The nurse and a patient are discussing a variety of options that may help alleviate a health problem. The nurse and patient are involved in which step of the critical thinking process?
1. Evaluation
2. Collection of information
3. Generation of alternatives
4. Analysis of the situation
3
Rationale 1: Evaluation is the last step of the process and is done to determine whether the expected outcomes have been achieved.
Rationale 2: Collection of information begins with the interview and continues throughout the entire health assessment.
Rationale 3: Generation of alternatives occurs when options are identified and priorities are established. The nurse and patient work together to discuss the options so the patient can make an informed decision.
Rationale 4: Analysis of the situation follows the collection of information and helps distinguish normal from abnormal findings.
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In obtaining a health history on a 74-year-old patient, the nurse notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold things. With this information, what response should the nurse make?
a. "Does your family know you are drinking every day?" b. "Does the tremor change when you drink alcohol?" c. "We'll do some tests to see what is causing the tremor." d. "You really shouldn't drink so much alcohol; it may be causing your tremor."
A client arrives in the emergency room stating inability to sleep, tightness in the chest, and difficulty breathing. Upon assessment, the nurse notes expiratory wheezes and dyspnea. Which action should the nurse take?
a. Administer oxygen via a Venturi mask, and initiate pulse oximetry monitoring until a health care provider is available to evaluate the client. b. Allow the client to rest in the waiting area because the condition does not require immediate attention. c. Find a health care provider who can immediately evaluate the client because symptoms indicate a severe asthma attack. d. Notify a health care provider stat because the client requires immediate treatment for myocardial infarction and transfer to the cardiac care unit.
A patient is experiencing delirium. Which group of medications should the nurse consider administering to help reduce delirium?
1. Neuroleptics 2. Benzodiazapines 3. NSAIDs (nonsteroidal anti-inflammatory drugs) 4. Opioids
A nursing educator is attempting to integrate evidence-based practice into the maternity rotation. Which of the following actions is most likely to ensure that the process has meaning for the students?
A) Choosing scenarios that closely mimic those that the students encounter in their clinical practicum B) Ensuring that evidence presented is peer-reviewed, reliable, and valid C) Bringing in guests who are recognized experts in the field of obstetrical nursing D) Including evidence about birthing choices from popular books, magazines, and newspaper articles