The nurse has been hired for her first job and is nervous about making errors in clinical judgment. It is important for the nurse to realize that clinical reasoning and the ability to make decisions in a clinical setting:

a. has been instilled in the content covered in nursing school.
b. is solely based in clinical experience.
c. develops over time with increased knowledge and expertise.
d. is an expectation of all nurses regardless of experience.


ANS: C
Clinical reasoning uses critical thinking, knowledge, and experience to develop solutions to problems and make decisions in a clinical setting. A nurse's clinical-reasoning skills develop over time with increased knowledge and expertise.

Nursing

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After teaching a client who has been diagnosed with hepatitis A, the nurse assesses the client's understanding. Which statement by the client indicates a correct understanding of the teaching?

a. "Some medications have been known to cause hepatitis A." b. "I may have been exposed when we ate shrimp last weekend." c. "I was infected with hepatitis A through a recent blood transfusion." d. "My infection with Epstein-Barr virus can co-infect me with hepatitis A."

Nursing

At what point during a complete health assessment do you ask the patient to undress and don the examination gown?

a. at the beginning before obtaining the health history b. after assessing the neck and upper extremities c. after assessing the patient's mental status d. after obtaining the patient's anthropometric measurements

Nursing

During a nonstress test, the nurse notes that the fetal heart rate decelerates about 15 beats during a period of fetal movement. The decelerations occur twice during the test, and last 20 seconds each

The nurse realizes these results will be interpreted as: 1. A negative test. 2. A reactive test. 3. A nonreactive test. 4. An equivocal test.

Nursing

A 2 year old male is diagnosed with wilms tumor. which of the following clinical conditions is often associated with this disease?

Nursing