TESTBANK FOR DAVIES ADVANTAGE FOR UNDERS
m m m m m
TANDING MEDICAL SURGICAL NURSING 7TH EDITIO
m m m m m
N BY WILLIAMS & HOPPER
m m m m
,Chapterm1.mCriticalmThinkingmandmthemNursingmProcess
MULTIPLEmCHOICE
1. Themnursingmattendantmismcaringmformamgroupmofmhospitalmpatientsmonmammedical-
surgicalmunit.mWhichmhospitalmpatientmshouldmthemlicensedmpracticalmnursingmattendant/lice
nsedmvocationalmnursingmattendantm(LPN/LVN)massessmfirst?
1. Ampatientm withmambloodmglucosemofm42mmg/dL
2. Ampatientmwhomreportsmampainmlevelmofm2
3. Ampatientmwhomhasmjustmreceivedmamdiagnosismofmcancer
4. Ampatientm whomhasmamrespiratorymratemofm22
ACCURATEmANSWER:-1
CHAPTER:m1mCriticalmThinkingmandmthemNursingmProcess
OBJm7.mPrioritizemhospitalmpatientmcaremactivitiesmbasedmonmthemMaslowmhierarchymofmh
umanmneeds.
Pgs:m6–7
Heading:mPrioritizemCare
IntegratedmProcess:mClinicalmProblem-
SolvingmProcessm(NursingmProcess)mHospitalmpatientmNeed:mSECE—
CoordinatedmCare
CognitivemLevel:mApplicationm[Applying
]mConcept:mHospitalmpatient-
CenteredmCaremDifficulty:mDifficult
Reasoning:->>>
1 Thismhospitalmpatientmhasmamdangerouslymlowmbloodmglucosemlevelmandmrequiresm
immediatemintervention.
2 Thismhospitalmpatientmwillmneedmtombemassessed,mbutmismnotmasmhighmampriority.
3 AccordingmtomMaslow,mpsychosocialmneedsmaremnotmasmhighmofmamprioritymasmphy
siologicalmneeds.
4 Amrespiratorymratemofm22mismwithinmnormalmrange.
POINTS: 1 CON:m Hospitalmpatient-CenteredmCare
2. ThemLPN/LVNmentersmthemroommofmamhospitalmpatientmwhomismangrymandmyells,m“Imaske
dm5mminutesmagomformmympainmmedication.mI’mmgoingmtomcallmthemCEOmofmthemhealthmce
ntermifmyoumdon’tmgetmitmformmemnow.”mWhichmstatementmbymthemnursingmattendantmdemo
nstratesmintellectualmempathy?
1. “Wemaremshort-staffedmtoday,msomitmwillmtakemmemlongermtommeetmyourmneeds.”
2. “Imammsorrymyoumhadmtomwait,mImknowmyoummustmbeminmamlotmofmpain.”
3. “Imhadmanothermhospitalmpatientmwhomhadmseverempain,mandmImhadmtomgetmtomthemmfirst.”
4. “ImwillmgetmyoumthemnumbermformthemCEO,mbutmhemismawaremofmhowmbusymwemare.”
ACCURATEmANSWER:-2
CHAPTER:m1mCriticalmThinkingmandmthemNursingmProcess
OBJm2.mDescribemattitudesmandmskillsmthatmpromotemgoodmcriticalmthinkingmPg
:m2
Heading:mIntellectualmEmpathy
IntegratedmProcess:mCommunicationmandmDocumentatio
nmHospitalmpatientmNeed:mPsychosocialmIntegrity
, CognitivemLevel:mApplicationm[Applying
]mConcept:mCommunication
Difficulty:mModerate
Reasoning:->>>
1 Thismstatementmdoesmnotmconsidermanmindividual’smsituation.
2 Thismstatementmdemonstratesmintellectualmempathymbymconsideringmthismhospitalm
patient’smsituationmandmwillmlikelymalleviatemthemhospitalmpatient’smanger.
3 Thismstatementmdoesmnotmconsidermamhospitalmpatient’smsituationmandmdoesmnotmd
emonstratemintellectualmempathy.
4 Thismstatementmaddressesmthemhospitalmpatient’smstatementmofmwantingmtomcallmt
hemCEO,mbutmdoesmnotmdemonstratemintellectualmempathymbymconsideringmthemho
spitalmpatient’smsituation.
POINTS: 1 CON:m Communication
3. Themnursingmattendantmismcollectingmdatamonmamhospitalmpatient.mWhichmdatamaremdescribedmasmsubj
ective?
1. Respiratorymratemofm26mpermminute
2. Hospitalmpatientmreportmofmshortnessmofmbreath
3. Coarsemlungmsoundsmbilaterally
4. Coughmproducingmgreenmsputum
ACCURATEmANSWER:-2
CHAPTER:m1mCriticalmThinkingmandmthemNursingmProcessmOBJm
5.mDifferentiatembetweenmobjectivemandmsubjectivemdata.mPg:m4
Heading:mSubjectivemData
IntegratedmProcess:mCommunicationmandmDocumentatio
nmHospitalmpatientmNeed:mCommunicationmandmDocume
ntationmCognitivemLevel:mApplicationm(Applying)
Concept:mCommunicatio
nmDifficulty:mModerate
Reasoning:->>>
1 Respiratorymratemofm26mpermminutemismanmexamplemofmobjectivemdata.
2 Amhospitalmpatientmreportingmsymptomsmtomthemnursingmattendantmismanmexample
mof msubjectivemdata.
3 Coarsemlungmsoundsmismanmexamplemofmobjectivemdata.
4 Amproductivemcoughmismanmexamplemofmobjectivemdata.
POINTS: 1 CON:m Communication
4. Amhospitalmpatientmwithmamnewlymfracturedmfemurmreportsmampainmlevelmofm8/10mandmanalge
sicmmedicationmismnotmduemformanotherm50mminutes.mWhichmactionmshouldmthemnursingmatte
ndantmtakemfirst?
1. Repositionmthemhospitalmpatient.
2. Givemthemmedicationminm30mminutes.
3. Notifymthemregisteredmnursingmattendantm(RN)mormphysician.
4. Tellmthemhospitalmpatientmitmismtoomearlymformpai
nmmedication.mANS:m 3
, CHAPTER:m1mCriticalmThinkingmandmthemNursingmProcess
OBJm4.mIdentifymthemrolemofmamlicensedmpracticalmnursingmattendant/licensedmvocationalm
nursingmattendantminmusingmthemnursingmprocess.
Pg:m3
Heading:mClinicalmJudgement
IntegratedmProcess:mClinicalmProblem-
solvingmProcessm(NursingmProcess)mHospitalmpatientmNeed:mSECE—
CoordinatedmCare
CognitivemLevel:mApplicationm[Applying
]mConcept:mHospitalmpatient-
CenteredmCaremDifficulty:mModerate
Reasoning:->>>
1 Themhospitalmpatientmwhomhasmamfracturedmfemurmismhavingmacutempain.mRepo
sitioningmamhospitalmpatientmwithmamnewmfracturemismnotmlikelymtomrelievempain
.
2 Givingmthemmedicationmbeforemthemprescribedmtimemismbeyondmthemnurse
caregiver’smscopemofmpractice.
3 Themhospitalmpatientmshouldmnotmhavemtomwaitmformpainmrelief,msomthemLPNms
houldminformmthemRNmormphysicianmsomnewmpainmreliefmordersmcanmbemobtain
ed.
4 Themnursingmattendantmneedsmtomdommoremthanmexpectmthemhospitalmpatientmtomw
aitmformpainmrelief.
POINTS: 1 CON:m Hospitalmpatient-CenteredmCare
5. ThemnursingmattendantmismprioritizingmcarembasedmonmMaslowmhierarchymofmneeds.m
Whichmneedmdoesmthemnursingmattendantmidentifymasmhavingmthemhighestmpriority?
1. Job-relatedmstress
2. Feelingmofmloneliness
3. Painmlevelmofm9monm0-to-10mscale
4. Lackmofmconfidence
ACCURATEmANSWER:-3
CHAPTER:m1mCriticalmThinkingmandmthemNursingmProcess
OBJm7.mPrioritizemhospitalmpatientmcaremactivitiesmbasedmonmthemMaslowmhierarchymofmh
umanmneeds
Pg:m7
Heading:mPrioritizemCarem
IntegratedmProcess:mCarin
g
HospitalmpatientmNeed:mSECEm–
mCoordinatedmCaremCognitivemLevel:mAp
plicationm[Applying]mConcept:mHospitalm
patient-
CenteredmCaremDifficulty:mModerate
Reasoning:->>>
1 Job-
relatedmstressmfallsmundermsafetymaccordingmtomMaslowmandmismaddressedmaftermp
hysiologicalmneeds.
2 AccordingmtomMaslow,mlonelinessmismaddressedmundermsocialmneedsmfollowingmph
ysiologicalmandmsafety.
3 Painmismamphysiologicalmneedmandmismthemhighestmpriority.
4 LackmofmconfidencemfallsmundermesteemmaccordingmtomMaslowmandmismaddressedm
followingmphysiological,msafety,mandmsocialmneeds.
m m m m m
TANDING MEDICAL SURGICAL NURSING 7TH EDITIO
m m m m m
N BY WILLIAMS & HOPPER
m m m m
,Chapterm1.mCriticalmThinkingmandmthemNursingmProcess
MULTIPLEmCHOICE
1. Themnursingmattendantmismcaringmformamgroupmofmhospitalmpatientsmonmammedical-
surgicalmunit.mWhichmhospitalmpatientmshouldmthemlicensedmpracticalmnursingmattendant/lice
nsedmvocationalmnursingmattendantm(LPN/LVN)massessmfirst?
1. Ampatientm withmambloodmglucosemofm42mmg/dL
2. Ampatientmwhomreportsmampainmlevelmofm2
3. Ampatientmwhomhasmjustmreceivedmamdiagnosismofmcancer
4. Ampatientm whomhasmamrespiratorymratemofm22
ACCURATEmANSWER:-1
CHAPTER:m1mCriticalmThinkingmandmthemNursingmProcess
OBJm7.mPrioritizemhospitalmpatientmcaremactivitiesmbasedmonmthemMaslowmhierarchymofmh
umanmneeds.
Pgs:m6–7
Heading:mPrioritizemCare
IntegratedmProcess:mClinicalmProblem-
SolvingmProcessm(NursingmProcess)mHospitalmpatientmNeed:mSECE—
CoordinatedmCare
CognitivemLevel:mApplicationm[Applying
]mConcept:mHospitalmpatient-
CenteredmCaremDifficulty:mDifficult
Reasoning:->>>
1 Thismhospitalmpatientmhasmamdangerouslymlowmbloodmglucosemlevelmandmrequiresm
immediatemintervention.
2 Thismhospitalmpatientmwillmneedmtombemassessed,mbutmismnotmasmhighmampriority.
3 AccordingmtomMaslow,mpsychosocialmneedsmaremnotmasmhighmofmamprioritymasmphy
siologicalmneeds.
4 Amrespiratorymratemofm22mismwithinmnormalmrange.
POINTS: 1 CON:m Hospitalmpatient-CenteredmCare
2. ThemLPN/LVNmentersmthemroommofmamhospitalmpatientmwhomismangrymandmyells,m“Imaske
dm5mminutesmagomformmympainmmedication.mI’mmgoingmtomcallmthemCEOmofmthemhealthmce
ntermifmyoumdon’tmgetmitmformmemnow.”mWhichmstatementmbymthemnursingmattendantmdemo
nstratesmintellectualmempathy?
1. “Wemaremshort-staffedmtoday,msomitmwillmtakemmemlongermtommeetmyourmneeds.”
2. “Imammsorrymyoumhadmtomwait,mImknowmyoummustmbeminmamlotmofmpain.”
3. “Imhadmanothermhospitalmpatientmwhomhadmseverempain,mandmImhadmtomgetmtomthemmfirst.”
4. “ImwillmgetmyoumthemnumbermformthemCEO,mbutmhemismawaremofmhowmbusymwemare.”
ACCURATEmANSWER:-2
CHAPTER:m1mCriticalmThinkingmandmthemNursingmProcess
OBJm2.mDescribemattitudesmandmskillsmthatmpromotemgoodmcriticalmthinkingmPg
:m2
Heading:mIntellectualmEmpathy
IntegratedmProcess:mCommunicationmandmDocumentatio
nmHospitalmpatientmNeed:mPsychosocialmIntegrity
, CognitivemLevel:mApplicationm[Applying
]mConcept:mCommunication
Difficulty:mModerate
Reasoning:->>>
1 Thismstatementmdoesmnotmconsidermanmindividual’smsituation.
2 Thismstatementmdemonstratesmintellectualmempathymbymconsideringmthismhospitalm
patient’smsituationmandmwillmlikelymalleviatemthemhospitalmpatient’smanger.
3 Thismstatementmdoesmnotmconsidermamhospitalmpatient’smsituationmandmdoesmnotmd
emonstratemintellectualmempathy.
4 Thismstatementmaddressesmthemhospitalmpatient’smstatementmofmwantingmtomcallmt
hemCEO,mbutmdoesmnotmdemonstratemintellectualmempathymbymconsideringmthemho
spitalmpatient’smsituation.
POINTS: 1 CON:m Communication
3. Themnursingmattendantmismcollectingmdatamonmamhospitalmpatient.mWhichmdatamaremdescribedmasmsubj
ective?
1. Respiratorymratemofm26mpermminute
2. Hospitalmpatientmreportmofmshortnessmofmbreath
3. Coarsemlungmsoundsmbilaterally
4. Coughmproducingmgreenmsputum
ACCURATEmANSWER:-2
CHAPTER:m1mCriticalmThinkingmandmthemNursingmProcessmOBJm
5.mDifferentiatembetweenmobjectivemandmsubjectivemdata.mPg:m4
Heading:mSubjectivemData
IntegratedmProcess:mCommunicationmandmDocumentatio
nmHospitalmpatientmNeed:mCommunicationmandmDocume
ntationmCognitivemLevel:mApplicationm(Applying)
Concept:mCommunicatio
nmDifficulty:mModerate
Reasoning:->>>
1 Respiratorymratemofm26mpermminutemismanmexamplemofmobjectivemdata.
2 Amhospitalmpatientmreportingmsymptomsmtomthemnursingmattendantmismanmexample
mof msubjectivemdata.
3 Coarsemlungmsoundsmismanmexamplemofmobjectivemdata.
4 Amproductivemcoughmismanmexamplemofmobjectivemdata.
POINTS: 1 CON:m Communication
4. Amhospitalmpatientmwithmamnewlymfracturedmfemurmreportsmampainmlevelmofm8/10mandmanalge
sicmmedicationmismnotmduemformanotherm50mminutes.mWhichmactionmshouldmthemnursingmatte
ndantmtakemfirst?
1. Repositionmthemhospitalmpatient.
2. Givemthemmedicationminm30mminutes.
3. Notifymthemregisteredmnursingmattendantm(RN)mormphysician.
4. Tellmthemhospitalmpatientmitmismtoomearlymformpai
nmmedication.mANS:m 3
, CHAPTER:m1mCriticalmThinkingmandmthemNursingmProcess
OBJm4.mIdentifymthemrolemofmamlicensedmpracticalmnursingmattendant/licensedmvocationalm
nursingmattendantminmusingmthemnursingmprocess.
Pg:m3
Heading:mClinicalmJudgement
IntegratedmProcess:mClinicalmProblem-
solvingmProcessm(NursingmProcess)mHospitalmpatientmNeed:mSECE—
CoordinatedmCare
CognitivemLevel:mApplicationm[Applying
]mConcept:mHospitalmpatient-
CenteredmCaremDifficulty:mModerate
Reasoning:->>>
1 Themhospitalmpatientmwhomhasmamfracturedmfemurmismhavingmacutempain.mRepo
sitioningmamhospitalmpatientmwithmamnewmfracturemismnotmlikelymtomrelievempain
.
2 Givingmthemmedicationmbeforemthemprescribedmtimemismbeyondmthemnurse
caregiver’smscopemofmpractice.
3 Themhospitalmpatientmshouldmnotmhavemtomwaitmformpainmrelief,msomthemLPNms
houldminformmthemRNmormphysicianmsomnewmpainmreliefmordersmcanmbemobtain
ed.
4 Themnursingmattendantmneedsmtomdommoremthanmexpectmthemhospitalmpatientmtomw
aitmformpainmrelief.
POINTS: 1 CON:m Hospitalmpatient-CenteredmCare
5. ThemnursingmattendantmismprioritizingmcarembasedmonmMaslowmhierarchymofmneeds.m
Whichmneedmdoesmthemnursingmattendantmidentifymasmhavingmthemhighestmpriority?
1. Job-relatedmstress
2. Feelingmofmloneliness
3. Painmlevelmofm9monm0-to-10mscale
4. Lackmofmconfidence
ACCURATEmANSWER:-3
CHAPTER:m1mCriticalmThinkingmandmthemNursingmProcess
OBJm7.mPrioritizemhospitalmpatientmcaremactivitiesmbasedmonmthemMaslowmhierarchymofmh
umanmneeds
Pg:m7
Heading:mPrioritizemCarem
IntegratedmProcess:mCarin
g
HospitalmpatientmNeed:mSECEm–
mCoordinatedmCaremCognitivemLevel:mAp
plicationm[Applying]mConcept:mHospitalm
patient-
CenteredmCaremDifficulty:mModerate
Reasoning:->>>
1 Job-
relatedmstressmfallsmundermsafetymaccordingmtomMaslowmandmismaddressedmaftermp
hysiologicalmneeds.
2 AccordingmtomMaslow,mlonelinessmismaddressedmundermsocialmneedsmfollowingmph
ysiologicalmandmsafety.
3 Painmismamphysiologicalmneedmandmismthemhighestmpriority.
4 LackmofmconfidencemfallsmundermesteemmaccordingmtomMaslowmandmismaddressedm
followingmphysiological,msafety,mandmsocialmneeds.
