TEST BANK
Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition
by Linda S. Williams and Paula D. Hopper
,TABLE OF CONTENT
Unit 1 Understanding Health Care Issues
Chapter 1. Critical Thinking and the Nursing Process
Chapter 2. Evidence-Based Practice
Chapter 3. Issues in Nursing Practice
Chapter 4. Cultural Influences on Nursing Care
Chapter 5. Complementary and Alternative Modalities
Unit 2 Understanding Health and Illness
Chapter 6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
Chapter 7. Nursing Care of Patients Receiving Intravenous Therapy
Chapter 8. Nursing Care of Patients with Infections
Chapter 9. Nursing Care of Patients in Shock
Chapter 10. Nursing Care of Patients in Pain
Chapter 11. Nursing Care of Patients With Cancer
Chapter 12. Nursing Care of Patients Having Surgery
Chapter 13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
Unit 3 Understanding Life Span Influences on Health and Illness
Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care of Adults
Chapter 15. Nursing Care of Older Adult Patients
Chapter 16. Patient Care Settings
Chapter 17. Nursing Care of Patients at the End of Life
Unit 4 Understanding the Immune System
Chapter 18. Immune System Function, Assessment and Therapeutic Measures
Chapter 19. Nursing Care of Patients With Immune Disorders
Chapter 20. Nursing Care of Patients With HIV Disease and AIDS
Unit 5 Understanding the Cardiovascular System
Chapter 21. Cardiovascular System Function, Assessment and Therapeutic Measures
Chapter 22. Nursing Care of Patients With Hypertension
Chapter 23. Nursing Care of Patients With Valvular, Inflammatory and Infectious Cardiac or Venous Disorders
Chapter 24. Nursing Care of Patients With Occlusive Cardiovascular Disorders
Chapter 25. Nursing Care of Patients With Cardiac Arrhythmias
Chapter 26. Nursing Care of Patients With Heart Failure
Unit 6 Understanding the Hematologic and Lymphatic Systems
Chapter 27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
Chapter 28. Nursing Care of Patients With Hematologic and Lymphatic Disorders
Unit 7 Understanding the Respiratory System
Chapter 29. Respiratory System Function, Assessment, and Therapeutic Measures
Chapter 30. Nursing Care of Patients With Upper Respiratory Tract Disorders
Chapter 31. Nursing Care of Patients With Lower Respiratory Tract Disorders
Unit 8 Understanding the Gastrointestinal, Hepatic, and Pancreatic Systems
Chapter 32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic
Measures
Chapter 33. Nursing Care of Patients With Upper Gastrointestinal Disorders
Chapter 34. Nursing Care of Patients With Lower Gastrointestinal Disorders
Chapter 35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
,Unit 9 Understanding the Urinary System
Chapter 36. Urinary System Function, Assessment, and Therapeutic Measures
Chapter 37. Nursing Care of Patients With Disorders of the Urinary System
Unit 10 Understanding the Endocrine System
Chapter 38. Endocrine System Function and Assessment
Chapter 39. Nursing Care of Patients With Endocrine Disorders
Chapter 40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
Unit 11 Understanding the Genitourinary and Reproductive System
Chapter 41. Genitourinary and Reproductive System Function and Assessment
Chapter 42. Nursing Care of Women With Reproductive System Disorders
Chapter 43. Nursing Care of Male Patients With Genitourinary Disorders
Chapter 44. Nursing Care of Patients With Sexually Transmitted Infections
Unit 12 Understanding the Musculoskeletal System
Chapter 45. Musculoskeletal Function and Assessment
Chapter 46. Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
Unit 13 Understanding the Neurologic System
Chapter 47. Neurologic System Function, Assessment, and Therapeutic Measures
Chapter 48. Nursing Care of Patients With Central Nervous System Disorders
Chapter 49. Nursing Care of Patients With Cerebrovascular Disorders
Chapter 50. Nursing Care of Patients With Peripheral Nervous System Disorders
Unit 14 Understanding the Sensory System
Chapter 51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing
Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
Unit 15 Understanding the Integumentary System
Chapter 53. Integumentary System Function, Assessment and Therapeutic Measures
Chapter 54. Nursing Care of Patients With Skin Disorders
Chapter 55. Nursing Care of Patients With Burns
Unit 16 Understanding Mental Health Care
Chapter 56. Mental Health Function, Assessment, and Therapeutic Measures
Chapter 57. Nursing Care of Patients With Mental Health Disorders
,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 Judgment
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
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
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
Objective: 4. Describe attitudes of good critical thinkers.
Page: 3
Heading: Critical Thinking Attitudes
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Feedback
1 This action demonstrates intellectual integrity, as the nurse refuses to speak
poorly about a patient’s behavior.
2 This action does not allow for accountability and places blame.
3 This action does not demonstrate the attitudes of critical thinking.
4 Nurses should not allow patients to demean them. The nurse should tell the
patient that they now have the opportunity to obtain the medication and will do
so.
PTS: 1
CON: Communication
3. The nurse is collecting data on a patient. Which data is considered cues?
1. Respiratory rate of 26 per minute
2. The doctor will be at the agency in 5 minutes
3. The patient has three daughters
4. The client prefers to use a bedpan rather than a commode chair
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
Objective: 2. Discuss why critical thinking and clinical judgment are essential in nursing.
Page: 4
Heading: Clinical Judgment Process
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition
by Linda S. Williams and Paula D. Hopper
,TABLE OF CONTENT
Unit 1 Understanding Health Care Issues
Chapter 1. Critical Thinking and the Nursing Process
Chapter 2. Evidence-Based Practice
Chapter 3. Issues in Nursing Practice
Chapter 4. Cultural Influences on Nursing Care
Chapter 5. Complementary and Alternative Modalities
Unit 2 Understanding Health and Illness
Chapter 6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
Chapter 7. Nursing Care of Patients Receiving Intravenous Therapy
Chapter 8. Nursing Care of Patients with Infections
Chapter 9. Nursing Care of Patients in Shock
Chapter 10. Nursing Care of Patients in Pain
Chapter 11. Nursing Care of Patients With Cancer
Chapter 12. Nursing Care of Patients Having Surgery
Chapter 13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
Unit 3 Understanding Life Span Influences on Health and Illness
Chapter 14. Developmental Considerations and Chronic Illness in the Nursing Care of Adults
Chapter 15. Nursing Care of Older Adult Patients
Chapter 16. Patient Care Settings
Chapter 17. Nursing Care of Patients at the End of Life
Unit 4 Understanding the Immune System
Chapter 18. Immune System Function, Assessment and Therapeutic Measures
Chapter 19. Nursing Care of Patients With Immune Disorders
Chapter 20. Nursing Care of Patients With HIV Disease and AIDS
Unit 5 Understanding the Cardiovascular System
Chapter 21. Cardiovascular System Function, Assessment and Therapeutic Measures
Chapter 22. Nursing Care of Patients With Hypertension
Chapter 23. Nursing Care of Patients With Valvular, Inflammatory and Infectious Cardiac or Venous Disorders
Chapter 24. Nursing Care of Patients With Occlusive Cardiovascular Disorders
Chapter 25. Nursing Care of Patients With Cardiac Arrhythmias
Chapter 26. Nursing Care of Patients With Heart Failure
Unit 6 Understanding the Hematologic and Lymphatic Systems
Chapter 27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
Chapter 28. Nursing Care of Patients With Hematologic and Lymphatic Disorders
Unit 7 Understanding the Respiratory System
Chapter 29. Respiratory System Function, Assessment, and Therapeutic Measures
Chapter 30. Nursing Care of Patients With Upper Respiratory Tract Disorders
Chapter 31. Nursing Care of Patients With Lower Respiratory Tract Disorders
Unit 8 Understanding the Gastrointestinal, Hepatic, and Pancreatic Systems
Chapter 32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic
Measures
Chapter 33. Nursing Care of Patients With Upper Gastrointestinal Disorders
Chapter 34. Nursing Care of Patients With Lower Gastrointestinal Disorders
Chapter 35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
,Unit 9 Understanding the Urinary System
Chapter 36. Urinary System Function, Assessment, and Therapeutic Measures
Chapter 37. Nursing Care of Patients With Disorders of the Urinary System
Unit 10 Understanding the Endocrine System
Chapter 38. Endocrine System Function and Assessment
Chapter 39. Nursing Care of Patients With Endocrine Disorders
Chapter 40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
Unit 11 Understanding the Genitourinary and Reproductive System
Chapter 41. Genitourinary and Reproductive System Function and Assessment
Chapter 42. Nursing Care of Women With Reproductive System Disorders
Chapter 43. Nursing Care of Male Patients With Genitourinary Disorders
Chapter 44. Nursing Care of Patients With Sexually Transmitted Infections
Unit 12 Understanding the Musculoskeletal System
Chapter 45. Musculoskeletal Function and Assessment
Chapter 46. Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
Unit 13 Understanding the Neurologic System
Chapter 47. Neurologic System Function, Assessment, and Therapeutic Measures
Chapter 48. Nursing Care of Patients With Central Nervous System Disorders
Chapter 49. Nursing Care of Patients With Cerebrovascular Disorders
Chapter 50. Nursing Care of Patients With Peripheral Nervous System Disorders
Unit 14 Understanding the Sensory System
Chapter 51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing
Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
Unit 15 Understanding the Integumentary System
Chapter 53. Integumentary System Function, Assessment and Therapeutic Measures
Chapter 54. Nursing Care of Patients With Skin Disorders
Chapter 55. Nursing Care of Patients With Burns
Unit 16 Understanding Mental Health Care
Chapter 56. Mental Health Function, Assessment, and Therapeutic Measures
Chapter 57. Nursing Care of Patients With Mental Health Disorders
,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 Judgment
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
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
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
Objective: 4. Describe attitudes of good critical thinkers.
Page: 3
Heading: Critical Thinking Attitudes
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Feedback
1 This action demonstrates intellectual integrity, as the nurse refuses to speak
poorly about a patient’s behavior.
2 This action does not allow for accountability and places blame.
3 This action does not demonstrate the attitudes of critical thinking.
4 Nurses should not allow patients to demean them. The nurse should tell the
patient that they now have the opportunity to obtain the medication and will do
so.
PTS: 1
CON: Communication
3. The nurse is collecting data on a patient. Which data is considered cues?
1. Respiratory rate of 26 per minute
2. The doctor will be at the agency in 5 minutes
3. The patient has three daughters
4. The client prefers to use a bedpan rather than a commode chair
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
Objective: 2. Discuss why critical thinking and clinical judgment are essential in nursing.
Page: 4
Heading: Clinical Judgment Process
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
