1
Chapter 10 Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 10 Question 1 The nurse is providing care to a group of clients. For which situation would the nurse’s use of critical thinking be a priority? 1. Administering IV push meds to critically ill clients 2. Educating a home health client about treatment options 3. Teaching new parents car seat safety 4. Assisting an orthopedic client with the proper use of crutches Question 2 A client recovering from a stroke does not want to perform prescribed shoulder exercises. What should the nurse say to the client that demonstrates critical thinking with creativity? 1. “You’ll only get worse if you don’t do these exercises.” 2. “As soon as you get these into your routine, you’ll feel better.” 3. “Your physician wouldn’t have ordered these if they weren’t important.” 4. “Here’s a marker. See how many circles you can make on this board in 10 minutes.” Question 3 A student nurse resists when encouraged to be creative when providing client care. What should the nurse educator say to encourage this student to be creative? 1. “Creativity allows unique solutions to unique problems.” 2. “Not all your answers are going to be from your textbook.” 3. “Creativity makes nursing more fun.”
- / 4
2
4. “You’ll get bored if you don’t learn to be creative.” Question 4 The nurse educator assigns students an activity to implement Socratic questioning in their daily lives. Which question provided by a student demonstrates this reasoning technique? 1. “What makes you think cramming for a test is an ineffective way to study?” 2. “What other ways of studying could you implement?” 3. “If you didn’t study for your test, what is the probability you will fail?” 4. “If you study all the unit outcomes, what effect will that have?”
Correct Answer: 1
Question 5 A client is experiencing a productive cough, audible coarse crackles, elevated temperature of 102.3°F, chills, and body aches. What did the nurse use to determine that this patient is experiencing respiratory compromise? 1. Deductive reasoning 2. Inductive reasoning 3. Socratic questioning 4. Critical analysis
Correct Answer: 1
Question 6 A client with a PhD in epidemiology has been to numerous physicians and has had numerous laboratory tests, all of which were abnormal, and exploratory surgery, but no one is able to explain the etiology of his problem. The client also states that he has a rare form of a neurological disorder. Which statement should the nurse make that demonstrates critical thinking? 1. “Why don’t you just tell your physician what you think you have?” 2. “Did you bring your prior tests and results with you, so we don’t repeat anything?”
- / 4
3
3. “If you know what you have, what do you want from us?” 4. “Describe what tests you’ve had and explain the symptoms of this disorder.” Question 7 A nurse educator has always believed that lectures with focused outlines are the best way to present theory content in class. A colleague, who teaches the same group of students, but a different subject, utilizes group work and in-class activities to teach difficult content and finds that students perform as well, or better, on their tests. The first educator in this situation is starting to rethink her position. What behavior is the first educator demonstrating? 1. Integrity 2. Perseverance 3. Fair-mindedness 4. Humility
Correct Answer: 1
Question 8 The nurse who just moved from an urban area to a sparsely populated rural area understands that certain customs and practices the nurse follows may be quite foreign to the people in the new area. Which attitude of critical thinking is the nurse demonstrating? 1. Fair-mindedness 2. Insight into egocentricity 3. Intellectual humility 4. Intellectual courage to challenge the status quo and rituals Question 9 The nurse implements a quicker way to set up and initiate an intravenous infusion while still following safe practice. Which attitude of critical thinking is this nurse practicing? 1. Independence 2. Intellectual courage to challenge the status quo or rituals
- / 4
4
3. Integrity 4. Confidence Question 10 The nurse questions the practice of administering rectal suppositories to residents in a long-term care facility at bedtime, rather than earlier in the day. When told that this is the best time for staff and that’s the routine that has been practiced for a long time, the nurse continues to research whether there would be a better time, especially in the best interest of the residents. Which critical thinking attitude is this nurse demonstrating? 1. Confidence 2. Perseverance 3. Curiosity 4. Integrity
Correct Answer: 3
Question 11 A seasoned nurse uses past experiences and knowledge gained from previous care situations to care for a client with complex health issues. Which attribute of critical thinking is this nurse practicing? 1. Reflection 2. Context 3. Dialogue 4. Time Question 12 While listening to a client describe current symptoms, the nurse considers the client’s entire situation. Which attribute of critical thinking is the nurse practicing?
- / 4