Clinical Theory in Nursing 310 Questions with

Clinical Theory in Nursing 310 Questions with Complete Solutions Match the intellectual standard with the scenario that represents it.

• The nurse completely understands the complexities of the issue.
• The nurse's perspective has been confirmed as factual.
• Others understand the nurse's point of view.
• The nurse focuses on the most important aspects of the situation. - Correct Answer 1. Depth
• Accuracy
• Clarity
• Significance

Which actions demonstrate a nurse using the Clinical Judgment Measurement Model (CJMM) and critical thinking when a patient reports increased pain at the surgical site? - Correct Answer -Verifying that no pain medications were prescribed after surgery and calling the health care provider to inform them of the patient's change in status to see if pain medication can be given.-Use nonpharmaceutical treatment of focused deep breathing and imagery to help relieve the patient of pain after verifying that no pain medications were prescribed.-Assessing the patient's vital signs and verifying which pain medications were prescribed and when pain medication was last given to the patient.-Assessing the surgical site to determine whether infection could be the cause of increased pain.Match the description of the nurse with the appropriate career stage. - Correct Answer -A nurse with

• years of experience, who just started working in the ICU- Novice

-A nurse with 18 months of experience in the cardiac step down unit- Advanced beginner -The charge nurse in the neonatal ICU- Proficient -The neurosurgery unit staff educator nurse- Expert The ED nurse is handing off care of a patient to the ICU nurse. The ED nurse is giving report using the Situation, Background, Assessment, Recommendation (SBAR) method. The ED nurse tells the ICU nurse that the patient is admitted for respiratory distress and is currently homeless. Which SBAR communication element does this scenario represent? - Correct Answer Background Match the clinical reasoning process with it descriptor. - Correct Answer -Recognizing the detail that is most important in the scenario-Right cue 1 / 2

-Identifying which tasks are most important and should be performed first- Right time -Identifying which tasks can be delegated- Right action -Recognizing that the action is necessary and professional- Right reason The nurse is caring for a patient who is pregnant with her fifth child and considering terminating the pregnancy. The patient has asked the nurse for more information. For the past 2 years, the nurse has been unsuccessful in her own attempts to become pregnant. Which intellectual standard is the nurse most likely to have difficulty applying in this situation? - Correct Answer Empathy Critical thinking is a conscious decision not to accept something at face value and instead attempt to analyze it from all perspectives. Which actions are considered part of the critical-thinking process? - Correct Answer -Identifying the concern -Determining which information is most relevant -Gathering the input of others -Vetting the information presented According to Alfaro-LeFevre, which individual should be most adept at thinking critically? - Correct Answer A 22-year-old woman whose father was in the military, requiring her to live in Germany, England, California, Florida, and Missouri An experienced nurse, who is precepting a new nurse, is caring for a critically ill patient and just placed a feeding tube as prescribed. After auscultation of air into the stomach to confirm tube placement, the preceptor initiates the tube feeding. The new nurse questions the starting of feeds without verifying nasogastric (NG) tube placement by x-ray, which is the new standard of care. The preceptor responds, "I have been a nurse for 20 years, and I have always verified placement by auscultation of air into the stomach." This response is an example of which activity that can hinder critical thinking? - Correct Answer Close-mindedness Which term describes subjective indications of a disease or a change in condition as perceived by the patient? - Correct Answer Symptoms Which concept describes the process in which the nurse collects information related to a patient problem by speaking with the patient? - Correct Answer Subjective data collection Which model of data organization uses a holistic approach to the patient and potentially reveals data patterns the nurse might otherwise overlook? - Correct Answer Gordon's Functional Health Patterns

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