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25 CHAPTERS THINKING CRITICALLY TO ANALYZE DATA AND MAKE INFORMED NURSING JUDGMENTS CHAPTER PRETEST Activity A MATCHING Match the terms in the left column with the correct description in the right column. Term Description 1. Critical thinking a. A nursing diagnosis that indicates the client has an opportunity to enhance a health status 2. Intuition b. Certain physiologic complications that nurses monitor to 3. Health promotion nursing detect their onset or change in status diagnosis c. Aptitude involving the act or process of knowing, including 4. Collaborative problem both awareness and judgment 5. Risk nursing diagnosis d. The fact or condition of knowing something with familiarity gained through experience or association 6. Actual nursing diagnosis e. Quick and ready insight 7. Syndrome nursing diagnosis f. The way in which one processes information using knowledge, 8. Knowledge past experience, intuition, and cognitive abilities to formulate conclusions or diagnoses 9. Cognitive abilities g. Diagnostic phase of the nursing process 10. Analysis of data h. A nursing diagnosis that indicates the client does not currently 11. Diagnostic phase have a problem but is at high risk for developing it i. A nursing diagnosis that indicates the client is currently experiencing the stated problem or has a dysfunctional pattern 1. Analysis of data k. Clinical judgments that describe a specific cluster of nursing diagnoses that occur together and have similar nursing interventions to resolve the situation CHAPTER POSTTEST Activity C MULTIPLE CHOICE QUESTIONS Choose the one best answer for each of the following multiple choice questions. 1. One characteristic of a nurse who is a critical thinker is the ability to a. form an opinion quickly. b. offer advice to clients. c. be right most of the time. d. validate information and judgments. Copyright 2014. Wolters Kluwer Health | Lippincott Williams & Wilkins. Lab Manual for Health Assessment in Nursing, Se. 26 UNIT 1 NURSING DATA COLLECTION DOCUMENTATION, AND ANALYSIS generate possible hypotheses for the client’s problems 2. Before the nurse analyzes the data collected, the nurse should a. determine collaborative problems with the health care team. b. group the data into clusters or groups of problems. d. perform the steps of the assessment process accurately 3. The nurse is caring for an adult client who tells the nurse “For weeks now, I’ve been so tired.com get to sleep at night because of all the noise in my neighborhood. An actual nursing diagnosis for this client is a. fatigue related to excessive noise levels as manifested by the client’s statements of chronic fatigue sleep deprivation related to noisy neighborhood and inability to sleep chronic fatigue syndrome related to excessive levels of noise in neighborhood. d. readiness for enhanced sleep related to control of noise level in the home. A common error for beginning nurses who are formulating nursing diagnoses during data analysis toe te b. Include too much data about the client in the history. c. obtain an insufficient number of cues and cluster patterns d. quickly make a diagnosis without hypothesizing several diagnoses. 5. When formulating a nursing diagnosis, the format that is most useful to clearly document the clienrs NANDA label (for problem) + related to + etiology + AMS (as manifested by) + detining B. NANDA label – defining characteristics + AMB (as manifested by the etiology. 6. NANDA label + definition defining characteristics + AMB (as manifested by) etiology d. NANDA label – definition + etiology + AMB (as manifested by) + defining characteristics. 6. Select the following nursing diagnosis that is correctly stated. 2. Risk for Impaired Skin Integrity related to immobility, bedrest, pain in legs, and the client states 1 will not go to Physical therapy.” b. Risk for Impaired Skin Integrity related to immobility as manifested by constant bedrest and the inability to ambulate the client twice a day c. Risk for Impaired Skin integrity related to immobility secondary to right-sided paralysis, dehydration, and reluctance to participate in physical therapy as manifested by reddened coccyx and very dry d. Risk for Impaired Skin Integrity related to bedrest. lack of time to ambulate client, right-sided paralysis, and reluctance to participate in physical therapy as manifested by reddened coccyx and very dry sdn skin 7. Which of the following sequences describes the correct order of steps for analyzing data? a. Identify abnormal data and strengths, cluster data, draw Inferences, propose possible nursing diagnoses, check for the presence of defining characteristics, confirm or rule out nursing diagnoses, document conclusions, b. Identify abnormal data and strengths, cluster data, draw inferences, check for the presence of defining characteristics, propose possible nursing diagnoses, confirm or rule out nursing diagnoses, document conclusions. Identify abnormal data and strengths, draw inferences, cluster data, check for the presence of defining characteristics, propose possible nursing diagnoses, confirm or rule out nursing diagnoses, document conclusions. d. Identify abnormal data and strengths, draw inferences, cluster data, check for the presence of defining characteristics, confirm or rule out nursing diagnoses, propose possible nursing diagnoses, document conclusions, CHAPTERS THINKING CRITICALLY TO ANALYZE DATA AND MAKE INFORMED NURSING JUDGMENTS 8. Which of the following is a collaborative problem? a. Risk for skin breakdown b. Risk for osteoporosis C. Risk for stress d. Risk for rape trauma syndrome
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