TEST BANK - UNDERSTANDING
MEDICAL-SURGICAL NURSING, 7TH
EDITION (WILLIAMS) WITH VERIFIED
ANSWERS 2023- 2024
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Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing
Process
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is caring for a group of patients on a
medical–surgical unit. The licensed practical
nurse/licensed vocational nurse (LPN/LVN)
assesses the patient experiencing a low blood
glucosefirst. Which process was needed to make
this decision?
1. Application of clinical judgment
2. Recommendation of the registered nurse (RN)
3. Understanding of what regulates blood glucose levels
4. Knowing the patient’s past medical history
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment,
and the Nursing Process Objective: 7. Explain the
difference between critical thinking and clinical judgment.
Page: 2
Heading: Clinical WWW.TBSM.WS
Judgment
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Integrated Process: Clinical Problem-Solving Process (Nursing
Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Comprehension
[Understanding] Concept: Clinical
Judgment
Difficulty: Difficult
Feedback
1 Clinical judgment is the observed outcome of critical
thinking and decision making. The nurse identified
the patient at high risk and decided to assess this
person first.
2 The LPN/LVN needs to make clinical decisions independently
from the RN.
3 Understanding the pathophysiology of the disease
does not determine how decisions are made.
4 Past medical history is important, but the current
clinical cues will determine prioritized nursing
actions.
PTS: 1
CON: Patient-Centered Care
2. The LPN/LVN enters the room of a patient who is angry and yells,
“I asked 5 minutes ago for my pain medication. You’re so
worthless!” Which action by the nurse demonstrates intellectual
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integrity?
1. Refusing to share details of the interaction with colleagues
2. Responding to the patient that the unlicensed assistive
personnel (UAP) did not communicate the information
3. Refusing to provide care for the patient
4. Getting the medication without saying another word