Critical Thinking in Nursing Practice Essay

Critical Thinking in Nursing Practice

7. During a home health visit the nurse prepares to instruct a
patient in how to perform range-of-motion (ROM) exercises
for an injured shoulder. The nurse verifies that the patient took
an analgesic 30 minutes before arrival at the patient’s home.
After discussing the purpose for the exercises and demonstrating each one, the nurse has the patient perform them. After
two attempts with only the second of three exercises, the

patient stops and says, “This hurts too much. I don’t see why
I have to do this so many times.” The nurse applies the critical
thinking attitude of integrity in which of the following
actions?”
1. “I understand your reluctance, but the exercises are necessary for you to regain function in your shoulder. Let’s go a
bit more slowly and try to relax.”
2. “I see that you’re uncomfortable. I’ll call your doctor to
decide the next step.”
3. “Show me exactly where your pain is and rate it for me on
a scale of 0 to 10.”
4. “Is anything else bothering you? Other than the pain, is
there any other reason you might not want to do the
exercises?”
8. The nurse cared for a 14-year-old with renal failure who died
near the end of the work shift. The health care team tried for
45 minutes to resuscitate the child with no success. The family
was devastated by the loss, and, when the nurse tried to talk
with them, the mother said, “You can’t make me feel better;
you don’t know what it’s like to lose a child.” Which of the
following examples of journal entries might best help the
nurse reflect and think about this clinical experience? (Select
all that apply.)
1. Data entry of time of day, who was present, and condition
of the child
2. Description of the efforts to restore the child’s blood
pressure, what was used, and questions about the child’s
response
3. The meaning the experience had for the nurse with respect
to her understanding of dealing with a patient’s death
4. A description of what the nurse said to the mother, the
mother’s response, and how the nurse might approach the
situation differently in the future
9. A nurse has been working on a surgical unit for 3 weeks.
A patient requires a Foley catheter to be inserted, so the
nurse reads the procedure manual for the institution to review
how to insert it. The level of critical thinking the nurse is
using is:
1. Commitment.
2. Scientific method.
3. Basic critical thinking.
4. Complex critical thinking.
10. A patient had hip surgery 16 hours ago. During the previous
shift the patient had 40 mL of drainage in the surgical drainage
collection device for an 8-hour period. The nurse refers to the
written plan of care, noting that the health care provider is to
be notified when drainage in the device exceeds 100 mL for
the day. On entering the room, the nurse looks at the device
and carefully notes the amount of drainage currently in it. This
is an example of:
1. Planning.
2. Evaluation.
3. Intervention.
4. Diagnosis.
11. A 67-year-old patient will be discharged from the hospital in
the morning. The health care provider has ordered three new
medications for her. Place the following steps of the nursing
process in the correct order.
____ 1. The nurse returns to the patient’s room and asks her
to describe the medicines she will be taking at home.
____ 2. The nurse talks with the patient and family about who
will be available if the patient has difficulty taking

medicines and considers consulting with the health
care provider about a home health visit.
____ 3. The nurse asks the patient if she is in pain, feels tired,
and is willing to spend the next few minutes learning
about her new medicines.
____ 4. The nurse brings the containers of medicines and
information leaflets to the bedside and discusses each
medication with her.
____ 5. The nurse considers what she learns from the patient
and identifies the patient’s nursing diagnosis.

Critical Thinking in Nursing Practice Essay

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