Nursing Process And Critical Thinking Review Test
Welcome to our Nursing Process and Critical Thinking Review Test, a comprehensive tool designed to elevate your nursing expertise and decision-making abilities. This quiz is essential for nursing students and practicing nurses who aim to refine their assessment, planning, implementation, and evaluation skills, all through the lens of critical thinking. Our quiz meticulously covers all phases of the nursing process, integrating critical thinking scenarios that challenge you to apply theoretical knowledge in practical, real-world healthcare situations. You'll encounter a variety of question formats that probe your ability to analyze information, prioritize patient care, and make informed decisions quickly and effectively. Read more Whether you are preparing for your NCLEX exams, brushing up on your clinical practices, or seeking to enhance your professional development, this test provides the perfect opportunity to assess and improve your critical thinking and nursing process skills. Dive into our Nursing Process and Critical Thinking Review Test today to test your knowledge, sharpen your critical thinking, and ensure you're fully prepared to provide the highest quality of care in any nursing setting.
Nursing Process and Critical Thinking Questions and Answers
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What is the "Nursing Process"? Select all that apply
Organizational framework for the practice of Nursing
Systematic method by which nurses plan and provide care for patients
The application of the nursing process only applies to RN's and not LPN's
The Nursing Scope and Standards of Practice of the ANA outlines the steps of the nursing process
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ANA defines it as a"systematic dynamic process by which the nurse, through interaction with the client, significant others and health care providers collect and analyzes data about the client
Physical Check-up
Hospital evaluation
Which of the following is not true about Focused ASSESSMENT
When patient is critically ill or disoriented
When patient is unable to respond
Preferably early in the morning before breakfast.
When drastic changes are happening to a patient.
A synonym for significant data that usually demonstrate an unhealthy response.
Interpretative
Headache, itchiness, warmth
Secondary source of data. (select all that apply) .
Diagnostic procedures
Medical record
Personal interview
Significant other
Which of the following is not a method of data collection?
Biographic data
Social media
Health history
If the first method of data collection is to conduct an interview, what is the second method?
Laboratory work
Diagnostic Tests
Performance of a physical examination
After establishing a database and before the identification of nursing diagnosis, what does a nurse do?
Documentation of database
Analysis of database
Filing of database
Acquiring a database of information
Data Clustering
Analyzing signs and symptoms
Identifying patient statements
Grouping related cues together
Entering patient data in the computer
Deficient Fluid Volume (Select all that apply)
Dry skin and dry oral mucous
Decreased urine output
Which of the following refers to the definition of a Nursing Problem?
Nurse overload and nurse burnout
When the nurse calls in sick
Any health care condition that requires diagnostic, therapeutic, or educational actions.
Lose of employment
Clinical judgment
Job description of a clinical nurse
Data collection
Health intervention
Components of a Nursing Diagnosis. Select all that apply
Nursing diagnosis title or label
Definition of the title or label
Data clustering
Contributing, etiologic or related factors
Defining characteristics
Which of the following are true regarding nursing diagnosis?
A nursing diagnosis is any problem related to the health of a patient
When writing a nursing diagnosis, place the adjective before the noun modified
A nursing diagnosis is usually the etiology of the disease
Both medical and nursing diagnosis can be converted into a nursing intervention.
Clear, precise description of a problem
Intervention
Risk factors
Description of a problem
Analysis of a health issue
Possible illness
Circumstances that increase the susceptibility of a patient to a problem
Clinical cues, signs, symptoms that furnish evidence that the problem exists.
Nursing diagnosis
How cues, signs and symptoms identified in patient's assessment are written
Diagnosed by
Explained by
Manifested by
"Constipation related to insufficient fluid intake manifested by increased abdominal pressure". What is the defining characteristic?
Constipation
Insufficient fluid
Increased abdominal pressure
What is RISK NURSING DIAGNOSIS as described by NANDA-I? Select all that apply
Human responses to health conditions/life processes that may develop in a vulnerable individual/family
Describes the symptoms of the disease
Supported by risk factors that contribute to increased vulnerability
Proof that the person is suffering from an illness
How many parts does a RISK NURSING DIAGNOSIS have?
Which of the following is a risk nursing diagnosis statement .
Risk for falls related to unstable balance
Constipated because of fecal impaction
Risk for Diarrhea
Constipation related to dehydration
Syndrome Nursing Diagnosis
An isolated disease with numerous symptoms
Numerous symptoms describing a single disease
Used when a cluster of actual or risk nursing diagnosis are predicted to be present
Numerous symptoms leading to an idiopathic disorder
Wellness Nursing Diagnosis
Absence of illness
Not strictly a diagnosis
Human responses to levels of good health in an individual, family or community
All of the above
Certain Physiologic complications that nurses monitor to detect their onset or changes in the patient's status.
Collaborative problems
Clustered Syndrome
Signs of death
Potential complications: hypoglycemia. This is a sample of what?
Syndromatic pathology
Definite Variance
Collaborative problem
Idiopathic etiology
Identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, laboratory test and procedures.
Health Analysis
Nursing Problem
Medical Diagnosis
Difference between Medical and Nursing Diagnoses
Medical is etiology; Nursing is human response
Medical is disease; Nursing is the cause of disease
Medical is illness; Nursing is illness too
Medical is to heal the disease: Nursing is to discover the disease
Difference between a goal statement and an outcome statement
A good outcome statement is specific to the patient
Goals are general deadlines that are to be met
An outcome statement refers to what the nurse will do
Goals and Statements are practically the same
The purpose to which an effort is directed
Which of the following statements describe a well-written patient outcome statement select all that apply. .
Uses a measurable verb
Focuses on the completion of nursing interventions
Does not interfere with the medical care plan
Includes a time frame for patient reevaluation
A common framework that helps guide the prioritization of nursing tasks during the process of planning
Ericsson's psychosocial development
Maslow's hierarchy
Glasgow Scale
Bernoulli principle
Nursing interventions
Depend on the tasks delegated by the nursing supervisor
A sequence of prioritized tasks that describe a nurse's job
Activities that promote the achievement of the desired patient outcome
An act of taking care of the sick
Which of the following is not a Physician Prescribed intervention?
Ordering diagnostic tests
Drug administration
Performing wound care
Elevating an edematous leg
Which of the following is not a nurse-prescribed intervention?
Turning the patient every two hours
Providing a back massage
Offering a vitamin supplement
Monitoring a patient for complications
Which of the following statements about the nursing process is true.
A nursing process is written together with a nursing care plan
A nursing care plan is a product of the nursing process
Both the nursing process and the nursing care plan are purely critical thinking strategies
The nursing process is not an accurate clinical theory
IN which of the following scenarios would a standardized nursing care plan be appropriate?
Trauma center
Center for infection control
Intensive care unit
Maternity floor without a single Cesarean delivery
Prioritization of tasks belongs to which phase of the Nursing Process?
Implementation
Documentation is a vital component of which phase of the nursing process?
Validation of patient outcome and goals, evidence based practice.
Past educational knowledge
Theoretical research
Expertise of specialists
Integration of research and clinical experience
Which of the following is not considered a standardized language in nursing?
A research method
Patient does not achieve expected outcome
Similar to zoning
Not the same
Which of the following is not the role of the LPN/LVN in the nursing process?
Suggest interventions
Gather further data to confirm problems
Discuss details of the disease as part of patient education
Observe and report signficant cues
Which of the following are functions of managed care? Select all that apply.
Provides control over health care services
Standardized diagnosis and treatment
Control Cost
Primary resource for patient advocacy
Clinical pathway
Nursing career development plan
Multidisciplinary action
A concept map for care plans
Specific location in a healthcare facility
A reflective reasoning process that guides a nurse in generating, implementing and evaluating approaches for dealing with client care and professional concerns
Nursing process
Critical thinking
Nursing care plan
Nursing logic
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Wait! Here's an interesting quiz for you.
What is Critical Thinking in Nursing? (With Examples, Importance, & How to Improve)
Successful nursing requires learning several skills used to communicate with patients, families, and healthcare teams. One of the most essential skills nurses must develop is the ability to demonstrate critical thinking. If you are a nurse, perhaps you have asked if there is a way to know how to improve critical thinking in nursing? As you read this article, you will learn what critical thinking in nursing is and why it is important. You will also find 18 simple tips to improve critical thinking in nursing and sample scenarios about how to apply critical thinking in your nursing career.
What is Critical Thinking in Nursing?
4 reasons why critical thinking is so important in nursing, 1. critical thinking skills will help you anticipate and understand changes in your patient’s condition., 2. with strong critical thinking skills, you can make decisions about patient care that is most favorable for the patient and intended outcomes., 3. strong critical thinking skills in nursing can contribute to innovative improvements and professional development., 4. critical thinking skills in nursing contribute to rational decision-making, which improves patient outcomes., what are the 8 important attributes of excellent critical thinking in nursing, 1. the ability to interpret information:, 2. independent thought:, 3. impartiality:, 4. intuition:, 5. problem solving:, 6. flexibility:, 7. perseverance:, 8. integrity:, examples of poor critical thinking vs excellent critical thinking in nursing, 1. scenario: patient/caregiver interactions, poor critical thinking:, excellent critical thinking:, 2. scenario: improving patient care quality, 3. scenario: interdisciplinary collaboration, 4. scenario: precepting nursing students and other nurses, how to improve critical thinking in nursing, 1. demonstrate open-mindedness., 2. practice self-awareness., 3. avoid judgment., 4. eliminate personal biases., 5. do not be afraid to ask questions., 6. find an experienced mentor., 7. join professional nursing organizations., 8. establish a routine of self-reflection., 9. utilize the chain of command., 10. determine the significance of data and decide if it is sufficient for decision-making., 11. volunteer for leadership positions or opportunities., 12. use previous facts and experiences to help develop stronger critical thinking skills in nursing., 13. establish priorities., 14. trust your knowledge and be confident in your abilities., 15. be curious about everything., 16. practice fair-mindedness., 17. learn the value of intellectual humility., 18. never stop learning., 4 consequences of poor critical thinking in nursing, 1. the most significant risk associated with poor critical thinking in nursing is inadequate patient care., 2. failure to recognize changes in patient status:, 3. lack of effective critical thinking in nursing can impact the cost of healthcare., 4. lack of critical thinking skills in nursing can cause a breakdown in communication within the interdisciplinary team., useful resources to improve critical thinking in nursing, youtube videos, my final thoughts, frequently asked questions answered by our expert, 1. will lack of critical thinking impact my nursing career, 2. usually, how long does it take for a nurse to improve their critical thinking skills, 3. do all types of nurses require excellent critical thinking skills, 4. how can i assess my critical thinking skills in nursing.
• Ask relevant questions • Justify opinions • Address and evaluate multiple points of view • Explain assumptions and reasons related to your choice of patient care options
5. Can I Be a Nurse If I Cannot Think Critically?
02.01 Critical Thinking
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If you have gone to one day of nursing school you understand that “critical thinking” is a buzzword.
Nursing schools love to talk about critical thinking.
The job of a nurse is essentially to take millions of data points and be able to arrive at a correct decision based on that data.
This is no easy task and there are few jobs which require this on the scale of nursing or with human lives in the balance.
What is Critical Thinking?
Critical thinking is defined as: Clear, rational thinking involving critique. Its details vary amongst those who define it. According to Barry K. Beyer (1995), critical thinking means making clear, reasoned judgments. During the process of critical thinking, ideas should be reasoned, well thought out, and judged. The National Council for Excellence in Critical Thinking defines critical thinking as the intellectually disciplined process of actively and skillfully conceptualizing, applying, analyzing, synthesizing, and/or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning, or communication, as a guide to belief and action. Source .
So, while you are familiar with making decisions on a daily basis, most daily decisions do not require critical thinking (what color of shirt should I wear, what should I eat for dinner, etc).
It is a skill that can grow and develop with time and as you enter nursing school you are not expected to be an expert in the skill.
However, what you should understand is that critical thinking involves a level of decision making far beyond normal day to day decision making. With critical thinking you are analyzing, conceptualizing, and digging deep into the questions presented.
When it comes to nursing, often times you are presented with real life or death situations. You are presented with saving one patient or determining what the most important solution is to a highly complex problem.
Those nurses who develop advanced critical thinking skills find increased success in their careers.
Critical Thinking in Nursing
So let’s talk about critical thinking and how it applies to everything we are talking about here.
The NCSBN website states the following: Since the practice of nursing requires you to apply knowledge, skills and abilities, the majority of questions on the NCLEX are written at the cognitive level of apply or higher. And these questions, by nature, require critical thinking.
Answering these correctly will require you to do something with what you have learned, to manipulate previously learned material in new ways or find connections between many facts.
Again, since the majority of NCLEX questions fall into this category, this is exactly the type of questions you need to practice answering!
There it is again . . . the BUZZ word (critical thinking) . . . but once again no tips or information on what that means or how to develop it is given.
So let’s dive in and provide you with a simple framework and method for developing critical thinking.
How to Critically Think in Nursing
While there are many frameworks and methods for developing critical thinking, here we will provide you with a basic 4 step method.
At the risk of sounding oversimplified, this simple method will allow you to cut through the clutter, think critically, and arrive at correct decisions in even the most complex of scenarios.
Essentially there are 4 steps to critical thinking . . . in nursing and in life . . . and developing the ability to critically think will work wonders in your life.
- Suspend ALL Judgement
- Collect ALL Information
- Balance ALL Information
- Make a Complete and Holistic Decision
Before diving into the four individual steps let’s point out the use of the word “ALL” in each of the steps.
This is important because few individuals can make decisions with this inclusive word. It literally means ALL. To make a complete and holistic decision based upon critical thinking you have to have and weight ALL information. Otherwise you are just making a regular old decision.
- Suspend All Judgement
You have to start by suspending all judgement. In other words, if you walk into a patients room and see them tachycardic an amature decision would be to run and grab the metoprolol to try to drop the heart rate.
An advanced clinician will WAIT until they have more information . . . not leaving the patient untreated . . . but not jumping freakishly into the WRONG treatment because they learned that tachycardia is bad . . .
Suspending judgement means that you don’t make a decision based upon the first sign. You also don’t walk into any situation of NCLEX question with a decision already made. You will treat all facts as equal until you can gather the needed information.
Not suspending judgment leaves you open to make biased decisions. This is detrimental in medicine and nursing. This will also result in poor success on nursing exams and the NCLEX.
As you read through nursing questions you must force yourself to refrain from jumping to conclusions until you have read the question in full. Do not allow yourself to assume what the question is asking or what the patient outcome is until you have read the question in full.
Obviously this sounds simple, but it is this step that, if missed, will through more nursing students and nurses off.
- Collect All Information
Now you must collect ALL information. This is clutch! Don’t make a decision until you have collected every piece of data that you need to collect . . . on a tachycardic patient you can check BP, temp, run an EKG, check urine output.
Think of this as data mining. You are looking to have every piece of information you can find to put the puzzle pieces together.
When it comes to taking nursing tests you only have one place that you can collect the information . . . and that is from the test question itself. Do not go looking outside of the question of infer any details that are not provided within the question.
One thing we have noticed students doing almost more than anything else on test questions is reading into them. Don’t do this. Gather all the information you can . . . and when it comes to NCLEX questions, the only place you can gather information is from the question itself.
- Balance All Information
Now, balance all information. This means take all the data that you have and start weighing it to find out what is pertinent and what you can ignore. If the temp is 98.9 . . . it’s probably not the cause. If the BP is 74/56 are we looking at a volume issue?
In this step you are deciding what is important and what isn’t. While a pressure ulcer is important, if the patient is actively having a heart attack . . . it just doesn’t matter. At least, not until we take care of the MOST important issue.
NCLEX style questions will be FULL of extra information, things that you just really do not need to know to make a decision on the patient.
The NCSBN (who administers the NCLEX) in an effort to simulate real life nursing writes questions that include both important information and details that you just simply don’t need to know. It is your job to sift through the data and determine what you actually need to know.
Balancing means giving each data point a level of importance for your given patient. Some pieces of information will score much higher than others.
At this point you must all consider the implications of the possible options. Look at the available options and think to yourself, “if I choose this option, what happens next?”. As it relates to nursing, ask yourself these questions:
“Does this achieve a desired patient outcome?”
“If I do this and then go home, what happens to my patient?”
Forcing yourself to consider the implications allows you to look beyond the information presented and consider the RESULTS of your choices. Critical thinking thrives on looking beyond the presented data.
- Make a Holistic Decision
Finally, make your decision . . . with all the data in and after looking over it all very closely you can begin to make your decision.
Your goal is to make the decision that best serves the patient and addresses their most immediate concerns.
Critical Thinking in Nursing and on the NCLEX®
Lastly, I just want to talk briefly about how this applies to NCLEX questions . . .
Here is an actual practice NCLEX question from our Nursing Practice Questions Program (or NPQ, as we like to call it)!
A 56-year-old male patient has been admitted to the cardiac unit with exacerbation of heart failure symptoms. The nurse has given him a nursing diagnosis of decreased cardiac output related to heart failure, as evidenced by a poor ejection fraction, weakness, edema, and decreased urinary output. Which of the following nursing interventions are most appropriate in this situation?
42% of the students that have taken this question have selected this answer:
Administer IV fluid boluses to increase urinary output
The problem with that answer is that it fails to weigh the most important issue facing this patient.
Test takers see urine output as low . . . and want to correct that quickly with fluids.
However, this is a CHFer . . . you can’t (shouldn’t) bolu especially during an exacerbation . . . you could send the patient into pulmonary edema and drastically impact their respiratory status.
So the lesson here. . . . in school, on the NCLEX, and on the clinical floor . . . slow down, stay calm and start thinking at an analysis level.
And I promise you this helps in “REAL” life too . . . not just in nursing. You will begin to be a tad more skeptical and deliberate with your decisions.
Here are a couple resources that will help you in the process of developing critical thinking.
- CriticalThiking.org
- US News 5 Tools
- Thinking Fast and Slow
- NPQ – Nursing Practice Questions
The process for developing critical thinking is slow and arduous. However, don’t be hard on yourself. According to CriticalThiking.org the vast majority of colleges are not appropriately incorporating critical thinking into the college classroom. This means that while you might not being taught the skill as you should . . . most people aren’t. Using the strategies outlined above will put you light years ahead of most.
The nurse that is able to follow these four steps is a tremendous asset on a clinical floor.
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View the FULL Transcript
Test taking for the nclex®.
The Test-Taking course is the best place to start when you’re trying to figure out how to navigate NCLEX®-Style questions. Nursing school presents a unique challenge when it comes to test-taking. You’re no longer just looking for the right answer - you’re now looking for the most right answer or multiple right answers. In this course, we break down how to understand what these questions are even asking you, and our best tips for how to answer them. We also provide some strategies for goal-setting, studying, and note-taking that are sure to set you up for success on your exams and on the NCLEX®.
- 19 Questions
- 10 Questions
- 7 Questions
- 9 Questions
- 11 Questions
IMAGES
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Study with Quizlet and memorize flashcards containing terms like Critical thinking characteristics include a. Considering what is important in a given situation. b. Accepting one, established way to provide patient care. c. Making decisions based on intuition. d. Being able to read and follow physician's orders, Which of these patient scenarios is most indicative of critical thinking? A ...
Study with Quizlet and memorize flashcards containing terms like The nurse is providing care to a group of clients. For which situation would the nurses 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 ...
Study with Quizlet and memorize flashcards containing terms like 1. Which of the following best reflects the philosophy of critical thinking as taught by a nurse educator to a nursing student? 1. "Think about several interventions that you could use with this client." 2."Don't draw subjective inferences about your client—be more objective." 3."Please think harder—there is a single solution ...
May 1, 2024 · Welcome to our Nursing Process and Critical Thinking Review Test, a comprehensive tool designed to elevate your nursing expertise and decision-making abilities. This quiz is essential for nursing students and practicing nurses who aim to refine their assessment, planning, implementation, and evaluation skills, all through the lens of critical thinking. Our quiz meticulously covers all phases ...
Developing critical thinking in nursing takes time and determination. The following are some examples of critical thinking in nursing with scenarios of poor critical thinking and excellent critical thinking responses. 1. Scenario: Patient/Caregiver Interactions Nurses are responsible for maintaining relationships between patients and staff.
2. 9 critical thinking questions you need to ask to advance your critical thinking skills I'm giving you the step-by-step breakdown on how to critically think, so you never have to second guess yourself again. It doesn't get easier than this. :) All my best, Christina p.s. Remember friend, you're doing better than you think you are. I know ...
The National Council for Excellence in Critical Thinking defines critical thinking as the intellectually disciplined process of actively and skillfully conceptualizing, applying, analyzing, synthesizing, and/or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning, or communication, as a guide to ...
One example of critical thinking in nursing is interpreting these changes with an open mind. Make impartial decisions based on evidence rather than opinions. By applying critical-thinking skills to anticipate and understand your patients' needs, you can positively impact their quality of care and outcomes. Elements of Critical Thinking in Nursing
Jun 7, 2018 · Just as there are similarities among the definitions of critical thinking across subject areas and levels, there are several generally recognized hallmarks of teaching for critical thinking. These include: Promote interaction among students as they learn. Learning in a group setting often helps each member achieve more. Ask open-ended questions ...
Effective Note-Taking Strategies to Use in Nursing School; ... Introduction to Critical Thinking and Clinical Reasoning. ... Critical Thinking Quiz (6 Questions)