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Chapter 15
Nursing concepts fscj nw 2012
25
Nursing
Undergraduate 3
10/06/2011

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Term
you must learn to question, wonder, and explore different perspectives and interpretations in order to find a _____ that benefits the client.
Definition
solution
Term
_____ _____is an active, organized, cognitive process used to carefully examine one's thinking and the thinking of others
Definition
critical thinking
Term
a ______ _____ considers what is important in a situation, imagines and explores alternatives, considers ethical principles, and then makes informed decisions.
Definition
critical thinker
Term
the use of ___ ___ knowledge... knowledge based on research or clinical expertise, makes you an informed critical thinker.
Definition
evidence based
Term
6 critical thinking skills
Definition
interpretation, analysis, inference, evaluation, explanation, self regulation
Term
Critical Thinking Behavior:
Seek the true meaning of a situation. Be courageous about asking questions; be honest and objective about asking questions.
Definition
truth seeking
Term
critical thinking behavior:
Be tolerant of different views; be sensitive to the possibility of your own prejudices; respect the right of others to have different opinions.
Definition
Open-mindedness
Term
Critical Thinking Behavior:
Analyze potentially problematic situations; anticipate possible results or consequences; value reason; use evidence-based knowledge.
Definition
Analyticity
Term
Critical Thinking Behavior:
Be organized, focused; work hard in any inquiry.
Definition
Systematicity
Term
Critical Thinking Behavior:
Trust in your own reasoning processes.
Definition
Self-confidence
Term
critical thinking behavior:
Be eager to acquire knowledge and learn explanations even when applications of the knowledge are not immediately clear. Value learning for learning's sake
Definition
Inquisitiveness
Term
critical thinking behavior:
Multiple solutions are acceptable. Reflect upon your own judgments; have cognitive maturity.
Definition
Maturity
Term
Your ability to think critically grows as you gain new knowledge in nursing practice. Kataoka-Yahiro and Saylor (1994) developed a critical thinking model (Figure 15-1) that includes three levels of critical thinking
Definition
basic, complex, and commitment
Term
Your ability to think critically grows as you gain new knowledge in nursing practice. Kataoka-Yahiro and Saylor (1994) developed a critical thinking model (Figure 15-1) that includes three levels of critical thinking
Definition
basic, complex, and commitment
Term
At the ____ _____ of critical thinking a learner trusts that experts have the right answers for every problem. Thinking is concrete and based on a set of rules or principles.
Definition
basic level
Term
_____ critical thinkers begin to separate themselves from authorities. They analyze and examine choices more independently.
Definition
complex
Term
At this critical thinking level a person anticipates the need to make choices without assistance from others. Whatever decision you make, accept accountability for it.
Definition
commitment
Term
The nursing process is a five-step clinical decision-making approach that includes :
Definition
assessment, diagnosis, planning, implementation, and evaluation.
Term
1. During change-of-shift report the night nurse states, “Mr. Sierra told me that he has had a bad experience with surgery in the past. I did not get a chance to ask him about it. We had a number of clients requiring procedures last night. He seems a bit anxious this morning.” As the day shift nurse, going to visit Mr. Sierra to clarify what experience he has had with surgery is an example of which critical thinking attitude?

1. Integrity

2. Discipline

3. Confidence

4. Perseverance
Definition
2 4
Term
2. When you enter Mr. Ryan's room, he tells you, “I am not happy with the way the client care technician did my bath. He just seemed to be in a hurry and did not wash my back like I asked.” You decide to go talk with the technician to learn his side of the story as well. This is an example of:

1. Fairness

2. Curiosity

3. Risk taking

4. Responsibility
Definition
1
Term
3. The surgical unit has initiated the use of a pain rating scale, which is to be used to assess clients' pain severity during their postoperative recovery. Susan, the registered nurse (RN) assigned to Ms. Wills, looks at the pain flow sheet to see Ms. Wills' pain scores over the last 24 hours. Use of the pain scale is an example of which intellectual standard?

1. Deep

2. Relevant

3. Consistent

4. Significant
Definition
3
Term
4. During the day the nurse spends time instructing a client in how to self-administer insulin. After discussing the techniques and demonstrating an injection, the nurse has the client try it. After two attempts the client obviously does not understand how to prepare the correct dose. When the nurse returns to the medication room, he discusses the situation with the charge nurse, reviewing his approach with the client and asking for her suggestions on his technique. This is an example of:

1. Reflection

2. Risk taking

3. Problem solving

4. Client assessment
Definition
3
Term
5. A nurse uses an institution's procedure manual to confirm how to insert a Foley catheter. The level of critical thinking the nurse is using is:

1. Commitment

2. Scientific method

3. Basic critical thinking

4. Complex critical thinking
Definition
3
Term
6. A client had hip surgery 24 hours ago. The nurse refers to the written plan of care, noting that the client has a drainage device collecting wound drainage. The health care provider is to be notified when drainage in the device exceeds 100 mL for the day. When the nurse enters the room, the nurse looks at the device and carefully notes the amount of drainage currently in the device. This is an example of:

1. Planning

2. Evaluation

3. Intervention

4. Assessment
Definition
4
Term
7. The nurse asks a client how she feels about her impending surgery for breast cancer. Before the discussion the nurse reviewed the description in his textbook of loss and grief in addition to therapeutic communication principles. The critical thinking component involved in the nurse's review of the literature is:

1. Experience

2. Problem solving

3. Knowledge application

4. Clinical decision making
Definition
3
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