Chapter 02: Critical Thinking and the Nursing Process

Chapter 02: Critical Thinking and the Nursing Process

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which foundational behavior is necessary for effective critical thinking?

a.	Unshakable beliefs and values
b.	An open attitude
c.	An ability to disregard evidence inconsistent with set goals
d.	An 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.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   16, Box 2-1

OBJ:   2 (theory)       TOP:   Factors Influencing Critical Thinking

KEY:  Nursing Process Step: N/A              MSC:  NCLEX: Health Promotion and Maintenance

 

2. Which fundamental belief underscores the basis of the nursing process?

a.	Recognition that basic needs must be met by the individual without assistance.
b.	Acknowledgment that patients and families appreciate an efficient health care system that functions without their input.
c.	A focus on disease control as the most important aspect of patient care.
d.	Recognition that all people 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.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   17

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. The nurse is assessing a new patient who complains of his chest feeling tight. The patient displays a temperature of 100° F and an oxygen saturation of 89%, and expectorates frothy mucus. Which finding is an example of subjective data?

a.	Temperature
b.	Oxygen saturation
c.	Frothy mucus
d.	Chest tightness

 

 

ANS:  D

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.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   18

OBJ:   8 (clinical)      TOP:   Assessment Data

KEY:  Nursing Process Step: Planning

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

 

4. The nurse is caring for a newly admitted patient who is describing his recent symptoms to the nurse. This scenario is an example of which type of source?

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.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   19

OBJ:   8 (clinical)      TOP:   Sources of Information

KEY:  Nursing Process Step: Assessment

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

 

5. The nurse is performing an intake interview on a new resident to the long-term care facility. The nurse detects the odor of acetone from the patient’s breath. Which term accurately describes this assessment?

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.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   20

OBJ:   9 (clinical)      TOP:   Olfaction        KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance