FULLTESTBANK
DAVIS ADVANTAGE FOR UNDERSTANDING
MEDICAL-SURGICAL NURSING 7TH EDITION BY
LINDA S. WILLIAMS; PAULA D. HOPPER
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%
VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
, Table Of Content
Chapter 1: Critical Thinking, Clinical Judgment, 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
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
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
Chapter 18: Immune System Function, Data Collection, And Therapeutic Measures
Chapter 19: Nursing Care Of Patients With Immune Disorders
Chapter 20: Nursing Care Of Patients With Hiv And Aids
Chapter 21: Cardiovascular System Function, Data Collection, 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
Chapter 27: Hematologic And Lymphatic System Function, Data Collection, And Therapeutic Measures
Chapter 28: Nursing Care Of Patients With Hematologic And Lymphatic Disorders
Chapter 29: Respiratory System Function, Data Collection, 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
Chapter 32: Gastrointestinal, Hepatobiliary, And Pancreatic Systems Function, Data Collection, 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
Chapter 36: Urinary System Function, Data Collection, And Therapeutic Measures
Chapter 37: Nursing Care Of Patients With Disorders Of The Urinary System
Chapter 38: Endocrine System Function And Data Collection
Chapter 39: Nursing Care Of Patients With Disorders Of The Endocrine System
Chapter 40: Nursing Care Of Patients With Disorders Of The Endocrine Pancreas
Chapter 41: Genitourinary And Reproductive Systems Function And Data Collection
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
Chapter 45: Musculoskeletal Function And Data Collection
Chapter 46: Nursing Care Of Patients With Musculoskeletal And Connective Tissue
Disorders Chapter 47: Neurologic System Function, Data Collection, 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
Chapter 51: Sensory System Function, Data Collection, And Therapeutic Measures: Vision And Hearing
Chapter 52: Nursing Care Of Patients With Sensory Disorders: Vision And Hearing
Chapter 53: Integumentary System Function, Data Collection, And Therapeutic Measures
Chapter 54: Nursing Care Of Patients With Skin Disorders
Chapter 55: Nursing Care Of Patients With Burns
Chapter 56: Mental Health Function, Data Collection, And Therapeutic Measures
Chapter 57: Nursing Care Of Patients With Mental Health Disorders
,Understanding Medical Surgical Nursing 7th Edition Williamstest Bank
Chapter 1. Critical Thinking And The Nursing Process
Multiple Choice
1. The Nurse Is Caring For A Group Of Patients On A Medical-Surgical Unit. Which
Patient Should the Licensed Practical Nurse/Licensed Vocational Nurse (Lpn/Lvn)
Assess First?
1. A Patient With A Blood Glucose Of 42 Mg/Dl
2. A Patient Who Reports A Pain Level Of 2
3. A Patient Who Has Just Received A Diagnosis Of Cancer
4. A Patient Who Has A Respiratory Rate Of 22
Answer: 1
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 7. Prioritize Patient Care Activities Based On The Maslow Hierarchy Of
Human Needs.
Pages: 6–7
Heading: Prioritize Care
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Sece—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Difficult
Feedback
1 This Patient Has A Dangerously Low Blood Glucose Level And Requires
Immediate Intervention.
2 This Patient Will Need To Be Assessed, But Is Not As High A Priority.
3 According To Maslow, Psychosocial Needs Are Not As High Of A Priority As
Physiological Needs.
4 A Respiratory Rate Of 22 Is Within Normal Range.
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. I‘m Going To Call The Ceo Of The Hospital If
You Don‘t Get It For Me Now.‖ Which Statement By The Nurse Demonstrates
Intellectual Empathy?
1. ―We Are Short-Staffed Today, So It Will Take Me Longer To Meet Your Needs.‖
2. ―I Am Sorry You Had To Wait, I Know You Must Be In A Lot Of Pain.‖
3. ―I Had Another Patient Who Had Severe Pain, And I Had To Get To Them First.‖
4. ―I Will Get You The Number For The Ceo, But He Is Aware Of How Busy We Are.‖
Answer: 2
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 2. Describe Attitudes And Skills That Promote Good Critical
Thinking Page: 2
Heading: Intellectual Empathy
Integrated Process: Communication And
Documentation Client Need: Psychosocial Integrity
, Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Feedback
1 This Statement Does Not Consider An Individual‘s Situation.
2 This Statement Demonstrates Intellectual Empathy By Considering This
Patient‘s Situation And Will Likely Alleviate The Patient‘s Anger.
3 This Statement Does Not Consider A Patient‘s Situation And Does Not
Demonstrate Intellectual Empathy.
4 This Statement Addresses The Patient‘s Statement Of Wanting To Call The
Ceo, But Does Not Demonstrate Intellectual Empathy By Considering The
Patient‘s Situation.
Pts: 1 Con: Communication
3. The Nurse Is Collecting Data On A Patient. Which Data Are Described As Subjective?
1. Respiratory Rate Of 26 Per Minute
2. Patient Report Of Shortness Of Breath
3. Coarse Lung Sounds Bilaterally
4. Cough Producing Green Sputum
Answer: 2
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 5. Differentiate Between Objective And Subjective
Data. Page: 4
Heading: Subjective Data
Integrated Process: Communication And
Documentation Client Need: Communication And
Documentation Cognitive Level: Application
(Applying)
Concept: Communication
Difficulty: Moderate
Feedback
1 Respiratory Rate Of 26 Per Minute Is An Example Of Objective Data.
2 A Patient Reporting Symptoms To The Nurse Is An Example Of Subjective
Data.
3 Coarse Lung Sounds Is An Example Of Objective Data.
4 A Productive Cough Is An Example Of Objective Data.
Pts: 1 Con: Communication
4. A Patient With A Newly Fractured Femur Reports A Pain Level Of 8/10 And Analgesic
Medication Is Not Due For Another 50 Minutes. Which Action Should The Nurse Take
First?
1. Reposition The Patient.
2. Give The Medication In 30 Minutes.
3. Notify The Registered Nurse (Rn) Or Physician.
4. Tell The Patient It Is Too Early For Pain
Medication. Answer: 3
, Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 4. Identify The Role Of A Licensed Practical Nurse/Licensed Vocational Nurse In
Usingthe Nursing Process.
Page: 3
Heading: Clinical Judgement
Integrated Process: Clinical Problem-Solving Process (Nursing
Process)Client Need: Sece—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 The Patient Who Has A Fractured Femur Is Having Acute Pain. Repositioning A
Patient With A New Fracture Is Not Likely To Relieve Pain.
2 Giving The Medication Before The Prescribed Time Is Beyond The Nurse‘s
Scope Of Practice.
3 The Patient Should Not Have To Wait For Pain Relief, So The Lpn Should
Inform The Rn Or Physician So New Pain Relief Orders Can Be Obtained.
4 The Nurse Needs To Do More Than Expect The Patient To Wait For Pain
Relief.
Pts: 1 Con: Patient-Centered Care
5. The Nurse Is Prioritizing Care Based On Maslow Hierarchy Of Needs. Which Need
Does The nurse Identify As Having The Highest Priority?
1. Job-Related Stress
2. Feeling Of Loneliness
3. Pain Level Of 9 On 0-To-10 Scale
4. Lack Of Confidence
Answer: 3
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 7. Prioritize Patient Care Activities Based On The Maslow Hierarchy Of
Human Needs
Page: 7
Heading: Prioritize Care
Integrated Process: Caring
Client Need: Sece – Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 Job-Related Stress Falls Under Safety According To Maslow And Is Addressed
After Physiological Needs.
2 According To Maslow, Loneliness Is Addressed Under Social Needs Following
Physiological And Safety.
3 Pain Is A Physiological Need And Is The Highest Priority.
4 Lack Of Confidence Falls Under Esteem According To Maslow And Is
Addressed Following Physiological, Safety, And Social Needs.
, Pts: 1 Con: Patient-Centered Care
6. The Nurse Is Planning Care And Setting Goals For A Newly Admitted Patient. Who
Should The nurse Include When Conducting These Nursing Actions?
1. Patient
2. Nurse Manager
3. Hospital Chaplain
4. Patient‘s Health Care Provider (Hcp)
Answer: 1
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 4. Identify The Role Of A Licensed Practical Nurse/Licensed Vocational Nurse Is
Usingthe Nursing Process.
Page: 6
Heading: Prioritize Care
Integrated Process: Communication And
Documentation Client Need: Sece—Management Of
Care
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Feedback
1 Planning Care And Setting Goals Is An Action Performed With The Patient.
The Patient Must Be In Agreement With The Plan For It To Be Successful In
Meeting The Desired Outcomes.
2 The Nurse Manager May Or May Not Be Aware Of The Patient‘s Care Needs.
3 The Hospital Chaplain May Not Be Aware Of The Patient‘s Needs.
4 The Focus Of Nursing Care Is Different From That Of The Hcp.
Pts: 1 Con: Communication
7. While Caring For A Patient 4 Hours After A Surgical Procedure, The Lpn/Lvn
Notes Serosanguineous Drainage On The Dressing. Which Statement Should
The Nurse Use Todocument This Finding?
1. ―Normal Drainage Noted.‖
2. ―Moderate Drainage Recently Noted.‖
3. ―Scant Serosanguineous Drainage Seen On Dressing.‖
4. ―Pale Pink Drainage 2 Cm By 1 Cm Noted On Dressing.‖
Answer: 4
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 6. Document Subjective And Objective Data.
Page: 5
Heading: Documentation Of Data
Integrated Process: Communication And
Documentation Client Need: Phys—Physiological
Adaptation Cognitive Level: Application [Applying]
Concept: Communication
, Difficulty: Moderate
Feedback
1 These Statements Are Interpretations Of The Data And Use Words That Have
Vague Meanings, Which Should Be Avoided When Documenting.
2 These Statements Are Interpretations Of The Data And Use Words That Have
Vague Meanings, Which Should Be Avoided When Documenting.
3 These Statements Are Interpretations Of The Data And Use Words That Have
Vague Meanings, Which Should Be Avoided When Documenting.
4 Objective Data Are Pieces Of Factual Information Obtained Through Physical
Assessment And Diagnostic Tests That Are Observable Or Knowable
Through The Five Senses. The Nurse Should Document Exactly What Is
Seen.
Pts: 1 Con: Communication
8. The Nurse Is Caring For A Patient Using The Nursing Process. Which Step Should The
Nurse Takefirst?
1. Implementation
2. Planning
3. Nursing Diagnosis
4. Assessment
Answer: 4
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 4. Identify The Role Of A Licensed Practical Nurse/Licensed Vocational Nurse In
Usingthe Nursing Process.
Page: 4
Heading: Data Collection
Integrated Process: Clinical Problem-Solving Process (Nursing
Process)Client Need: Sece: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 The Steps Of The Nursing Process Are Data Collection/Assessment,
Nursingdiagnosis, Planning, Implementation, And Evaluation.
2 The Steps Of The Nursing Process Are Data Collection/Assessment,
Nursingdiagnosis, Planning, Implementation, And Evaluation.
3 The Steps Of The Nursing Process Are Data Collection/Assessment,
Nursingdiagnosis, Planning, Implementation, And Evaluation.
4 Assessment, Or Data Collection, Is The First Step In The Nursing Process
And Is Used To Evaluate A Patient‘s Condition Before Providing Care. The
Other Steps, In
Order, Are Nursing Diagnosis, Planning, Implementation, And Evaluation.
Pts: 1 Con: Patient-Centered Care
9. The Nurse Is Administering Morphine To A Patient Reporting A Pain Level Of 8 On
A 0- To-10scale. This Describes Which Step Of The Nursing Process?
, 1. Assessment
2. Nursing Diagnosis
3. Implementation
4. Evaluation
Answer: 3
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 4. Identify The Role Of A Licensed Practical Nurse/Licensed Vocational Nurse In
Usingthe Nursing Process.
Page: 8
Heading: Identify Interventions
Integrated Process: Clinical Problem-Solving Process (Nursing
Process)Client Need: Sece – Coordination Of Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 Administering Medication Does Not Describe Assessment.
2 Administering Medication Does Not Describe Nursing Diagnosis.
3 Administering Medication Describes The Implementation Process, Since An
Action Is Being Taken To Help The Patient Meet A Desired Outcome.
4 Administering Medication Does Not Describe The Evaluation Phase Of The
Nursingprocess.
Pts: 1 Con: Patient-Centered Care
10. The Nurse Is Developing An Outcome For A Patient With Exacerbation Of Asthma.
Which Is Themost Appropriate Outcome For This Patient?
1. The Patient Will Not Experience Shortness Of Breath.
2. The Patient Will Have A Respiratory Rate Of 16 To 20 Per Minute.
3. The Patient Will Ambulate Without Reporting Shortness Of Breath.
4. The Patient Will Not Require Use Of An Inhaler.
Answer: 2
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 3. Describe The Thinking That Occurs In Each Step Of The Nursing
Process.Page: 8
Heading: Establish Outcomes
Integrated Process: Clinical Problem-Solving (Nursing
Process)Client Need: Sece: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 This Is A Vague Outcome And Is Not Measurable.
2 This Is A Measurable Outcome And Is Not Vague.
3 This Is A Vague Outcome And Is Not Measurable.
, 4 This Is A Vague Outcome And Is Not Measurable.
Pts: 1 Con: Patient-Centered Care
11. The Nurse Suspects A Patient Is Experiencing Adverse Effects To A Newly
Prescribed Antihypertensive Medication. After Being Informed That The Effects
Are Expected, The Nurseremains Concerned And Conducts An Internet Search On
The Patient‘s Manifestations. Whichcritical Thinking Behavior Did The Nurse
Implement?
1. Sense Of Justice
2. Intellectual Courage
3. Intellectual Empathy
4. Intellectual Perseverance
Answer: 4
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 2. Describe Attitudes And Skills That Promote Critical
Thinking. Page: 2
Heading: Intellectual Perseverance
Integrated Process: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 A Sense Of Justice Examines Motives When Making Decisions.
2 Intellectual Courage Looks At Other Points Of View, Even When The Nurse
Does Notagree With Them.
3 Intellectual Empathy Understands How Another Person Feels When Making
Decisions.
4 Intellectual Perseverance Is Not Giving Up.
Pts: 1 Con: Patient-Centered Care
12. The Nurse Is Identifying Outcomes For A Patient With Fluid Volume Deficit.
Which Outcomeshould The Nurse Use To Guide This Patient‘s Care?
1. Patient‘s Intake Will Be Measured Daily.
2. Patient‘s Intake Will Be 3,000 Ml Daily.
3. Fluids Will Be At The Bedside For The Patient.
4. Fluids The Patient Likes Will Be At The Bedside.
Answer: 2
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 3. Describe The Thinking That Occurs In Each Step Of The Nursing
Process.Page: 7
Heading: Establish Outcomes
Integrated Process: Clinical Problem-Solving (Nursing
Process)Client Need: Sece: Coordinated Care
Cognitive Level: Application [Applying]
, Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 These Statements Are Nursing Actions.
2 This Outcome Provides Objective Measurable Data.
3 These Statements Are Nursing Actions.
4 These Statements Are Nursing Actions.
Pts: 1 Con: Patient-Centered Care
13. The Nurse Is Formulating Nursing Diagnoses For A Patient With Chronic Obstructive
Pulmonarydisease (Copd). Which Diagnosis Is Of The Highest Priority?
1. Activity Intolerance
2. Impaired Gas Exchange
3. Risk For Injury
4. Deficient Knowledge
Answer: 2
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 7. Prioritize Patient Care Activities Based On The Maslow Hierarchy Of
Human Needs.
Page: 6
Heading: Prioritize Care
Integrated Process: Clinical Problem-Solving (Nursing
Process)Client Need: Sece: Coordinated Care
Cognitive Level: Analysis [Analyzing]
Concept: Patient-Centered Care
Difficulty: Difficult
Feedback
1 Although Activity Intolerance Is A Nursing Diagnosis For A Patient With
Copd, Itis Not The Highest Priority.
2 Impaired Gas Exchange Is The Highest Priority According To Maslow.
3 A Risk For Diagnosis Is Not A Priority Because The Patient Is Only At Risk For
The Problem, It Is Not An Actual Problem As Of Yet.
4 According To Maslow, Deficient Knowledge Is Not A Priority.
Pts: 1 Con: Patient-Centered Care
14. An Rn Delegates A Patient Care Assignment To The Lpn/Lvn. Which Phase Of
The Nursingprocess Should The Lpn/Lvn Perform Independently?
1. Assessment
2. Planning Care
3. Implementation
4. Nursing Diagnosis
Answer: 3
Chapter: Chapter 1 Critical Thinking And The Nursing Process
DAVIS ADVANTAGE FOR UNDERSTANDING
MEDICAL-SURGICAL NURSING 7TH EDITION BY
LINDA S. WILLIAMS; PAULA D. HOPPER
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%
VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
, Table Of Content
Chapter 1: Critical Thinking, Clinical Judgment, 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
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
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
Chapter 18: Immune System Function, Data Collection, And Therapeutic Measures
Chapter 19: Nursing Care Of Patients With Immune Disorders
Chapter 20: Nursing Care Of Patients With Hiv And Aids
Chapter 21: Cardiovascular System Function, Data Collection, 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
Chapter 27: Hematologic And Lymphatic System Function, Data Collection, And Therapeutic Measures
Chapter 28: Nursing Care Of Patients With Hematologic And Lymphatic Disorders
Chapter 29: Respiratory System Function, Data Collection, 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
Chapter 32: Gastrointestinal, Hepatobiliary, And Pancreatic Systems Function, Data Collection, 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
Chapter 36: Urinary System Function, Data Collection, And Therapeutic Measures
Chapter 37: Nursing Care Of Patients With Disorders Of The Urinary System
Chapter 38: Endocrine System Function And Data Collection
Chapter 39: Nursing Care Of Patients With Disorders Of The Endocrine System
Chapter 40: Nursing Care Of Patients With Disorders Of The Endocrine Pancreas
Chapter 41: Genitourinary And Reproductive Systems Function And Data Collection
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
Chapter 45: Musculoskeletal Function And Data Collection
Chapter 46: Nursing Care Of Patients With Musculoskeletal And Connective Tissue
Disorders Chapter 47: Neurologic System Function, Data Collection, 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
Chapter 51: Sensory System Function, Data Collection, And Therapeutic Measures: Vision And Hearing
Chapter 52: Nursing Care Of Patients With Sensory Disorders: Vision And Hearing
Chapter 53: Integumentary System Function, Data Collection, And Therapeutic Measures
Chapter 54: Nursing Care Of Patients With Skin Disorders
Chapter 55: Nursing Care Of Patients With Burns
Chapter 56: Mental Health Function, Data Collection, And Therapeutic Measures
Chapter 57: Nursing Care Of Patients With Mental Health Disorders
,Understanding Medical Surgical Nursing 7th Edition Williamstest Bank
Chapter 1. Critical Thinking And The Nursing Process
Multiple Choice
1. The Nurse Is Caring For A Group Of Patients On A Medical-Surgical Unit. Which
Patient Should the Licensed Practical Nurse/Licensed Vocational Nurse (Lpn/Lvn)
Assess First?
1. A Patient With A Blood Glucose Of 42 Mg/Dl
2. A Patient Who Reports A Pain Level Of 2
3. A Patient Who Has Just Received A Diagnosis Of Cancer
4. A Patient Who Has A Respiratory Rate Of 22
Answer: 1
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 7. Prioritize Patient Care Activities Based On The Maslow Hierarchy Of
Human Needs.
Pages: 6–7
Heading: Prioritize Care
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Sece—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Difficult
Feedback
1 This Patient Has A Dangerously Low Blood Glucose Level And Requires
Immediate Intervention.
2 This Patient Will Need To Be Assessed, But Is Not As High A Priority.
3 According To Maslow, Psychosocial Needs Are Not As High Of A Priority As
Physiological Needs.
4 A Respiratory Rate Of 22 Is Within Normal Range.
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. I‘m Going To Call The Ceo Of The Hospital If
You Don‘t Get It For Me Now.‖ Which Statement By The Nurse Demonstrates
Intellectual Empathy?
1. ―We Are Short-Staffed Today, So It Will Take Me Longer To Meet Your Needs.‖
2. ―I Am Sorry You Had To Wait, I Know You Must Be In A Lot Of Pain.‖
3. ―I Had Another Patient Who Had Severe Pain, And I Had To Get To Them First.‖
4. ―I Will Get You The Number For The Ceo, But He Is Aware Of How Busy We Are.‖
Answer: 2
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 2. Describe Attitudes And Skills That Promote Good Critical
Thinking Page: 2
Heading: Intellectual Empathy
Integrated Process: Communication And
Documentation Client Need: Psychosocial Integrity
, Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Feedback
1 This Statement Does Not Consider An Individual‘s Situation.
2 This Statement Demonstrates Intellectual Empathy By Considering This
Patient‘s Situation And Will Likely Alleviate The Patient‘s Anger.
3 This Statement Does Not Consider A Patient‘s Situation And Does Not
Demonstrate Intellectual Empathy.
4 This Statement Addresses The Patient‘s Statement Of Wanting To Call The
Ceo, But Does Not Demonstrate Intellectual Empathy By Considering The
Patient‘s Situation.
Pts: 1 Con: Communication
3. The Nurse Is Collecting Data On A Patient. Which Data Are Described As Subjective?
1. Respiratory Rate Of 26 Per Minute
2. Patient Report Of Shortness Of Breath
3. Coarse Lung Sounds Bilaterally
4. Cough Producing Green Sputum
Answer: 2
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 5. Differentiate Between Objective And Subjective
Data. Page: 4
Heading: Subjective Data
Integrated Process: Communication And
Documentation Client Need: Communication And
Documentation Cognitive Level: Application
(Applying)
Concept: Communication
Difficulty: Moderate
Feedback
1 Respiratory Rate Of 26 Per Minute Is An Example Of Objective Data.
2 A Patient Reporting Symptoms To The Nurse Is An Example Of Subjective
Data.
3 Coarse Lung Sounds Is An Example Of Objective Data.
4 A Productive Cough Is An Example Of Objective Data.
Pts: 1 Con: Communication
4. A Patient With A Newly Fractured Femur Reports A Pain Level Of 8/10 And Analgesic
Medication Is Not Due For Another 50 Minutes. Which Action Should The Nurse Take
First?
1. Reposition The Patient.
2. Give The Medication In 30 Minutes.
3. Notify The Registered Nurse (Rn) Or Physician.
4. Tell The Patient It Is Too Early For Pain
Medication. Answer: 3
, Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 4. Identify The Role Of A Licensed Practical Nurse/Licensed Vocational Nurse In
Usingthe Nursing Process.
Page: 3
Heading: Clinical Judgement
Integrated Process: Clinical Problem-Solving Process (Nursing
Process)Client Need: Sece—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 The Patient Who Has A Fractured Femur Is Having Acute Pain. Repositioning A
Patient With A New Fracture Is Not Likely To Relieve Pain.
2 Giving The Medication Before The Prescribed Time Is Beyond The Nurse‘s
Scope Of Practice.
3 The Patient Should Not Have To Wait For Pain Relief, So The Lpn Should
Inform The Rn Or Physician So New Pain Relief Orders Can Be Obtained.
4 The Nurse Needs To Do More Than Expect The Patient To Wait For Pain
Relief.
Pts: 1 Con: Patient-Centered Care
5. The Nurse Is Prioritizing Care Based On Maslow Hierarchy Of Needs. Which Need
Does The nurse Identify As Having The Highest Priority?
1. Job-Related Stress
2. Feeling Of Loneliness
3. Pain Level Of 9 On 0-To-10 Scale
4. Lack Of Confidence
Answer: 3
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 7. Prioritize Patient Care Activities Based On The Maslow Hierarchy Of
Human Needs
Page: 7
Heading: Prioritize Care
Integrated Process: Caring
Client Need: Sece – Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 Job-Related Stress Falls Under Safety According To Maslow And Is Addressed
After Physiological Needs.
2 According To Maslow, Loneliness Is Addressed Under Social Needs Following
Physiological And Safety.
3 Pain Is A Physiological Need And Is The Highest Priority.
4 Lack Of Confidence Falls Under Esteem According To Maslow And Is
Addressed Following Physiological, Safety, And Social Needs.
, Pts: 1 Con: Patient-Centered Care
6. The Nurse Is Planning Care And Setting Goals For A Newly Admitted Patient. Who
Should The nurse Include When Conducting These Nursing Actions?
1. Patient
2. Nurse Manager
3. Hospital Chaplain
4. Patient‘s Health Care Provider (Hcp)
Answer: 1
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 4. Identify The Role Of A Licensed Practical Nurse/Licensed Vocational Nurse Is
Usingthe Nursing Process.
Page: 6
Heading: Prioritize Care
Integrated Process: Communication And
Documentation Client Need: Sece—Management Of
Care
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Feedback
1 Planning Care And Setting Goals Is An Action Performed With The Patient.
The Patient Must Be In Agreement With The Plan For It To Be Successful In
Meeting The Desired Outcomes.
2 The Nurse Manager May Or May Not Be Aware Of The Patient‘s Care Needs.
3 The Hospital Chaplain May Not Be Aware Of The Patient‘s Needs.
4 The Focus Of Nursing Care Is Different From That Of The Hcp.
Pts: 1 Con: Communication
7. While Caring For A Patient 4 Hours After A Surgical Procedure, The Lpn/Lvn
Notes Serosanguineous Drainage On The Dressing. Which Statement Should
The Nurse Use Todocument This Finding?
1. ―Normal Drainage Noted.‖
2. ―Moderate Drainage Recently Noted.‖
3. ―Scant Serosanguineous Drainage Seen On Dressing.‖
4. ―Pale Pink Drainage 2 Cm By 1 Cm Noted On Dressing.‖
Answer: 4
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 6. Document Subjective And Objective Data.
Page: 5
Heading: Documentation Of Data
Integrated Process: Communication And
Documentation Client Need: Phys—Physiological
Adaptation Cognitive Level: Application [Applying]
Concept: Communication
, Difficulty: Moderate
Feedback
1 These Statements Are Interpretations Of The Data And Use Words That Have
Vague Meanings, Which Should Be Avoided When Documenting.
2 These Statements Are Interpretations Of The Data And Use Words That Have
Vague Meanings, Which Should Be Avoided When Documenting.
3 These Statements Are Interpretations Of The Data And Use Words That Have
Vague Meanings, Which Should Be Avoided When Documenting.
4 Objective Data Are Pieces Of Factual Information Obtained Through Physical
Assessment And Diagnostic Tests That Are Observable Or Knowable
Through The Five Senses. The Nurse Should Document Exactly What Is
Seen.
Pts: 1 Con: Communication
8. The Nurse Is Caring For A Patient Using The Nursing Process. Which Step Should The
Nurse Takefirst?
1. Implementation
2. Planning
3. Nursing Diagnosis
4. Assessment
Answer: 4
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 4. Identify The Role Of A Licensed Practical Nurse/Licensed Vocational Nurse In
Usingthe Nursing Process.
Page: 4
Heading: Data Collection
Integrated Process: Clinical Problem-Solving Process (Nursing
Process)Client Need: Sece: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 The Steps Of The Nursing Process Are Data Collection/Assessment,
Nursingdiagnosis, Planning, Implementation, And Evaluation.
2 The Steps Of The Nursing Process Are Data Collection/Assessment,
Nursingdiagnosis, Planning, Implementation, And Evaluation.
3 The Steps Of The Nursing Process Are Data Collection/Assessment,
Nursingdiagnosis, Planning, Implementation, And Evaluation.
4 Assessment, Or Data Collection, Is The First Step In The Nursing Process
And Is Used To Evaluate A Patient‘s Condition Before Providing Care. The
Other Steps, In
Order, Are Nursing Diagnosis, Planning, Implementation, And Evaluation.
Pts: 1 Con: Patient-Centered Care
9. The Nurse Is Administering Morphine To A Patient Reporting A Pain Level Of 8 On
A 0- To-10scale. This Describes Which Step Of The Nursing Process?
, 1. Assessment
2. Nursing Diagnosis
3. Implementation
4. Evaluation
Answer: 3
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 4. Identify The Role Of A Licensed Practical Nurse/Licensed Vocational Nurse In
Usingthe Nursing Process.
Page: 8
Heading: Identify Interventions
Integrated Process: Clinical Problem-Solving Process (Nursing
Process)Client Need: Sece – Coordination Of Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 Administering Medication Does Not Describe Assessment.
2 Administering Medication Does Not Describe Nursing Diagnosis.
3 Administering Medication Describes The Implementation Process, Since An
Action Is Being Taken To Help The Patient Meet A Desired Outcome.
4 Administering Medication Does Not Describe The Evaluation Phase Of The
Nursingprocess.
Pts: 1 Con: Patient-Centered Care
10. The Nurse Is Developing An Outcome For A Patient With Exacerbation Of Asthma.
Which Is Themost Appropriate Outcome For This Patient?
1. The Patient Will Not Experience Shortness Of Breath.
2. The Patient Will Have A Respiratory Rate Of 16 To 20 Per Minute.
3. The Patient Will Ambulate Without Reporting Shortness Of Breath.
4. The Patient Will Not Require Use Of An Inhaler.
Answer: 2
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 3. Describe The Thinking That Occurs In Each Step Of The Nursing
Process.Page: 8
Heading: Establish Outcomes
Integrated Process: Clinical Problem-Solving (Nursing
Process)Client Need: Sece: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 This Is A Vague Outcome And Is Not Measurable.
2 This Is A Measurable Outcome And Is Not Vague.
3 This Is A Vague Outcome And Is Not Measurable.
, 4 This Is A Vague Outcome And Is Not Measurable.
Pts: 1 Con: Patient-Centered Care
11. The Nurse Suspects A Patient Is Experiencing Adverse Effects To A Newly
Prescribed Antihypertensive Medication. After Being Informed That The Effects
Are Expected, The Nurseremains Concerned And Conducts An Internet Search On
The Patient‘s Manifestations. Whichcritical Thinking Behavior Did The Nurse
Implement?
1. Sense Of Justice
2. Intellectual Courage
3. Intellectual Empathy
4. Intellectual Perseverance
Answer: 4
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 2. Describe Attitudes And Skills That Promote Critical
Thinking. Page: 2
Heading: Intellectual Perseverance
Integrated Process: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 A Sense Of Justice Examines Motives When Making Decisions.
2 Intellectual Courage Looks At Other Points Of View, Even When The Nurse
Does Notagree With Them.
3 Intellectual Empathy Understands How Another Person Feels When Making
Decisions.
4 Intellectual Perseverance Is Not Giving Up.
Pts: 1 Con: Patient-Centered Care
12. The Nurse Is Identifying Outcomes For A Patient With Fluid Volume Deficit.
Which Outcomeshould The Nurse Use To Guide This Patient‘s Care?
1. Patient‘s Intake Will Be Measured Daily.
2. Patient‘s Intake Will Be 3,000 Ml Daily.
3. Fluids Will Be At The Bedside For The Patient.
4. Fluids The Patient Likes Will Be At The Bedside.
Answer: 2
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 3. Describe The Thinking That Occurs In Each Step Of The Nursing
Process.Page: 7
Heading: Establish Outcomes
Integrated Process: Clinical Problem-Solving (Nursing
Process)Client Need: Sece: Coordinated Care
Cognitive Level: Application [Applying]
, Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 These Statements Are Nursing Actions.
2 This Outcome Provides Objective Measurable Data.
3 These Statements Are Nursing Actions.
4 These Statements Are Nursing Actions.
Pts: 1 Con: Patient-Centered Care
13. The Nurse Is Formulating Nursing Diagnoses For A Patient With Chronic Obstructive
Pulmonarydisease (Copd). Which Diagnosis Is Of The Highest Priority?
1. Activity Intolerance
2. Impaired Gas Exchange
3. Risk For Injury
4. Deficient Knowledge
Answer: 2
Chapter: Chapter 1 Critical Thinking And The Nursing Process
Objective: 7. Prioritize Patient Care Activities Based On The Maslow Hierarchy Of
Human Needs.
Page: 6
Heading: Prioritize Care
Integrated Process: Clinical Problem-Solving (Nursing
Process)Client Need: Sece: Coordinated Care
Cognitive Level: Analysis [Analyzing]
Concept: Patient-Centered Care
Difficulty: Difficult
Feedback
1 Although Activity Intolerance Is A Nursing Diagnosis For A Patient With
Copd, Itis Not The Highest Priority.
2 Impaired Gas Exchange Is The Highest Priority According To Maslow.
3 A Risk For Diagnosis Is Not A Priority Because The Patient Is Only At Risk For
The Problem, It Is Not An Actual Problem As Of Yet.
4 According To Maslow, Deficient Knowledge Is Not A Priority.
Pts: 1 Con: Patient-Centered Care
14. An Rn Delegates A Patient Care Assignment To The Lpn/Lvn. Which Phase Of
The Nursingprocess Should The Lpn/Lvn Perform Independently?
1. Assessment
2. Planning Care
3. Implementation
4. Nursing Diagnosis
Answer: 3
Chapter: Chapter 1 Critical Thinking And The Nursing Process
