Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills - The Nursing Process: Critical Thinking and Decision Making

Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills - The Nursing Process: Critical Thinking and Decision Making Related

Review Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills - The Nursing Process: Critical Thinking and Decision Making related questions and content

A student in your class is given the name of a patient for whom she will provide care the following day in clinical. She goes to the unit, which specializes in diabetes care, to find out information and sees the patient sitting in a wheelchair with his chart in his lap. He is on his way to radiology for an x-ray. She notes that his left leg is amputated just below the knee and that his right foot is bandaged. Your class has been studying diabetes and the student knows that vascular problems and amputations are unfortunate complications of diabetes. She plans to study about diabetic foot care tonight so that she will be prepared for clinical the next day. Which of the following represents an accurate statement about her decision to study diabetic foot care?

  • A. It reflects careful observation and good planning.
  • B. The amputation and bandage are pretty obvious, so her plan is just common sense.
  • C. She should read the patient's specific foot care program before reading about general diabetic foot care.
  • D. She has made a serious thinking error.
Correct Answer: A,C

Rationale: The student's decision reflects careful observation and good planning (A) because she is proactively preparing for clinical by studying relevant content based on her observations. Additionally, reading the patient's specific foot care program first (C) would ensure her study is tailored to the patient's needs, enhancing her preparation.

You may also like to solve these questions

The evaluation step of the nursing process is the step in which the plan of care is either changed or continued.

  • A. TRUE
  • B. FALSE
Correct Answer: A

Rationale: True. Evaluation determines whether the care plan is effective, leading to its continuation, modification, or termination.

When a patient achieves the expected outcome, the nursing diagnosis is resolved.

  • A. TRUE
  • B. FALSE
Correct Answer: A

Rationale: True. Achieving the expected outcome indicates the nursing diagnosis has been addressed, resolving the problem.

Your patient has severe peripheral vascular disease (poor circulation) in both lower extremities. You document that the patient's pedal pulses are absent. Which assessment technique did you use to obtain these data?

  • A. Inspection
  • B. Palpation
  • C. Auscultation
  • D. Percussion
Correct Answer: B

Rationale: Palpation is used to feel for pedal pulses, determining their presence or absence.

The NANDA-I list of nursing diagnoses is the only source of nursing diagnoses available.

  • A. TRUE
  • B. FALSE
Correct Answer: B

Rationale: False. While NANDA-I is a widely used source, other standardized nursing diagnosis lists exist, and nurses may develop diagnoses based on patient needs.

To assess bowel sounds, which assessment technique will you use?

  • A. Inspection
  • B. Palpation
  • C. Auscultation
  • D. Percussion
Correct Answer: C

Rationale: Auscultation is used to listen to bowel sounds with a stethoscope, assessing gastrointestinal function.

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