Answer to Question 1
Correct Answer: 4
Rationale 1: Explaining the rationale for doing or not doing the exercises is not using creativity. It is merely explaining the reason.
Rationale 2: This shows no creativity and merely dismisses the client's concerns and feelings.
Rationale 3: This shows no creativity and merely dismisses the client's feelings.
Rationale 4: Making the exercise routine into something more funsuch as a game, drawing a picture, or even decorating the walls, for examplewould raise a challenge to the client, take the focus off the why, and still achieve the end result.
Answer to Question 2
Correct Answer: 2
Rationale 1: Administering IV meds (even to critically ill clients) does not require much reasoning. There are standard procedures to follow and, most of the time, clear answers about the rationale.
Rationale 2: Nurses who utilize good critical thinking skills are able to think and act in areas where there are neither clear answers nor standard procedures. Treatment options, especially for the home health client, can be extensive. There are many points to consider (good and bad), and choosing between treatment options can cause conflict among family members. The nurse in this case must use creativity, analysis based on science, and problem-solving skillsall of which contribute to critical thinking skills.
Rationale 3: Teaching new parents about car seat safety does not require much reasoning. There are standard procedures to follow and, most of the time, clear answers about the rationale.
Rationale 4: Teaching correct use of crutches does not require much reasoning. There are standard procedures to follow and, most of the time, clear answers about the rationale.