Nursing Evidence-Based Practice and Clinical Judgement

1. Question 1
   • Using personal experience instead of current evidence
   • Reasoning about clinical issues, including teamwork, collaboration, and workflow
   • Following established instructions without questioning them
   • Selecting the fastest intervention regardless of client preferences
2. Question 2
   • Choose the information that supports the existing care plan
   • Use the older record because it is already documented
   • Validate the accuracy of the information before making care decisions
   • Ignore the discrepancy unless the client asks about it
3. Question 3
   • Intellectual humility
   • Independence of thought
   • Sociocentricity
   • Confidence
4. Question 4
   • Egocentricity
   • Fair-mindedness
   • Integrity
   • Perseverance
5. Question 5
   • Evaluating a client's choices according to the nurse's moral standards
   • Assuming that clients with similar backgrounds make similar choices
   • Avoiding discussion of beliefs that differ from the nurse's
   • Using professional ethical standards when forming judgments
6. Question 6
   • Perseverance
   • Fair-mindedness
   • Intellectual humility
   • Sociocentricity
7. Question 7
   • Clinical reasoning relies on intuition alone, whereas critical thinking relies only on research
   • Critical thinking is used only by experienced nurses, whereas clinical reasoning is used only by students
   • Critical thinking concerns clients, whereas clinical reasoning concerns workflow only
   • Critical thinking is broad, whereas clinical reasoning focuses on gathering, analyzing, and weighing client information
8. Question 8
   • A care relationship
   • A prescription
   • A standard
   • A generalization
9. Question 9
   • A list of all available interventions
   • A confirmed medical diagnosis
   • A proposed explanation for why a problem is occurring
   • A measurement of whether an outcome was achieved
10. Question 10
    • Choose an intervention, evaluate it, and create a generalization
    • Set an outcome, implement a policy, and identify a concern
    • Apply a rule, reach a conclusion, and then collect cues
    • Notice specific cues, identify a pattern, and form a hypothesis
11. Question 11
    • Using several individual findings to hypothesize a client problem
    • Listening to a client's concerns to identify unexpected cues
    • Applying a general rest-promoting policy to organize care for clients
    • Grouping observations into a pattern before deciding what they mean
12. Question 12
    • Analysis, Diagnosis, Observation, Planning, Intervention, Education
    • Assessment, Documentation, Outcomes, Prioritization, Implementation, Education
    • Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, Evaluation
    • Assessment, Decision, Observation, Prevention, Intervention, Examination
13. Question 13
    • Collecting physiological, psychological, and lifestyle information
    • Comparing actual outcomes with desired outcomes
    • Formulating a nursing diagnosis from analyzed data
    • Selecting interventions to achieve established goals
14. Question 14
    • To document interventions after they are completed
    • To gather information without interpreting it
    • To identify whether goals were met at the end of care
    • To analyze assessment data and determine actual or potential client problems
15. Question 15
    • The nurse will provide appropriate care
    • The client will demonstrate the agreed-upon goal within the identified time frame
    • The client will improve soon
    • The health care team will try several interventions
16. Question 16
    • Only the client's medical diagnosis
    • The nurse's preferred routine
    • Assessment data, nursing diagnoses, and established goals
    • The interventions used for the previous client
17. Question 17
    • The nurse compares outcomes with goals without changing care
    • The nurse analyzes data to formulate a nursing diagnosis
    • The nurse implements the identified plan and documents completed interventions
    • The nurse identifies expected outcomes
18. Question 18
    • Applying a general policy to every client
    • Comparing current findings with established outcomes
    • Writing a medical diagnosis
    • Collecting initial information only
19. Question 19
    • Analyzing data and formulating the nursing diagnosis
    • Gathering data according to the applicable scope of practice
    • Documenting interventions the LPN/VN performs
    • Implementing appropriate interventions in the care plan
20. Question 20
    • It transfers RN accountability to assistive personnel
    • It promotes consistency and decreases omissions and duplications
    • It eliminates the need for reassessment
    • It allows every client to receive identical care
21. Question 21
    • Wait until the next scheduled care conference
    • Reassess the client and modify the plan as needed
    • Continue the original plan without review
    • Restart care with implementation before assessment
22. Question 22
    • Prioritize hypotheses
    • Evaluate outcomes
    • Take action
    • Recognize cues
23. Question 23
    • Whether the client prefers a particular outcome
    • Whether data are expected or unexpected for the client
    • Which staff member should receive a delegation
    • How to document a completed intervention
24. Question 24
    • Prioritize hypotheses
    • Recognize cues
    • Generate solutions
    • Evaluate outcomes
25. Question 25
    • Identifying which finding is clinically significant
    • Comparing actual outcomes with desired outcomes
    • Planning individualized interventions that meet desired outcomes
    • Forming a hypothesis from analyzed data
26. Question 26
    • Evaluate outcomes
    • Prioritize hypotheses
    • Analyze cues
    • Take action
27. Question 27
    • The client's weight decreased noticeably since the previous day
    • The client may have a fluid imbalance
    • The client has a nursing diagnosis of fluid volume deficit
    • The care plan requires modification
28. Question 28
    • Inductive clinical reasoning
    • Outcome evaluation
    • Premature closure
    • Delegation
29. Question 29
    • The NCJMM replaces the nursing process in all client care
    • The two models have no conceptual relationship
    • The NCJMM complements the nursing process and uses different terms for related judgment skills
    • The nursing process evaluates candidates, whereas the NCJMM documents client care
30. Question 30
    • Analyze cues — Diagnosis
    • Take action — Assessment
    • Recognize cues — Evaluation
    • Evaluate outcomes — Implementation

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