Critical Thinking in Nursing Practice Essay

Critical Thinking in Nursing Practice

1. While assessing a patient, the nurse observes that the patient’s
intravenous (IV) line is not infusing at the ordered rate. The
nurse assesses the patient for pain at the IV site, checks the
flow regulator on the tubing, looks to see if the patient is lying
on the tubing, checks the point of connection between the
tubing and the IV catheter, and then checks the condition of
the site where the intravenous catheter enters the patient’s skin.
After the nurse readjusts the flow rate, the infusion begins at
the correct rate. This is an example of:
1. Inference.
2. Diagnostic reasoning.
3. Competency.
4. Problem solving.
2. The nurse sits down to talk with a patient who lost her sister
2 weeks ago. The patient reports she is unable to sleep, feels
very fatigued during the day, and is having trouble at work.
The nurse asks her to clarify the type of trouble. The patient
explains she can’t concentrate or even solve simple problems.
The nurse records the results of the assessment, describing the
patient as having ineffective coping. This is an example of:
1. Diagnostic reasoning.
2. Competency.

3. Inference.
4. Problem solving.
3. A patient on a surgical unit develops sudden shortness of
breath and a drop in blood pressure. The staff respond, but the
patient dies 30 minutes later. The manager on the nursing unit
calls the staff involved in the emergency response together. The
staff discusses what occurred over the 30-minute time frame,
the actions taken, and whether other steps should have been
implemented. The nurses in this situation are:
1. Problem solving.
2. Showing humility.
3. Conducting reflective practice.
4. Exercising responsibility.
4. A nurse has worked on an oncology unit for 3 years. One
patient has become visibly weaker and states, “I feel funny.”
The nurse knows how patients often have behavior changes
before developing sepsis when they have cancer. The nurse asks
the patient questions to assess thinking skills and notices the
patient shivering. The nurse goes to the phone, calls the physician, and begins the conversation by saying, “I believe that your
patient is developing sepsis. I want to report symptoms I’m
seeing.” What examples of critical thinking concepts does the
nurse show? (Select all that apply.)
1. Experience
2. Ethical
3. Analyticity
4. Self-confidence
5. Risk taking
5. A nurse who is working on a surgical unit is caring for four
different patients. Patient A will be discharged home and is in
need of instruction about wound care. Patients B and C have
returned from the operating room within an hour of each
other, and both require vital signs and monitoring of their
intravenous (IV) lines. Patient D is resting following a visit by
physical therapy. Which of the following activities by the nurse
represent(s) use of clinical decision making for groups of
patients? (Select all that apply.)
1. Consider how to involve patient A in deciding whether to
involve the family caregiver in wound care instruction.
2. Think about past experience with patients who develop
postoperative complications.
3. Decide which activities can be combined for patients B
and C.
4. Carefully gather any assessment information and identify
patient problems.
6. The surgical unit has initiated the use of a pain-rating scale to
assess patients’ pain severity during their postoperative recovery. The registered nurse (RN) looks at the pain flow sheet to
see the pain scores recorded for a patient over the last 24 hours.
Use of the pain scale is an example of which intellectual
standard?
1. Deep
2. Relevant
3. Consistent
4. Significant

Critical Thinking in Nursing Practice Essay

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