Chapter 1. Critical Thinking and the Nursing Process

Chapter 1. Critical Thinking and the Nursing Process

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____     1.   After receiving morning report, which patient should the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?

____     2.   During a class discussion, two nursing students demonstrated intellectual courage. What action did the nursing students perform?

____     3.   The nursing staff is planning a celebratory dinner and cake for a newly licensed practical nurse. Which of the new nurse’s human needs is supported by these actions?

____     4.   A patient with a newly fractured femur reports a pain level of 8/10, and analgesic medication is not due for another 50 minutes. Which actions should the nurse take?

____     5.   The nursing instructor is planning a teaching session on critical thinking for students. What should the instructor say when explaining critical thinking?

MULTIPLE CHOICE

1. ANS:  D
2. According to Maslow, humans’ basic physiological needs have the highest priority, and these patients’ health problems should be addressed first. Life-threatening needs are ranked first; health-threatening needs are second; and health-promoting needs are last. The elevated temperature has the greatest urgency. A, B, and C are not as high priority.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application

2. ANS:  D
3. Intellectual courage is looking at other points of view. A. Intellectual empathy allows a person to consider another’s situation. B. Intellectual integrity is seeking the same level of proof for comparable items. C. Intellectual perseverance is continuing to search for evidence about a concern.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care| Cognitive Level: Application

3. ANS:  A
4. Recognizing a person’s accomplishments enhances self-esteem. B. C. D. The staff’s actions are not meeting physiological, self-actualization, or safety and security needs of the new nurse.

PTS:   1                    DIF:    Moderate       KEY:  Client Need: Psychosocial Integrity

4. ANS:  C
5. The patient should not have to wait for pain relief. The LPN should inform the RN or physician, so new pain relief orders can be obtained. A. The patient who has a fractured femur is experiencing acute pain. Repositioning a patient with a new fracture is not likely to relieve pain. B. Giving the medication before the prescribed time is beyond the nurse’s scope of practice. D. The nurse needs to do more than expect the patient to wait for pain relief.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application

5. ANS:  D
6. Critical thinking is using knowledge and skills to make the best decisions possible in patient care situations. A. Collecting data describes assessment. B. Thinking of different ways to help a patient with a problem is planning. C. Determining if an action worked to eliminate a patient problem is evaluation.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application