Quiz 10: Critical Thinking and Clinical Reasoning

Nursing

Free

Essay

In critical thinking, it is important to ask or pose the questions to ourselves for proper analysis of the problem. In the given case, a client has a history of irritable bowel syndrome, which affects the intestines. The patient has again complained about not feeling good. In such a case, recurrence of the disease is possible. Therefore, one should conclude only after asking questions about all the possibilities. Following questions can help to critically analyze the case: 1. Are the signs of discomfort associated with minor disorders? 2. Can irritable bowel syndrome reoccur? 3. How can one confirm the possible recurrence of the disease? The questions can be answered through the internet sources, medical literature, or general knowledge. If one finds the response to the first two questions as positive, then tit is required to find the answer to the third question.

Q 2

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." What type of statement is this? 1) A fact 2) An inference 3) A judgment 4) An opinion

Free

Multiple Choice

Patient has suffered from diarrhea. Primary care provider has ordered a bulk laxative. Primary care provider has passed a statement without realizing that there are some types of diarrhea which can be treated with bulk laxatives has passed a statement that the healthcare has no idea about the patient's condition. Nurse has written the statement in a manner that it could not be a judgment or opinion. It would have been a judgment or opinion if the statement would have been like laxative would make diarrhea worse and hence should not be given. Prescription of the disease and the disease can be considered as facts rather than a statement or any order which is passed without listening to the other healthcare. Statement which may or may not be right can never be a fact. Hence, the options 1, 3 and 4 are incorrect. Nurse inferred and concluded. This conclusion was based on incomplete information. It may be or may not be accurate. It is a type of sentence which provides the conclusion that is the overall result with or without looking at the background information. Hence, the correct answer is option .

Q 3

W. is a 63-year-old recently retired engineer with a history of irritable bowel syndrome that causes frequent diarrhea and rectal bleeding. His wife is a schoolteacher. In mid-December he comes to the acute care clinic complaining about "not feeling good." You conclude he is having a recurrence of his intestinal problem. How would you demonstrate that you are using the critical thinking attitude of "confidence in reasoning"?

Free

Essay

Critical thinker must cultivate an attitude of confidence in the reasoning process and examine emotional arguments by asking questions about the validity of one's thinking. One needs to analyze the following questions that challenge the critical thinking: 1. "Is the argument fair?" 2. "Is it based on the facts and evidences?" If one is confident in the answers to such questions, then the thinking will be right, most of the times. Therefore, it demonstrates the confidence in the reasoning in this case. These answers can be answered by a critical thinker if he/she thoroughly researches the possible other explanations, counter-arguments, and supporting data. Then he/she should use his inductive and deductive reasoning to correlate and analyse all the information to the possible hypothesis or explanation. The second answer will be automatically understood if a critical thinker has used reasoning based critical thinking.

Q 4

A client reports feeling hungry, but does not eat when food is served. Using clinical reasoning skills, the nurse should perform which of the following? 1) Assess why the client is not ingesting the food provided. 2) Continue to leave the food at the bedside until the client is hungry enough to eat. 3) Notify the primary care provider that tube feeding may be indicated soon. 4) Believe the client is not really hungry.

Multiple Choice

Q 5

W. is a 63-year-old recently retired engineer with a history of irritable bowel syndrome that causes frequent diarrhea and rectal bleeding. His wife is a schoolteacher. In mid-December he comes to the acute care clinic complaining about "not feeling good." You conclude he is having a recurrence of his intestinal problem. Socrates might ask you about the consequences of your conclusion by posing the question "What are the implications of your thinking?" How would you answer? Consider the implications if you are correct and if you are incorrect in your assumption.

Essay

Q 6

A client complains of shortness of breath. During assessment the nurse observes that the client has edema of the left leg only. The nurse reviews evidence-based practice literature and reflects on a previous client with the same clinical manifestations. What do these actions represent? 1) Clinical judgment 2) Clinical reasoning 3) Reflection 4) Intuition

Multiple Choice

Q 7

W. is a 63-year-old recently retired engineer with a history of irritable bowel syndrome that causes frequent diarrhea and rectal bleeding. His wife is a schoolteacher. In mid-December he comes to the acute care clinic complaining about "not feeling good." You conclude he is having a recurrence of his intestinal problem. Critical thinkers look for subtle cues. Which cues in this situation require follow-up?

Essay

Q 8

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. What decision making is the nurse engaging in? 1) The research method 2) The trial-and-error method 3) Intuition 4) The nursing process

Multiple Choice

Q 9

In the clinical reasoning process, the nurse sets and weighs the criteria, examines alternatives, and performs which of the following before implementing a plan? 1) Reexamines the purpose for making the decision. 2) Consults the client and family members to determine their view of the criteria. 3) Identifies and considers various means for reaching the outcomes. 4) Determines the logical course of action should intervening problems arise.

Multiple Choice

Q 10

The nurse is concerned about a client who begins to breathe very rapidly. Which action by the nurse reflects clinical reasoning? 1) Notify the primary care provider. 2) Obtain vital signs and oxygen saturation. 3) Request a chest x-ray. 4) Call the rapid response team.

Multiple Choice

Q 11

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"? 1) Integrity 2) Intellectual humility 3) Confidence 4) Independence

Multiple Choice

Q 12

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? 1) Creating environments that support critical thinking 2) Tolerating dissonance and ambiguity 3) Self-assessment 4) Seeking situations where good thinking is practiced

Multiple Choice

Q 13

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? 1) "I will get a dietary consult to talk to you before next week." 2) "What do you think is so difficult about following a low-sodium diet?" 3) "At least you survived a heart attack and are able to return to work." 4) "You may not need to follow a low-sodium diet for as long as you think."

Multiple Choice

Q 14

Which reasoning process describes the nurse's actions when the nurse evaluates possible solutions for care of an infected wound for optimal client outcomes? 1) Intuition 2) Research process 3) Trial and error 4) Problem solving

Multiple Choice

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