Test Bank for Understanding Medical Surgical Nursing 5th Edition by Williams, Linda; Hopper, Paula Chapter 1-57 Complete Guide|Practice Questions with Answers

TEST BANK FOR
UNDERSTANDING
MEDICAL-SURGICAL
NURSING
5TH EDITION BY
HOPPER ,WILLIAMS

Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE ty




1. The nurse is caring for a group of patients on a medical-
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surgical unit. Which patient should the licensed practical nurse/licensed vocational nurse (L
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PN/LVN) assess first? ty ty



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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ANS: 1 t y t y



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 human ne
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eds.
Pages: 6–7 ty



Heading: Prioritize Care ty ty



Integrated Process: Clinical Problem- ty ty ty



Solving Process (Nursing Process) Client Need: SECE—Coordinated Care
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, Cognitive Level: Application [Applying] ty ty ty ty



Concept: Patient- ty



Centered Care Difficulty: Difficult ty ty ty




Feedback
1 This patient has a dangerously low blood glucose level and requires immediate
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intervention.
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
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physiological needs. ty



4 A respiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-Centered Care t y ty




2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ago fo
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r my pain medication. I’m going to call the CEO of the hospital if you don’t get it for me now.
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” 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 t y t y



Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 2. Describe attitudes and skills that promote good critical thinking P
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age: 2 ty



Heading: Intellectual Empathy ty ty



Integrated Process: Communication and Documentation
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Client Need: Psychosocial Integrity
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, Cognitive Level: Application [Applying] ty ty ty ty



Concept: Communication ty



Difficulty: Moderate ty




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 situ
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ation 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. ty



4 This statement addresses the patient’s statement of wanting to call the CEO, but d
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oes not demonstrate intellectual empathy by considering the patient’s situation.
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PTS: 1 CON: Communication t y




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 ty ty ty ty ty



2. Patient report of shortness of breath ty ty ty ty ty



3. Coarse lung sounds bilaterally ty ty ty



4. Cough producing green sputum ty ty ty




ANS: 2 t y t y



Chapter: Chapter 1 Critical Thinking and the Nursing Process Obje
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ctive: 5. Differentiate between objective and subjective data. Page: 4
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Heading: Subjective Data ty ty



Integrated Process: Communication and Documentation ty ty ty ty ty



Client Need: Communication and Documentation Cogni
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tive Level: Application (Applying)
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Concept: Communication ty ty



Difficulty: Moderate ty




Feedback
1 Respiratory rate of 26 per minute is an example of objective data. ty ty ty ty ty ty ty ty ty ty ty



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.ty ty ty ty ty ty ty ty



4 A productive cough is an example of objective data.
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PTS: 1 CON: Communication t y




4. A patient with a newly fractured femur reports a pain level of 8/10 and analgesic medication is
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not due for another 50 minutes. Which action should the nurse take first?
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1. Reposition the patient. ty ty



2. Give the medication in 30 minutes. ty ty ty ty ty



3. Notify the registered nurse (RN) or physician. ty ty ty ty ty ty



4. Tell the patient it is too early for pain medication. A
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NS: 3 t y

, Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in using th
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e nursing process.
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Page: 3 ty



Heading: Clinical Judgement ty ty



Integrated Process: Clinical Problem- ty ty ty



solving Process (Nursing Process) Client Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying] ty ty ty ty



Concept: Patient- ty



Centered Care Difficulty: Moderate ty ty ty




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.
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2 Giving the medication before the prescribed time is beyond the nurse’s scope of
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practice.
3 The patient should not have to wait for pain relief, so the LPN should inform
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the RN or physician so new pain relief orders can be obtained.
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4 The nurse needs to do more than expect the patient to wait for pain relief.
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PTS: 1 CON: Patient-Centered Care t y ty




5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does the nu
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rse identify as having the highest priority?
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1. Job-related stress ty



2. Feeling of loneliness ty ty



3. Pain level of 9 on 0-to-10 scale ty ty ty ty ty ty



4. Lack of confidence ty ty




ANS: 3 t y t y



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 human ne
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eds
Page: 7 ty



Heading: Prioritize Care Int ty ty ty



egrated Process: Caring ty ty



Client Need: SECE – ty ty ty



Coordinated Care Cognitive Level: Appli
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cation [Applying] Concept: Patient-
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Centered Care Difficulty: Moderate ty ty ty




Feedback
1 Job-related stress falls under safety according to Maslow and is addressed after
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physiological needs. ty



2 According to Maslow, loneliness is addressed under social needs following physiol
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ogical and safety. ty ty


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 follo
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wing physiological, safety, and social needs.
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