Chapter 10 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 10 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

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

Correct Answer: 2

Rationale 1: Administering IV meds (even to critically ill clients) does not require much reasoning. There are standard procedures to follow and, most of the time, clear answers about the rationale.

Rationale 2: Nurses who utilize good critical thinking skills are able to think and act in areas where there are neither clear answers nor standard procedures. Treatment options, especially for the home health client, can be extensive. There are many points to consider (good and bad), and choosing between treatment options can cause conflict among family members. The nurse in this case must use creativity, analysis based on science, and problem-solving skills—all of which contribute to critical thinking skills.

Rationale 3: Teaching new parents about car seat safety does not require much reasoning. There are standard procedures to follow and, most of the time, clear answers about the rationale.

Rationale 4: Teaching correct use of crutches does not require much reasoning. There are standard procedures to follow and, most of the time, clear answers about the rationale.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 1. Describe the significance of developing critical thinking abilities in order to practice safe, effective, and professional nursing care.

MNL Learning Outcome: 1.4.1. Analyze the role of assessment in the establishment of the nursing process.

Page Number: 144

Question 2

Type: MCSA

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.”

Correct Answer: 4

Rationale 1: Explaining the rationale for doing or not doing the exercises is not using creativity. It is merely explaining the reason.

Rationale 2: This shows no creativity and merely dismisses the client’s concerns and feelings.

Rationale 3: This shows no creativity and merely dismisses the client’s feelings.

Rationale 4: Making the exercise routine into something more fun—such as a game, drawing a picture, or even “decorating the walls,” for example—would raise a challenge to the client, take the focus off the “why,” and still achieve the end result.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementing

Learning Outcome: 2. Describe the actions of clinical reasoning in the implementation of the nursing process.

MNL Learning Outcome: 1.4.1. Analyze the role of assessment in the establishment of the nursing process.

Page Number: 145

Question 3

Type: MCSA

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. “You’ll get bored if you don’t learn to be creative.”

Correct Answer: 1

Rationale 1: Creativity is thinking that results in the development of new ideas and products and is the ability to develop and implement new and better solutions. When nurses incorporate creativity into their thinking, they are able to find unique solutions to unique problems. Creativity does make the nurse look beyond the answers found in the text, but it also brings originality and individuality to nursing.

Rationale 2: This option does not address the reason creativity is a major component of critical thinking, and appears to dismiss the student’s statement.

Rationale 3: This option doesn’t address the reason for creativity in nursing and merely trivializes its importance.

Rationale 4: This option doesn’t address the reason for creativity in nursing and merely provides a personal motive for creativity.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementing

Learning Outcome: 1. Describe the significance of developing critical thinking abilities in order to practice safe, effective, and professional nursing care.

MNL Learning Outcome: 1.4.1. Analyze the role of assessment in the establishment of the nursing process.

Page Number: 145