The nursing student is observing a staff nurse demonstrating a subcutaneous injection during a skills competency fair. The student tells the nurse that nursing textbooks indicate that aspirating for blood is not necessary
The nurse replies, "I prefer to check for blood, just in case. This is the way I learned to give shots and it works for me." The nurse's response is most likely related to:
a.
illogical thinking.
b.
a bias.
c.
closed-mindedness.
d.
an erroneous assumption.
ANS: C
When relevant information from patients or experts is ignored due to closed-mindedness, nursing care can be compromised. Closed-minded individuals often believe that their way is the best and preferred way. Illogical thinking is characterized by a failure to follow rational, systematic processes when approaching an issue or problem. Often making hasty generalizations and assumptions that do not consider the evidence, the illogical thinker may jump to conclusions. Decisions may be unduly influenced by bias, which is an inclination or tendency to favoritism or partiality. Bias may be related to a preconceived notion or prejudice such as believing that "these people seek their medication." It is important for nurses to examine personal biases because they can negatively impact care. Errors in thinking and decision making can result from intentionally overlooking alternatives suggested by others. Assumptions are beliefs that are taken for granted and assumed to be true. Assumptions can be unjustified or justified, depending on whether there are good reasons for them. Erroneous assumptions can lead to safety issues in the clinical setting.
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