lOMoARcPSD| 898
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Material
TESTBANKFORUNDERSTANDING
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MEDICAL-SURGICALNURSING6TH
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EDITION LINDA S. WILLIAMS PAULA D.
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HOPPER ss
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Material
Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE ss
1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient
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should the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
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1. A patient with a blood glucose of 42 mg/dL
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2. A patient who reports a pain level of 2
ss ss ss ss ss ss ss ss
3. A patient who has just received a diagnosis of cancer
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4. A patient who has a respiratory rate of 22
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ANS: 1 s s
Chapter: Chapter 1 Critical Thinking and the Nursing Process
ss ss ss ss ss ss ss ss
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of
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human needs.
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Pages: 6–7 ss
Heading: Prioritize Care ss ss
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
ss ss ss ss ss ss
Client Need: SECE—Coordinated Care
ss ss ss ss
Cognitive Level: Application [Applying] ss ss ss
Concept: Patient-Centered Care
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Difficulty: Difficult
ss ss
Feedback
1 This patient has a dangerously low blood glucose level and requires immediate
ss ss ss ss ss ss ss ss ss ss ss
intervention.
ss
2 This patient will need to be assessed, but is not as high a priority.
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3 According to Maslow, psychosocial needs are not as high of a priority as ss ss ss ss ss ss ss ss ss ss ss ss
physiological needs.
ss ss
4 A respiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-Centered Care ss ss
2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes
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ago for my pain medication. I‘m going to call the CEO of the hospital if you don‘t get it
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
for me now.‖ Which statement by the nurse demonstrates intellectual empathy?
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1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
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2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
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3. ―I had another patient who had severe pain, and I had to get to them first.‖
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4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
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ANS: 2 s s
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 2. Describe attitudes and skills that promote good critical
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thinking Page: 2
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Heading: Intellectual Empathy ss ss
Integrated Process: Communication and Documentation ss ss ss ss
Client Need: Psychosocial Integrity
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Material
Cognitive Level: Application [Applying] ss ss ss
Concept: Communication
ss ss
Difficulty: Moderate ss
Feedback
1 This statement does not consider an individual‘s situation.
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2 This statement demonstrates intellectual empathy by considering this patient‘s
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situation and will likely alleviate the patient‘s anger.
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3 This statement does not consider a patient‘s situation and does not demonstrate
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intellectual empathy.
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4 This statement addresses the patient‘s statement of wanting to call the CEO,
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but does not demonstrate intellectual empathy by considering the patient‘s
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situation.
ss
PTS: 1 CON: Communication ss
3. The nurse is collecting data on a patient. Which data are described as subjective?
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1. Respiratory rate of 26 per minute ss ss ss ss ss
2. Patient report of shortness of breath ss ss ss ss ss
3. Coarse lung sounds bilaterally ss ss ss
4. Cough producing green sputum ss ss ss
ANS: 2 s s
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 5. Differentiate between objective and subjective data.
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Page: 4
ss ss
Heading: Subjective Data ss ss
Integrated Process: Communication and Documentation
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Client Need: Communication and Documentation
ss ss ss ss ss
Cognitive Level: Application (Applying)
ss ss ss ss
Concept: Communication ss
Difficulty: Moderate
ss ss
Feedback
1 Respiratory rate of 26 per minute is an example of objective data. ss ss ss ss ss ss ss ss ss ss ss
2 A patient reporting symptoms to the nurse is an example of subjective data.
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3 Coarse lung sounds is an example of objective data.
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4 A productive cough is an example of objective data.
ss ss ss ss ss ss ss ss
PTS: 1 CON: Communication ss
4. A patient with a newly fractured femur reports a pain level of 8/10 and analgesic
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medication is not due for another 50 minutes. Which action should the nurse take first?
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1. Reposition the patient. ss ss
2. Give the medication in 30 minutes.
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3. Notify the registered nurse (RN) or physician.
ss ss ss ss ss ss
4. Tell the patient it is too early for pain medication.
ss ss ss ss ss ss ss ss ss
ANS: 3 s s
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Stuvia.com ss- ssThe ss Marketplace ssto ssBuy ssand ssSell ss your ssStudy
Material
Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in
ss ss ss ss ss ss ss ss ss ss ss ss
using the nursing process.
ss ss ss ss
Page: 3 ss
Heading: Clinical Judgement ss ss
Integrated Process: Clinical Problem-solving Process (Nursing Process)
ss ss ss ss ss ss
Client Need: SECE—Coordinated Care
ss ss ss ss
Cognitive Level: Application [Applying]
ss ss ss
Concept: Patient-Centered Care
ss ss ss
Difficulty: Moderate
ss ss
Feedback
1 The patient who has a fractured femur is having acute pain. Repositioning a
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patient with a new fracture is not likely to relieve pain.
ss ss ss ss ss ss ss ss ss ss ss
2 Giving the medication before the prescribed time is beyond the nurse‘s scope of
ss ss ss ss ss ss ss ss ss ss ss ss
practice.
ss
3 The patient should not have to wait for pain relief, so the LPN should inform
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the RN or physician so new pain relief orders can be obtained.
ss ss ss ss ss ss ss ss ss ss ss ss
4 The nurse needs to do more than expect the patient to wait for pain relief.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
PTS: 1 CON: Patient-Centered Care ss ss
5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does
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the nurse identify as having the highest priority?
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1. Job-related stress ss
2. Feeling of loneliness ss ss
3. Pain level of 9 on 0-to-10 scale
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4. Lack of confidence ss ss
ANS: 3 s s
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of
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human needs
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Page: 7 ss
Heading: Prioritize Care ss ss
Integrated Process:
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Caring
ss
Client Need: SECE – Coordinated Care
ss ss ss ss ss
Cognitive Level: Application [Applying]
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Concept: Patient-Centered Care
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Difficulty: Moderate
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Feedback
1 Job-related stress falls under safety according to Maslow and is addressed after
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physiological needs.
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2 According to Maslow, loneliness is addressed under social needs following
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physiological and safety.
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3 Pain is a physiological need and is the highest priority.
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4 Lack of confidence falls under esteem according to Maslow and is addressed
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following physiological, safety, and social needs.
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ss ss
Stuvia.com ss- ssThe ss Marketplace ssto ssBuy ssand ssSell ss your ssStudy
Material
TESTBANKFORUNDERSTANDING
s ss s
MEDICAL-SURGICALNURSING6TH
ss s ss
EDITION LINDA S. WILLIAMS PAULA D.
ss ss ss ss ss ss
HOPPER ss
Downloaded ssby: sskimberlypeoples27 ss|
ss s s
, lOMoARcPSD| 898
ss ss
Stuvia.com ss- ssThe ss Marketplace ssto ssBuy ssand ssSell ss your ssStudy
Material
Chapter 1. Critical Thinking and the Nursing Process
ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
should the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
ss ss ss ss ss ss ss ss ss ss
1. A patient with a blood glucose of 42 mg/dL
ss ss ss ss ss ss ss ss
2. A patient who reports a pain level of 2
ss ss ss ss ss ss ss ss
3. A patient who has just received a diagnosis of cancer
ss ss ss ss ss ss ss ss ss
4. A patient who has a respiratory rate of 22
ss ss ss ss ss ss ss ss
ANS: 1 s s
Chapter: Chapter 1 Critical Thinking and the Nursing Process
ss ss ss ss ss ss ss ss
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of
ss ss ss ss ss ss ss ss ss ss ss
human needs.
ss ss
Pages: 6–7 ss
Heading: Prioritize Care ss ss
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
ss ss ss ss ss ss
Client Need: SECE—Coordinated Care
ss ss ss ss
Cognitive Level: Application [Applying] ss ss ss
Concept: Patient-Centered Care
ss ss ss
Difficulty: Difficult
ss ss
Feedback
1 This patient has a dangerously low blood glucose level and requires immediate
ss ss ss ss ss ss ss ss ss ss ss
intervention.
ss
2 This patient will need to be assessed, but is not as high a priority.
ss ss ss ss ss ss ss ss ss ss ss ss ss
3 According to Maslow, psychosocial needs are not as high of a priority as ss ss ss ss ss ss ss ss ss ss ss ss
physiological needs.
ss ss
4 A respiratory rate of 22 is within normal range.
ss ss ss ss ss ss ss ss
PTS: 1 CON: Patient-Centered Care ss ss
2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ago for my pain medication. I‘m going to call the CEO of the hospital if you don‘t get it
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
for me now.‖ Which statement by the nurse demonstrates intellectual empathy?
ss ss ss ss ss ss ss ss ss ss ss
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
ss ss ss ss ss ss ss ss ss ss ss ss ss
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
3. ―I had another patient who had severe pain, and I had to get to them first.‖
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ANS: 2 s s
Chapter: Chapter 1 Critical Thinking and the Nursing Process
ss ss ss ss ss ss ss ss
Objective: 2. Describe attitudes and skills that promote good critical
ss ss ss ss ss ss ss ss ss
thinking Page: 2
ss ss ss
Heading: Intellectual Empathy ss ss
Integrated Process: Communication and Documentation ss ss ss ss
Client Need: Psychosocial Integrity
ss ss ss ss
Downloaded ssby: sskimberlypeoples27 ss|
ss s s
, lOMoARcPSD| 898
ss ss
Stuvia.com ss- ssThe ss Marketplace ssto ssBuy ssand ssSell ss your ssStudy
Material
Cognitive Level: Application [Applying] ss ss ss
Concept: Communication
ss ss
Difficulty: Moderate ss
Feedback
1 This statement does not consider an individual‘s situation.
ss ss ss ss ss ss ss
2 This statement demonstrates intellectual empathy by considering this patient‘s
ss ss ss ss ss ss ss ss
situation and will likely alleviate the patient‘s anger.
ss ss ss ss ss ss ss
3 This statement does not consider a patient‘s situation and does not demonstrate
ss ss ss ss ss ss ss ss ss ss ss
intellectual empathy.
ss ss
4 This statement addresses the patient‘s statement of wanting to call the CEO,
ss ss ss ss ss ss ss ss ss ss ss
but does not demonstrate intellectual empathy by considering the patient‘s
ss ss ss ss ss ss ss ss ss ss
situation.
ss
PTS: 1 CON: Communication ss
3. The nurse is collecting data on a patient. Which data are described as subjective?
ss ss ss ss ss ss ss ss ss ss ss ss ss
1. Respiratory rate of 26 per minute ss ss ss ss ss
2. Patient report of shortness of breath ss ss ss ss ss
3. Coarse lung sounds bilaterally ss ss ss
4. Cough producing green sputum ss ss ss
ANS: 2 s s
Chapter: Chapter 1 Critical Thinking and the Nursing Process
ss ss ss ss ss ss ss ss
Objective: 5. Differentiate between objective and subjective data.
ss ss ss ss ss ss ss ss
Page: 4
ss ss
Heading: Subjective Data ss ss
Integrated Process: Communication and Documentation
ss ss ss ss
Client Need: Communication and Documentation
ss ss ss ss ss
Cognitive Level: Application (Applying)
ss ss ss ss
Concept: Communication ss
Difficulty: Moderate
ss ss
Feedback
1 Respiratory rate of 26 per minute is an example of objective data. ss ss ss ss ss ss ss ss ss ss ss
2 A patient reporting symptoms to the nurse is an example of subjective data.
ss ss ss ss ss ss ss ss ss ss ss ss
3 Coarse lung sounds is an example of objective data.
ss ss ss ss ss ss ss ss
4 A productive cough is an example of objective data.
ss ss ss ss ss ss ss ss
PTS: 1 CON: Communication ss
4. A patient with a newly fractured femur reports a pain level of 8/10 and analgesic
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
medication is not due for another 50 minutes. Which action should the nurse take first?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
1. Reposition the patient. ss ss
2. Give the medication in 30 minutes.
ss ss ss ss ss
3. Notify the registered nurse (RN) or physician.
ss ss ss ss ss ss
4. Tell the patient it is too early for pain medication.
ss ss ss ss ss ss ss ss ss
ANS: 3 s s
Chapter: Chapter 1 Critical Thinking and the Nursing Process
ss ss ss ss ss ss ss ss
Downloaded ssby: sskimberlypeoples27 ss|
ss s s
, lOMoARcPSD| 898
ss ss
Stuvia.com ss- ssThe ss Marketplace ssto ssBuy ssand ssSell ss your ssStudy
Material
Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in
ss ss ss ss ss ss ss ss ss ss ss ss
using the nursing process.
ss ss ss ss
Page: 3 ss
Heading: Clinical Judgement ss ss
Integrated Process: Clinical Problem-solving Process (Nursing Process)
ss ss ss ss ss ss
Client Need: SECE—Coordinated Care
ss ss ss ss
Cognitive Level: Application [Applying]
ss ss ss
Concept: Patient-Centered Care
ss ss ss
Difficulty: Moderate
ss ss
Feedback
1 The patient who has a fractured femur is having acute pain. Repositioning a
ss ss ss ss ss ss ss ss ss ss ss ss
patient with a new fracture is not likely to relieve pain.
ss ss ss ss ss ss ss ss ss ss ss
2 Giving the medication before the prescribed time is beyond the nurse‘s scope of
ss ss ss ss ss ss ss ss ss ss ss ss
practice.
ss
3 The patient should not have to wait for pain relief, so the LPN should inform
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the RN or physician so new pain relief orders can be obtained.
ss ss ss ss ss ss ss ss ss ss ss ss
4 The nurse needs to do more than expect the patient to wait for pain relief.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
PTS: 1 CON: Patient-Centered Care ss ss
5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does
ss ss ss ss ss ss ss ss ss ss ss ss ss
the nurse identify as having the highest priority?
ss ss ss ss ss ss ss ss
1. Job-related stress ss
2. Feeling of loneliness ss ss
3. Pain level of 9 on 0-to-10 scale
ss ss ss ss ss ss
4. Lack of confidence ss ss
ANS: 3 s s
Chapter: Chapter 1 Critical Thinking and the Nursing Process
ss ss ss ss ss ss ss ss
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of
ss ss ss ss ss ss ss ss ss ss ss
human needs
ss ss
Page: 7 ss
Heading: Prioritize Care ss ss
Integrated Process:
ss ss
Caring
ss
Client Need: SECE – Coordinated Care
ss ss ss ss ss
Cognitive Level: Application [Applying]
ss ss ss ss
Concept: Patient-Centered Care
ss ss ss
Difficulty: Moderate
ss ss
Feedback
1 Job-related stress falls under safety according to Maslow and is addressed after
ss ss ss ss ss ss ss ss ss ss ss
physiological needs.
ss ss
2 According to Maslow, loneliness is addressed under social needs following
ss ss ss ss ss ss ss ss ss
physiological and safety.
ss ss ss
3 Pain is a physiological need and is the highest priority.
ss ss ss ss ss ss ss ss ss
4 Lack of confidence falls under esteem according to Maslow and is addressed
ss ss ss ss ss ss ss ss ss ss ss
following physiological, safety, and social needs.
ss ss ss ss ss ss
Downloaded ssby: sskimberlypeoples27 ss|
ss s s
