The nurse is taking the time to reflect on a care situation in ...

[Cooldude101]

The nurse is taking the time to reflect on a care situation in which a client sustained a cardiac arrest and died. On which areas should the nurse focus when performing this reflection?
 
  Select all that apply.
  A) Things that could have been done differently
  B) Gut reactions to the situation
  C) Things that were done well
  D) Resources that were used at the time
  E) Resources that were needed but not available

Question 2

A novice nurse is planning care for an older adult client with a wound infection and systemic blood infection. The nurse completes the plan of care and decides to complete which action to enhance the skill of critical thinking?
 
  A) Discuss the plan with the physician.
  B) Request that the client review the plan.
  C) Request a review of the plan with the nurse's preceptor.
  D) Place the plan on the client's chart.

[samiel-sayed]

Answer to Question 1

Answer: A, C, D, E

Reflection is the action of making sense of occurrences, situations, or decisions by carefully considering the totality of the experience, such as what worked or did not work, what could have been done differently to achieve better outcomes, what was done well, and what necessary resources were available. In order to reflect on an experience, nurses need to learn what to pay attention to or notice. Reflective thinking can change a situation that is obscure, uncertain, and disturbing to one that is clear, understandable, and settled. A gut reaction describes intuition, which is not a part of reflective thinking.

Answer to Question 2

Answer: C

The new nurse should recognize self-limitations and should plan to seek assistance and review of thinking by a more experienced nurse. Seeking out other opinions increases the knowledge base and exposes the new nurse to other ways of thinking, which will enhance critical thinking. The nurse would seek the opinion of another nurse, not the physician or the client, as the goal is to enhance the nurse's ability to use the nursing process. The nurse could put the plan on the chart, but the new nurse would learn more about critical thinking by requesting assistance from a more experienced nurse.