1
Downloaded by: TestBanksStuvia | Want to earn $1.236
Distribution of this document is illegal extra per year?
, 2 Chapter 1 Answers Stuvia.com - The Marketplace to Buy and Sell your Study Material
(Davis Advantage for Understanding Medical-Surgical Nursing, 7e Linda Williams, Paula Hopper)
Answers
CHAPTER 1 to collect appropriate data, identify a patient problem, and
determine the best possible plan of action. Clinicaljudgment
CRITICAL THINKING, is based on good critical thinking.
CLINICAL JUDGMENT, AND Cue
THE NURSING PROCESS Definition: Significant or relevant data. Not all data are
cues (relevant), but all cues are data.
AUDIO CASE STUDY Collaboration
Jane Practices Clinical Judgment Definition: Working together with the health team to
improve patient outcomes.
1. Identify and analyze cues; prioritize hypotheses; generate
solutions; take action; evaluate outcomes; repeat. Intervention
2. Jane was exhausted, failed a test, and was pulled in too many Definition: Taking action to carry out a plan.
directions. She was also crying in her car and hadpoor study
habits and not enough sleep. Evaluation
3. Jane’s resources included a good friend, sick time fromwork, Definition: Comparing the outcomes you expected withactual
and wasted time between classes that she could better utilize. outcomes. Did the plan work? Were expected outcomes met?
Your resources will be different, but theyexist! Vigilance
4. Critical thinking—the why: Jane uses critical thinking to
Definition: The act of being attentive, alert, and watchful.
determine why her current plan isn’t working. She thinks
honestly about her poor study habits, her time- management CRITICAL THINKING AND CLINICALJUDGMENT
problems, and the impact this is having onher and her family.
Clinical judgment—the do: Jane uses her thinking to develop Critical thinking and clinical judgment both follow a similar
and carry out a plan that uses her resources and provides more format. Both follow steps from collecting data to determin- ing
productive study time and more quality time with her kids. problems and outcomes, developing and taking actions, and
evaluating outcomes. However, critical thinking helps you think
VOCABULARY about the problem: What is it? Why is it happen- ing? And
clinical judgment leads you to do something to manage the
Sample sentences will vary for the Vocabulary problems. problem.
Nursing process
Definition: An organizing framework that links thinking with CUE RECOGNITION
nursing actions. Steps include assessment/data collection, You will do many things for each individual, but the FIRST
nursing diagnosis, planning, implementation,and evaluation. thing is listed below.
Critical thinking 1. Sit the patient upright.
Definition: The use of those cognitive (knowledge) skills or 2. Call 911 while running across the street.
strategies that increase the probability of a desirable outcome. 3. Elevate the feet off the bed by placing a pillow under thecalves
Also involves reflection, problem-solving, andrelated thinking and allowing the feet to hang off the edge of the pillow.
skills. 4. Check blood glucose and have a glucose source ready.
Clinical judgment 5. Turn the patient to the side to prevent aspiration.
Definition: The observed outcome of critical thinking and
decision making. A process that uses nursing knowledge
Downloaded by: TestBanksStuvia | Want to earn $1.236
Distribution of this document is illegal extra per year?
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
CRITICAL THINKING
This is just one possible way to complete a cognitive map.
Could it be low Am I diabetic? Frontal area "Sick" feeling Hard Tylenol helps Hunger makes
blood sugar? it worse
Patient's Where is it? Quality Aggravating and
perception alleviating factors
Food helps
Headache
Useful other Severity Timing
data
Sometimes feel Mother is 7–8 on 0–10 Lasts 1–2 hours Before meals Early in the
sick to stomach diabetic scale once starts morning
REVIEW QUESTIONS taking vital signs; data collection is the first step in the
nursing process. (2, 3, 4) are all steps in the nursing process,
The correct answers are in boldface.
for which the registered nurse is responsible; the LPN/LVN
1. (2) Critical thinking can lead to better outcomes for the may assist the registered nurse with these. Nitroglycerin
patient. (1, 3, 4) may be true but are not the best answer. should not be administered withoutfirst knowing the patient’s
2. (4) is correct. The nurse who can admit to not knowing blood pressure.
something is exhibiting intellectual humility. (1) shows 7. (2) indicates that the patient is concerned about freedomfrom
expertise but not necessarily intellectual humility; injury and harm. (1) relates to basic needs such as air, oxygen,
(2) reporting an error shows intellectual integrity; and water. (3) relates to feeling loved. (4) isrelated to having
(3) empathizing is positive but does is not evidence of positive self-esteem.
humility. 8. (3, 1, 2, 4) is the correct order according to Maslow.
3. (3, 4, 5, 1, 2) is the correct order. 9. (5, 2, 1, 4, 6, 3) is the correct order.
4. (1) is the best definition. (2, 3, 4) do not define critical 10. (3) shows the patient is actually taking action. (1, 2, 4)are
thinking but are examples of good thinking. all positive but do not show intent to take action.
5. (4) is correct. Evaluation determines whether goals are 11. (4) is the nurse’s analysis of the situation. (1, 2) aredata;
achieved and interventions effective. (2) is the role of the (3) is a recommendation.
physician. (1, 3) encompass data collection and imple- 12. (1, 2, 3, 4) should be present. Since the data provides only
mentation, which are earlier steps in the nursing process. hip replacement as the patient’s problem, (5) thedietitian is
6. (1) is correct. The licensed practical nurse/licensed voca-tional not necessary.
nurse (LPN/LVN) can collect data, which includes
1
Downloaded by: TestBanksStuvia | Want to earn $1.236
Distribution of this document is illegal extra per year?
, 2 Chapter 2 Answers Stuvia.com - The Marketplace to Buy and Sell your Study Material
CHAPTER 2 EVIDENCE-BASED PRACTICE
EVIDENCE-BASED PRACTICE 1. proof
2. context
3. quality
AUDIO CASE STUDY
4. care
Marie and Evidence-Based Practice 5. randomized
1. Thirdhand smoke is the dangerous toxins of smoke that 6. outcomes
linger on hair, clothing, furniture, and other surfaces inan 7. gold
area after a cigarette is put out. Marie learned that exposure 8. nursing
to these toxins can be neurotoxic to children and can trigger 9. patient’s
asthma attacks in sensitive people. 10. information
2. Evidence-based practice is considered the gold standardof
health care. CLINICAL JUDGMENT
3. Step 1: Ask the burning question. Step 2: Search and 1. By questioning the existing way of doing things to ensure
collect the most relevant and best evidence available.Step that the patient receives the best care possible
3: Think critically. Appraise the evidence for validity, 2. A thorough search of the literature, with the assistance ofthe
relevance to the situation, and applicability. medical librarian, in the area of their burning ques- tion
Step 4: Measure the outcomes before and after institutingthe regarding music reducing preoperative anxiety.
change. Step 5: Make it happen. Step 6: Evaluate the practice
3. Cumulative Index to Nursing and Allied Health Literature
decision or change.
(CINAHL) Database, Joanna Briggs Instituteevidence-based
4. Combination therapy with a nicotine patch and nicotine resources, Cochrane Reviews, Medline/PubMed
lozenges worked best, although bupropion (Zyban) or
4. Measure patient outcomes before instituting the evidence-
varenicline (Chantix) and nicotine lozenges worked well,too. A
based change in practice so comparisons canbe made after
Cochrane Review found that advice and support from nursing
implementation to determine if the inter-vention worked
staff can increase patients’ success in quit- ting smoking,
5. Evaluate the results to determine whether the changemade
especially in a hospital setting.
a significant difference and if it was valuable interms of
cost and time
VOCABULARY
Sample sentences will vary for the Vocabulary problems. REVIEW QUESTIONS
1. Evidence-based practice: A systematic process that usescurrent The correct answers are in boldface.
evidence in making decisions about patient care.
1. (3) is correct. Providing an explanation of why some- thing
2. Evidence-informed practice: Consideration of patient factors
is done promotes the understanding for why it is important
along with the use of evidence for shared decisionmaking
to be done and therefore will more likely be done. (1, 2, 4)
between the health-care provider and the patient.
only communicate the need to perform atask. They do not
3. Randomized controlled trials: True experimental studiesin provide rationale for the task to pro- mote understanding of
which as many factors as possible that could falsely change the importance of the task.
the results are controlled.
2. (3) is correct. Evidence-based nursing care that has been
4. Research: Scientific study, investigation, or experimenta-tion to evaluated as appropriate for an agency provides the best and
establish facts and analyze their significance. safest patient care. (1) Opinions may not be based on
5. Systematic review: A review of relevant research using
guidelines.
Downloaded by: TestBanksStuvia | Want to earn $1.236
Distribution of this document is illegal extra per year?
Downloaded by: TestBanksStuvia | Want to earn $1.236
Distribution of this document is illegal extra per year?
, 2 Chapter 1 Answers Stuvia.com - The Marketplace to Buy and Sell your Study Material
(Davis Advantage for Understanding Medical-Surgical Nursing, 7e Linda Williams, Paula Hopper)
Answers
CHAPTER 1 to collect appropriate data, identify a patient problem, and
determine the best possible plan of action. Clinicaljudgment
CRITICAL THINKING, is based on good critical thinking.
CLINICAL JUDGMENT, AND Cue
THE NURSING PROCESS Definition: Significant or relevant data. Not all data are
cues (relevant), but all cues are data.
AUDIO CASE STUDY Collaboration
Jane Practices Clinical Judgment Definition: Working together with the health team to
improve patient outcomes.
1. Identify and analyze cues; prioritize hypotheses; generate
solutions; take action; evaluate outcomes; repeat. Intervention
2. Jane was exhausted, failed a test, and was pulled in too many Definition: Taking action to carry out a plan.
directions. She was also crying in her car and hadpoor study
habits and not enough sleep. Evaluation
3. Jane’s resources included a good friend, sick time fromwork, Definition: Comparing the outcomes you expected withactual
and wasted time between classes that she could better utilize. outcomes. Did the plan work? Were expected outcomes met?
Your resources will be different, but theyexist! Vigilance
4. Critical thinking—the why: Jane uses critical thinking to
Definition: The act of being attentive, alert, and watchful.
determine why her current plan isn’t working. She thinks
honestly about her poor study habits, her time- management CRITICAL THINKING AND CLINICALJUDGMENT
problems, and the impact this is having onher and her family.
Clinical judgment—the do: Jane uses her thinking to develop Critical thinking and clinical judgment both follow a similar
and carry out a plan that uses her resources and provides more format. Both follow steps from collecting data to determin- ing
productive study time and more quality time with her kids. problems and outcomes, developing and taking actions, and
evaluating outcomes. However, critical thinking helps you think
VOCABULARY about the problem: What is it? Why is it happen- ing? And
clinical judgment leads you to do something to manage the
Sample sentences will vary for the Vocabulary problems. problem.
Nursing process
Definition: An organizing framework that links thinking with CUE RECOGNITION
nursing actions. Steps include assessment/data collection, You will do many things for each individual, but the FIRST
nursing diagnosis, planning, implementation,and evaluation. thing is listed below.
Critical thinking 1. Sit the patient upright.
Definition: The use of those cognitive (knowledge) skills or 2. Call 911 while running across the street.
strategies that increase the probability of a desirable outcome. 3. Elevate the feet off the bed by placing a pillow under thecalves
Also involves reflection, problem-solving, andrelated thinking and allowing the feet to hang off the edge of the pillow.
skills. 4. Check blood glucose and have a glucose source ready.
Clinical judgment 5. Turn the patient to the side to prevent aspiration.
Definition: The observed outcome of critical thinking and
decision making. A process that uses nursing knowledge
Downloaded by: TestBanksStuvia | Want to earn $1.236
Distribution of this document is illegal extra per year?
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
CRITICAL THINKING
This is just one possible way to complete a cognitive map.
Could it be low Am I diabetic? Frontal area "Sick" feeling Hard Tylenol helps Hunger makes
blood sugar? it worse
Patient's Where is it? Quality Aggravating and
perception alleviating factors
Food helps
Headache
Useful other Severity Timing
data
Sometimes feel Mother is 7–8 on 0–10 Lasts 1–2 hours Before meals Early in the
sick to stomach diabetic scale once starts morning
REVIEW QUESTIONS taking vital signs; data collection is the first step in the
nursing process. (2, 3, 4) are all steps in the nursing process,
The correct answers are in boldface.
for which the registered nurse is responsible; the LPN/LVN
1. (2) Critical thinking can lead to better outcomes for the may assist the registered nurse with these. Nitroglycerin
patient. (1, 3, 4) may be true but are not the best answer. should not be administered withoutfirst knowing the patient’s
2. (4) is correct. The nurse who can admit to not knowing blood pressure.
something is exhibiting intellectual humility. (1) shows 7. (2) indicates that the patient is concerned about freedomfrom
expertise but not necessarily intellectual humility; injury and harm. (1) relates to basic needs such as air, oxygen,
(2) reporting an error shows intellectual integrity; and water. (3) relates to feeling loved. (4) isrelated to having
(3) empathizing is positive but does is not evidence of positive self-esteem.
humility. 8. (3, 1, 2, 4) is the correct order according to Maslow.
3. (3, 4, 5, 1, 2) is the correct order. 9. (5, 2, 1, 4, 6, 3) is the correct order.
4. (1) is the best definition. (2, 3, 4) do not define critical 10. (3) shows the patient is actually taking action. (1, 2, 4)are
thinking but are examples of good thinking. all positive but do not show intent to take action.
5. (4) is correct. Evaluation determines whether goals are 11. (4) is the nurse’s analysis of the situation. (1, 2) aredata;
achieved and interventions effective. (2) is the role of the (3) is a recommendation.
physician. (1, 3) encompass data collection and imple- 12. (1, 2, 3, 4) should be present. Since the data provides only
mentation, which are earlier steps in the nursing process. hip replacement as the patient’s problem, (5) thedietitian is
6. (1) is correct. The licensed practical nurse/licensed voca-tional not necessary.
nurse (LPN/LVN) can collect data, which includes
1
Downloaded by: TestBanksStuvia | Want to earn $1.236
Distribution of this document is illegal extra per year?
, 2 Chapter 2 Answers Stuvia.com - The Marketplace to Buy and Sell your Study Material
CHAPTER 2 EVIDENCE-BASED PRACTICE
EVIDENCE-BASED PRACTICE 1. proof
2. context
3. quality
AUDIO CASE STUDY
4. care
Marie and Evidence-Based Practice 5. randomized
1. Thirdhand smoke is the dangerous toxins of smoke that 6. outcomes
linger on hair, clothing, furniture, and other surfaces inan 7. gold
area after a cigarette is put out. Marie learned that exposure 8. nursing
to these toxins can be neurotoxic to children and can trigger 9. patient’s
asthma attacks in sensitive people. 10. information
2. Evidence-based practice is considered the gold standardof
health care. CLINICAL JUDGMENT
3. Step 1: Ask the burning question. Step 2: Search and 1. By questioning the existing way of doing things to ensure
collect the most relevant and best evidence available.Step that the patient receives the best care possible
3: Think critically. Appraise the evidence for validity, 2. A thorough search of the literature, with the assistance ofthe
relevance to the situation, and applicability. medical librarian, in the area of their burning ques- tion
Step 4: Measure the outcomes before and after institutingthe regarding music reducing preoperative anxiety.
change. Step 5: Make it happen. Step 6: Evaluate the practice
3. Cumulative Index to Nursing and Allied Health Literature
decision or change.
(CINAHL) Database, Joanna Briggs Instituteevidence-based
4. Combination therapy with a nicotine patch and nicotine resources, Cochrane Reviews, Medline/PubMed
lozenges worked best, although bupropion (Zyban) or
4. Measure patient outcomes before instituting the evidence-
varenicline (Chantix) and nicotine lozenges worked well,too. A
based change in practice so comparisons canbe made after
Cochrane Review found that advice and support from nursing
implementation to determine if the inter-vention worked
staff can increase patients’ success in quit- ting smoking,
5. Evaluate the results to determine whether the changemade
especially in a hospital setting.
a significant difference and if it was valuable interms of
cost and time
VOCABULARY
Sample sentences will vary for the Vocabulary problems. REVIEW QUESTIONS
1. Evidence-based practice: A systematic process that usescurrent The correct answers are in boldface.
evidence in making decisions about patient care.
1. (3) is correct. Providing an explanation of why some- thing
2. Evidence-informed practice: Consideration of patient factors
is done promotes the understanding for why it is important
along with the use of evidence for shared decisionmaking
to be done and therefore will more likely be done. (1, 2, 4)
between the health-care provider and the patient.
only communicate the need to perform atask. They do not
3. Randomized controlled trials: True experimental studiesin provide rationale for the task to pro- mote understanding of
which as many factors as possible that could falsely change the importance of the task.
the results are controlled.
2. (3) is correct. Evidence-based nursing care that has been
4. Research: Scientific study, investigation, or experimenta-tion to evaluated as appropriate for an agency provides the best and
establish facts and analyze their significance. safest patient care. (1) Opinions may not be based on
5. Systematic review: A review of relevant research using
guidelines.
Downloaded by: TestBanksStuvia | Want to earn $1.236
Distribution of this document is illegal extra per year?
