VERSION A
How does a person best apply thinking skill of clustering, when
preparing for vacation?
Organizing a list of items for the trip
Which thinking skill requires the nurse to collect information in a
detailed method from various sources?
Gathering collect and accurate data
An employee notices a wallet in the restroom with a large amount of
cash. Following policy, they take it to the main office. Which thinking
skill is the employee demonstrating?
Using legal and ethical and professional guidelines
A parent has been helping their two children with homework and
determines that one is improving while the other is still doing poorly.
Which thinking skill is the parent using in this situation?
Comparing and contrasting
A nurse is caring for a 56 yr old patient diagnosed with hypertension.
The nurse completes the Epworth sleepiness scale and the patient scores
an 11. Which action will the nurse take next?
Ask the patient for more information about their lifestyle and routine
schedules
Which is an example of subjective data that the nurse might document?
Patient complains of nausea
Nursing assistant reports patient’s urine drainage bag appears to be
infected. How will the nurse determine accuracy and reliability of this
information?
Contact the physician, request an order for a urine culture
76 yr old from a long-term care facility is admitted with confusion and a
large bump on their forehead. What action will the nurse take first?
Conduct a focused neuro assessment
Which question will the nurse ask to best identify signs and symptoms?
What is different or has changed in this situation.
Which thinking skill does the nurse use when grouping similar
information to help identify a problem?
Clustering related information
Which thinking skill belongs to the interpreting step in Tanner’s?
Comparing and contrasting
A Nurse is caring for elderly patient. The patient states he’s been trying
to lose weight over the past 3 months but he’s gained 15 lbs. What is the
nurse’s next action?
Conduct a patient interview and research the patient’s chart to identify
possible reasons for weight gain.
Which step in Tanner’s model of clinical judgement involves processing
information understanding the situation and planning interventions?
Interpreting
The nurse is assigned to a patient with increased memory loss, confusion
and at a high risk of wandering off the unit. What action will the nurse
take at the beginning of the shift?
Develop a plan to ensure frequent checks on this patient with the nursing
assistants and other staff for safety.
How do the Spices tool and Epworth sleepiness scale assist nurses in
caring for older adults?
They both collect signs and symptoms to identify potential risks.
A thinking skill, evaluating data, what is the reason that assessment data
is collected again after actions have been performed?
To determine the effectiveness of the actions and see if outcomes were
acceptable.
A nurse is caring for a patient with a sudden change in health status
while collecting data, which thinking skill will the nurse use to
determine what information is meaningful to the patient’s condition?
Distinguishing relevant from irrelevant
A driver enters a zone where the speed limit drops from 55 to 35. The
driver glances at all the gauges on the dashboard, then gathers
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