,Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE ol
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? ol ol
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 o l o 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 ne
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eds.
Pages: 6–7 ol
Heading: Prioritize Care ol ol
Integrated Process: Clinical Problem- ol ol ol
Solving Process (Nursing Process) Client Need: SECE—Coordinated Care
ol ol ol ol ol ol ol
Cognitive Level: Application [Applying] ol ol ol ol
Concept: Patient- ol
Centered Care Difficulty: Difficult ol ol ol
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.
ol ol ol ol ol ol ol ol ol ol ol ol ol
3 According to Maslow, psychosocial needs are not as high of a priority as ol ol ol ol ol ol ol ol ol ol ol ol
physiological needs. ol
4 A respiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-Centered Care o l ol
2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ago fo
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
r my pain medication. I’m going to call the CEO of the hospital if you don’t get it for me now.
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
” 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.”
ol ol ol ol ol ol ol ol ol ol ol ol ol
2. “I am sorry you had to wait, I know you must be in a lot of pain.”
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
3. “I had another patient who had severe pain, and I had to get to them first.”
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
4. “I will get you the number for the CEO, but he is aware of how busy we are.”
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
ANS: 2 o l o l
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 ol
Heading: Intellectual Empathy ol ol
Integrated Process: Communication and Documentation ol ol ol ol ol
Client Need: Psychosocial Integrity ol ol ol
, Cognitive Level: Application [Applying] ol ol ol ol
Concept: Communication ol
Difficulty: Moderate ol
Feedback
1 This statement does not consider an individual’s situation.
ol ol ol ol ol ol ol
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. ol
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 o l
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 ol ol ol ol ol
2. Patient report of shortness of breath ol ol ol ol ol
3. Coarse lung sounds bilaterally ol ol ol
4. Cough producing green sputum ol ol ol
ANS: 2 o l o l
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 ol ol
Integrated Process: Communication and Documentation ol ol ol ol ol
Client Need: Communication and Documentation Cogni
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tive Level: Application (Applying)
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Concept: Communication ol ol
Difficulty: Moderate ol
Feedback
1 Respiratory rate of 26 per minute is an example of objective data. ol ol ol ol ol ol ol ol ol ol ol
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.
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4 A productive cough is an example of objective data.
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PTS: 1 CON: Communication o l
4. A patient with a newly fractured femur reports a pain level of 8/10 and analgesic medication is
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
not due for another 50 minutes. Which action should the nurse take first?
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1. Reposition the patient. ol ol
2. Give the medication in 30 minutes. ol ol ol ol ol
3. Notify the registered nurse (RN) or physician. ol ol ol ol ol ol
4. Tell the patient it is too early for pain medication. A
ol ol ol ol ol ol ol ol ol ol
NS: 3 o l
, Chapter: Chapter 1 Critical Thinking and the Nursing Process
ol ol ol ol ol ol ol ol
Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in using th
ol ol ol ol ol ol ol ol ol ol ol ol ol ol
e nursing process.
ol ol
Page: 3 ol
Heading: Clinical Judgement ol ol
Integrated Process: Clinical Problem- ol ol ol
solving Process (Nursing Process) Client Need: SECE—Coordinated Care
ol ol ol ol ol ol ol
Cognitive Level: Application [Applying] ol ol ol ol
Concept: Patient- ol
Centered Care Difficulty: Moderate ol ol ol
Feedback
1 The patient who has a fractured femur is having acute pain. Repositioning a
ol ol ol ol ol ol ol ol ol ol ol ol
patient with a new fracture is not likely to relieve pain.
ol ol ol ol ol ol ol ol ol ol
2 Giving the medication before the prescribed time is beyond the nurse’s scope of
ol ol ol ol ol ol ol ol ol ol ol ol ol
practice.
3 The patient should not have to wait for pain relief, so the LPN should inform
ol ol ol ol ol ol ol ol ol ol ol ol ol ol
the RN or physician so new pain relief orders can be obtained.
ol ol ol ol ol ol ol ol ol ol ol
4 The nurse needs to do more than expect the patient to wait for pain relief.
ol ol ol ol ol ol ol ol ol ol ol ol ol ol
PTS: 1 CON: Patient-Centered Care o l ol
5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does the n
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
urse identify as having the highest priority?
ol ol ol ol ol ol
1. Job-related stress ol
2. Feeling of loneliness ol ol
3. Pain level of 9 on 0-to-10 scale
ol ol ol ol ol ol
4. Lack of confidence ol ol
ANS: 3 o l o l
Chapter: Chapter 1 Critical Thinking and the Nursing Process
ol ol ol ol ol ol ol ol
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human ne
ol ol ol ol ol ol ol ol ol ol ol ol ol
eds
Page: 7 ol
Heading: Prioritize Care Int ol ol ol
egrated Process: Caring ol ol
Client Need: SECE – ol ol ol
Coordinated Care Cognitive Level: Appli
ol ol ol ol ol
cation [Applying] Concept: Patient-
ol ol ol
Centered Care Difficulty: Moderate ol ol ol
Feedback
1 Job-related stress falls under safety according to Maslow and is addressed after
ol ol ol ol ol ol ol ol ol ol ol
physiological needs. ol
2 According to Maslow, loneliness is addressed under social needs following physiol
ol ol ol ol ol ol ol ol ol ol
ogical and safety. ol ol
3 Pain is a physiological need and is the highest priority.
ol ol ol ol ol ol ol ol ol
4 Lack of confidence falls under esteem according to Maslow and is addressed follo
ol ol ol ol ol ol ol ol ol ol ol ol
wing physiological, safety, and social needs.
ol ol ol ol ol
ol ol ol ol ol ol ol
MULTIPLE CHOICE ol
1. The nurse is caring for a group of patients on a medical-
ol ol ol ol ol ol ol ol ol ol ol
surgical unit. Which patient should the licensed practical nurse/licensed vocational nurse (L
ol ol ol ol ol ol ol ol ol ol ol
PN/LVN) assess first? ol ol
1. A patient with a blood glucose of 42 mg/dL
ol ol ol ol ol ol ol ol
2. A patient who reports a pain level of 2
ol ol ol ol ol ol ol ol
3. A patient who has just received a diagnosis of cancer
ol ol ol ol ol ol ol ol ol
4. A patient who has a respiratory rate of 22
ol ol ol ol ol ol ol ol
ANS: 1 o l o l
Chapter: Chapter 1 Critical Thinking and the Nursing Process
ol ol ol ol ol ol ol ol
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human ne
ol ol ol ol ol ol ol ol ol ol ol ol ol
eds.
Pages: 6–7 ol
Heading: Prioritize Care ol ol
Integrated Process: Clinical Problem- ol ol ol
Solving Process (Nursing Process) Client Need: SECE—Coordinated Care
ol ol ol ol ol ol ol
Cognitive Level: Application [Applying] ol ol ol ol
Concept: Patient- ol
Centered Care Difficulty: Difficult ol ol ol
Feedback
1 This patient has a dangerously low blood glucose level and requires immediate
ol ol ol ol ol ol ol ol ol ol ol
intervention.
2 This patient will need to be assessed, but is not as high a priority.
ol ol ol ol ol ol ol ol ol ol ol ol ol
3 According to Maslow, psychosocial needs are not as high of a priority as ol ol ol ol ol ol ol ol ol ol ol ol
physiological needs. ol
4 A respiratory rate of 22 is within normal range.
ol ol ol ol ol ol ol ol
PTS: 1 CON: Patient-Centered Care o l ol
2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ago fo
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
r my pain medication. I’m going to call the CEO of the hospital if you don’t get it for me now.
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
” Which statement by the nurse demonstrates intellectual empathy?
ol ol ol ol ol ol ol ol
1. “We are short-staffed today, so it will take me longer to meet your needs.”
ol ol ol ol ol ol ol ol ol ol ol ol ol
2. “I am sorry you had to wait, I know you must be in a lot of pain.”
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
3. “I had another patient who had severe pain, and I had to get to them first.”
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
4. “I will get you the number for the CEO, but he is aware of how busy we are.”
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
ANS: 2 o l o l
Chapter: Chapter 1 Critical Thinking and the Nursing Process
ol ol ol ol ol ol ol ol
Objective: 2. Describe attitudes and skills that promote good critical thinking P
ol ol ol ol ol ol ol ol ol ol ol
age: 2 ol
Heading: Intellectual Empathy ol ol
Integrated Process: Communication and Documentation ol ol ol ol ol
Client Need: Psychosocial Integrity ol ol ol
, Cognitive Level: Application [Applying] ol ol ol ol
Concept: Communication ol
Difficulty: Moderate ol
Feedback
1 This statement does not consider an individual’s situation.
ol ol ol ol ol ol ol
2 This statement demonstrates intellectual empathy by considering this patient’s situ
ol ol ol ol ol ol ol ol ol
ation and will likely alleviate the patient’s anger.
ol ol ol ol ol ol ol
3 This statement does not consider a patient’s situation and does not demonstrate
ol ol ol ol ol ol ol ol ol ol ol
intellectual empathy. ol
4 This statement addresses the patient’s statement of wanting to call the CEO, but d
ol ol ol ol ol ol ol ol ol ol ol ol ol
oes not demonstrate intellectual empathy by considering the patient’s situation.
ol ol ol ol ol ol ol ol ol
PTS: 1 CON: Communication o l
3. The nurse is collecting data on a patient. Which data are described as subjective?
ol ol ol ol ol ol ol ol ol ol ol ol ol
1. Respiratory rate of 26 per minute ol ol ol ol ol
2. Patient report of shortness of breath ol ol ol ol ol
3. Coarse lung sounds bilaterally ol ol ol
4. Cough producing green sputum ol ol ol
ANS: 2 o l o l
Chapter: Chapter 1 Critical Thinking and the Nursing Process Obje
ol ol ol ol ol ol ol ol ol
ctive: 5. Differentiate between objective and subjective data. Page: 4
ol ol ol ol ol ol ol ol ol
Heading: Subjective Data ol ol
Integrated Process: Communication and Documentation ol ol ol ol ol
Client Need: Communication and Documentation Cogni
ol ol ol ol ol
tive Level: Application (Applying)
ol ol ol
Concept: Communication ol ol
Difficulty: Moderate ol
Feedback
1 Respiratory rate of 26 per minute is an example of objective data. ol ol ol ol ol ol ol ol ol ol ol
2 A patient reporting symptoms to the nurse is an example of subjective data.
ol ol ol ol ol ol ol ol ol ol ol ol
3 Coarse lung sounds is an example of objective data.
ol ol ol ol ol ol ol ol
4 A productive cough is an example of objective data.
ol ol ol ol ol ol ol ol
PTS: 1 CON: Communication o l
4. A patient with a newly fractured femur reports a pain level of 8/10 and analgesic medication is
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
not due for another 50 minutes. Which action should the nurse take first?
ol ol ol ol ol ol ol ol ol ol ol ol
1. Reposition the patient. ol ol
2. Give the medication in 30 minutes. ol ol ol ol ol
3. Notify the registered nurse (RN) or physician. ol ol ol ol ol ol
4. Tell the patient it is too early for pain medication. A
ol ol ol ol ol ol ol ol ol ol
NS: 3 o l
, Chapter: Chapter 1 Critical Thinking and the Nursing Process
ol ol ol ol ol ol ol ol
Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in using th
ol ol ol ol ol ol ol ol ol ol ol ol ol ol
e nursing process.
ol ol
Page: 3 ol
Heading: Clinical Judgement ol ol
Integrated Process: Clinical Problem- ol ol ol
solving Process (Nursing Process) Client Need: SECE—Coordinated Care
ol ol ol ol ol ol ol
Cognitive Level: Application [Applying] ol ol ol ol
Concept: Patient- ol
Centered Care Difficulty: Moderate ol ol ol
Feedback
1 The patient who has a fractured femur is having acute pain. Repositioning a
ol ol ol ol ol ol ol ol ol ol ol ol
patient with a new fracture is not likely to relieve pain.
ol ol ol ol ol ol ol ol ol ol
2 Giving the medication before the prescribed time is beyond the nurse’s scope of
ol ol ol ol ol ol ol ol ol ol ol ol ol
practice.
3 The patient should not have to wait for pain relief, so the LPN should inform
ol ol ol ol ol ol ol ol ol ol ol ol ol ol
the RN or physician so new pain relief orders can be obtained.
ol ol ol ol ol ol ol ol ol ol ol
4 The nurse needs to do more than expect the patient to wait for pain relief.
ol ol ol ol ol ol ol ol ol ol ol ol ol ol
PTS: 1 CON: Patient-Centered Care o l ol
5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does the n
ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol
urse identify as having the highest priority?
ol ol ol ol ol ol
1. Job-related stress ol
2. Feeling of loneliness ol ol
3. Pain level of 9 on 0-to-10 scale
ol ol ol ol ol ol
4. Lack of confidence ol ol
ANS: 3 o l o l
Chapter: Chapter 1 Critical Thinking and the Nursing Process
ol ol ol ol ol ol ol ol
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human ne
ol ol ol ol ol ol ol ol ol ol ol ol ol
eds
Page: 7 ol
Heading: Prioritize Care Int ol ol ol
egrated Process: Caring ol ol
Client Need: SECE – ol ol ol
Coordinated Care Cognitive Level: Appli
ol ol ol ol ol
cation [Applying] Concept: Patient-
ol ol ol
Centered Care Difficulty: Moderate ol ol ol
Feedback
1 Job-related stress falls under safety according to Maslow and is addressed after
ol ol ol ol ol ol ol ol ol ol ol
physiological needs. ol
2 According to Maslow, loneliness is addressed under social needs following physiol
ol ol ol ol ol ol ol ol ol ol
ogical and safety. ol ol
3 Pain is a physiological need and is the highest priority.
ol ol ol ol ol ol ol ol ol
4 Lack of confidence falls under esteem according to Maslow and is addressed follo
ol ol ol ol ol ol ol ol ol ol ol ol
wing physiological, safety, and social needs.
ol ol ol ol ol
