,TABLE OF CONTENTS
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Unit 1 Understanding Health Care Issues
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1. Critical Thinking andthe Nursing Process
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2. Evidence-Based Practice n7
3. Issues in Nursing Practice
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4. Cultural Influences on Nursing Care
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5. Complementary and Alternative Modalities n7 n7 n7
Unit 2 Understanding Health and Illness
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6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
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7. Nursing Care of Patients Receiving Intravenous Therapy
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8. Nursing Care of Patients withInfections
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9. Nursing Care of Patients inShock
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10. Nursing Care of Patients inPain
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11. Nursing Care of Patients WithCancer
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12. Nursing Care of Patients HavingSurgery
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13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
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Unit 3 Understanding Life Span Influences on Health and Illness
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14. Developmental Considerations and Chronic Illness in the Nursing Care of Adults
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15. Nursing Care of Older AdultPatients
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16. Patient Care Settings
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17. Nursing Care of Patients at the End of Life
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Unit 4 Understanding the Immune System
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18. Immune System Function, Assessment and Therapeutic Measures
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19. Nursing Care of Patients With Immune Disorders
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20. Nursing Care of Patients With HIV Disease and AIDS
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Unit 5 Understanding the Cardiovascular System
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21. Cardiovascular System Function, Assessment and Therapeutic Measures
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22. Nursing Care of Patients WithHypertension
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23. Nursing Care of Patients With Valvular, Inflammatory and Infectious Cardiac or Venous Disorders
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24. Nursing Care of Patients With Occlusive Cardiovascular Disorders
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25. Nursing Care of Patients With Cardiac Arrhythmias
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26. Nursing Care of Patients With Heart Failure
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Unit 6 Understanding the Hematologic and Lymphatic Systems
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27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
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28. Nursing Care of Patients With Hematologic and Lymphatic Disorders
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Unit 7 Understanding the Respiratory System
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29. Respiratory System Function, Assessment, and Therapeutic Measures
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30. Nursing Care of Patients With Upper Respiratory Tract Disorders
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31. Nursing Care of Patients With Lower Respiratory Tract Disorders
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,Unit 8 Understanding the Gastrointestinal, Hepatic, and Pancreatic Systems
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32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic Measures
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33. Nursing Care of Patients With Upper Gastrointestinal Disorders
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34. Nursing Care of Patients With Lower Gastrointestinal Disorders
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35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
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Unit 9 Understanding the Urinary System
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36. Urinary System Function, Assessment, and Therapeutic Measures
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37. Nursing Care of Patients With Disorders of the Urinary System
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Unit 10 Understanding the Endocrine System
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38. Endocrine System Function andAssessment
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39. Nursing Care of Patients With Endocrine Disorders
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40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
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Unit 11 Understanding the Genitourinary and Reproductive System
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41. Genitourinary and Reproductive System Function and Assessment
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42. Nursing Care of Women With Reproductive System Disorders
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43. Nursing Care of Male Patients With Genitourinary Disorders
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44. Nursing Care of Patients With Sexually Transmitted Infections
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Unit 12 Understanding the Musculoskeletal System
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45. Musculoskeletal Function and Assessment n7 n7 n7
46. Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
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Unit 13 Understanding the Neurologic System
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47. Neurologic System Function, Assessment, and Therapeutic Measures
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48. Nursing Care of Patients With Central Nervous System Disorders
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49. Nursing Care of Patients With Cerebrovascular Disorders
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50. Nursing Care of Patients With Peripheral Nervous System Disorders
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Unit 14 Understanding the Sensory System
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51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing
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52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
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Unit 15 Understanding the Integumentary System
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53. Integumentary System Function, Assessment and Therapeutic Measures
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54. Nursing Care of Patients With Skin Disorders
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55. Nursing Care of Patients WithBurns
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Unit 16 Understanding Mental Health Care
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56. Mental Health Function, Assessment, and Therapeutic Measures
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57. Nursing Care of Patients With Mental Health Disorders
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, Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE n7
1. The nurse is caring for a group of patients on a medical-
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surgical unit. Which patient should the licensed practical nurse/licensed vocational nurse
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(LPN/LVN) assess first?
7 n7 n7
1. A patient with a blood glucose of 42 mg/dL
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2. A patient who reports a pain level of 2
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3. A patient who has just received a diagnosis of cancer
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4. A patient who has a respiratory rate of 22
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ANS: 1 n 7
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of huma
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n needs.
n7
Pages: 6–7 n7
Heading: Prioritize Care n7 n7
Integrated Process: Clinical Problem- n7 n7 n7
Solving Process (Nursing Process) Client Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying] n7 n7 n7 n
7Concept: Patient- n7
Centered Care Difficulty: Difficult n7 n7 n7
Feedback
1 This patient has a dangerously low blood glucose level and requires immediate i
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ntervention.
2 This patient will need to be assessed, but is not as high a priority.
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3 According to Maslow, psychosocial needs are not as high of a priority as physio
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logical needs. n7
4 A respiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-Centered Care n7 n7
2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes a
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go for my pain medication. I’m going to call the CEO of the hospital if you don’t get it
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for me now.‖ Which statement by the nurse demonstrates intellectual empathy?
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1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
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2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
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3. ―I had another patient who had severe pain, and I had to get to them first.‖
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4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
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ANS: 2 n 7
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 2. Describe attitudes and skills that promote good critical thinkin
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g Page: 2
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Heading: Intellectual Empathy n7 n7
Integrated Process: Communication and Documentation
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7Client Need: Psychosocial Integrity
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Cognitive Level: Application [Applying] n7 n7 n7
n7 n7
Unit 1 Understanding Health Care Issues
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1. Critical Thinking andthe Nursing Process
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2. Evidence-Based Practice n7
3. Issues in Nursing Practice
n7 n7 n7
4. Cultural Influences on Nursing Care
n7 n7 n7 n7
5. Complementary and Alternative Modalities n7 n7 n7
Unit 2 Understanding Health and Illness
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6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
n7 n7 n7 n7 n7 n7 n7 n7 n7
7. Nursing Care of Patients Receiving Intravenous Therapy
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8. Nursing Care of Patients withInfections
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9. Nursing Care of Patients inShock
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10. Nursing Care of Patients inPain
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11. Nursing Care of Patients WithCancer
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12. Nursing Care of Patients HavingSurgery
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13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
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Unit 3 Understanding Life Span Influences on Health and Illness
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14. Developmental Considerations and Chronic Illness in the Nursing Care of Adults
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15. Nursing Care of Older AdultPatients
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16. Patient Care Settings
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17. Nursing Care of Patients at the End of Life
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Unit 4 Understanding the Immune System
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18. Immune System Function, Assessment and Therapeutic Measures
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19. Nursing Care of Patients With Immune Disorders
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20. Nursing Care of Patients With HIV Disease and AIDS
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Unit 5 Understanding the Cardiovascular System
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21. Cardiovascular System Function, Assessment and Therapeutic Measures
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22. Nursing Care of Patients WithHypertension
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23. Nursing Care of Patients With Valvular, Inflammatory and Infectious Cardiac or Venous Disorders
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24. Nursing Care of Patients With Occlusive Cardiovascular Disorders
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25. Nursing Care of Patients With Cardiac Arrhythmias
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26. Nursing Care of Patients With Heart Failure
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Unit 6 Understanding the Hematologic and Lymphatic Systems
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27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
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28. Nursing Care of Patients With Hematologic and Lymphatic Disorders
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Unit 7 Understanding the Respiratory System
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29. Respiratory System Function, Assessment, and Therapeutic Measures
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30. Nursing Care of Patients With Upper Respiratory Tract Disorders
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31. Nursing Care of Patients With Lower Respiratory Tract Disorders
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,Unit 8 Understanding the Gastrointestinal, Hepatic, and Pancreatic Systems
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32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic Measures
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33. Nursing Care of Patients With Upper Gastrointestinal Disorders
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34. Nursing Care of Patients With Lower Gastrointestinal Disorders
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35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
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Unit 9 Understanding the Urinary System
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36. Urinary System Function, Assessment, and Therapeutic Measures
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37. Nursing Care of Patients With Disorders of the Urinary System
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Unit 10 Understanding the Endocrine System
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38. Endocrine System Function andAssessment
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39. Nursing Care of Patients With Endocrine Disorders
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40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
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Unit 11 Understanding the Genitourinary and Reproductive System
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41. Genitourinary and Reproductive System Function and Assessment
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42. Nursing Care of Women With Reproductive System Disorders
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43. Nursing Care of Male Patients With Genitourinary Disorders
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44. Nursing Care of Patients With Sexually Transmitted Infections
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Unit 12 Understanding the Musculoskeletal System
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45. Musculoskeletal Function and Assessment n7 n7 n7
46. Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
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Unit 13 Understanding the Neurologic System
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47. Neurologic System Function, Assessment, and Therapeutic Measures
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48. Nursing Care of Patients With Central Nervous System Disorders
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49. Nursing Care of Patients With Cerebrovascular Disorders
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50. Nursing Care of Patients With Peripheral Nervous System Disorders
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Unit 14 Understanding the Sensory System
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51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing
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52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
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Unit 15 Understanding the Integumentary System
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53. Integumentary System Function, Assessment and Therapeutic Measures
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54. Nursing Care of Patients With Skin Disorders
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55. Nursing Care of Patients WithBurns
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Unit 16 Understanding Mental Health Care
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56. Mental Health Function, Assessment, and Therapeutic Measures
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57. Nursing Care of Patients With Mental Health Disorders
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, Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE n7
1. The nurse is caring for a group of patients on a medical-
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
surgical unit. Which patient should the licensed practical nurse/licensed vocational nurse
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n
(LPN/LVN) assess first?
7 n7 n7
1. A patient with a blood glucose of 42 mg/dL
n7 n7 n7 n7 n7 n7 n7 n7
2. A patient who reports a pain level of 2
n7 n7 n7 n7 n7 n7 n7 n7
3. A patient who has just received a diagnosis of cancer
n7 n7 n7 n7 n7 n7 n7 n7 n7
4. A patient who has a respiratory rate of 22
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ANS: 1 n 7
Chapter: Chapter 1 Critical Thinking and the Nursing Process
n7 n7 n7 n7 n7 n7 n7 n7
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of huma
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n needs.
n7
Pages: 6–7 n7
Heading: Prioritize Care n7 n7
Integrated Process: Clinical Problem- n7 n7 n7
Solving Process (Nursing Process) Client Need: SECE—Coordinated Care
n7 n7 n7 n7 n7 n7 n7
Cognitive Level: Application [Applying] n7 n7 n7 n
7Concept: Patient- n7
Centered Care Difficulty: Difficult n7 n7 n7
Feedback
1 This patient has a dangerously low blood glucose level and requires immediate i
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ntervention.
2 This patient will need to be assessed, but is not as high a priority.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3 According to Maslow, psychosocial needs are not as high of a priority as physio
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
logical needs. n7
4 A respiratory rate of 22 is within normal range.
n7 n7 n7 n7 n7 n7 n7 n7
PTS: 1 CON: Patient-Centered Care n7 n7
2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
go for my pain medication. I’m going to call the CEO of the hospital if you don’t get it
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
for me now.‖ Which statement by the nurse demonstrates intellectual empathy?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3. ―I had another patient who had severe pain, and I had to get to them first.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ANS: 2 n 7
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 2. Describe attitudes and skills that promote good critical thinkin
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
g Page: 2
n7 n7
Heading: Intellectual Empathy n7 n7
Integrated Process: Communication and Documentation
n7 n7 n7 n7 n
7Client Need: Psychosocial Integrity
n7 n7 n7
Cognitive Level: Application [Applying] n7 n7 n7
