Chapter 02: Critical Thinking and Nursing Process

Chapter 02: Critical Thinking and Nursing Process

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Basic to the ability to apply critical thinking, the nurse must have:

a.	unshakable beliefs and values.
b.	an open attitude.
c.	the ability to disregard evidence inconsistent with set goals.
d.	the ability to recognize the perfect solution.

 

 

ANS:  B

An open attitude not clouded by unshakable beliefs and values or preset goals allows the application of critical thinking. Acceptance that there may not be a perfect solution leaves the field open to new ideas.

 

DIF:    Cognitive Level: Comprehension     REF:   14-15             OBJ:   2 (theory)

TOP:   Factors Influencing Critical Thinking                                KEY:  Nursing Process Step: NA

MSC:  NCLEX: Health Promotion and Maintenance

 

2. The nurse explains that a fundamental basis for the nursing process is:

a.	that basic needs must be met by the individual without assistance.
b.	that patients and families appreciate an efficient health care system that functions without their input.
c.	a focus on disease control.
d.	that all persons have worth and dignity.

 

 

ANS:  D

The nursing process is based on the belief that all people have worth and dignity. Patient-centered care that is applied to all aspects of the patient’s health, and is not just disease oriented, is appreciated by the family and patient. Holistic care approach can support the patient to meet basic needs.

 

DIF:    Cognitive Level: Application           REF:   16                  OBJ:   5 (theory)

TOP:   Basic Beliefs Pertinent to the Nursing Process

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

3. Upon a patient’s admission to the facility, the nurse collects the following data: patient’s temperature is 100° F, oxygen saturation is 89%, frothy mucus is expectorated, and the patient’s chest feels tight. The nurse correctly identifies tightness in the chest as:

a.	judgmental.
b.	objective data.
c.	subjective data.
d.	drawing a conclusion.

 

 

ANS:  C

Subjective data is information given by the patient that cannot be measured otherwise. The other data are considered objective data. Objective data are pieces of information that can be measured by the examiner. The nurse should avoid making judgments or conclusions when obtaining data.

 

DIF:    Cognitive Level: Application           REF:   18                  OBJ:   2 (clinical)

TOP:   Assessment Data                             KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

4. The newly admitted patient is describing his recent symptoms to the nurse. The nurse is aware that the source of this information is considered:

a.	primary.
b.	objective.
c.	secondary.
d.	complete.

 

 

ANS:  A

The patient is the primary source of information. Objective refers to a type of data obtained by the nurse that is measured or can be verified through assessment techniques, secondary information is obtained from relatives or significant others, and information is not necessarily complete when the patient is the source.

 

DIF:    Cognitive Level: Application           REF:   19                  OBJ:   2 (clinical)

TOP:   Sources of Information                    KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

5. The nurse performing an intake interview on a new resident to the long-term care facility detects the odor of acetone from the patient’s breath. The assessment is done by:

a.	inspection.
b.	observation.
c.	auscultation.
d.	olfaction.

 

 

ANS:  D

Olfaction is an assessment method of smells. Inspection and observation use the sense of vision. Auscultation refers to use of the sense of hearing.

 

DIF:    Cognitive Level: Comprehension     REF:   20                  OBJ:   3 (clinical)

TOP:   Olfaction        KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance