Test Bank for Understanding Medical-Surgical Nursing – 5th Edition | Linda S. Williams & Paula D. Hopper (Updated & Brand New) | Latest Exam Review Material

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

,Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLECHOICE Il̀




1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient should the
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licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
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1. Apatient with a blood glucose of 42 mg/dL
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2. Apatient who reports a pain level of 2
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3. Apatient who has just received a diagnosis of cancer
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4. Apatient who has a respiratory rate of 22
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ANS: 1 I l ` I l `




Chapter: Chapter 1 Critical Thinking and the Nursing Process Il` Il` Il` Il` Il` Il` Il` Il`




Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




needs.
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Pages: 6–7 Il`




Heading: Prioritize Care Il` Il`




Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Il` Il` Il` Il` Il` Il` Il`




Need: SECE—Coordinated Care
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CognitiveLevel:Application[Applying] Il̀ Il̀ Il̀




Concept: Patient-Centered Care
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Difficulty: Difficult
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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 Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




physiological needs. Il`




4 Arespiratory rate of 22 is within normal range.
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PTS: 1 CON: I l ` Patient-Centered Care Il`




2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ago
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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?
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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 I l ` I l `




Chapter: Chapter 1 Critical Thinking and the Nursing Process Il` Il` Il` Il` Il` Il` Il` Il`




Objective: 2. Describe attitudes and skills that promote good critical thinking Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Page: 2
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Heading: Intellectual Empathy Il` Il`




IntegratedProcess:CommunicationandDocumentation Il̀ Il̀ Il̀ Il̀




Client Need: Psychosocial Integrity
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, CognitiveLevel:Application[Applying] Il̀ Il̀ Il̀




Concept: Communication
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Difficulty: Moderate Il̀




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
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situation 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. Il`




4 This statement addresses the patient’s statement of wanting to call the CEO, but
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does not demonstrate intellectual empathy by considering the patient’s situation.
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PTS: 1 CON: I l ` Communication

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 Il` Il` Il` Il` Il`




2. Patient report of shortness of breath Il` Il` Il` Il` Il`




3. Coarse lung sounds bilaterally Il` Il` Il`




4. Cough producing green sputum Il` Il` Il`




ANS: 2 I l ` I l `




Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 5. Differentiate between objective and subjective data.
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Page: 4
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Heading: Subjective Data Il` Il`




IntegratedProcess:CommunicationandDocumentation Il̀ Il̀ Il̀ Il̀




Client Need: Communication and Documentation
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Cognitive Level: Application (Applying)
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Concept:Communication Il̀




Difficulty: Moderate
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Feedback
1 Respiratory rate of 26 per minute is an example of objective data. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




2 Apatient 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. Il` Il` Il` Il` Il` Il` Il` Il`




4 Aproductive cough is an example of objective data.
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PTS: 1 CON: I l ` Communication

4. Apatient 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. Il` Il`




2. Give the medication in 30 minutes. Il` Il` Il` Il` Il`




3. Notify the registered nurse (RN) or physician. Il` Il` Il` Il` Il` Il`




4. Tell the patient it is too early for pain medication.
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Il` ANS: I l ` 3

, 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 the
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nursing process.
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Page: 3 Il`




Heading: Clinical Judgement Il` Il`




Integrated Process: ClinicalProblem-solving Process (Nursing Process) Client
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Need: SECE—Coordinated Care
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CognitiveLevel:Application[Applying] Il̀ Il̀ Il̀




Concept: Patient-Centered Care
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Difficulty: Moderate
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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. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




2 Giving the medication before the prescribed time is beyond the nurse’s scope of
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practice.
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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: I l ` Patient-Centered Care Il`




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




2. Feeling of loneliness Il` Il`




3. Pain level of 9 on 0-to-10 scale
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4. Lack of confidence Il` Il`




ANS: 3 I l ` I l `




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
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needs
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Page: 7 Il`




Heading: Prioritize Care Il` Il`




IntegratedProcess:Caring
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Client Need: SECE – Coordinated Care
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CognitiveLevel:Application[Applying]
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Concept: Patient-Centered Care
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Difficulty: Moderate
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Feedback
1 Job-related stress falls under safety according to Maslow and is addressed after Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




physiological needs. Il`




2 According to Maslow, loneliness is addressed under social needs following Il` Il` Il` Il` Il` Il` Il` Il` Il`




physiological 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 addressed
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following physiological, safety, and social needs.
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