The nurse enters the room of a client who has a history of heart disease. On looking at the client, the nurse feels that something is "not right" with the client, and proceeds to take the vital signs. What is this nurse acting on?

a. Intuition
b. Reflection
c. Knowledge
d. Scientific method


A
Intuition is part of the clinical judgement the nurse is using in this situation. In making a clinical judgement, the nurse considers the context of the situation and relies on analytical processes, in-tuition, and narrative thinking. As the nurse reflects on actions taken, clinical learning occurs, which contributes to future clinical judgements.
Reflection is the process of purposefully thinking back or recalling a situation to discover its purpose or meaning.
Knowledge of the nurse includes information and theory from the basic sciences, humanities, behavioural sciences, and nursing.
Scientific method is an approach to seeking the truth or verifying that a set of facts agrees with reality.

Nursing

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Today's critical care nursing environment is constantly changing. What nursing behavior best illustrates awareness of current events affecting critical care nursing?

A) Participating in the hospital's efforts to recruit new nurses B) Volunteering to serve on a disaster response planning committee C) Adhering to content taught in basic nursing program D) Attending hospital-mandated in-services without other education

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A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following?

A) Chronic diarrhea B) Dental hygiene practices C) Headaches D) Diet

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A community health nurse is working with a family in which an elderly woman was ne-glected by her son and his wife but insists on remaining with the young couple despite the threat of future neglect

Which intervention should be given highest priority? a. Identifying community resources to decrease the caregivers' stress b. Establishing patient rights and consequences of abuse and monitoring c. Providing stress management techniques for both of the caregivers d. Educating the caregivers on the aging process and how to cope with it

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