TESTBANK FOR DAVIES ADVANTAGE FOR
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UNDERSTANDING MEDICAL SURGICAL NURSING
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7THEDITION BY WILLIAMS & HOPPER
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,Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE vb
1. The nursing attendant is caring for a group of hospital patients on a medical-surgical
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unit. Which hospital patientshould the licensed practical nursing attendant/licensed
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vocational nursing attendant (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
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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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ACCURATE ANSWER:-1 vb
CHAPTER: 1 Critical Thinking and the Nursing Process vb vb vb vb vb vb vb
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
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humanneeds.
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Pgs: 6–7 vb
Heading: Prioritize Care vb vb
Integrated Process: Clinical Problem-Solving Process (Nursing
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Process)Hospital patient Need: SECE—Coordinated Care
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Cognitive Level: Application vb vb
[Applying]Concept: Hospital patient-
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Centered Care Difficulty: Difficult vb vb vb
Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
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immediateintervention.
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2 This hospital 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
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asphysiological needs.
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4 A respiratory rate of 22 is within normal range.
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POINTS: 1 CON: Hospital patient-Centered Care
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2. The LPN/LVN enters the room of a hospital patient who is angry and yells, “I
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asked 5 minutes agofor my pain medication. I’m going to call the CEO of the
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health center if you don’t get it for me now.” Which statement by the nursing
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
attendant 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 hospital 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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ACCURATE ANSWER:-2 vb
CHAPTER: 1 Critical Thinking and the Nursing Process vb vb vb vb vb vb vb
OBJ 2. Describe attitudes and skills that promote good critical thinkingPg:
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2
vb
Heading: Intellectual Empathy vb vb
Integrated Process: Communication and vb vb vb
DocumentationHospital patient Need: Psychosocial
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Integrity
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, Cognitive Level: Application vb vb
[Applying]Concept: Communication
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Difficulty: Moderate vb
Reasoning:->>>
1 This statement does not consider an individual’s situation.
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2 This statement demonstrates intellectual empathy by considering this hospital
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patient’ssituation and will likely alleviate the hospital patient’s anger.
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3 This statement does not consider a hospital patient’s situation and does not
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demonstrateintellectual empathy.
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4 This statement addresses the hospital patient’s statement of wanting to call
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the CEO, butdoes not demonstrate intellectual empathy by considering the
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hospital patient’s situation.
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POINTS: 1 CON: Communication vb
3. The nursing attendant is collecting data on a hospital patient. Which data are described as
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subjective?
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1. Respiratory rate of 26 per minute vb vb vb vb vb
2. Hospital patient report of shortness of breath vb vb vb vb vb vb
3. Coarse lung sounds bilaterally vb vb vb
4. Cough producing green sputum vb vb vb
ACCURATE ANSWER:-2 vb
CHAPTER: 1 Critical Thinking and the Nursing Process OBJvb vb vb vb vb vb vb vb
5. Differentiate between objective and subjective data.Pg: 4
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Heading: Subjective Data vb vb
Integrated Process: Communication and vb vb vb
DocumentationHospital patient Need:
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Communication and Documentation Cognitive
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Level: Application (Applying)
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Concept:
CommunicationDifficult
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y: Moderate
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Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data.
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2 A hospital patient reporting symptoms to the nursing attendant is an example
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of subjectivedata.
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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.
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POINTS: 1 CON: Communication vb
4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and
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analgesic medicationis not due for another 50 minutes. Which action should the
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nursing attendant take first?
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1. Reposition the hospital patient. vb vb vb
2. Give the medication in 30 minutes.
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3. Notify the registered nursing attendant (RN) or physician.
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4. Tell the hospital patient it is too early for pain
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vb medication.ANS: 3 vb v b
, CHAPTER: 1 Critical Thinking and the Nursing Process
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OBJ 4. Identify the role of a licensed practical nursing attendant/licensed
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vocationalnursing attendant in using the nursing process.
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Pg: 3vb
Heading: Clinical Judgement
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Integrated Process: Clinical Problem-solving Process (Nursing
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Process)Hospital patient Need: SECE—Coordinated Care
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Cognitive Level: Application vb vb
[Applying]Concept: Hospital patient-
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Centered Care Difficulty: Moderate
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Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
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Repositioning ahospital patient with a new fracture is not likely to
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relieve pain.
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2 Giving the medication before the prescribed time is beyond the nurse
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caregiver’s scope of practice. vb vb vb
3 The hospital patient should not have to wait for pain relief, so the LPN
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should informthe RN or physician so new pain relief orders can be
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obtained.
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4 The nursing attendant needs to do more than expect the hospital patient to
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wait for painrelief.
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POINTS: 1 CON: Hospital patient-Centered Care
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5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
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Whichneed does the nursing attendant identify as having the highest priority?
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1. Job-related stress vb
2. Feeling of loneliness vb vb
3. Pain level of 9 on 0-to-10 scale
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4. Lack of confidence vb vb
ACCURATE ANSWER:-3 vb
CHAPTER: 1 Critical Thinking and the Nursing Process
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OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
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humanneeds
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Pg: 7vb
Heading: Prioritize Care vb vb
Integrated Process:
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Caring
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Hospital patient Need: SECE –
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Coordinated Care Cognitive Level:
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Application [Applying]Concept:
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Hospital patient-Centered Care
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Difficulty: Moderate
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Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed
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afterphysiological needs.
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2 According to Maslow, loneliness is addressed under social needs
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followingphysiological 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
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addressedfollowing physiological, safety, and social needs.
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UNDERSTANDING MEDICAL SURGICAL NURSING
vb vb vb vb
7THEDITION BY WILLIAMS & HOPPER
vb vb vb vb vb vb
,Chapter 1. Critical Thinking and the Nursing Process
vb vb vb vb vb vb vb
MULTIPLE CHOICE vb
1. The nursing attendant is caring for a group of hospital patients on a medical-surgical
vb vb vb vb vb vb vb vb vb vb vb vb vb
unit. Which hospital patientshould the licensed practical nursing attendant/licensed
vb vb vb vb vb vb vb vb vb vb
vocational nursing attendant (LPN/LVN) assess first?
vb vb vb vb vb vb
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
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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
vb v b vb vb vb vb vb vb
ACCURATE ANSWER:-1 vb
CHAPTER: 1 Critical Thinking and the Nursing Process vb vb vb vb vb vb vb
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
vb vb vb vb vb vb vb vb vb vb vb vb
humanneeds.
vb vb
Pgs: 6–7 vb
Heading: Prioritize Care vb vb
Integrated Process: Clinical Problem-Solving Process (Nursing
vb vb vb vb vb
Process)Hospital patient Need: SECE—Coordinated Care
vb vb vb vb vb vb
Cognitive Level: Application vb vb
[Applying]Concept: Hospital patient-
vb vb vb vb
Centered Care Difficulty: Difficult vb vb vb
Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
vb vb vb vb vb vb vb vb vb vb vb
immediateintervention.
vb vb
2 This hospital patient will need to be assessed, but is not as high a priority.
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
3 According to Maslow, psychosocial needs are not as high of a priority
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asphysiological needs.
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4 A respiratory rate of 22 is within normal range.
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POINTS: 1 CON: Hospital patient-Centered Care
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2. The LPN/LVN enters the room of a hospital patient who is angry and yells, “I
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
asked 5 minutes agofor my pain medication. I’m going to call the CEO of the
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
health center if you don’t get it for me now.” Which statement by the nursing
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
attendant demonstrates intellectual empathy?
vb vb vb vb
1. “We are short-staffed today, so it will take me longer to meet your needs.”
vb vb vb vb vb vb vb vb vb vb vb vb vb
2. “I am sorry you had to wait, I know you must be in a lot of pain.”
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
3. “I had another hospital patient who had severe pain, and I had to get to them first.”
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
4. “I will get you the number for the CEO, but he is aware of how busy we are.”
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
ACCURATE ANSWER:-2 vb
CHAPTER: 1 Critical Thinking and the Nursing Process vb vb vb vb vb vb vb
OBJ 2. Describe attitudes and skills that promote good critical thinkingPg:
vb vb vb vb vb vb vb vb vb vb vb
2
vb
Heading: Intellectual Empathy vb vb
Integrated Process: Communication and vb vb vb
DocumentationHospital patient Need: Psychosocial
vb vb vb vb vb
Integrity
vb
, Cognitive Level: Application vb vb
[Applying]Concept: Communication
vb vb vb
Difficulty: Moderate vb
Reasoning:->>>
1 This statement does not consider an individual’s situation.
vb vb vb vb vb vb vb
2 This statement demonstrates intellectual empathy by considering this hospital
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patient’ssituation and will likely alleviate the hospital patient’s anger.
vb vb vb vb vb vb vb vb vb vb
3 This statement does not consider a hospital patient’s situation and does not
vb vb vb vb vb vb vb vb vb vb vb
demonstrateintellectual empathy.
vb vb vb
4 This statement addresses the hospital patient’s statement of wanting to call
vb vb vb vb vb vb vb vb vb vb
the CEO, butdoes not demonstrate intellectual empathy by considering the
vb vb vb vb vb vb vb vb vb vb vb
hospital patient’s situation.
vb vb vb
POINTS: 1 CON: Communication vb
3. The nursing attendant is collecting data on a hospital patient. Which data are described as
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
subjective?
vb
1. Respiratory rate of 26 per minute vb vb vb vb vb
2. Hospital patient report of shortness of breath vb vb vb vb vb vb
3. Coarse lung sounds bilaterally vb vb vb
4. Cough producing green sputum vb vb vb
ACCURATE ANSWER:-2 vb
CHAPTER: 1 Critical Thinking and the Nursing Process OBJvb vb vb vb vb vb vb vb
5. Differentiate between objective and subjective data.Pg: 4
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Heading: Subjective Data vb vb
Integrated Process: Communication and vb vb vb
DocumentationHospital patient Need:
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Communication and Documentation Cognitive
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Level: Application (Applying)
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Concept:
CommunicationDifficult
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y: Moderate
vb
Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data.
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2 A hospital patient reporting symptoms to the nursing attendant is an example
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of subjectivedata.
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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.
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POINTS: 1 CON: Communication vb
4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
analgesic medicationis not due for another 50 minutes. Which action should the
vb vb vb vb vb vb vb vb vb vb vb vb vb
nursing attendant take first?
vb vb vb vb
1. Reposition the hospital patient. vb vb vb
2. Give the medication in 30 minutes.
vb vb vb vb vb
3. Notify the registered nursing attendant (RN) or physician.
vb vb vb vb vb vb vb
4. Tell the hospital patient it is too early for pain
vb vb vb vb vb vb vb vb vb
vb medication.ANS: 3 vb v b
, CHAPTER: 1 Critical Thinking and the Nursing Process
vb vb vb vb vb vb vb
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed
vb vb vb vb vb vb vb vb vb vb
vocationalnursing attendant in using the nursing process.
vb vb vb vb vb vb vb vb
Pg: 3vb
Heading: Clinical Judgement
vb vb
Integrated Process: Clinical Problem-solving Process (Nursing
vb vb vb vb vb
Process)Hospital patient Need: SECE—Coordinated Care
vb vb vb vb vb vb
Cognitive Level: Application vb vb
[Applying]Concept: Hospital patient-
vb vb vb vb
Centered Care Difficulty: Moderate
vb vb vb
Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
vb vb vb vb vb vb vb vb vb vb vb
Repositioning ahospital patient with a new fracture is not likely to
vb vb vb vb vb vb vb vb vb vb vb vb
relieve pain.
vb vb
2 Giving the medication before the prescribed time is beyond the nurse
vb vb vb vb vb vb vb vb vb vb
caregiver’s scope of practice. vb vb vb
3 The hospital patient should not have to wait for pain relief, so the LPN
vb vb vb vb vb vb vb vb vb vb vb vb vb
should informthe RN or physician so new pain relief orders can be
vb vb vb vb vb vb vb vb vb vb vb vb vb
obtained.
vb
4 The nursing attendant needs to do more than expect the hospital patient to
vb vb vb vb vb vb vb vb vb vb vb vb
wait for painrelief.
vb vb vb vb
POINTS: 1 CON: Hospital patient-Centered Care
vb vb vb
5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
vb vb vb vb vb vb vb vb vb vb vb
Whichneed does the nursing attendant identify as having the highest priority?
vb vb vb vb vb vb vb vb vb vb vb vb
1. Job-related stress vb
2. Feeling of loneliness vb vb
3. Pain level of 9 on 0-to-10 scale
vb vb vb vb vb vb
4. Lack of confidence vb vb
ACCURATE ANSWER:-3 vb
CHAPTER: 1 Critical Thinking and the Nursing Process
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OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
vb vb vb vb vb vb vb vb vb vb vb vb
humanneeds
vb vb
Pg: 7vb
Heading: Prioritize Care vb vb
Integrated Process:
vb vb
Caring
vb
Hospital patient Need: SECE –
vb vb vb vb
Coordinated Care Cognitive Level:
vb vb vb vb
Application [Applying]Concept:
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Hospital patient-Centered Care
vb vb vb
Difficulty: Moderate
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Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed
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afterphysiological needs.
vb vb vb
2 According to Maslow, loneliness is addressed under social needs
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followingphysiological and safety.
vb vb vb vb
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
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addressedfollowing physiological, safety, and social needs.
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