TEST BANK FOR
#nj #nj #nj
UNDERSTANDING
MEDICAL-SURGICAL
NURSING
5TH EDITION BY
#nj #nj
HOPPER ,WILLIAMS #nj
CLINICALCRACK
,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
ANS: 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.”
ANS: 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
CLINICALCRACK
, Cognitive #njLevel: #njApplication
#nj[Applying] #njConcept: #njCommunication
Difficulty: #njModerate
Feedback
1 This #njstatement #njdoes #njnot #njconsider #njan #njindividual’s #njsituation.
2 This #njstatement #njdemonstrates #njintellectual #njempathy #njby #njconsidering #njthis
#njpatient’s #njsituation #njand #njwill #njlikely #njalleviate #njthe #njpatient’s #njanger.
3 This #njstatement #njdoes #njnot #njconsider #nja #njpatient’s #njsituation #njand #njdoes #njnot
#njdemonstrate
intellectual #njempathy.
4 This #njstatement #njaddresses #njthe #njpatient’s #njstatement #njof #njwanting #njto #njcall #njthe
#njCEO, #njbut #njdoes #njnot #njdemonstrate #njintellectual #njempathy #njby #njconsidering
#njthe #njpatient’s #njsituation.
PTS: 1 CON: # n j Communication
3. The #njnurse #njis #njcollecting #njdata #njon #nja #njpatient. #njWhich #njdata #njare #njdescribed #njas #njsubjective?
1. Respiratory #njrate #njof #nj26 #njper #njminute
2. Patient #njreport #njof #njshortness #njof #njbreath
3. Coarse #njlung #njsounds #njbilaterally
4. Cough #njproducing #njgreen #njsputum
ANS: # n j # n j 2
Chapter: #njChapter #nj1 #njCritical #njThinking #njand #njthe #njNursing
#njProcess #njObjective: #nj5. #njDifferentiate #njbetween #njobjective #njand
#njsubjective #njdata. #njPage: #nj4
Heading: #njSubjective #njData
Integrated #njProcess: #njCommunication #njand
#njDocumentation #njClient #njNeed: #njCommunication #njand
#njDocumentation #njCognitive #njLevel: #njApplication
#nj(Applying)
Concept:
#njCommunication
#njDifficulty: #njModerate
Feedback
1 Respiratory #njrate #njof #nj26 #njper #njminute #njis #njan #njexample #njof #njobjective #njdata.
2 A #njpatient #njreporting #njsymptoms #njto #njthe #njnurse #njis #njan #njexample #njof #njsubjective
#njdata.
3 Coarse #njlung #njsounds #njis #njan #njexample #njof #njobjective #njdata.
4 A #njproductive #njcough #njis #njan #njexample #njof #njobjective #njdata.
PTS: 1 CON: # n j Communication
4. A #njpatient #njwith #nja #njnewly #njfractured #njfemur #njreports #nja #njpain #njlevel #njof #nj8/10 #njand #njanalgesic
#njmedication #njis #njnot #njdue #njfor #njanother #nj50 #njminutes. #njWhich #njaction #njshould #njthe #njnurse
#njtake #njfirst?
1. Reposition #njthe #njpatient.
2. Give #njthe #njmedication #njin #nj30 #njminutes.
3. Notify #njthe #njregistered #njnurse #nj(RN) #njor #njphysician.
4. Tell #njthe #njpatient #njit #njis #njtoo #njearly #njfor #njpain
CLINICALCRACK
, medication. #njANS:
#nj # n j 3
CLINICALCRACK
#nj #nj #nj
UNDERSTANDING
MEDICAL-SURGICAL
NURSING
5TH EDITION BY
#nj #nj
HOPPER ,WILLIAMS #nj
CLINICALCRACK
,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
ANS: 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.”
ANS: 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
CLINICALCRACK
, Cognitive #njLevel: #njApplication
#nj[Applying] #njConcept: #njCommunication
Difficulty: #njModerate
Feedback
1 This #njstatement #njdoes #njnot #njconsider #njan #njindividual’s #njsituation.
2 This #njstatement #njdemonstrates #njintellectual #njempathy #njby #njconsidering #njthis
#njpatient’s #njsituation #njand #njwill #njlikely #njalleviate #njthe #njpatient’s #njanger.
3 This #njstatement #njdoes #njnot #njconsider #nja #njpatient’s #njsituation #njand #njdoes #njnot
#njdemonstrate
intellectual #njempathy.
4 This #njstatement #njaddresses #njthe #njpatient’s #njstatement #njof #njwanting #njto #njcall #njthe
#njCEO, #njbut #njdoes #njnot #njdemonstrate #njintellectual #njempathy #njby #njconsidering
#njthe #njpatient’s #njsituation.
PTS: 1 CON: # n j Communication
3. The #njnurse #njis #njcollecting #njdata #njon #nja #njpatient. #njWhich #njdata #njare #njdescribed #njas #njsubjective?
1. Respiratory #njrate #njof #nj26 #njper #njminute
2. Patient #njreport #njof #njshortness #njof #njbreath
3. Coarse #njlung #njsounds #njbilaterally
4. Cough #njproducing #njgreen #njsputum
ANS: # n j # n j 2
Chapter: #njChapter #nj1 #njCritical #njThinking #njand #njthe #njNursing
#njProcess #njObjective: #nj5. #njDifferentiate #njbetween #njobjective #njand
#njsubjective #njdata. #njPage: #nj4
Heading: #njSubjective #njData
Integrated #njProcess: #njCommunication #njand
#njDocumentation #njClient #njNeed: #njCommunication #njand
#njDocumentation #njCognitive #njLevel: #njApplication
#nj(Applying)
Concept:
#njCommunication
#njDifficulty: #njModerate
Feedback
1 Respiratory #njrate #njof #nj26 #njper #njminute #njis #njan #njexample #njof #njobjective #njdata.
2 A #njpatient #njreporting #njsymptoms #njto #njthe #njnurse #njis #njan #njexample #njof #njsubjective
#njdata.
3 Coarse #njlung #njsounds #njis #njan #njexample #njof #njobjective #njdata.
4 A #njproductive #njcough #njis #njan #njexample #njof #njobjective #njdata.
PTS: 1 CON: # n j Communication
4. A #njpatient #njwith #nja #njnewly #njfractured #njfemur #njreports #nja #njpain #njlevel #njof #nj8/10 #njand #njanalgesic
#njmedication #njis #njnot #njdue #njfor #njanother #nj50 #njminutes. #njWhich #njaction #njshould #njthe #njnurse
#njtake #njfirst?
1. Reposition #njthe #njpatient.
2. Give #njthe #njmedication #njin #nj30 #njminutes.
3. Notify #njthe #njregistered #njnurse #nj(RN) #njor #njphysician.
4. Tell #njthe #njpatient #njit #njis #njtoo #njearly #njfor #njpain
CLINICALCRACK
, medication. #njANS:
#nj # n j 3
CLINICALCRACK
