Which of the following is a disciplined, creative, and reflective approach used together with critical thinking, its purpose being to establish potential strategies to assist patients in reaching their desired health goals?
a. critical thinking c. outcomes assessment
b. clinical reasoning d. evidence-based practice
B
Clinical reasoning is a disciplined, creative, and reflective approach used together with critical thinking; its purpose is to establish potential strategies to assist patients in reaching their desired health goals. Critical thinking is a purposeful, goal-directed thinking process that strives to problem solve patient care issues through the use of clinical reasoning. It combines logic, intuition, and creativity. Outcomes identification represents the third step in the nursing process. After the nursing diagnoses have been formulated, patient goals are established. Evidence-based practice uses the outcomes of well-designed and executed scientific studies to guide clinical decision making and clinical care.
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a. Reddish-purple skin lesions b. Open, bleeding skin lesions c. Blood-tinged sputum d. Watery diarrhea
A client in hospice care has received large doses of morphine but is still unable to sleep. The nurse should administer which of the following adjuvant drugs?
A) amitriptyline (Elavil) B) lisinopril (Zestril) C) meperidine (Demerol) D) acetaminophen (Tylenol)
When assessing a child with chronic health problems and his family, which factor should be taken into account?
a. The ability of the family to pay for expensive equipment b. The degree of impairment to the child's ability to develop c. How often recreational activities will take place d. Special needs "camp" placement for the child in the summer
The client with OCD has counting and checking rituals that prolong attempts to perform ADLs and get ready for activities of the day. The nurse knows that interrupting the client's ritual to assist in faster task completion will likely result in
a. a burst of increased anxiety. b. gratitude for the nurse's assistance. c. relief from stopping the ritual. d. symptoms of depression or suicidality.