Author Question: The nurse is reviewing the last 3 days of a patient's pain history and notes that the pain level has ... (Read 71 times)

anjilletteb · **on:** Jul 23, 2018

The nurse is reviewing the last 3 days of a patient's pain history and notes that the pain level has remained constant. The nurse validates the pain level with the patient and decides to contact the physician for further orders.

In this scenario the nurse is using the process of:
a.
decision making.
b.
reasoning.
c.
problem solving.
d.
judgment.

Question 2

The nurse is taking an advanced cardiac life support (ACLS) recertification class. As part of that class, the nurse, and other nurses in the group, rotates responsibilities during multiple mock code exercises simulating cardiac arrest scenarios.

The process of assigning nurses to different responsibilities is known as:
a.
concept mapping.
b.
simulation.
c.
role playing.
d.
literature review.

britb2u · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Processes dependent on critical thinking include problem solving, decision making, reasoning, and judgment. Judgment is the process of forming an opinion by comparing solutions through reasoning. The nurse observes that the patient's pain level is not decreasing and further assesses the pain level through discussions with the patient. The nurse concludes that the patient's pain should be further addressed and contacts the physician. Decision making requires choosing a solution to a problem. The student is making a decision by reviewing two pertinent resources related to the removal of staples. Reasoning is the process by which a nurse determines a patient's health status after gathering data and applying meaning to behaviors and physical signs and symptoms. A systematic approach in finding solutions is termed problem solving.

Answer to Question 2

ANS: C
A role-play strategy involves assigning learners to different roles based on expected outcomes in a particular setting. Other learners and facilitators observe the role playing, and then all are involved in the debriefing or discussion of the scenario. As with simulation, this approach allows learners to interact in a safe, controlled environment. The concept map is a way to organize and visualize data to identify relationships and solve problems. Simulated experiences enable the student to apply previously learned content in a safe and realistic environment that allows time for questioning, clarifying, and feedback. Students develop confidence in providing direct nursing care. Because critical thinking cannot occur about subjects that are unknown, a review of literature may foster this type of thinking by addressing knowledge deficits.