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chapter 10 (162-273, 172-173)

Question 1 of 10

1

A client with diarrhea also has a primary care provider’s order for a bulk laxative daily. The nurse, not realizing that bulk laxatives can help solidify certain types of diarrhea, concludes, “The primary care provider does not know the client has diarrhea.” This statement is an example of

Select one of the following:

  • A fact.

  • An inference.

  • A judgment.

  • An opinion.

Explanation

Question 2 of 10

1

A client reports feeling hungry, but does not eat when food is served. Using critical thinking skills, the nurse should perform which of the following?

Select one of the following:

  • Assess why the client is not ingesting the food provided.

  • Continue to leave the food at the bedside until the client is hungry enough to eat.

  • Notify the primary care provider that tube feeding may be indicated soon.

  • Believe the client is not really hungry.

Explanation

Question 3 of 10

1

One nurse expresses that the manager prepared the holiday work schedule unfairly. The manager states that it is the same type of schedule used in the past and other nurses have no problems with it. Which response indicates the nurse is displaying an attitude of critical thinking?

Select one of the following:

  • Accepting the preferences of the other nurses since there are several of them

  • Recognizing that the nurse must have reached a false conclusion

  • Considering going to a higher authority than the manager for an explanation

  • Continuing to query the manager until the nurse understands the explanation

Explanation

Question 4 of 10

1

The client who is short of breath benefits from the head of the bed being elevated. Because this position can result in skin breakdown in the sacral area, the nurse decides to study the amount of sacral pressure occurring in other positions. This decision is an example of

Select one of the following:

  • The research method.

  • The trial-and-error method.

  • Intuition.

  • The nursing process.

Explanation

Question 5 of 10

1

In the decision-making process, the nurse sets and weights the criteria, examines alternatives, and performs which of the following before implementing the plan?

Select one of the following:

  • Reexamines the purpose for making the decision

  • Consults the client and family members to determine their view of the criteria

  • Identifies and considers various means for reaching the outcomes

  • Determines the logical course of action should intervening problems arise

Explanation

Question 6 of 10

1

The nurse is concerned about a client who begins to breathe very rapidly. Which action by the nurse reflects critical thinking?

Select one of the following:

  • Notify the primary care provider

  • Obtain vital signs and oxygen saturation

  • Request a chest x-ray.

  • Call the rapid response team.

Explanation

Question 7 of 10

1

The nurse is teaching a client about wound care during a follow-up visit in the client’s home. Which critical thinking attitude causes the nurse to reconsider the plan and supports evidence-based practice when the client states, “I just don’t know how I can afford these dressings”?

Select one of the following:

  • Integrity

  • Intellectual humility

  • Confidence

  • Independence

Explanation

Question 8 of 10

1

When the nurse considers that a client is from a developing country and may have a positive tuberculosis test due to a prior vaccination, which critical thinking attitude and skill is the nurse practicing?

Select one of the following:

  • Creating environments that support critical thinking

  • Tolerating dissonance and ambiguity

  • Self-assessment

  • Seeking situations where good thinking is practiced

Explanation

Question 9 of 10

1

A client in a cardiac rehabilitation program says to the nurse, “I have to eat a low-sodium diet for the rest of my life, and I hate it!” Which is the most appropriate response by the nurse?

Select one of the following:

  • “I will get a dietary consult to talk to you before next week.”

  • “What do you think is so difficult about following a lowsodium diet?”

  • "At least you survived a heart attack and are able to return to work.”

  • “You may not need to follow a low-sodium diet for as long as you think.”

Explanation

Question 10 of 10

1

Which reasoning process describes the nurse’s actions when the nurse evaluates possible solutions for care of an infected wound for optimal client outcomes?

Select one of the following:

  • Intuition

  • Research process

  • Trial and error

  • Problem solving

Explanation