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, Chapter 1. Critical Thinking and the Nursing Process
MULTIPLE CHOICE
1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient should
the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
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
3. A patient who has just received a diagnosis of cancer
4. A patient who has a respiratory rate of 22
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ANS: 1
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human
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needs.
Pages: 6–7
Heading: Prioritize Care
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Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Difficult
Feedback
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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.
B
3 According to Maslow, psychosocial needs are not as high of a priority as
physiological needs.
4 A respiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-Centered Care
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2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ago
for my pain medication. I’m going to call the CEO of the hospital if you don’t get it for me
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now.” Which statement by the nurse demonstrates intellectual empathy?
1. “We are short-staffed today, so it will take me longer to meet your needs.”
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.”
4. “I will get you the number for the CEO, but he is aware of how busy we are.”
ANS: 2
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 2. Describe attitudes and skills that promote good critical thinking
Page: 2
Heading: Intellectual Empathy
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity