Answer to Question 1
Correct Answer: 2
Rationale 1: Trial and error is solving problems through a number of approaches until a solution is found.
Rationale 2: Intuition is the understanding or learning of things without the conscious use of reasoning. It is also known as sixth sense, hunch, instinct, feeling, or suspicion. Clinical experience allows the nurse to recognize cues and patterns and begin to reach correct conclusions using intuition. Finding no cause for concern in the physical assessment of the client, the nurse is not satisfied and continues to assess the client's surroundings, finding the error.
Rationale 3: Judgment is not part of problem solving.
Rationale 4: The scientific method requires that the nurse evaluate potential solutions to a given problem in an organized, formal, and systematic approach.
Answer to Question 2
Correct Answer: 2
Rationale: In this step, the decision maker (nurse) identifies possible ways to meet the criteria. Alternatives considered are which route to give a certain medication: IV versus oral. The nurse is utilizing his experience, taking what he knows about cardiac problems and pharmacology, and will make a selection based on that information. Identifying the purpose, in this case, would be determining that the client needs intervention to control the dysrhythmia. Projecting is when the nurse applies creative thinking and skepticism to determine what might go wrong as a result of a decision and develops plans to prevent, minimize, or overcome any problems. Implementation is taking the plan into action.
