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19 Cards in this Set

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THIS PROCESS INVOLVES USE OF THE MIND IN FORMING CONCLUSIONS, MAKING DECISIONS, DRAWING INFERENCES AND REFLECTING
A. ASSESSMENT
B. CRITICAL THINKING
C. THINKING INDEPENDENTLY
D. INTELLECTUAL HUMILITY
B. CRITICAL THINKING
THE NURSE IDENTIFIES WAYS THAT HE CAN IMPROVE HIS OWN PERFORMANCE. HE REFLECTS ON HIS NURSING EXPERIENCES. THIS IS AN EXAMPLE OF THE CORE CRITICAL THINKING SKILL:
A. INFERENCE
B. EXPLANATION
C. ANALYSIS
D. SELF-REGULATION
D. SELF REGULATION
DURING THE DAY THE NURSE SPENDS TIME INSTRUCTING A CLIENT HOW TO SELF-ADMINISTER INSULIN. aFTER DISCUSSING THE TECHNIQUES AND DEMONSTRATING AN INJECTION, THE NURSE HAS THE CLIENT TRY IT. AFTER TWO ATTEMPTS THE CLIENT OBVIOUSLY DOES NOT UNDERSTAND HOW TO PREPARE THE CORRECT DOSE. WHEN THE NURSE RETURNS TO THE MEDICATION ROOM, HE DISCUSSES THE SITUATION WITH THE CHARGE NURSE, REVIEWING HIS APPROACH WITH THE CLIENT AND ASKING FOR HER SUGGESTIONS ON HIS TECHNIQUE. THIS IS AN EXAMPLE OF:
A. REFLECTION
B. RISK TAKING
C. CLIENT ASSESSMENT
D. CARE PLAN EVALUATION
A. REFLECTION
AN EXPERIENCED SURGICAL NURSE ENTERS A SURGICAL CLIENT'S ROOM AND SUSPECTS THAT THE CLIENT IS EXPERIENCING A SURGICAL COMPLICATION. THE NURSE BEGINS AN ASSESSMENT OF VITAL SIGNS, THE CLIENTS WOUNDS, AND THE INTRAVENOUS (IV) LINE STATUS AND AN ANALYSIS OF HOW THE CLIENT FEELS TO GATHER INFORMATION AND VERIFY WHETER THE ____ WAS CORRECT AND THE PROBLEM REALLY EXISTS
A. KNOWLEDGE
B. INTUITION
C. REFLECTION
D. RISK TAKING
B. INTUITION
A NURSE USES AN INSTITUITION PROCEDURE MANUAL TO CONFIRM HOW TO INSERT A FOLEY CATHETER. THE LEVEL OF CRITICAL THINKING THE NURSE IS USING IS:
A. COMMITMENT
B. COMPLEX CRITICAL THINKING
C. SCIENTIFIC METHOD
D. BASIC CRITICAL THINKING
D. BASIC CRITICAL THINKING
A CLIENT HAS A NURSING DIAGNOSIS OF ANXIETY AND DEFICIENT KNOWLEDGE CONCERNING HIS IMPENDING SURGERY. THE NURSE DECIDES THAT THE CLIENTS ANXIETY MUST BE ADDRESSED FIRST IN ORDER FOR THE CLIENT TO BE RECEPTIVE TO ANY FORMAL INSTRUCTION ABOUT THE SURGERY. THIS DECISION IS CONSIDERED A PART OF:
A. ASSESSMENT
B. PLANNING
C. INTERVENTION
D. EVALUATION
C. PLANNING
A CLIENT HAD A HIP SURGERY 24 HOURS AGO. WHEN THE NURSE BEGINS THE NURSING SHIFT, THE NURSE REFERS TO THE WRITTEN PLAN OF CARE, NOTHING THAT THE CLINET HAS A DRAINAGE DEVICE COLLECTING WOUND DRAINAGE. THE PHYSICIANS ORDER REQUIRES THAT THE PHYSICIAN BE NOTIFIED WHEN DRAINAGE IN THE DEVICE EXCEEDS 100ML FOR THE DAY. WHEN THE NURSE ENSTERS THE ROOM, THE NURSE LOOKS AT THE DEVICE AND CAREFULLY NOTES THE AMOUNT CURRENTLY IN THE DEVICE. tHIS IS AN EXAMPLE OF:
1. ASSESSMENT
2. PLANNING
3. INTERVENTION
4. EVALUATION
4 EVALUATION
THE NURSE ASKS THE CLIENT HOW SHE FEELS ABOUT HER IMPENDING SURGERY FOR BREAST CANCER. BEFORE THE DISCUSSION THE NURSE REVIEWED THE DESCRIPTION IN HIH TEXTBOOK OF LOSS AND GRIEF IN ADDITION TO THERAPEUTIC COMMUNICATION PRINCIPLES. THE CRITICAL THINKING COMPONENT INVOLVED IN THE NURSES REVIEW OF THE LITERATURE IS
1. EXPERIENCE
2. PROBLEM SOLVING
3. KNOWLEDGE APPLICATION
4. CLINICAL DECISION MAKING
3. KNOWLEDGE APPLICATION
A 72 YEAR OLD WOMAN HAS BEEN A CLIENT ON THE MEDICAL UNIT FOR ABOUT 4 DAYS. WHEN SHE WAS FIRST ADMITTED. SHE WAS ALERT AND ORIENTATED. FOR THE LAST 24 HOURS SHE BECOME ACUTELY CONFUSED AND REPEATEDLY ATTEMPTED TO GET OUT OF BED. THE NURSING STAFF HAS DISCUSSED THE POSSIBILITY OF USING RESTRAINTS; HOWEVER, ONE NURSE INSISTS THAT USE OF ORIENTATION AND MEANINGFUL DIVERSION SHOULD BE TRIED. THIS IS AN EXAMPLE OF THE CRITICAL THINKING ATTITUDE:
A. INTEGRITY
B. RISK TAKING
C. THINKING INDEPENDENTLY
D. RESPONSABILITY AND AUTHORITY
C. THINKING INDEPENDENTLY
THE NURSE DOES NOT TAKE SHORTCUTS WHEN ADMINISTERING MEDICATIONS. tHIS IS AN EXAMPLE OF CRITICAL THINKING ATTITUDE:
A. RESPONSABILITY AND ACCOUNTABILITY
B. THINKING INDEPENDENTLY
C. FAIRNESS
D. DISCIPLINE
A. RESPONSABILITY AND ACCOUNTABILITY
1. Before performing a procedure for the first time in a new agency, the travel nurse:
A. Asks the charge nurse how to perform the procedure
B. Reads about the procedure in the policy and procedure manual
C. Performs the procedure according to the agency where previously worked
D. Refuses to perform the procedure
B
Which is the most accurate information about a client the nurse receives during change-of-shift report?
A. Client encouraged to consume increased fluids.
B. Client expressed concern about pending surgery.
C. Client refuses to take medications.
D. Client reports sharp pain in left anterior knee.
D
Upon entering a client’s room during change-of-shift rounds, you notice that the client and spouse have their backs turned to each other, and both have their arms folded across their chest. The best action for the nurse to take at this time is to:
A. Ask the client and spouse if they need some time alone right now
B. Proceed with the tasks you were intending to perform
C. Introduce yourself to begin discharge teaching
D. Say nothing and leave quickly, closing the door behind you
A
A physician orders a urinary catheter to be inserted into a female client with severe contractures of the upper and lower extremities. Which of the following positions would most likely ensure success of catheterization?
A. Dorsal recumbent
B. Side-lying
C. Prone
D. Trendelenburg’s
B
The nurse and a nurse’s aide are about to assist an obese client who has an amputated right arm at the shoulder joint out of bed. The nurse is most concerned about:
A. Client falling
B. Upper body strength of the nurse and nurse’s aide
C. Ability to encircle client at the waist
D. The nurse’s recent back pain
A
After a student nurse makes a medication error, which of the following actions is performed first?
A. Notify the instructor.
B. Complete the medication administration error form.
C. Notify the physician.
D. Assess the client.
D
A client with diabetes mellitus treated with daily insulin injections is scheduled for surgery tomorrow. He will be NPO (nothing by mouth) after midnight. You question whether his insulin should be given the morning of surgery. This is an example of:
A. Problem solving
B. Scientifically based clinical judgment
C. Clinical practice guideline
D. Previous experience
B
A client who was newly admitted begins to have chest pain. Before calling the physician, the nurse gathers the following additional data (select all that apply.):
A. Pain intensity
B. Character of pain
C. Location of pain
D. Meaning of pain to the client
E. Radiation of pain
F. Family history of myocardial infarctions
A, B, C, E
You are caring for the following four clients. Identify in which order you would see them (1 being seen first; 4 being seen last). Client who: a. Has just returned from surgery following a hernia repair using local anesthesia b. Was started on an intravenous (IV) antibiotic 10 minutes ago and is now reporting shortness of breath c. Is confused and yelling loudly, disturbing other clients and visitors d. Is requesting pain medication for a pain intensity of 9 out of 10
B, D, A, C