Reference no: EM132404937

Chapter: Critical Thinking & Nursing Process

Critical Thinking and Clinical Reasoning

Review the following scenarios. Is critical thinking occurring? If so, which part of the critical-thinking model is the student using, or which critical-thinking skill or attitude from Chapter 2 in Volume 1 of your book or the ESG? If there is no evidence of critical thinking, revise the scenario to include it.

a. Juan is a first-year nursing student. His clinical rotation is at a skilled nursing facility (SNF). He arrives at the unit at 0700 for the start of the day shift. After hearing the shift change report, he prepares to give his client a bedbath per unit policy.

b. Lily is teaching her patient, Mr. Johannsen, about the medication he will be taking when he is discharged from the hospital. When Lily reviews the list with him, he says, "That's too many medications. It's too confusing." Lily devises a schedule and information sheet about the medicines that she gives to her client. She reviews the medications and their schedules with Mr. Johannsen and his wife before discharge.

c. Erin is caring for a young man who has had orthopedic surgery after a skiing accident. She is unable to hear his blood pressure when she attempts to take his vital signs. He is alert and able to converse with her. Since she is unable to hear the blood pressure, she records "0" in the client record.

d. As you are walking down the hall on the hospital unit, you hear a patient call out, "Nurse!" When you enter the room, you notice that the bedside is crowded with equipment. The patient is receiving several fluids intravenously, and a unit of blood is hanging from the IV pole. Because you have limited clinical experience, you say to the patient, "I'll get you some help."