
What are the 4 parts of critical thinking?
Critical thinking characteristics (attitudes/ behaviors), Technical skills/Competencies, Interpersonal Skills/Competencies, Theoretical & Experiential knowledge (Intellectual skills/Competencies)
Using creativity, nurses are able to:
Generate many ideas rapidly
Be generally flexible and natural; that is, they are able to change viewpoints or directions in thinking rapidly and easily
create original solutions to problems
Be independent and self confident, even when under pressure
Demonstrate individuality
Critical analysis-
application of a set of questions to a particular situation or idea to determine essential information and idea and discard superfluous info and ideas.
Socratic questioning-
technique one can use to look beneath the surface, recognize and examine assumptions, search for inconsistencies, examine multiple points of view, and differentiate what one knows from what one merely believes.
Inductive reasoning-
generalizations are formed from a set of facts or observations
Deductive reasoning-
by contrast, is reasoning from the general premise to the specific conclusion
What are some attitudes that foster critical thinking?
Independence, fair-mindedness, insight into egocentricity, intellectual humility, intellectual courage to challenge the status quo and rituals, integrity, perseverance, confidence, and curiosity.
When should critical thinking be used?
Problem solving, trial and error, intuition, research process, and decision making.
Why is critical thinking used in decision making?
to help choose the best action to meet a desired goal.
What is the mind map look like for critical thinking?
TRIGGERS:
complex problem, dilemma
STARTING POINTS:
intuition, brain storming, thinking aloud, reflections.
SCAFFOLDS:
knowledge base, CT dispositions, CT skills, life/professional experiences, expertise
PROCESSES:
Reflection-in-knowing, Reflection-in-action, convergent/divergent thinking, nursing process, problem solving, creative thinking, diagnostic/clinical reasoning
OUTCOMES:
Problems, resolution, clinical judgement, reflective practice.
Concept mapping-
a technique that uses a graphic depiction of nonlinear and linear relationships to represent critical thinking.
A client with diarrhea also has a PCP order for bulk laxative daily. The nurse, not realizing that bulk laxatives can help solidify certain types of diarrhea, concludes, "the PCP does not know the client has diarrhea." This statement is an example of...
An inference
A client reports feeling hungry, but does not eat when food is served. Using critical thinking skills, the nurse should perform which of the following?
1. Assess why the client is not ingesting the food provided
2. Continue to leave the food at the bedside until the client is hungry enough to eat
3. Notify the PCP that tube feeding may be indicated soon
4. Believe that client is not really hungry.
1. Assess why the client is not ingesting the food provided
one nurse expresses that the manager prepared the holiday work schedule unfairly. The manager states that it is the same type of schedule used in the past and other nurses have no problems with it. Which response indicates the nurse is displaying an attitude of critical thinking?
1. accepting it
2. Recognize the nurse must have reached a false conclusion
3. consider going to a higher authority
4. continuing to query the manager until the nurse understands the explanation
4. continuing to query the manager until the nurse understands the explanation
The client who is SOB 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. This decision is an example of:
Research Method
In the decision-making process, the nurse sets and weights the criteria, examines alternatives, and performs which of the following before implementing the plan?
1. reexamines the purpose for making the decision
2. consults the client and family members to determine their view of the criteria
3. identifies and considers various means for reaching the outcomes
4. determines the logical course of action should intervening problems arise
4. 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 critical thinking?
1. Notify the PCP
2. Obtain vital signs and O2 sat
3. Request a chest x-ray
4. Call the rapid response team
2. Obtain vital signs and O2 sat
The nurse is teaching a client about wound care during a follow up visit in the client's home. Which critical thinking supports evidence-based practice when the client states, "I just don't know how I can afford these dressings"
1. Integrity
2. Intellectual humility
3. Confidence
4. Independence
1. Integrity
When the nurse considers that a client is from a developing country and may have a positive TB test due to a prior vaccination, which critical thinking attitude and skill is the nurse practicing?
Creating environments that support critical thinking.
A client in a cardiac rehab 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?
1."I will get a dietary consult to talk to you before next week"
2."what do you think is so difficult about following a low sodium diet"
3. "at least you survived a heart attack and are able to return to work"
4. "you may not need to follow a low sodium diet for as long as you think."
2."what do you think is so difficult about following a low sodium diet"
Which reasoning process describes the nurse's actions when the nurse evaluates possible solutions for care of an infected wound for optimal client outcomes?
1. intuition
2. research process
3. trial and error
4. problem solving
4. problem solving