TEST BANK FOR
nn n
UNDERSTANDING
MEDICAL-SURGICAL
NURSING
5TH EDITION BY
n n
HOPPER,WILLIAMSCORR
n n
,Chapter 1. Critical Thinking and the Nursing Process
n n n n n n n
MULTIPLEnCHOICE
1. Then nursen isn caringn forn an groupn of n patientsn onn an medical-
surgicaln unit.nWhichn patient n should n then licensed n practicaln nurse/licensed n vocationaln nursen (L
PN/LVN)n assessn first?
1. A npatient n withn an blood n glucosen of n 42n mg/dL
2. A npatient n whon reportsn an painn leveln of n 2
3. A npatient n whon hasn just n received n an diagnosisn of n cancer
4. A npatient n whon hasn an respiratoryn raten of n 22
ANS:n 1
Chapter:n Chaptern 1n CriticalnThinkingn and n then Nursingn Process
Objective:n 7.n Prioritizen patient n caren activitiesn based nonnthenMaslown hierarchynof nhumannn
eeds.
Pages:n 6–7
Heading:nPrioritizen Care
Integrated nProcess:nClinicalnProblem-
SolvingnProcessn(NursingnProcess)n Client n Need:n SECE—Coordinated n Care
CognitivenLevel:nApplicationn[Applying]n
Concept:n Patient-
Centered n Caren Difficulty:n Difficult
Feedback
1 Thisn patient n hasn andangerouslynlow n blood nglucosen leveln andnrequiresn immediaten int
ervention.
2 Thisn patient n willn need n ton ben assessed,n but n isn not n asn highn an priority.
3 Accordingn ton Maslow,npsychosocialn needsnaren notnasnhighn of n an prioritynasn physiolo
gicaln needs.
4 A nrespiratoryn raten of n 22n isn withinn normaln range.
PTS: 1 CON:n Patient-Centered n Care
2. Then LPN/LVN n entersn thenroomn of nan patient nwhonisn angryn andnyells,n “I nasked n 5n minutesn agon f
orn myn painn medication.n I’mn goingn toncalln thenCEO nofnthenhospitaln if nyoundon’t nget nit nfornmen no
w.”n Whichn statement n byn then nursen demonstratesn intellectualn empathy?
1. “Wenaren short-staffed n today,n son it n willn taken men longern ton meet n yourn needs.”
2. “I n amn sorryn youn had n ton wait,n I n know n youn must n ben inn an lot n of n pain.”
3. “I n had n anothern patient n whon had n severen pain,n and n I n had n ton get n ton themn first.”
4. “I n willn get n youn then numbern forn then CEO,n but n hen isn awaren of n hown busyn wen are.”
ANS:n 2
Chapter:n Chaptern 1n CriticalnThinkingn and n then Nursingn Process
Objective:n 2.n Describenattitudesnand nskillsn thatn promoten good n criticaln thinkingn
Page:n 2
Heading:n Intellectualn Empathy
Integrated nProcess:nCommunicationnand nDocumentationn
Client n Need:n Psychosocialn Integrity
, CognitivenLevel:nApplicationn[Applying]n
Concept:n Communication
Difficulty:nModerate
Feedback
1 Thisn statement n doesn not n considern ann individual’sn situation.
2 Thisnstatement ndemonstratesnintellectualn empathynbynconsideringnthisnpatient’sn sit
uationn and n willn likelyn alleviaten then patient’sn anger.
3 Thisn statement n doesn notnconsidernanpatient’snsituationnandndoesn notndemonstratenint
ellectualn empathy.
4 Thisn statement n addressesn thenpatient’snstatement nofnwantingntoncalln thenCEO,n but n d
oesn not n demonstraten intellectualn empathyn byn consideringn then patient’s
situation.
PTS: 1 CON:n Communication
3. Then nursen isn collectingn datan onn an patient.n Whichn datan aren described n asn subjective?
1. Respiratoryn raten of n 26n pern minute
2. Patient n report n of n shortnessn of n breath
3. Coarsen lungn soundsn bilaterally
4. Coughn producingn greenn sputum
ANS:n 2
Chapter:n Chaptern 1n Criticaln Thinkingn and n then Nursingn Processn Obje
ctive:n5.nDifferentiatenbetweennobjectivenand nsubjectivendata.n Page:n
4
Heading:nSubjectiven Data
Integrated nProcess:nCommunicationnand nDocumentationn
Client n Need:n Communicationn and n Documentationn Cogni
tiven Level:n Applicationn (Applying)
Concept:nCommunicationn Diffi
culty:n Moderate
Feedback
1 Respiratorynraten of n 26n pern minuten isn ann examplen of n objectiven data.
2 A npatient n reportingn symptomsn ton then nursen isn ann examplen of n subjectiven data.
3 Coarsen lungn soundsn isn ann examplen of n objectiven data.
4 A nproductiven coughn isn ann examplen of n objectiven data.
PTS: 1 CON:n Communication
4. An patient n withnannewlynfracturednfemurn reportsn anpainn leveln ofn8/10n and n analgesicn medicationn i
sn not n duen forn anothern 50n minutes.n Whichn actionn should n then nursen taken first?
1. Repositionn then patient.
2. Given then medicationn inn 30n minutes.
3. Notifynthen registered n nursen (RN)n orn physician.
4. Telln thenpatient n it nisntoon earlynfornpainnmedication.n
ANS:n 3
, Chapter:n Chaptern 1n CriticalnThinkingn and n then Nursingn Process
Objective:n 4.n Identifynthenrolen ofnanlicensed n practicaln nurse/licensed n vocationaln nursen inn usingn t
hen nursingn process.
Page:n 3
Heading:n Clinicaln Judgement
Integrated nProcess:nClinicalnProblem-
solvingnProcessn(NursingnProcess)n Client n Need:n SECE—Coordinated n Care
CognitivenLevel:nApplicationn[Applying]n
Concept:n Patient-
Centered n Caren Difficulty:n Moderate
Feedback
1 Then patient n whon hasnan fracturedn femurn isnhavingn acutenpain.nRepositioningn an patien
t n withn an new n fracturen isn not n likelyn ton relieven pain.
2 Givingnthen medicationn beforenthenprescribed ntimen isnbeyondnthennurse’sn scopen of
n practice.
3 Then patient n should n not nhaventon wait nfornpainn relief,n sonthenLPN n should n informn th
en RNn orn physiciann son new n painn relief n ordersn cann ben obtained.
4 Then nursen needsn ton don moren thann expect n then patient n ton wait n forn painn relief.
PTS: 1 CON:n Patient-Centered n Care
5. Then nursen isn prioritizingn caren based n onn Maslown hierarchynof nneeds.nWhichnneed ndoesnthenn
ursen identifyn asn havingn then highest n priority?
1. Job-related n stress
2. Feelingn of n loneliness
3. Painn leveln of n 9n onn 0-to-10n scale
4. Lackn of n confidence
ANS:n 3
Chapter:n Chaptern 1n CriticalnThinkingn and n then Nursingn Process
Objective:n 7.n Prioritizen patient n caren activitiesn based nonnthenMaslown hierarchynof nhumannn
eeds
Page:n 7
Heading:n Prioritizen Caren Integr
ated nProcess:nCaring
Client n Need:n SECEn –
n Coordinated n Caren CognitivenLevel:nAppl
icationn[Applying]n Concept:n Patient-
Centered n Caren Difficulty:n Moderate
Feedback
1 Job-
related n stressn fallsn undernsafetynaccordingnton Maslow nandnisn addressed naftern physio
logicaln needs.
2 Accordingnton Maslow,nlonelinessnisnaddressed n undern socialnneedsn followingn physi
ologicaln and n safety.
3 Painn isn an physiologicaln need n and n isn then highest n priority.
4 Lackn of n confidencenfallsn undernesteemn accordingntonMaslow n andnisnaddressed n follo
wingn physiological,n safety,n and n socialn needs.
nn n
UNDERSTANDING
MEDICAL-SURGICAL
NURSING
5TH EDITION BY
n n
HOPPER,WILLIAMSCORR
n n
,Chapter 1. Critical Thinking and the Nursing Process
n n n n n n n
MULTIPLEnCHOICE
1. Then nursen isn caringn forn an groupn of n patientsn onn an medical-
surgicaln unit.nWhichn patient n should n then licensed n practicaln nurse/licensed n vocationaln nursen (L
PN/LVN)n assessn first?
1. A npatient n withn an blood n glucosen of n 42n mg/dL
2. A npatient n whon reportsn an painn leveln of n 2
3. A npatient n whon hasn just n received n an diagnosisn of n cancer
4. A npatient n whon hasn an respiratoryn raten of n 22
ANS:n 1
Chapter:n Chaptern 1n CriticalnThinkingn and n then Nursingn Process
Objective:n 7.n Prioritizen patient n caren activitiesn based nonnthenMaslown hierarchynof nhumannn
eeds.
Pages:n 6–7
Heading:nPrioritizen Care
Integrated nProcess:nClinicalnProblem-
SolvingnProcessn(NursingnProcess)n Client n Need:n SECE—Coordinated n Care
CognitivenLevel:nApplicationn[Applying]n
Concept:n Patient-
Centered n Caren Difficulty:n Difficult
Feedback
1 Thisn patient n hasn andangerouslynlow n blood nglucosen leveln andnrequiresn immediaten int
ervention.
2 Thisn patient n willn need n ton ben assessed,n but n isn not n asn highn an priority.
3 Accordingn ton Maslow,npsychosocialn needsnaren notnasnhighn of n an prioritynasn physiolo
gicaln needs.
4 A nrespiratoryn raten of n 22n isn withinn normaln range.
PTS: 1 CON:n Patient-Centered n Care
2. Then LPN/LVN n entersn thenroomn of nan patient nwhonisn angryn andnyells,n “I nasked n 5n minutesn agon f
orn myn painn medication.n I’mn goingn toncalln thenCEO nofnthenhospitaln if nyoundon’t nget nit nfornmen no
w.”n Whichn statement n byn then nursen demonstratesn intellectualn empathy?
1. “Wenaren short-staffed n today,n son it n willn taken men longern ton meet n yourn needs.”
2. “I n amn sorryn youn had n ton wait,n I n know n youn must n ben inn an lot n of n pain.”
3. “I n had n anothern patient n whon had n severen pain,n and n I n had n ton get n ton themn first.”
4. “I n willn get n youn then numbern forn then CEO,n but n hen isn awaren of n hown busyn wen are.”
ANS:n 2
Chapter:n Chaptern 1n CriticalnThinkingn and n then Nursingn Process
Objective:n 2.n Describenattitudesnand nskillsn thatn promoten good n criticaln thinkingn
Page:n 2
Heading:n Intellectualn Empathy
Integrated nProcess:nCommunicationnand nDocumentationn
Client n Need:n Psychosocialn Integrity
, CognitivenLevel:nApplicationn[Applying]n
Concept:n Communication
Difficulty:nModerate
Feedback
1 Thisn statement n doesn not n considern ann individual’sn situation.
2 Thisnstatement ndemonstratesnintellectualn empathynbynconsideringnthisnpatient’sn sit
uationn and n willn likelyn alleviaten then patient’sn anger.
3 Thisn statement n doesn notnconsidernanpatient’snsituationnandndoesn notndemonstratenint
ellectualn empathy.
4 Thisn statement n addressesn thenpatient’snstatement nofnwantingntoncalln thenCEO,n but n d
oesn not n demonstraten intellectualn empathyn byn consideringn then patient’s
situation.
PTS: 1 CON:n Communication
3. Then nursen isn collectingn datan onn an patient.n Whichn datan aren described n asn subjective?
1. Respiratoryn raten of n 26n pern minute
2. Patient n report n of n shortnessn of n breath
3. Coarsen lungn soundsn bilaterally
4. Coughn producingn greenn sputum
ANS:n 2
Chapter:n Chaptern 1n Criticaln Thinkingn and n then Nursingn Processn Obje
ctive:n5.nDifferentiatenbetweennobjectivenand nsubjectivendata.n Page:n
4
Heading:nSubjectiven Data
Integrated nProcess:nCommunicationnand nDocumentationn
Client n Need:n Communicationn and n Documentationn Cogni
tiven Level:n Applicationn (Applying)
Concept:nCommunicationn Diffi
culty:n Moderate
Feedback
1 Respiratorynraten of n 26n pern minuten isn ann examplen of n objectiven data.
2 A npatient n reportingn symptomsn ton then nursen isn ann examplen of n subjectiven data.
3 Coarsen lungn soundsn isn ann examplen of n objectiven data.
4 A nproductiven coughn isn ann examplen of n objectiven data.
PTS: 1 CON:n Communication
4. An patient n withnannewlynfracturednfemurn reportsn anpainn leveln ofn8/10n and n analgesicn medicationn i
sn not n duen forn anothern 50n minutes.n Whichn actionn should n then nursen taken first?
1. Repositionn then patient.
2. Given then medicationn inn 30n minutes.
3. Notifynthen registered n nursen (RN)n orn physician.
4. Telln thenpatient n it nisntoon earlynfornpainnmedication.n
ANS:n 3
, Chapter:n Chaptern 1n CriticalnThinkingn and n then Nursingn Process
Objective:n 4.n Identifynthenrolen ofnanlicensed n practicaln nurse/licensed n vocationaln nursen inn usingn t
hen nursingn process.
Page:n 3
Heading:n Clinicaln Judgement
Integrated nProcess:nClinicalnProblem-
solvingnProcessn(NursingnProcess)n Client n Need:n SECE—Coordinated n Care
CognitivenLevel:nApplicationn[Applying]n
Concept:n Patient-
Centered n Caren Difficulty:n Moderate
Feedback
1 Then patient n whon hasnan fracturedn femurn isnhavingn acutenpain.nRepositioningn an patien
t n withn an new n fracturen isn not n likelyn ton relieven pain.
2 Givingnthen medicationn beforenthenprescribed ntimen isnbeyondnthennurse’sn scopen of
n practice.
3 Then patient n should n not nhaventon wait nfornpainn relief,n sonthenLPN n should n informn th
en RNn orn physiciann son new n painn relief n ordersn cann ben obtained.
4 Then nursen needsn ton don moren thann expect n then patient n ton wait n forn painn relief.
PTS: 1 CON:n Patient-Centered n Care
5. Then nursen isn prioritizingn caren based n onn Maslown hierarchynof nneeds.nWhichnneed ndoesnthenn
ursen identifyn asn havingn then highest n priority?
1. Job-related n stress
2. Feelingn of n loneliness
3. Painn leveln of n 9n onn 0-to-10n scale
4. Lackn of n confidence
ANS:n 3
Chapter:n Chaptern 1n CriticalnThinkingn and n then Nursingn Process
Objective:n 7.n Prioritizen patient n caren activitiesn based nonnthenMaslown hierarchynof nhumannn
eeds
Page:n 7
Heading:n Prioritizen Caren Integr
ated nProcess:nCaring
Client n Need:n SECEn –
n Coordinated n Caren CognitivenLevel:nAppl
icationn[Applying]n Concept:n Patient-
Centered n Caren Difficulty:n Moderate
Feedback
1 Job-
related n stressn fallsn undernsafetynaccordingnton Maslow nandnisn addressed naftern physio
logicaln needs.
2 Accordingnton Maslow,nlonelinessnisnaddressed n undern socialnneedsn followingn physi
ologicaln and n safety.
3 Painn isn an physiologicaln need n and n isn then highest n priority.
4 Lackn of n confidencenfallsn undernesteemn accordingntonMaslow n andnisnaddressed n follo
wingn physiological,n safety,n and n socialn needs.
