TESTBANK FOR DAVIES ADVANTAGE FOR
n1 n1 n1 n1
n1 UNDERSTANDING MEDICAL SURGICAL NURSING
n1 n1 n1
7THEDITION BY WILLIAMS & HOPPER
n1 1n n1 n1 n1 n1
,Chapter 1. Critical Thinking and the Nursing Process
n1 n1 n1 n1 n1 n1 n1
MULTIPLE CHOICE n1
1. The nursing attendant is caring for a group of hospital patients on a medical-surgical unit.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Which hospital patientshould the licensed practical nursing attendant/licensed vocational
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
nursing attendant (LPN/LVN) assess first?
n1 n1 n1 n1 n1
1. A patient with a blood glucose of 42 mg/dL
n1 n 1 n1 n1 n1 n1 n1 n1
2. A patient who reports a pain level of 2
n1 n1 n1 n1 n1 n1 n1 n1
3. A patient who has just received a diagnosis of cancer
n1 n1 n1 n1 n1 n1 n1 n1 n1
4. A patient who has a respiratory rate of 22
n1 n 1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:-1 n1
CHAPTER: 1 Critical Thinking and the Nursing Process n1 n1 n1 n1 n1 n1 n1
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
humanneeds.
n1 n1
Pgs: 6–7 n1
Heading: Prioritize Care n1 n1
Integrated Process: Clinical Problem-Solving Process (Nursing
n1 n1 n1 n1 n1
Process)Hospital patient Need: SECE—Coordinated Care
n1 n1 n1 n1 n1 n1
Cognitive Level: Application n1 n1
[Applying]Concept: Hospital patient-
n1 n1 n1 n1
Centered Care Difficulty: Difficult n1 n1 n1
Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
immediateintervention.
n1 n1
2 This hospital patient will need to be assessed, but is not as high a priority.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3 According to Maslow, psychosocial needs are not as high of a priority n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
asphysiological needs.
n1 n1 n1
4 A respiratory rate of 22 is within normal range.
n1 n1 n1 n1 n1 n1 n1 n1
POINTS: 1 CON: Hospital patient-Centered Care n1 n1 n1
2. The LPN/LVN enters the room of a hospital patient who is angry and yells, ―I asked 5
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
minutes agofor my pain medication. I‘m going to call the CEO of the health center if
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
you don‘t get it for me now.‖ Which statement by the nursing attendant demonstrates
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
intellectual empathy?
n1 n1
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3. ―I had another hospital patient who had severe pain, and I had to get to them first.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:-2 n1
CHAPTER: 1 Critical Thinking and the Nursing Process n1 n1 n1 n1 n1 n1 n1
OBJ 2. Describe attitudes and skills that promote good critical thinkingPg: 2
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Heading: Intellectual Empathy n1 n1
Integrated Process: Communication and n1 n1 n1
DocumentationHospital patient Need: Psychosocial
n1 n1 n1 n1 n1
Integrity
n1
, Cognitive Level: Application n1 n1
[Applying]Concept: Communication
n1 n1 n1
Difficulty: Moderate n1
Reasoning:->>>
1 This statement does not consider an individual‘s situation.
n1 n1 n1 n1 n1 n1 n1
2 This statement demonstrates intellectual empathy by considering this hospital
n1 n1 n1 n1 n1 n1 n1 n1
patient‘ssituation and will likely alleviate the hospital patient‘s anger.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3 This statement does not consider a hospital patient‘s situation and does not
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
demonstrateintellectual empathy.
n1 n1 n1
4 This statement addresses the hospital patient‘s statement of wanting to call the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
CEO, butdoes not demonstrate intellectual empathy by considering the hospital
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
patient‘s situation.
n1 n1
POINTS: 1 CON: Communication n1
3. The nursing attendant is collecting data on a hospital patient. Which data are described as
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
subjective?
n1
1. Respiratory rate of 26 per minute n1 n1 n1 n1 n1
2. Hospital patient report of shortness of breath n1 n1 n1 n1 n1 n1
3. Coarse lung sounds bilaterally n1 n1 n1
4. Cough producing green sputum n1 n1 n1
ACCURATE ANSWER:-2 n1
CHAPTER: 1 Critical Thinking and the Nursing Process OBJ 5. n1 n1 n1 n1 n1 n1 n1 n1 n1
Differentiate between objective and subjective data.Pg: 4
n1 n1 n1 n1 n1 n1 n1 n1
Heading: Subjective Data n1 n1
Integrated Process: Communication and n1 n1 n1
DocumentationHospital patient Need: Communication
n1 n1 n1 n1 n1
and Documentation Cognitive Level: Application
n1 n1 n1 n1 n1
(Applying)
n1
Concept:
CommunicationDifficult
n1 n1
y: Moderate
n1
Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data. n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2 A hospital patient reporting symptoms to the nursing attendant is an example of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
subjectivedata.
n1 n1
3 Coarse lung sounds is an example of objective data.
n1 n1 n1 n1 n1 n1 n1 n1
4 A productive cough is an example of objective data.
n1 n1 n1 n1 n1 n1 n1 n1
POINTS: 1 CON: Communication n1
4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and analgesic
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
medicationis not due for another 50 minutes. Which action should the nursing attendant
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
take first?
n1 n1
1. Reposition the hospital patient. n1 n1 n1
2. Give the medication in 30 minutes.
n1 n1 n1 n1 n1
3. Notify the registered nursing attendant (RN) or physician.
n1 n1 n1 n1 n1 n1 n1
4. Tell the hospital patient it is too early for pain
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 medication.ANS: 3 n1 n 1
, CHAPTER: 1 Critical Thinking and the Nursing Process
n1 n1 n1 n1 n1 n1 n1
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
vocationalnursing attendant in using the nursing process.
n1 n1 n1 n1 n1 n1 n1 n1
Pg: 3n1
Heading: Clinical Judgement n1 n1
Integrated Process: Clinical Problem-solving Process (Nursing
n1 n1 n1 n1 n1
Process)Hospital patient Need: SECE—Coordinated Care
n1 n1 n1 n1 n1 n1
Cognitive Level: Application n1 n1
[Applying]Concept: Hospital patient-
n1 n1 n1 n1
Centered Care Difficulty: Moderate
n1 n1 n1
Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Repositioning ahospital patient with a new fracture is not likely to relieve
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
pain.
n1
2 Giving the medication before the prescribed time is beyond the nurse
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
caregiver‘s scope of practice. n1 n1 n1
3 The hospital patient should not have to wait for pain relief, so the LPN
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
should informthe RN or physician so new pain relief orders can be
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
obtained.
n1
4 The nursing attendant needs to do more than expect the hospital patient to wait
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
for painrelief.
n1 n1 n1
POINTS: 1 CON: Hospital patient-Centered Care n1 n1 n1
5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Whichneed does the nursing attendant identify as having the highest priority?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Job-related stress n1
2. Feeling of loneliness n1 n1
3. Pain level of 9 on 0-to-10 scale
n1 n1 n1 n1 n1 n1
4. Lack of confidence n1 n1
ACCURATE ANSWER:-3 n1
CHAPTER: 1 Critical Thinking and the Nursing Process
n1 n1 n1 n1 n1 n1 n1
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
humanneeds
n1 n1
Pg: 7n1
Heading: Prioritize Care n1 n1
Integrated Process:
n1 n1
Caring
n1
Hospital patient Need: SECE –
n1 n1 n1 n1
Coordinated Care Cognitive Level:
n1 n1 n1 n1
Application [Applying]Concept:
n1 n1 n1
Hospital patient-Centered Care
n1 n1 n1
Difficulty: Moderate
n1 n1
Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
afterphysiological needs.
n1 n1 n1
2 According to Maslow, loneliness is addressed under social needs n1 n1 n1 n1 n1 n1 n1 n1
followingphysiological and safety.
n1 n1 n1 n1
3 Pain is a physiological need and is the highest priority.
n1 n1 n1 n1 n1 n1 n1 n1 n1
4 Lack of confidence falls under esteem according to Maslow and is
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
addressedfollowing physiological, safety, and social needs.
n1 n1 n1 n1 n1 n1 n1
n1 n1 n1 n1
n1 UNDERSTANDING MEDICAL SURGICAL NURSING
n1 n1 n1
7THEDITION BY WILLIAMS & HOPPER
n1 1n n1 n1 n1 n1
,Chapter 1. Critical Thinking and the Nursing Process
n1 n1 n1 n1 n1 n1 n1
MULTIPLE CHOICE n1
1. The nursing attendant is caring for a group of hospital patients on a medical-surgical unit.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Which hospital patientshould the licensed practical nursing attendant/licensed vocational
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
nursing attendant (LPN/LVN) assess first?
n1 n1 n1 n1 n1
1. A patient with a blood glucose of 42 mg/dL
n1 n 1 n1 n1 n1 n1 n1 n1
2. A patient who reports a pain level of 2
n1 n1 n1 n1 n1 n1 n1 n1
3. A patient who has just received a diagnosis of cancer
n1 n1 n1 n1 n1 n1 n1 n1 n1
4. A patient who has a respiratory rate of 22
n1 n 1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:-1 n1
CHAPTER: 1 Critical Thinking and the Nursing Process n1 n1 n1 n1 n1 n1 n1
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
humanneeds.
n1 n1
Pgs: 6–7 n1
Heading: Prioritize Care n1 n1
Integrated Process: Clinical Problem-Solving Process (Nursing
n1 n1 n1 n1 n1
Process)Hospital patient Need: SECE—Coordinated Care
n1 n1 n1 n1 n1 n1
Cognitive Level: Application n1 n1
[Applying]Concept: Hospital patient-
n1 n1 n1 n1
Centered Care Difficulty: Difficult n1 n1 n1
Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
immediateintervention.
n1 n1
2 This hospital patient will need to be assessed, but is not as high a priority.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3 According to Maslow, psychosocial needs are not as high of a priority n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
asphysiological needs.
n1 n1 n1
4 A respiratory rate of 22 is within normal range.
n1 n1 n1 n1 n1 n1 n1 n1
POINTS: 1 CON: Hospital patient-Centered Care n1 n1 n1
2. The LPN/LVN enters the room of a hospital patient who is angry and yells, ―I asked 5
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
minutes agofor my pain medication. I‘m going to call the CEO of the health center if
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
you don‘t get it for me now.‖ Which statement by the nursing attendant demonstrates
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
intellectual empathy?
n1 n1
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3. ―I had another hospital patient who had severe pain, and I had to get to them first.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:-2 n1
CHAPTER: 1 Critical Thinking and the Nursing Process n1 n1 n1 n1 n1 n1 n1
OBJ 2. Describe attitudes and skills that promote good critical thinkingPg: 2
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Heading: Intellectual Empathy n1 n1
Integrated Process: Communication and n1 n1 n1
DocumentationHospital patient Need: Psychosocial
n1 n1 n1 n1 n1
Integrity
n1
, Cognitive Level: Application n1 n1
[Applying]Concept: Communication
n1 n1 n1
Difficulty: Moderate n1
Reasoning:->>>
1 This statement does not consider an individual‘s situation.
n1 n1 n1 n1 n1 n1 n1
2 This statement demonstrates intellectual empathy by considering this hospital
n1 n1 n1 n1 n1 n1 n1 n1
patient‘ssituation and will likely alleviate the hospital patient‘s anger.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
3 This statement does not consider a hospital patient‘s situation and does not
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
demonstrateintellectual empathy.
n1 n1 n1
4 This statement addresses the hospital patient‘s statement of wanting to call the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
CEO, butdoes not demonstrate intellectual empathy by considering the hospital
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
patient‘s situation.
n1 n1
POINTS: 1 CON: Communication n1
3. The nursing attendant is collecting data on a hospital patient. Which data are described as
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
subjective?
n1
1. Respiratory rate of 26 per minute n1 n1 n1 n1 n1
2. Hospital patient report of shortness of breath n1 n1 n1 n1 n1 n1
3. Coarse lung sounds bilaterally n1 n1 n1
4. Cough producing green sputum n1 n1 n1
ACCURATE ANSWER:-2 n1
CHAPTER: 1 Critical Thinking and the Nursing Process OBJ 5. n1 n1 n1 n1 n1 n1 n1 n1 n1
Differentiate between objective and subjective data.Pg: 4
n1 n1 n1 n1 n1 n1 n1 n1
Heading: Subjective Data n1 n1
Integrated Process: Communication and n1 n1 n1
DocumentationHospital patient Need: Communication
n1 n1 n1 n1 n1
and Documentation Cognitive Level: Application
n1 n1 n1 n1 n1
(Applying)
n1
Concept:
CommunicationDifficult
n1 n1
y: Moderate
n1
Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data. n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2 A hospital patient reporting symptoms to the nursing attendant is an example of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
subjectivedata.
n1 n1
3 Coarse lung sounds is an example of objective data.
n1 n1 n1 n1 n1 n1 n1 n1
4 A productive cough is an example of objective data.
n1 n1 n1 n1 n1 n1 n1 n1
POINTS: 1 CON: Communication n1
4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and analgesic
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
medicationis not due for another 50 minutes. Which action should the nursing attendant
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
take first?
n1 n1
1. Reposition the hospital patient. n1 n1 n1
2. Give the medication in 30 minutes.
n1 n1 n1 n1 n1
3. Notify the registered nursing attendant (RN) or physician.
n1 n1 n1 n1 n1 n1 n1
4. Tell the hospital patient it is too early for pain
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 medication.ANS: 3 n1 n 1
, CHAPTER: 1 Critical Thinking and the Nursing Process
n1 n1 n1 n1 n1 n1 n1
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
vocationalnursing attendant in using the nursing process.
n1 n1 n1 n1 n1 n1 n1 n1
Pg: 3n1
Heading: Clinical Judgement n1 n1
Integrated Process: Clinical Problem-solving Process (Nursing
n1 n1 n1 n1 n1
Process)Hospital patient Need: SECE—Coordinated Care
n1 n1 n1 n1 n1 n1
Cognitive Level: Application n1 n1
[Applying]Concept: Hospital patient-
n1 n1 n1 n1
Centered Care Difficulty: Moderate
n1 n1 n1
Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Repositioning ahospital patient with a new fracture is not likely to relieve
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
pain.
n1
2 Giving the medication before the prescribed time is beyond the nurse
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
caregiver‘s scope of practice. n1 n1 n1
3 The hospital patient should not have to wait for pain relief, so the LPN
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
should informthe RN or physician so new pain relief orders can be
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
obtained.
n1
4 The nursing attendant needs to do more than expect the hospital patient to wait
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
for painrelief.
n1 n1 n1
POINTS: 1 CON: Hospital patient-Centered Care n1 n1 n1
5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Whichneed does the nursing attendant identify as having the highest priority?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Job-related stress n1
2. Feeling of loneliness n1 n1
3. Pain level of 9 on 0-to-10 scale
n1 n1 n1 n1 n1 n1
4. Lack of confidence n1 n1
ACCURATE ANSWER:-3 n1
CHAPTER: 1 Critical Thinking and the Nursing Process
n1 n1 n1 n1 n1 n1 n1
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
humanneeds
n1 n1
Pg: 7n1
Heading: Prioritize Care n1 n1
Integrated Process:
n1 n1
Caring
n1
Hospital patient Need: SECE –
n1 n1 n1 n1
Coordinated Care Cognitive Level:
n1 n1 n1 n1
Application [Applying]Concept:
n1 n1 n1
Hospital patient-Centered Care
n1 n1 n1
Difficulty: Moderate
n1 n1
Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
afterphysiological needs.
n1 n1 n1
2 According to Maslow, loneliness is addressed under social needs n1 n1 n1 n1 n1 n1 n1 n1
followingphysiological and safety.
n1 n1 n1 n1
3 Pain is a physiological need and is the highest priority.
n1 n1 n1 n1 n1 n1 n1 n1 n1
4 Lack of confidence falls under esteem according to Maslow and is
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
addressedfollowing physiological, safety, and social needs.
n1 n1 n1 n1 n1 n1 n1
