A student nurse in the last semester of nursing school found that keeping a journal of clinical experiences helped the student nurse understand why certain actions were taken and to evaluate whether there was a better way of approaching the task
The student nurse has found that this has helped strengthen critical thinking skills. Which skill for developing critical thinking did the student nurse use? a. Professional standards
b. Nursing process
c. Concept mapping
d. Purposeful reflection
D
Purposeful reflection leads to a deeper understanding of issues and the development of judgment and skill. One activity that will help a nurse develop into a critical thinker is reflective journaling. A concept map is a visual representation of meaningful relationships between concepts (e.g., pa-tient problems or nursing diagnoses and interventions), which then form propositions. The pri-mary purpose of a concept map is to synthesize relevant data about a patient such as assessment data, nursing diagnoses, health needs, nursing interventions, and evaluation measures. The nurs-ing process is a systematic process that incorporates diagnostic reasoning and clinical decision making through five steps: assessment, diagnosis, planning, implementation, and evaluation. Professional standards for critical thinking refer to ethical criteria for nursing judgments (e.g., advocacy, patient autonomy, and beneficence), evidence-based criteria used for assessment and evaluation, and criteria for professional responsibility.
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1. "Someone should really be staying with her to prevent her from falling." 2. "Let me see how long it will be before you can see the patient." 3. "Don't worry. You have nothing to feel guilty about." 4. "I can see you are worried."
A client who has been taking an anxiolytic comes to the clinic with the following signs and symptoms: nausea and vomiting, headache, anxiety, irritability, muscle tremors, and insomnia. The nurse should consider that the client may be experiencing:
a. drug overdose. c. an idiosyncratic reaction to the drug. b. sudden drug withdrawal. d. a hypersensitivity reaction to the drug.
A nurse assesses a patient who reluctantly participates in activities, answers questions with minimal responses, and rarely makes eye contact. What information should be included when documenting the assessment? Select all that apply
a. Uncooperative patient b. Patient's subjective responses c. Only data obtained from the patient's verbal responses d. Description of the patient's behavior during the interview e. Analysis of why the patient is unresponsive during the interview
A nurse is working with a client who is traumatized because a tornado destroyed her house. This event represents which type of crisis?
A) Natural crisis B) Situational crisis C) Developmental crisis D) Adventitious crisis