TESTBANK FOR DAVIES ADVANTAGE FOR UNDERSTANDING MEDICAL SURGICAL NURSING 7TH

TESTBANK FOR DAVIES ADVANTAGE FOR
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UNDERSTANDING MEDICAL SURGICAL NURSING 7TH
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EDITION BY WILLIAMS & HOPPER
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,Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE BG




1. The nursing attendant is caring for a group of hospital patients on a medical-surgical unit.
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Which hospital patientshould the licensed practical nursing attendant/licensed vocational
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nursing attendant (LPN/LVN) assess first?
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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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ACCURATE ANSWER:-1 BG




CHAPTER: 1 Critical Thinking and the Nursing Process BG BG BG BG BG BG BG




OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of human
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needs.
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Pgs: 6–7 BG




Heading: Prioritize Care BG BG




Integrated Process: Clinical Problem-Solving Process (Nursing Process)
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Hospital patient Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying] BG BG BG




Concept: Hospital patient-Centered Care
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Difficulty: Difficult
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Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
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immediateintervention.
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2 This hospital 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
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physiological needs.
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4 A respiratory rate of 22 is within normal range.
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POINTS: 1 CON: Hospital patient-Centered Care BG BG BG




2. The LPN/LVN enters the room of a hospital patient who is angry and yells, “I asked 5
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minutes agofor my pain medication. I’m going to call the CEO of the health center if
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you don’t get it for me now.” Which statement by the nursing attendant demonstrates
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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 hospital 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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ACCURATE ANSWER:-2 BG




CHAPTER: 1 Critical Thinking and the Nursing Process BG BG BG BG BG BG BG




OBJ 2. Describe attitudes and skills that promote good critical thinkingPg: 2
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Heading: Intellectual Empathy BG BG




Integrated Process: Communication and Documentation BG BG BG BG




Hospital patient Need: Psychosocial Integrity
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, Cognitive Level: Application [Applying] BG BG BG




Concept: Communication
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Difficulty: Moderate BG




Reasoning:->>>
1 This statement does not consider an individual’s situation.
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2 This statement demonstrates intellectual empathy by considering this hospital
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patient’ssituation and will likely alleviate the hospital patient’s anger.
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3 This statement does not consider a hospital patient’s situation and does not
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demonstrateintellectual empathy.
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4 This statement addresses the hospital patient’s statement of wanting to call the
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CEO, butdoes not demonstrate intellectual empathy by considering the hospital
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patient’s situation.
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POINTS: 1 CON: Communication BG




3. The nursing attendant is collecting data on a hospital patient. Which data are described as
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subjective?
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1. Respiratory rate of 26 per minute BG BG BG BG BG




2. Hospital patient report of shortness of breath BG BG BG BG BG BG




3. Coarse lung sounds bilaterally BG BG BG




4. Cough producing green sputum BG BG BG




ACCURATE ANSWER:-2 BG




CHAPTER: 1 Critical Thinking and the Nursing Process OBJ 5.BG BG BG BG BG BG BG BG BG




Differentiate between objective and subjective data.Pg: 4
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Heading: Subjective Data BG BG




Integrated Process: Communication and Documentation
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Hospital patient Need: Communication and
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Documentation Cognitive Level: Application
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(Applying)
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Concept: Communication BG




Difficulty: Moderate
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Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data. BG BG BG BG BG BG BG BG BG BG BG




2 Ahospital patient reporting symptoms to the nursing attendant is an example of
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subjectivedata.
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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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POINTS: 1 CON: Communication BG




4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and analgesic
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medicationis not due for another 50 minutes. Which action should the nursing attendant
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take first?
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1. Reposition the hospital patient. BG BG BG




2. Give the medication in 30 minutes.
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3. Notify the registered nursing attendant (RN) or physician.
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4. Tell the hospital patient it is too early for pain
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BG medication.ANS: 3 B
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, CHAPTER: 1 Critical Thinking and the Nursing ProcessBG BG BG BG BG BG BG




OBJ 4. Identify the role of a licensed practical nursing attendant/licensed vocational
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nursing attendant in using the nursing process.
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Pg: 3BG




Heading: Clinical Judgement BG BG




Integrated Process: Clinical Problem-solving Process (Nursing
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Process)Hospital patient Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying]
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Concept: Hospital patient-Centered Care
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Difficulty: Moderate
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Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
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Repositioning ahospital patient with a new fracture is not likely to relieve
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pain.
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2 Giving the medication before the prescribed time is beyond the nurse
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caregiver’s scope of practice. BG BG BG




3 The hospital patient should not have to wait for pain relief, so the LPN should
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informthe RN or physician so new pain relief orders can be obtained.
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4 The nursing attendant needs to do more than expect the hospital patient to wait
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for painrelief.
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POINTS: 1 CON: Hospital patient-Centered Care
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5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
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Whichneed does the nursing attendant identify as having the highest priority?
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1. Job-related stress BG




2. Feeling of loneliness BG BG




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




ACCURATE ANSWER:-3 BG




CHAPTER: 1 Critical Thinking and the Nursing ProcessBG BG BG BG BG BG BG




OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of human
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needs
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Pg: 7BG




Heading: Prioritize Care BG BG




Integrated Process:
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Caring
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Hospital patient Need: SECE –
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Coordinated Care Cognitive Level:
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Application [Applying]Concept:
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Hospital patient-Centered Care
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Difficulty: Moderate
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Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed after
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physiological needs.
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2 According to Maslow, loneliness is addressed under social needs following
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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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