why is critical thinking necessary for the nurse to identify and understand paradigms that exist in nursing practice
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Nursing Elites

ATI LPN

ATI Leadership Proctored Exam 2019

1. Why is critical thinking necessary for identifying and understanding paradigms that exist in nursing practice?

Correct answer: B

Rationale: Critical thinking is essential for nurses to identify and understand paradigms in nursing practice because it enables them to thoroughly examine complex situations and issues. By critically analyzing information and considering various perspectives, nurses can gain a deeper understanding of the underlying paradigms that shape nursing practice. This thorough examination helps nurses make informed decisions and provide high-quality care to patients. Choice A is incorrect because critical thinking involves deeper analysis, not superficial decisions. Choice C is incorrect because critical thinking does not provide quick answers; it involves a systematic and thoughtful approach. Choice D is incorrect because critical thinking encourages nurses to question information and verify its validity rather than accepting it blindly.

2. How does the nurse apply Maslow's hierarchy of needs in care?

Correct answer: C

Rationale: Maslow's hierarchy of needs is a framework that helps nurses understand the different levels of human needs and prioritize care accordingly. By applying this framework, nurses can better understand the patient's behavior in the context of their unmet needs. This understanding allows nurses to provide holistic and patient-centered care that addresses not just the physical but also the emotional, social, and psychological needs of the patient. Choice A is incorrect because applying Maslow's hierarchy is about understanding, not judging, the patient's behavior. Choice B is incorrect as it does not directly relate to the application of Maslow's hierarchy. Choice D is also incorrect as improving communication skills, although important, is not the primary focus when applying Maslow's hierarchy of needs in care.

3. The healthcare provider responds to an alarm on a pulse oximeter and sees that the patient's oxygen saturation is reading 38%. The provider observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The healthcare provider concludes that the pulse oximeter is not reading accurately. Whose theory of healthcare is this provider demonstrating?

Correct answer: C

Rationale: Florence Nightingale emphasized the importance of assessing the patient's overall condition and not solely relying on technological readings. In this scenario, the healthcare provider's observation of the patient's respiratory rate, mucous membranes, and breathing pattern aligns with Nightingale's holistic approach to patient care. Annie Goodrich is known for her contributions to nursing education; Lillian D. Wald is associated with public health nursing and social reform; Linda Richards is recognized as America's first trained nurse. However, in this context, the emphasis is on the holistic patient assessment, which is a key principle of Florence Nightingale's theory.

4. Who is credited with creating a written record of health care practices and dispelling the mythical aspect of health care?

Correct answer: C

Rationale: Hippocrates is credited with creating the first medical textbook, where he documented contemporary health care practices and separated them from the mythical belief that Apollo was responsible for health. Hippocrates' work laid the foundation for evidence-based medicine and emphasized the importance of observation and clinical experience in healthcare practices. Choice A, Hammurabi, is known for his code of laws rather than medical advancements. Florence Nightingale is recognized for her contributions to nursing and healthcare reform, not for creating a written record of health care practices. Apollo, a Greek god associated with healing, is part of the mythical aspect of health care that Hippocrates aimed to dispel.

5. Which patient would be appropriately transferred to an assisted living facility?

Correct answer: D

Rationale: The correct answer is D. Patients suitable for transfer to assisted living facilities are those who require minimal assistance with activities of daily living but do not need constant skilled nursing observation. Option D aligns with the purpose of an assisted living facility, which provides support for individuals who can no longer live independently but do not require intensive medical care. Choices A, B, and C are incorrect because patients requiring ongoing skilled nursing observation, those who have recovered enough to return to work and daily life, and children who have experienced a traumatic event such as a fire are not typically candidates for assisted living facilities.

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