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Quirino Highway, Lagro Campus, Novaliches, Quezon City


GENERAL INSTRUCTIONS: 1. This test questionnaire contains 50 points. Please be guided with the specific instructions. 2. This exam is for 1 hour only. You must pass your test booklet when the time allotted has elapsed. 3. All questions requiring answers in letters must be in CAPITAL FORM. Failure to do so will invalidate your answer! 4. Keep your test booklet neat and clean. NO ERASURES. NO SUPERIMPOSITIONS. USE BLACK/BLUE INK ONLY!

I. MULTIPLE CHOICE: Read each question below and choose BEST answer. Write E when there is no answer in the given question.

1. A client with diarrhea also has a primary care providers order for a bulk laxative daily. The nurse, not realizing that bulk laxatives can help solidify certain types of diarrhea, concludes, The primary care provider does not know the client has diarrhea. This statement is an example of: a. A fact b. An inference c. A judgment d. An opinion 2. A client reports feeling hungry, but does not eat when food is served. Using critical thinking skills, the nurse should perform which of the following? a. Assess why the client is not ingesting the food provided b. Continue to leave the food as the bedside until the client is hungry enough to eat c. Notify the primary care provider that tube feeding may be indicated soon d. Believe the client is not really hungry 3. One nurse expresses that the manager prepared the holiday work schedule unfairly. The manager states that it is the same type of schedule used in the past and other nurses have no problems with it. Which response indicates the nurse is displaying an attitude of critical thinking? a. Accepting the preferences of the other nurses since there are several of them b. Recognizing that the nurse must have reached a false conclusion c. Considering going to a higher authority than the manager for an explanation d. Continuing to query the manager until the nurse understands the explanation 4. The client who is short of breath benefits from the head of the being elevated. Because this position can result in skin breakdown in the sacral area, the nurse decides to study the amount of sacral pressure occurring in other positions. This dedication is an example of: a. The research method b. The trial-and-error method c. Intuition d. The nursing process 5. In the decision-making process, the nurse sets and weighs the criteria, examines alternatives, and performs which of the following before implementing the plan? a. Re-examines the purpose for making the decision b. Consults the client and family members to determine their view of the criteria c. Identifies and considers various means for reaching the outcomes d. Determines the logical course of action should intervening problems arise

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6. The nurse is teaching a client about wound care during follow-up visit in the clients home. Which critical thinking attitude causes the nurse to reconsider the plan and supports evidencebased practice when the client states, I just dont know how I can afford these dressings.? a. Integrity b. Intellectual humility c. Confidence d. Independence 7. A client in a cardiac rehabilitation program says to the nurse, I have to eat a low -sodium diet for the rest of my life, and I hate it! Which is the most appropriate response by the nurse? a. I will get a dietary consult to talk to you before next week. b. What do you think is so difficult about following a low-sodium diet? c. At least you survived a heart attack and are able to return to work. d. You may not need to follow a low-sodium diet for as long as you think. 8. Which reasoning process describes the nurses actions when the nurse evaluates possible solutions for care of an infected wound for optimal client outcomes? a. Intuition b. Research process c. Trial and error d. Problem solving 9. When irrigating the wound of a patient, the nurse cleans it with sterile NSS based from the protocol established by the hospital. Which of the following critical thinking skills has been applied by the nurse? a. Analyzing b. Applying standards c. Logical reasoning d. Predicting 10. A nurse educator should continuously involve himself to the current trends and practices of his profession. He manipulates nursing concepts to discover things which could help in the realization of optimal care to patients. He sees himself with a potential to explore possibilities and alternatives. What critical thinking attitude is he demonstrating? a. Creativity b. Open-mindedness c. Inquisitiveness d. Intellectual integrity 11. The primary health provider has ordered incentive spirometry. The child is frightened by the equipment and tries quickly during the treatments. The nurse offers her a bottle of blow bubbles and a blowing wand. The child is delighted with blowing bubbles and the nurse suggests that she blow bubbles between treatments. The nurse is using: a. Flexibility b. Creativity c. Passivity d. Honesty 12. A nurse who observes a client who has dry skin, poor turgor, sunken eyes, and dark amber urine and who is otherwise determined to be dehydrated concludes that the presence of those signs indicate that other clients are dehydrated. This is an example of: a. Inductive reasoning b. Deductive reasoning c. Conductive reasoning

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d. Reductive reasoning 13. If blood volume is decreased, the blood pressure will drop. This statement is an example of: a. Fact b. Inference c. Judgment d. Opinion 14. Critical thinkers strive to be open to the possibility that new evidence could change their minds. The nurse listens to the opinions of all members of a family, young and old. What attitude is being fostered in this sample scenario? a. Intellectual courage b. Fair-mindedness c. Perseverance d. Intellectual humility 15. Can I be more specific is an example of? a. Clarity b. Accuracy c. Precision d. Relevance 16. As part of the decision-making process, the nurse should make an appropriate plan to implement the right course of action. Which of the following is a part of the planning process? SELECT ALL THAT APPLY. a. Generating baseline data b. Set the criteria c. Weigh the criteria d. Seek alternatives e. Examine alternatives f. Project g. Acting the plan 17. What type of concept map is used when the nurse tries to explain the causal relationships of chronic smoking and lung cancer? a. Hierarchical maps b. Spider maps c. Flowchart maps d. Systems maps 18. All but one describes lifespan considerations in dealing with people from different age groups. a. Toddlers are very egocentric and they cannot reason out the implication of care b. Play therapy may benefit preschoolers for them to adjust with the demands of interventions c. Providing simple and direct explanations to school-age children is necessary to gain trust and support d. Allow adolescents to think independently and make many of their own health care decisions 19. The figure below is an example of what concept map? a. Hierarchical maps x b. Spider maps xy y c. Flowchart maps xxxy d. Systems maps xx x

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20. When using the socratic method of questioning, the nurse asks, What are the possible alternatives to electroconvulsive therapy to extremely depressed clients? This question is a question regarding: a. Assumptions b. Point of view c. Evidence and reasons d. Implications and consequences II. IDENTIFICATION: Determine what member in the debating teams has the following functions based from the British Parliamentary Debate style. 1. Refutes the case of the 1st proposition 2. Rebuilds arguments of the 1st opposition 3. Defines and interprets the motion 4. Summarizes the debate from the point of view of the opposition 5. Provides more specific refutation of the 2nd opposition 6. Constructs arguments against the interpretation of the motion 7. Adds new arguments to the case of the 1st proposition 8. Summarizes the debate from the point of view of the proposition 9. Develops the case for the proposition 10. Rejects the motion to implement the proposition III. MATCHING TYPE: The following below are the characteristics and qualities expected from a critical thinker. Match Column A to Column B. Write the letter before each number. Column A 1. Considerate of the whole situation 2. Insightful 3. Envisioning a plan 4. Authentic self 5. Self-assurance 6. Truth-seeking 7. Determined over obstacles 8. Intellectual inventiveness 9. Anticipates consequences 10. Clarifies biases 11. Knows own limits 12. Listens well 13. Eagerness to learn 14. Accommodating 15. Identifies relationships Column B A. Analytical B. Intuition C. Predicting D. Proactive E. Genuine F. Empathetic G. Inquisitiveness H. Perseverance I. Self-awareness J. Creativity K. Prudent L. Contextual perspective M. Confidence N. Intellectual integrity O. Flexibility

IV: (5 POINTS) Write the steps in the Nursing Process in order!