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