What factor best predicts a nurse's willingness to employ critical thinking?

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Question 1 of 5

What factor best predicts a nurse's willingness to employ critical thinking?

Correct Answer: B

Rationale: Knowledge best predicts a nurse's willingness to employ critical thinking, as it provides the foundation for analyzing, synthesizing, and applying information effectively. Caring motivates but doesn't ensure critical thinking. Presence aids engagement, not reasoning. Skills enable execution, but without knowledge, critical thinking lacks depth. A nurse with strong knowledge is more likely to question, evaluate, and innovate, per nursing education models, making B the strongest predictor of willingness.

Question 2 of 5

A nurse caring for an older client in the hospital is concerned the client is not competent to give consent for upcoming surgery. What action by the nurse is best?

Correct Answer: B

Rationale: If competency is in doubt, discussing concerns with the healthcare team ensures a collaborative, ethical approach to assess capacity and determine next steps, per legal and hospital protocols. Calling APS is premature without evidence of abuse. Blocking consent oversteps the nurse's role without team input. Family consent requires legal guardianship, not assumed. Team discussion protects the client's rights while addressing competency, making it the best action.

Question 3 of 5

A nurse caring for an older adult has provided education on high-fiber foods. Which menu selection by the client demonstrates a need for further review?

Correct Answer: C

Rationale: Older adults need 35-50g of fiber daily, per the document. White rice is low-fiber, unlike barley , beans , and whole-wheat bread , indicating a need for more education. Selecting C shows misunderstanding, as fiber prevents constipation a common issue making it the choice requiring review.

Question 4 of 5

A nurse caring for an older client on a medical-surgical unit notices the client reports frequent constipation and only wants to eat softer foods such as rice, bread, and puddings. What assessment would the nurse perform first?

Correct Answer: C

Rationale: Soft food preference and constipation suggest dental issues, per the document, making oral assessment first to check dentures or teeth. Bowel sounds follow, skin turgor assesses hydration, and weight tracks nutrition secondary steps. C identifies the cause, guiding intervention, making it the priority.

Question 5 of 5

A nurse admits an older adult from a home environment. The client lives with an adult son and daughter-in-law. The client has urine burns on the skin, no dentures, and several pressure injuries. What action by the nurse is most appropriate?

Correct Answer: D

Rationale: Urine burns, missing dentures, and pressure injuries suggest neglect, requiring reporting per agency policy as a mandatory reporter, per the document. Asking family may bias the investigation, police or APS follow hospital protocol, not initial steps. D ensures proper escalation, making it most appropriate.

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