Author Question: A client complaining of shortness of breath has no pallor, cyanosis, or use of accessory muscles ... (Read 32 times)

silviawilliams41 · **on:** Jul 23, 2018

A client complaining of shortness of breath has no pallor, cyanosis, or use of accessory muscles with respirations. The client's respiratory rate is 16 breaths per minute. The nurse is concerned that the client's report and the physical findings conflict.

Which standard of critical thinking is the nurse using?
1. Clarity
2. Accuracy
3. Logical reasoning
4. Significance

Question 2

The nurse questions the practice of administering rectal suppositories to residents in a long-term care facility at bedtime, rather than earlier in the day.

When told that this is the best time for staff and that's the routine that has been practiced for a long time, the nurse continues to research whether there would be a better time, especially in the best interest of the residents. Which critical thinking attitude is this nurse demonstrating?
1. Confidence
2. Perseverance
3. Curiosity
4. Integrity

Moriaki · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Clarity provides examples. That is not the process described in the scenario.
Rationale 2: Accuracy is asking if something is true. That is not the process described in the scenario.
Rationale 3: Logicalness would ask if the report follows from the evidence. In this case, it does not. However, the nurse is still questioning, which shows she is engaged in critically thinking through the situation.
Rationale 4: Significance is prioritizing the facts. That is not the process described in the scenario.

Answer to Question 2

Correct Answer: 3
Rationale 1: Confidence comes from cultivating reasoning and examining arguments. In this case, the nurse did not reason anything out, but is asking questions.
Rationale 2: Perseverance happens from determination in clarifying concepts and sorting out related issues, in spite of difficulties and frustrations. This nurse is asking questions, not making any changes in spite of difficulties or frustrations.
Rationale 3: The internal conversation going on within the mind of a critical thinker is filled with questions. The curious nurse may value tradition but is not afraid to examine traditions to be sure they are still valid, as in this case. This nurse is asking valid questions.
Rationale 4: Integrity requires that individuals apply the same rigorous standards of proof to their own knowledge and beliefs as they apply to the knowledge and beliefs of others.