Clinical Judgement NCLEX Questions and Answers

Clinical Judgement NCLEX Questions and Answers

(GRADED A)

The nurse uses blended competencies when caring for patients in a rehabilitation facility. Which examples of interventions involve cognitive skills? Select all that apply.

• The nurse uses critical thinking skills to plan care for a patient.

• The nurse correctly administers IV saline to a patient who is dehydrated.

• The nurse assists a patient to fill out an informed consent form.

• The nurse learns the correct dosages for patient pain medications.

• The nurse comforts a mother whose baby was born with Down syndrome.

• The nurse uses the proper procedure to catheterize a female patient.

a, d.Using critical thinking and learning medication dosages are cognitive competencies. Performing procedures correctly is a technical skill, helping a patient with an informed consent form is a legal/ethical issue, and comforting a patient is an interpersonal skill.

A nurse is caring for a patient who has complications related to type 2 diabetes mellitus. The nurse researches new procedures to care for foot ulcers when

developing a plan of care for this patient. Which QSEN competency does this action represent?

• Patient-centered care

• Evidence-based practice

• Quality improvement

• Informatics

C Quality improvement involves routinely updating nursing policies and procedures.

Providing patient-centered care involves listening to the patient and demonstrating respect and compassion.

Evidence-based practice is used when adhering to internal policies and standardized skills.

The nurse is employing informatics by using information and technology to communicate, manage knowledge, and support decision making.

A nurse is assessing a 15-year-old female patient who is diagnosed with anorexia.Following the assessment, the nurse recommends that the patient meet with a

nutritionist. This action best exemplifies the use of:

• Clinical judgment
• Clinical reasoning
• Critical thinking
• Blended competencies

A Although all the options refer to the skills used by nurses in practice, the best choice is clinical judgment as it refers to the result or outcome of critical thinking or clinical reasoning—in this case the recommendation to meet with a nutritionist.

Clinical reasoning usually refers to ways of thinking about patient care issues (determining, preventing, and managing patient problems).

Critical thinking is a broad term that includes reasoning both outside and inside of the clinical setting.

Blended competencies are the cognitive, technical, interpersonal, and ethical/legal skills combined with the willingness to use them creatively and critically when working with patients.

Which statement is related to the concept that is central to the nursing process?A .It is dynamic rather than static.

• It focuses on the role of the nurse.
• It moves from the simple to the complex.

• It is based on the patient's medical problem.

A it is dynamic rather than static

A pebble dropped into a pond causes ripples on the surface of the water. Which part of the nursing diagnosis is directly related to this concept?

• Defining characteristics
• Outcome criteria
• Etiology
• Goal

C

etiology: the cause, set of causes, or manner of causation of a disease or

condition.

what should the nurse do during the evaluation step of the nursing process?

• set the time frame for goals
• revise a plan of care
• determine priorities
• establish outcomes

B

Which information supports the appropriateness of a nursing diagnosis?