Author Question: A client with a PhD in epidemiology has been to numerous physicians and has had numerous laboratory ... (Read 98 times)

robinn137 · **on:** Jul 23, 2018

A client with a PhD in epidemiology has been to numerous physicians and has had numerous laboratory tests, all of which were abnormal, and exploratory surgery, but no one is able to explain the etiology of his problem.

The client also states that he has a rare form of a neurological disorder. Which statement should the nurse make that demonstrates critical thinking?
1. Why don't you just tell your physician what you think you have?
2. Did you bring your prior tests and results with you, so we don't repeat anything?
3. If you know what you have, what do you want from us?
4. Describe what tests you've had and explain the symptoms of this disorder.

Question 2

A client is experiencing a productive cough, audible coarse crackles, elevated temperature of 102.3F, chills, and body aches. What did the nurse use to determine that this patient is experiencing respiratory compromise?

1. Deductive reasoning
2. Inductive reasoning
3. Socratic questioning
4. Critical analysis

mammy1697 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Asking why questions make clients very defensive, and doing so does not utilize critical thinking skills.
Rationale 2: Asking a yes/no question offers little other information, and doing so does not utilize critical thinking skills.
Rationale 3: Asking the client what he wants does not help to find out more information about the client's situation or prior history, and doing so does not utilize critical thinking skills.
Rationale 4: In critical thinking, the nurse also differentiates statements of fact, inference, judgment, and opinion. The nurse will have to ascertain the accuracy of information and evaluate the credibility of the information sources.

Answer to Question 2

Correct Answer: 1
Rationale 1: Deductive reasoning is reasoning from the general to the specific. The nurse starts with a framework and makes descriptive interpretations of the client's condition in relation to the framework. Productive cough, crackles, fever, and chills all point to problems with respiratory status.
Rationale 2: Inductive reasoning would be making a generalization from a set of facts or observation. In this case, the nurse using inductive reasoning could presume that the client has bronchitis or a bacterial respiratory infection.
Rationale 3: Socratic questioning looks beneath the surface and asks questions to come to a conclusion about the situation; that is not what is described in this scenario.
Rationale 4: Critical analysis looks beneath the surface and asks questions to come to a conclusion about the situation.