Test Bank for Understanding
dW dW dW
Medical- Surgical Nursing 7 th
dW dW dW dW dW
Edition Linda S. Williams Paula D.
dW dW dW dW dW dW
HopperdW
Page 7 of 1376
,TABLE d W OF dW CONTENTS
Unit dW 1 dWUnderstanding d W Health dW Care d W Issues
1. Critical dWThinking dW andthe dW Nursing dW Process
2. Evidence-Based d W Practice
3. Issues dW in dW Nursing dWPractice
4. Cultural dWInfluences dWon dWNursing dWCare
5. Complementary dWand dWAlternative dWModalities
Unit dW 2 dW Understanding d W Health dW and d W Illness
6. Nursing dWCare dWof dWPatients dWwith dWFluid, dWElectrolyte, dWand dWAcid-Base dWImbalances
7. Nursing dWCare dWof dWPatients dWReceiving dWIntravenous dWTherapy
8. Nursing dW Care d W of dW Patients d W withInfections
9. Nursing dW Care d W of dW Patients d W inShock
10. Nursing dW Care d W of dW Patients d W inPain
11. Nursing dW Care d W of dW Patients d W WithCancer
12. Nursing dW Care d W of dW Patients d W HavingSurgery
13. Nursing dWCare dWof dWPatients dWwith dWEmergentAConditions dWand dWDisaster/Bioterrorism dWResponse
Unit dW 3 dW Understanding dW Life dWSpan d W Influences dW on d W Health d W and d W Illness
14. Developmental dWConsiderations dWand dWChronic dWIllness dWin dWthe dWNursing dWCare dWof dWAdults
15. Nursing dW Care d W of dW Older dW AdultPatients
16. Patient dW Care dWSettings
17. Nursing dWCare dWof dWPatients dW at dWthe dW End dWof dWLife
Unit dW 4 dWUnderstanding d W the dW Immune d W System
18. Immune dW System dW Function, dW AssessmentAand dW Therapeutic dW Measures
19. Nursing dWCare dWof dWPatients dWWith dWImmune dWDisorders
20. Nursing dWCare dWof dWPatients dWWith dWHIV dWDisease dWand dWAIDS
Unit dW5 dW Understanding dW the dWCardiovascular d W System
21. Cardiovascular dWSystem dW Function, dW Assessment dW andATherapeutic dW Measures
22. Nursing dW Care d W of dW Patients d W WithHypertension
23. Nursing dWCare dWof dWPatients dWWith dWValvular, dWInflammatory dWand dWInfectious dWCardiac dWor dWVenous dWDisorders
24. Nursing dWCare dWof dWPatients dWWith dWOcclusive dWCardiovascular dWDisorders
25. Nursing dWCare dWof dWPatients dWWith dWCardiac dWArrhythmias
26. Nursing dWCare dWof dWPatients dWWith dWHeart dWFailure
Unit dW6 dWUnderstanding dW the dWHematologic dW and dW Lymphatic dW Systems
27. Hematologic dWand dW Lymphatic dWSystem dWFunction, dWAssessment, dWand dWTherapeutic dW Measures
28. Nursing dWCare dWof dWPatients dWWith dWHematologic dWand dWLymphatic dWDisorders
Unit dW 7 dWUnderstanding d W the dWRespiratory dW System
29. Respiratory dWSystem dWFunction, dWAssessment, dWand dWTherapeutic dWMeasures
30. Nursing d W Care d W of d W Patients d W With d W UpperARespiratory d W Tract d W Disorders
31. Nursing d W Care d W of d W Patients d W With d W Lower d W Respiratory d W Tract d W Disorders
, Unit dW8 dWUnderstanding dW the dWGastrointestinal, dW Hepatic, dW and dW Pancreatic dW Systems
32. Gastrointestinal, d W Hepatobiliary, d W and d W Pancreatic d W Systems d W Function, d W Assessment d W and dW Therapeutic d W Measures
33. Nursing d W Care d W of d W Patients d W With d W Upper d W Gastrointestinal d W Disorders
34. Nursing d W Care d W of d W Patients d W With d W Lower d W Gastrointestinal d W Disorders
35. Nursing dWCare dWof dWPatients dWWith dWLiver, dWPancreatic, dWand dWGallbladder dWDisorders
Unit dW 9 dW Understanding dW the dWUrinary d W System
36. Urinary dWSystem dWFunction, dWAssessment, dWand dWTherapeutic dWMeasures
37. Nursing dWCare dWof dWPatients dWWith dWDisorders dWof dWthe dWUrinary dWSystem
Unit dW 10 dW Understanding d W the dWEndocrine dW System
38. Endocrine dWSystem dW Function dW andAssessment
39. Nursing dWCare dWof dWPatients dWWith dWEndocrine dWDisorders
40. Nursing dWCare dWof dWPatients dWWith dWDisorders dWof dWthe dWEndocrine dWPancreas
Unit dW11 dW Understanding dW the dWGenitourinary dW and dW Reproductive dW System
41. Genitourinary dWand dWReproductive dWSystem dWFunction dWand dWAssessment
42. Nursing dWCare dWof dWWomen dWWith dWReproductive dWSystem dWDisorders
43. Nursing dWCare dWof dWMale dWPatients dWWith dWGenitourinary dWDisorders
44. Nursing dWCare dWof dWPatients dWWith dWSexually dWTransmitted dWInfections
Unit dW 12 dWUnderstanding dW the dWMusculoskeletal dW System
45. Musculoskeletal dWFunction dW and dWAssessment
46. Nursing dWCare dWof dWPatients dWWith dWMusculoskeletal dWand dWConnective dWTissue dWDisorders
Unit dW 13 dWUnderstanding dW the dWNeurologic d W System
47. Neurologic dWSystem dWFunction, dWAssessment, dWand dWTherapeutic dWMeasures
48. Nursing dWCare dWof dWPatients dWWith dWCentral dWNervous dWSystem dWDisorders
49. Nursing dWCare dWof dWPatients dWWith dWCerebrovascular dWDisorders
50. Nursing dWCare dWof dWPatients dWWith dWPeripheral dWNervous dWSystem dWDisorders
Unit dW 14 dW Understanding d W the dW Sensory dW System
51. Sensory dWSystem dWFunction, dWAssessment, dWand dWTherapeutic dWMeasures: dWVision dWand dWHearing
52. Nursing dWCare dWof dWPatients dWWith dWSensory dWDisorders: dWVision dWand dWHearing
Unit dW 15 dWUnderstanding dW the dWIntegumentary d W System
53. Integumentary dWSystem dW Function, dW Assessment dW and dW Therapeutic dW Measures
54. Nursing dWCare dWof dWPatients dWWith dW Skin dWDisorders
55. Nursing dW Care d W of dW Patients d W WithBurns
Unit dW 16 dW Understanding dWMental dW Health d W Care
56. Mental dWHealth dWFunction, dWAssessment, dWand dWTherapeutic dWMeasures
57. Nursing dWCare dWof dWPatients dWWith dWMental dWHealth dWDisorders
Page 9 of 1376
,Chapter 1. Critical Thinking and the Nursing Process
dW dW dW dW dW dW dW
MULTIPLE dWCHOICE
1. The dWnurse dWis dW caring dWfor dW a d W group dW of dW patients dW on dW a dW medical-
surgical dWunit. dWWhich dWpatient dWshould dWthe dWlicensed dWpractical dWnurse/licensed
dWvocational dWnurse dW(LPN/LVN) dWassess dWfirst?
1. A dW patient dW with dW a dW blood dW glucose dW of dW 42 dW mg/dL
2. A dWpatient d W who dW reports dW a dW pain dW level dW of dW 2
3. A dW patient dW who dW has dW just dW received dW a dW diagnosis dW of dW cancer
4. A dW patient dW who dW has dW a d W respiratory dW rate dW of dW 22
ANS: d W 1
Chapter: dWChapter dW 1 dW Critical d W Thinking dW and dW the dW Nursing dW Process
Objective: dW7. dWPrioritize dWpatient dWcare dWactivities dWbased dWon dWthe dWMaslow
dWhierarchy dWof dWhuma dWn dWneeds.
Pages: dW 6–7
Heading: dWPrioritize dW Care
Integrated dWProcess: dW Clinical dWProblem-
Solving dWProcess dW(Nursing dWProcess) dWClient dWNeed: dWSECE—Coordinated
dWCare dWCognitive dWLevel: dWApplication dW[Applying]
Concept: dW Patient-
Centered dW Care dW Difficulty: dW Difficult
Feedback
1 This dWpatient dWhas dWa dWdangerously dWlow dWblood dWglucose dWlevel dWand dWrequires
dWimmediate dWi dWntervention.
2 This dW patient dW will dW need dW to dW be dW assessed, dW but dW is dW not dW as d W high dW a
dW priority.
3 According dWto dWMaslow, dWpsychosocial dWneeds dWare dWnot dWas dWhigh dWof dWa
dWpriority dWas dWphysio dWlogical dWneeds.
4 A dW respiratory dW rate dW of dW 22 dW is dW within dW normal dW range.
PTS: 1 CON: dWPatient-Centered dWCare
2. The dWLPN/LVN dWenters dWthe dWroom dWof dWa dWpatient dWwho dWis dWangry dWand dWyells, dW―I
dWasked dW5 dWminutes dWa dWgo dWfor dWmy dWpain dWmedication. dWI’m dWgoing dWto dWcall dWthe dWCEO
dWof dWthe dWhospital dWif dWyou dWdon’t dWget dWit dWf dWor dWme dWnow.‖ dWWhich dWstatement dWby dWthe
dWnurse dWdemonstrates dWintellectual dWempathy?
1. ―We dWare dWshort-staffed dWtoday, dWso dWit dWwill dWtake dWme dWlonger dWto dWmeet dWyour dWneeds.‖
2. ―I dWam dWsorry dWyou dWhad dWto dWwait, dW I dWknow dW you dWmust dWbe dWin dWa dWlot dWof dWpain.‖
3. ―I dWhad dWanother dWpatient dWwho dWhad dWsevere dWpain, dWand dW I dWhad dWto dWget dWto dWthem dWfirst.‖
4. ―I dWwill dWget dW you dWthe dWnumber dWfor dWthe dWCEO, dWbut dWhe dWis dWaware dWof dWhow dWbusy dWwe
dW are.‖
ANS: d W 2
Chapter: dWChapter dW 1 dW Critical d W Thinking dW and dW the dW Nursing dW Process
Objective: dW2. dWDescribe dWattitudes dWand dWskills dWthat dWpromote dWgood
dWcritical dWthinkin dWg dWPage: dW2
Heading: dW Intellectual dWEmpathy
Integrated dWProcess: dWCommunication dWand
dWDocumentation dWClient dWNeed: dWPsychosocial dWIntegrity
, Cognitive dW Level: dW Application dW [Applying]
Concept: dWCommunication dWD dWifficulty: dWModerate
Feedback
1 This dWstatement dW does dWnot dW consider dW an dW individual’s dW situation.
2 This dWstatement dWdemonstrates dWintellectual dWempathy dWby dWconsidering dWthis
dWpatient’s dWsi dWtuation dWand dWwill dWlikely dWalleviate dWthe dWpatient’s dWanger.
3 This dWstatement dWdoes dWnot dWconsider dWa dWpatient’s dWsituation dWand dWdoes dWnot
dWdemonstrate dWi dWntellectual dWempathy.
4 This dWstatement dWaddresses dWthe dWpatient’s dWstatement dWof dWwanting dWto dWcall dWthe
dWCEO, dWbut dWdoes dWnot dWdemonstrate dWintellectual dWempathy dWby dWconsidering
dWthe dWpatient’s dWsituation.
PTS: 1 CON: d W Communication
3. The dWnurse dW is d W collecting dW data dW on dW a dW patient. d W Which d W data dW are dW described d W as dWsubjective?
1. Respiratory dW rate dW of dW 26 dW per dW minute
2. Patient dW report dW of dW shortness dW of dW breath
3. Coarse dW lung dW sounds dW bilaterally
4. Cough dW producing dW green dW sputum
ANS: d W 2
Chapter: dWChapter dW1 dWCritical dWThinking dWand dWthe dWNursing
dWProcess dWO dWbjective: dW5. dWDifferentiate dWbetween dWobjective
dWand dWsubjective dWdata. dWP dWage: dW4
Heading: dW Subjective dW Data
Integrated dWProcess: dWCommunication dWand
dWDocumentation dWClient dWNeed: dWCommunication dWand
dWDocumentation dWCog dWnitive dWLevel: dWApplication
dW(Applying)
Concept: dWCommunication
dWD dWifficulty: dWModerate
Feedback
1 Respiratory dWrate dW of dW 26 dW per dW minute dW is d W an dW example dW of dW objective dW data.
2 A dW patient d W reporting dW symptoms dW to dW the dW nurse dW is dW an dW example dW of
dW subjective dW data.
3 Coarse dW lung dW sounds dW is dW an dW example dW of dW objective dW data.
4 A dW productive dW cough dW is dW an dW example dW of dW objective dW data.
PTS: 1 CON: d W Communication
4. A dWpatient dWwith dWa dWnewly dWfractured dWfemur dWreports dWa dWpain dWlevel dWof dW8/10 dWand
dWanalgesic dWmedicati dWon dWis dWnot dWdue dWfor dWanother dW50 dWminutes. dWWhich dWaction
dWshould dWthe dWnurse dWtake dWfirst?
1. Reposition dW the dW patient.
2. Give dW the d W medication d W in dW 30 dW minutes.
3. Notify dWthe d W registered dW nurse dW (RN) dW or dW physician.
4. Tell d W the dW patient dW it dW is d W too dW early dW for dW pain dW medication.
ANS: d W 3
Chapter: dWChapter dW 1 dW Critical d W Thinking dW and dW the dW Nursing dW Process
Page 11 of 1376
, Objective: dW4. dWIdentify dWthe dWrole dWof dWa dWlicensed dWpractical dWnurse/licensed dWvocational
dWnurse dWin dWusin dWg dWthe dWnursing dWprocess.
Page: dW3
Heading: dWClinical dWJudgement
dWIntegrated dWProcess: dWClinical
dWProblem-
solving dWProcess dW(Nursing dWProcess) dWClient dWNeed: dWSECE—Coordinated
dWCare dWCognitive dWLevel: dWApplication dW[Applying]
Concept: dW Patient-
Centered dW Care dW Difficulty: dW Moderate
Feedback
1 The dWpatient dWwho dWhas dWa dWfractured dWfemur dWis dWhaving dWacute dWpain.
dWRepositioning dWa dWpati dWent dWwith dWa dWnew dWfracture dWis dWnot dWlikely dWto dWrelieve
dWpain.
2 Giving dWthe dWmedication dWbefore dWthe dWprescribed dWtime dWis dWbeyond dWthe
dWnurse’s dWscope dWof dWpractice.
3 The dWpatient dWshould dWnot dWhave dWto dWwait dWfor dWpain dWrelief, dWso dWthe dWLPN
dWshould dWinform dWth d W e dWRN dWor dWphysician dWso dWnew dWpain dWrelief dWorders
dWcan dWbe dWobtained.
4 The dWnurse dW needs d W to d W do d W more dW than dW expect d W the dW patient d W to d W wait dW for
dW pain d W relief.
PTS: 1 CON: dWPatient-Centered dWCare
5. The dWnurse dWis dWprioritizing dWcare dWbased dWon dWMaslow dWhierarchy dWof dWneeds. dWWhich
dWneed dWdoes dWt dWhe dWnurse dWidentify dWas dWhaving dWthe dWhighest dWpriority?
1. Job-related dW stress
2. Feeling dW of dW loneliness
3. Pain dW level d W of dW 9 d W on dW 0-to-10 dW scale
4. Lack dW of d W confidence
ANS: d W 3
Chapter: dWChapter dW 1 dW Critical d W Thinking dW and dW the dW Nursing dW Process
Objective: dW7. dWPrioritize dWpatient dWcare dWactivities dWbased dWon dWthe dWMaslow
dWhierarchy dWof dWhuma dWn dWneeds
Page: dW7
Heading: dWPrioritize dWCare
dWInt dWegrated dWProcess:
dWCaring dWClient dWNeed:
dWSECE dW–
Coordinated dWCare dWCognitive dWLevel:
dWApp dWlication dW[Applying] dWConcept:
dWPatient- dWCentered dWCare dWDifficulty:
dWModerate
Feedback
1 Job-
related dWstress dWfalls dWunder dWsafety dWaccording dWto dWMaslow dWand dWis dWaddressed
dWafter dWphys dWiological dWneeds.
2 According dWto dWMaslow, dWloneliness dWis dWaddressed dWunder dWsocial dWneeds
dWfollowing dWphys dWiological dWand dWsafety.
3 Pain dW is dW a dW physiological dW need dW and dW is dW the dW highest dW priority.
4 Lack dWof dWconfidence dWfalls dWunder dWesteem dWaccording dWto dWMaslow dWand dWis
dWaddressed dWfol dWlowing dWphysiological, dWsafety, dWand dWsocial dWneeds.
dW dW dW
Medical- Surgical Nursing 7 th
dW dW dW dW dW
Edition Linda S. Williams Paula D.
dW dW dW dW dW dW
HopperdW
Page 7 of 1376
,TABLE d W OF dW CONTENTS
Unit dW 1 dWUnderstanding d W Health dW Care d W Issues
1. Critical dWThinking dW andthe dW Nursing dW Process
2. Evidence-Based d W Practice
3. Issues dW in dW Nursing dWPractice
4. Cultural dWInfluences dWon dWNursing dWCare
5. Complementary dWand dWAlternative dWModalities
Unit dW 2 dW Understanding d W Health dW and d W Illness
6. Nursing dWCare dWof dWPatients dWwith dWFluid, dWElectrolyte, dWand dWAcid-Base dWImbalances
7. Nursing dWCare dWof dWPatients dWReceiving dWIntravenous dWTherapy
8. Nursing dW Care d W of dW Patients d W withInfections
9. Nursing dW Care d W of dW Patients d W inShock
10. Nursing dW Care d W of dW Patients d W inPain
11. Nursing dW Care d W of dW Patients d W WithCancer
12. Nursing dW Care d W of dW Patients d W HavingSurgery
13. Nursing dWCare dWof dWPatients dWwith dWEmergentAConditions dWand dWDisaster/Bioterrorism dWResponse
Unit dW 3 dW Understanding dW Life dWSpan d W Influences dW on d W Health d W and d W Illness
14. Developmental dWConsiderations dWand dWChronic dWIllness dWin dWthe dWNursing dWCare dWof dWAdults
15. Nursing dW Care d W of dW Older dW AdultPatients
16. Patient dW Care dWSettings
17. Nursing dWCare dWof dWPatients dW at dWthe dW End dWof dWLife
Unit dW 4 dWUnderstanding d W the dW Immune d W System
18. Immune dW System dW Function, dW AssessmentAand dW Therapeutic dW Measures
19. Nursing dWCare dWof dWPatients dWWith dWImmune dWDisorders
20. Nursing dWCare dWof dWPatients dWWith dWHIV dWDisease dWand dWAIDS
Unit dW5 dW Understanding dW the dWCardiovascular d W System
21. Cardiovascular dWSystem dW Function, dW Assessment dW andATherapeutic dW Measures
22. Nursing dW Care d W of dW Patients d W WithHypertension
23. Nursing dWCare dWof dWPatients dWWith dWValvular, dWInflammatory dWand dWInfectious dWCardiac dWor dWVenous dWDisorders
24. Nursing dWCare dWof dWPatients dWWith dWOcclusive dWCardiovascular dWDisorders
25. Nursing dWCare dWof dWPatients dWWith dWCardiac dWArrhythmias
26. Nursing dWCare dWof dWPatients dWWith dWHeart dWFailure
Unit dW6 dWUnderstanding dW the dWHematologic dW and dW Lymphatic dW Systems
27. Hematologic dWand dW Lymphatic dWSystem dWFunction, dWAssessment, dWand dWTherapeutic dW Measures
28. Nursing dWCare dWof dWPatients dWWith dWHematologic dWand dWLymphatic dWDisorders
Unit dW 7 dWUnderstanding d W the dWRespiratory dW System
29. Respiratory dWSystem dWFunction, dWAssessment, dWand dWTherapeutic dWMeasures
30. Nursing d W Care d W of d W Patients d W With d W UpperARespiratory d W Tract d W Disorders
31. Nursing d W Care d W of d W Patients d W With d W Lower d W Respiratory d W Tract d W Disorders
, Unit dW8 dWUnderstanding dW the dWGastrointestinal, dW Hepatic, dW and dW Pancreatic dW Systems
32. Gastrointestinal, d W Hepatobiliary, d W and d W Pancreatic d W Systems d W Function, d W Assessment d W and dW Therapeutic d W Measures
33. Nursing d W Care d W of d W Patients d W With d W Upper d W Gastrointestinal d W Disorders
34. Nursing d W Care d W of d W Patients d W With d W Lower d W Gastrointestinal d W Disorders
35. Nursing dWCare dWof dWPatients dWWith dWLiver, dWPancreatic, dWand dWGallbladder dWDisorders
Unit dW 9 dW Understanding dW the dWUrinary d W System
36. Urinary dWSystem dWFunction, dWAssessment, dWand dWTherapeutic dWMeasures
37. Nursing dWCare dWof dWPatients dWWith dWDisorders dWof dWthe dWUrinary dWSystem
Unit dW 10 dW Understanding d W the dWEndocrine dW System
38. Endocrine dWSystem dW Function dW andAssessment
39. Nursing dWCare dWof dWPatients dWWith dWEndocrine dWDisorders
40. Nursing dWCare dWof dWPatients dWWith dWDisorders dWof dWthe dWEndocrine dWPancreas
Unit dW11 dW Understanding dW the dWGenitourinary dW and dW Reproductive dW System
41. Genitourinary dWand dWReproductive dWSystem dWFunction dWand dWAssessment
42. Nursing dWCare dWof dWWomen dWWith dWReproductive dWSystem dWDisorders
43. Nursing dWCare dWof dWMale dWPatients dWWith dWGenitourinary dWDisorders
44. Nursing dWCare dWof dWPatients dWWith dWSexually dWTransmitted dWInfections
Unit dW 12 dWUnderstanding dW the dWMusculoskeletal dW System
45. Musculoskeletal dWFunction dW and dWAssessment
46. Nursing dWCare dWof dWPatients dWWith dWMusculoskeletal dWand dWConnective dWTissue dWDisorders
Unit dW 13 dWUnderstanding dW the dWNeurologic d W System
47. Neurologic dWSystem dWFunction, dWAssessment, dWand dWTherapeutic dWMeasures
48. Nursing dWCare dWof dWPatients dWWith dWCentral dWNervous dWSystem dWDisorders
49. Nursing dWCare dWof dWPatients dWWith dWCerebrovascular dWDisorders
50. Nursing dWCare dWof dWPatients dWWith dWPeripheral dWNervous dWSystem dWDisorders
Unit dW 14 dW Understanding d W the dW Sensory dW System
51. Sensory dWSystem dWFunction, dWAssessment, dWand dWTherapeutic dWMeasures: dWVision dWand dWHearing
52. Nursing dWCare dWof dWPatients dWWith dWSensory dWDisorders: dWVision dWand dWHearing
Unit dW 15 dWUnderstanding dW the dWIntegumentary d W System
53. Integumentary dWSystem dW Function, dW Assessment dW and dW Therapeutic dW Measures
54. Nursing dWCare dWof dWPatients dWWith dW Skin dWDisorders
55. Nursing dW Care d W of dW Patients d W WithBurns
Unit dW 16 dW Understanding dWMental dW Health d W Care
56. Mental dWHealth dWFunction, dWAssessment, dWand dWTherapeutic dWMeasures
57. Nursing dWCare dWof dWPatients dWWith dWMental dWHealth dWDisorders
Page 9 of 1376
,Chapter 1. Critical Thinking and the Nursing Process
dW dW dW dW dW dW dW
MULTIPLE dWCHOICE
1. The dWnurse dWis dW caring dWfor dW a d W group dW of dW patients dW on dW a dW medical-
surgical dWunit. dWWhich dWpatient dWshould dWthe dWlicensed dWpractical dWnurse/licensed
dWvocational dWnurse dW(LPN/LVN) dWassess dWfirst?
1. A dW patient dW with dW a dW blood dW glucose dW of dW 42 dW mg/dL
2. A dWpatient d W who dW reports dW a dW pain dW level dW of dW 2
3. A dW patient dW who dW has dW just dW received dW a dW diagnosis dW of dW cancer
4. A dW patient dW who dW has dW a d W respiratory dW rate dW of dW 22
ANS: d W 1
Chapter: dWChapter dW 1 dW Critical d W Thinking dW and dW the dW Nursing dW Process
Objective: dW7. dWPrioritize dWpatient dWcare dWactivities dWbased dWon dWthe dWMaslow
dWhierarchy dWof dWhuma dWn dWneeds.
Pages: dW 6–7
Heading: dWPrioritize dW Care
Integrated dWProcess: dW Clinical dWProblem-
Solving dWProcess dW(Nursing dWProcess) dWClient dWNeed: dWSECE—Coordinated
dWCare dWCognitive dWLevel: dWApplication dW[Applying]
Concept: dW Patient-
Centered dW Care dW Difficulty: dW Difficult
Feedback
1 This dWpatient dWhas dWa dWdangerously dWlow dWblood dWglucose dWlevel dWand dWrequires
dWimmediate dWi dWntervention.
2 This dW patient dW will dW need dW to dW be dW assessed, dW but dW is dW not dW as d W high dW a
dW priority.
3 According dWto dWMaslow, dWpsychosocial dWneeds dWare dWnot dWas dWhigh dWof dWa
dWpriority dWas dWphysio dWlogical dWneeds.
4 A dW respiratory dW rate dW of dW 22 dW is dW within dW normal dW range.
PTS: 1 CON: dWPatient-Centered dWCare
2. The dWLPN/LVN dWenters dWthe dWroom dWof dWa dWpatient dWwho dWis dWangry dWand dWyells, dW―I
dWasked dW5 dWminutes dWa dWgo dWfor dWmy dWpain dWmedication. dWI’m dWgoing dWto dWcall dWthe dWCEO
dWof dWthe dWhospital dWif dWyou dWdon’t dWget dWit dWf dWor dWme dWnow.‖ dWWhich dWstatement dWby dWthe
dWnurse dWdemonstrates dWintellectual dWempathy?
1. ―We dWare dWshort-staffed dWtoday, dWso dWit dWwill dWtake dWme dWlonger dWto dWmeet dWyour dWneeds.‖
2. ―I dWam dWsorry dWyou dWhad dWto dWwait, dW I dWknow dW you dWmust dWbe dWin dWa dWlot dWof dWpain.‖
3. ―I dWhad dWanother dWpatient dWwho dWhad dWsevere dWpain, dWand dW I dWhad dWto dWget dWto dWthem dWfirst.‖
4. ―I dWwill dWget dW you dWthe dWnumber dWfor dWthe dWCEO, dWbut dWhe dWis dWaware dWof dWhow dWbusy dWwe
dW are.‖
ANS: d W 2
Chapter: dWChapter dW 1 dW Critical d W Thinking dW and dW the dW Nursing dW Process
Objective: dW2. dWDescribe dWattitudes dWand dWskills dWthat dWpromote dWgood
dWcritical dWthinkin dWg dWPage: dW2
Heading: dW Intellectual dWEmpathy
Integrated dWProcess: dWCommunication dWand
dWDocumentation dWClient dWNeed: dWPsychosocial dWIntegrity
, Cognitive dW Level: dW Application dW [Applying]
Concept: dWCommunication dWD dWifficulty: dWModerate
Feedback
1 This dWstatement dW does dWnot dW consider dW an dW individual’s dW situation.
2 This dWstatement dWdemonstrates dWintellectual dWempathy dWby dWconsidering dWthis
dWpatient’s dWsi dWtuation dWand dWwill dWlikely dWalleviate dWthe dWpatient’s dWanger.
3 This dWstatement dWdoes dWnot dWconsider dWa dWpatient’s dWsituation dWand dWdoes dWnot
dWdemonstrate dWi dWntellectual dWempathy.
4 This dWstatement dWaddresses dWthe dWpatient’s dWstatement dWof dWwanting dWto dWcall dWthe
dWCEO, dWbut dWdoes dWnot dWdemonstrate dWintellectual dWempathy dWby dWconsidering
dWthe dWpatient’s dWsituation.
PTS: 1 CON: d W Communication
3. The dWnurse dW is d W collecting dW data dW on dW a dW patient. d W Which d W data dW are dW described d W as dWsubjective?
1. Respiratory dW rate dW of dW 26 dW per dW minute
2. Patient dW report dW of dW shortness dW of dW breath
3. Coarse dW lung dW sounds dW bilaterally
4. Cough dW producing dW green dW sputum
ANS: d W 2
Chapter: dWChapter dW1 dWCritical dWThinking dWand dWthe dWNursing
dWProcess dWO dWbjective: dW5. dWDifferentiate dWbetween dWobjective
dWand dWsubjective dWdata. dWP dWage: dW4
Heading: dW Subjective dW Data
Integrated dWProcess: dWCommunication dWand
dWDocumentation dWClient dWNeed: dWCommunication dWand
dWDocumentation dWCog dWnitive dWLevel: dWApplication
dW(Applying)
Concept: dWCommunication
dWD dWifficulty: dWModerate
Feedback
1 Respiratory dWrate dW of dW 26 dW per dW minute dW is d W an dW example dW of dW objective dW data.
2 A dW patient d W reporting dW symptoms dW to dW the dW nurse dW is dW an dW example dW of
dW subjective dW data.
3 Coarse dW lung dW sounds dW is dW an dW example dW of dW objective dW data.
4 A dW productive dW cough dW is dW an dW example dW of dW objective dW data.
PTS: 1 CON: d W Communication
4. A dWpatient dWwith dWa dWnewly dWfractured dWfemur dWreports dWa dWpain dWlevel dWof dW8/10 dWand
dWanalgesic dWmedicati dWon dWis dWnot dWdue dWfor dWanother dW50 dWminutes. dWWhich dWaction
dWshould dWthe dWnurse dWtake dWfirst?
1. Reposition dW the dW patient.
2. Give dW the d W medication d W in dW 30 dW minutes.
3. Notify dWthe d W registered dW nurse dW (RN) dW or dW physician.
4. Tell d W the dW patient dW it dW is d W too dW early dW for dW pain dW medication.
ANS: d W 3
Chapter: dWChapter dW 1 dW Critical d W Thinking dW and dW the dW Nursing dW Process
Page 11 of 1376
, Objective: dW4. dWIdentify dWthe dWrole dWof dWa dWlicensed dWpractical dWnurse/licensed dWvocational
dWnurse dWin dWusin dWg dWthe dWnursing dWprocess.
Page: dW3
Heading: dWClinical dWJudgement
dWIntegrated dWProcess: dWClinical
dWProblem-
solving dWProcess dW(Nursing dWProcess) dWClient dWNeed: dWSECE—Coordinated
dWCare dWCognitive dWLevel: dWApplication dW[Applying]
Concept: dW Patient-
Centered dW Care dW Difficulty: dW Moderate
Feedback
1 The dWpatient dWwho dWhas dWa dWfractured dWfemur dWis dWhaving dWacute dWpain.
dWRepositioning dWa dWpati dWent dWwith dWa dWnew dWfracture dWis dWnot dWlikely dWto dWrelieve
dWpain.
2 Giving dWthe dWmedication dWbefore dWthe dWprescribed dWtime dWis dWbeyond dWthe
dWnurse’s dWscope dWof dWpractice.
3 The dWpatient dWshould dWnot dWhave dWto dWwait dWfor dWpain dWrelief, dWso dWthe dWLPN
dWshould dWinform dWth d W e dWRN dWor dWphysician dWso dWnew dWpain dWrelief dWorders
dWcan dWbe dWobtained.
4 The dWnurse dW needs d W to d W do d W more dW than dW expect d W the dW patient d W to d W wait dW for
dW pain d W relief.
PTS: 1 CON: dWPatient-Centered dWCare
5. The dWnurse dWis dWprioritizing dWcare dWbased dWon dWMaslow dWhierarchy dWof dWneeds. dWWhich
dWneed dWdoes dWt dWhe dWnurse dWidentify dWas dWhaving dWthe dWhighest dWpriority?
1. Job-related dW stress
2. Feeling dW of dW loneliness
3. Pain dW level d W of dW 9 d W on dW 0-to-10 dW scale
4. Lack dW of d W confidence
ANS: d W 3
Chapter: dWChapter dW 1 dW Critical d W Thinking dW and dW the dW Nursing dW Process
Objective: dW7. dWPrioritize dWpatient dWcare dWactivities dWbased dWon dWthe dWMaslow
dWhierarchy dWof dWhuma dWn dWneeds
Page: dW7
Heading: dWPrioritize dWCare
dWInt dWegrated dWProcess:
dWCaring dWClient dWNeed:
dWSECE dW–
Coordinated dWCare dWCognitive dWLevel:
dWApp dWlication dW[Applying] dWConcept:
dWPatient- dWCentered dWCare dWDifficulty:
dWModerate
Feedback
1 Job-
related dWstress dWfalls dWunder dWsafety dWaccording dWto dWMaslow dWand dWis dWaddressed
dWafter dWphys dWiological dWneeds.
2 According dWto dWMaslow, dWloneliness dWis dWaddressed dWunder dWsocial dWneeds
dWfollowing dWphys dWiological dWand dWsafety.
3 Pain dW is dW a dW physiological dW need dW and dW is dW the dW highest dW priority.
4 Lack dWof dWconfidence dWfalls dWunder dWesteem dWaccording dWto dWMaslow dWand dWis
dWaddressed dWfol dWlowing dWphysiological, dWsafety, dWand dWsocial dWneeds.
