Expert nurses assess and make decisions through the use of:

Critical Thinking

Diagnostic reasoning

Clinical Knowledge

The Nursing Process

Answer and Explanation

The Correct Answer is A

A. Critical Thinking:
Critical thinking is the foundation of sound clinical judgment and decision-making.

B. Diagnostic reasoning:
Part of critical thinking, but it's more focused on identifying a diagnosis rather than the broader assessment and decision process.

C. Clinical Knowledge:
Clinical knowledge is necessary, but alone, it doesn’t drive decision-making without critical thinking.

D. The Nursing Process:
The nursing process is a framework, but critical thinking underpins how the process is applied.

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Correct Answer is C

Explanation

A. A 42-year-old who has had ovarian cancer:
Ovarian cancer is a modifiable-associated risk, but the condition itself is not a direct unmodifiable breast cancer risk factor.

B. A 45-year-old who has never been pregnant:
Nulliparity is a modifiable reproductive risk factor.

C. A 65-year-old whose mother had breast cancer:
Family history and age are unmodifiable risk factors for breast cancer.

D. A 37-year-old who is slightly overweight:
Overweight is a modifiable risk factor through lifestyle change.

A. Performs the examination from the left side of the bed. B. Follows the same examination sequence, regardless of the patient's age or condition. C. Examines tender or painful areas first to help relieve the patient's anxiety. D. Organizes the assessment to ensure that the patient does not change positions too often.

Correct Answer is D

Explanation

A. Performs the examination from the left side of the bed:
The standard is to approach from the right side of the bed for consistency in technique.

B. Follows the same examination sequence, regardless of the patient's age or condition:
The sequence may need to be adjusted depending on patient needs (e.g., very ill or pediatric clients).

C. Examines tender or painful areas first to help relieve the patient's anxiety:
Painful areas should be examined last to avoid unnecessary discomfort or guarding.

D. Organizes the assessment to ensure that the patient does not change positions too often:
Promotes comfort and efficiency during the exam.

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Expert nurses assess and make decisions through the use of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing risk factors for breast cancer. Which of these women have unmodifiable risk factors that place them at a higher risk for breast cancer?

Correct Answer is C

Explanation

The nurse is preparing to perform a physical assessment. The correct action by the nurse is reflected by which statement? The nurse:

Correct Answer is D

Explanation

A patient comes in for a physical examination and complains that she was "freezing to death" while waiting for her examination. The nurse notes that her skin is pale and cool, and attributes this finding to:

A patient has been admitted to the hospital with vertebral fractures related to osteoporosis and is in extreme pain. Which type of pain is the patient experiencing?

The nurse has used interpretation regarding a patient's statement or actions. After using this technique, it would be best for the nurse to:

When performing a female breast examination, the nurse notes the left breast to be larger than the right. What should the nurse tell the patient?

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Which describes an individual's ability to recognize their own illness, need for treatment and consequences stemming from the diagnosed illness?

To ensure privacy while assessing a patient in a shared hospital room, the nurse needs to use curtains to achieve: