TESTBANK FOR DAVIES ADVANTAGE FOR
jj jj jj jj
jj UNDERSTANDING MEDICAL SURGICAL NURSING
jj jj jj
7THEDITION BY WILLIAMS & HOPPER
jj j jj jj jj jj
,Chapter 1. Critical Thinking and the Nursing Process
jj jj jj jj jj jj jj
MULTIPLE jjCHOICE
1. The jjnursing jjattendant jjis jjcaring jjfor jja jjgroup jjof jjhospital jjpatients jjon jja jjmedical-surgical
jjunit. jjWhich jjhospital jjpatientsj hould jjthe jjlicensed jjpractical jjnursing jjattendant/licensed
jjvocational jjnursing jjattendant jj(LPN/LVN) jjassess jj first?
1. Ajpatient j j with jja jjblood jjglucose jjof jj42 jjmg/dL
2. Ajpatient jjwho jjreports jja jjpain jjlevel jjof jj2
3. Ajpatient jjwho jjhas jjjust jjreceived jja jjdiagnosis jjof jjcancer
4. Ajpatient j j who jj has jja jjrespiratory jjrate jjof jj22
ACCURATE jjANSWER:-1
CHAPTER: jj1 jjCritical jjThinking jjand jjthe jjNursing jjProcess
OBJ jj7. jjPrioritize jjhospital jjpatient jjcare jjactivities jjbased jjon jjthe jjMaslow jjhierarchy jjof
jjhumanjneeds.
Pgs: jj6–7
Heading: jjPrioritize jjCare
Integrated jjProcess: jjClinical jjProblem-Solving jjProcess jj(Nursing jjProcess)
jHospital jjpatient jj Need: jjSECE—Coordinated jjCare
Cognitive jjLevel: jjApplication jj[Applying]
jConcept: jjHospital jjpatient-Centered
jjCare jjDifficulty: jjDifficult
Reasoning:->>>
1 This jjhospital jjpatient jjhas jja jjdangerously jjlow jjblood jjglucose jjlevel jjand jjrequires
jjimmediatejintervention.
2 This jjhospital jjpatient jjwill jjneed jjto jjbe jjassessed, jjbut jjis jjnot jjas jjhigh jja jjpriority.
3 According jjto jjMaslow, jjpsychosocial jjneeds jjare jjnot jjas jjhigh jjof jja jjpriority jjas
jphysiological jjneeds.
4 A jrespiratory jjrate jjof jj22 jjis jjwithin jjnormal jjrange.
POINTS: 1 CON: j j Hospital jjpatient-Centered jjCare
2. The jjLPN/LVN jjenters jjthe jjroom jjof jja jjhospital jjpatient jjwho jjis jjangry jjand jjyells, jj“I
jjasked jj5 jjminutes jjagof j or jjmy jjpain jjmedication. jjI’m jjgoing jjto jjcall jjthe jjCEO jjof jjthe
jjhealth jjcenter jjif jjyou jjdon’t jjget jjit jjfor jjme jjnow.” jjWhich jjstatement jjby jjthe jjnursing
jjattendant jjdemonstrates jjintellectual jjempathy?
1. “We jjare jjshort-staffed jjtoday, jjso jjit jjwill jjtake jjme jjlonger jjto jjmeet jjyour jjneeds.”
2. “I jjam jjsorry jjyou jjhad jjto jjwait, jjI jjknow jjyou jjmust jjbe jjin jja jjlot jjof jjpain.”
3. “I jjhad jjanother jjhospital jjpatient jjwho jjhad jjsevere jjpain, jjand jjI jjhad jjto jjget jjto jjthem jjfirst.”
4. “I jjwill jjget jjyou jjthe jjnumber jjfor jjthe jjCEO, jjbut jjhe jjis jjaware jjof jjhow jjbusy jjwe jjare.”
ACCURATE jjANSWER:-2
CHAPTER: jj1 jjCritical jjThinking jjand jjthe jjNursing jjProcess
OBJ jj2. jjDescribe jjattitudes jjand jjskills jjthat jjpromote jjgood jjcritical jjthinkingP
j g:
jj2
Heading: jjIntellectual jjEmpathy
Integrated jjProcess: jjCommunication jjand jjDocumentation
jHospital jjpatient jj Need: jjPsychosocial jjIntegrity
, Cognitive jjLevel: jjApplication jj[Applying]
jConcept: jj Communication
Difficulty: jjModerate
Reasoning:->>>
1 This jjstatement jjdoes jjnot jjconsider jjan jjindividual’s jjsituation.
2 This jjstatement jjdemonstrates jjintellectual jjempathy jjby jjconsidering jjthis jjhospital
jjpatient’sjsituation jjand jj will jjlikely jjalleviate jjthe jjhospital jjpatient’s jjanger.
3 This jjstatement jjdoes jjnot jjconsider jja jjhospital jjpatient’s jjsituation jjand jjdoes jjnot
jjdemonstratejintellectual jjempathy.
4 This jjstatement jjaddresses jjthe jjhospital jjpatient’s jjstatement jjof jjwanting jjto jjcall
jjthe jjCEO, jjbutjdoes jjnot jjdemonstrate jjintellectual jjempathy jjby jjconsidering jjthe
jjhospital jjpatient’s jj situation.
POINTS: 1 CON: j j Communication
3. The jjnursing jjattendant jjis jjcollecting jjdata jjon jja jjhospital jjpatient. jjWhich jjdata jjare jjdescribed jjas
jjsubjective?
1. Respiratory jjrate jjof jj26 jjper jjminute
2. Hospital jjpatient jjreport jjof jjshortness jjof jjbreath
3. Coarse jjlung jjsounds jjbilaterally
4. Cough jjproducing jjgreen jjsputum
ACCURATE jjANSWER:-2
CHAPTER: jj1 jjCritical jjThinking jjand jjthe jjNursing jjProcess
jjOBJ jj5. jjDifferentiate jjbetween jjobjective jjand jjsubjective jjdata.P
j g:
jj4
Heading: jjSubjective jjData
Integrated jjProcess: jjCommunication jjand jjDocumentation
jHospital jjpatient jj Need: jjCommunication jjand
jj Documentation jjCognitive jjLevel: jj Application
jj(Applying)
Concept:
jjCommunication
jDifficulty: jjModerate
Reasoning:->>>
1 Respiratory jjrate jjof jj26 jjper jjminute jjis jjan jjexample jjof jjobjective jjdata.
2 Ajhospital jjpatient jjreporting jjsymptoms jjto jjthe jjnursing jjattendant jjis jjan jjexample
jjof jjsubjectivejdata.
3 Coarse jjlung jjsounds jjis jjan jjexample jjof jjobjective jjdata.
4 A jproductive jjcough jjis jjan jjexample jjof jjobjective jjdata.
POINTS: 1 CON: j j Communication
4. A jhospital jjpatient jjwith jja jjnewly jjfractured jjfemur jjreports jja jjpain jjlevel jjof jj8/10 jjand
jjanalgesic jjmedicationi j s jjnot jjdue jjfor jjanother jj50 jjminutes. jj Which jjaction jjshould jjthe
jjnursing jjattendant jjtake jjfirst?
1. Reposition jjthe jjhospital jjpatient.
2. Give jjthe jjmedication jjin jj30 jjminutes.
3. Notify jjthe jjregistered jjnursing jjattendant jj(RN) jjor jjphysician.
4. Tell jjthe jjhospital jjpatient jjit jjis jjtoo jjearly jjfor jjpain
jj medication.A
j NS: j j 3
, CHAPTER: jj1 jjCritical jjThinking jjand jjthe jjNursing jjProcess
OBJ jj4. jjIdentify jjthe jjrole jjof jja jjlicensed jjpractical jjnursing jjattendant/licensed jjvocational
jnursing jjattendant jj in jjusing jjthe jjnursing jjprocess.
Pg: jj3
Heading: jjClinical jjJudgement
Integrated jjProcess: jjClinical jjProblem-solving jjProcess jj(Nursing
jjProcess)jHospital jjpatient jj Need: jjSECE—Coordinated jjCare
Cognitive jjLevel: jjApplication jj[Applying]
jConcept: jjHospital jjpatient-Centered
jjCare jjDifficulty: jjModerate
Reasoning:->>>
1 The jjhospital jjpatient jjwho jjhas jja jjfractured jjfemur jjis jjhaving jjacute jjpain.
jjRepositioning jjajhospital jjpatient jjwith jja jjnew jjfracture jjis jjnot jjlikely jjto
jjrelieve jjpain.
2 Giving jjthe jjmedication jjbefore jjthe jjprescribed jjtime jjis jjbeyond jjthe jjnurse
caregiver’s jjscope jjof jjpractice.
3 The jjhospital jjpatient jjshould jjnot jjhave jjto jjwait jjfor jjpain jjrelief, jjso jjthe jjLPN
jjshould jjinformjthe jjRN jjor jjphysician jjso jj new jjpain jjrelief jjorders jjcan jjbe
jjobtained.
4 The jjnursing jjattendant jjneeds jjto jjdo jjmore jjthan jjexpect jjthe jjhospital jjpatient jjto
jjwait jjfor jjpainjrelief.
POINTS: 1 CON: j j Hospital jjpatient-Centered jjCare
5. The jjnursing jjattendant jjis jjprioritizing jjcare jjbased jjon jjMaslow jjhierarchy jjof jjneeds.
jjWhichjneed jjdoes jjthe jjnursing jjattendant jj identify jjas jjhaving jjthe jjhighest jj priority?
1. Job-related jjstress
2. Feeling jjof jjloneliness
3. Pain jjlevel jjof jj9 jjon jj0-to-10 jjscale
4. Lack jjof jjconfidence
ACCURATE jjANSWER:-3
CHAPTER: jj1 jjCritical jjThinking jjand jjthe jjNursing jjProcess
OBJ jj7. jjPrioritize jjhospital jjpatient jjcare jjactivities jjbased jjon jjthe jjMaslow jjhierarchy jjof
jjhumanjneeds
Pg: jj7
Heading: jjPrioritize jjCare
jjIntegrated jjProcess:
jjCaring
Hospital jjpatient jjNeed: jjSECE jj–
jjCoordinated jjCare jjCognitive jjLevel:
jjApplication jj[Applying]jConcept:
jjHospital jjpatient-Centered jjCare
jjDifficulty: jjModerate
Reasoning:->>>
1 Job-related jjstress jjfalls jjunder jjsafety jjaccording jjto jjMaslow jjand jjis jjaddressed
jjafterjphysiological jjneeds.
2 According jjto jjMaslow, jjloneliness jjis jjaddressed jjunder jjsocial jjneeds jjfollowing
jphysiological jjand jj safety.
3 Pain jjis jja jjphysiological jjneed jjand jjis jjthe jjhighest jjpriority.
4 Lack jjof jjconfidence jjfalls jjunder jjesteem jjaccording jjto jjMaslow jjand jjis jjaddressed
jfollowing jjphysiological, jj safety, jj and jjsocial jjneeds.
jj jj jj jj
jj UNDERSTANDING MEDICAL SURGICAL NURSING
jj jj jj
7THEDITION BY WILLIAMS & HOPPER
jj j jj jj jj jj
,Chapter 1. Critical Thinking and the Nursing Process
jj jj jj jj jj jj jj
MULTIPLE jjCHOICE
1. The jjnursing jjattendant jjis jjcaring jjfor jja jjgroup jjof jjhospital jjpatients jjon jja jjmedical-surgical
jjunit. jjWhich jjhospital jjpatientsj hould jjthe jjlicensed jjpractical jjnursing jjattendant/licensed
jjvocational jjnursing jjattendant jj(LPN/LVN) jjassess jj first?
1. Ajpatient j j with jja jjblood jjglucose jjof jj42 jjmg/dL
2. Ajpatient jjwho jjreports jja jjpain jjlevel jjof jj2
3. Ajpatient jjwho jjhas jjjust jjreceived jja jjdiagnosis jjof jjcancer
4. Ajpatient j j who jj has jja jjrespiratory jjrate jjof jj22
ACCURATE jjANSWER:-1
CHAPTER: jj1 jjCritical jjThinking jjand jjthe jjNursing jjProcess
OBJ jj7. jjPrioritize jjhospital jjpatient jjcare jjactivities jjbased jjon jjthe jjMaslow jjhierarchy jjof
jjhumanjneeds.
Pgs: jj6–7
Heading: jjPrioritize jjCare
Integrated jjProcess: jjClinical jjProblem-Solving jjProcess jj(Nursing jjProcess)
jHospital jjpatient jj Need: jjSECE—Coordinated jjCare
Cognitive jjLevel: jjApplication jj[Applying]
jConcept: jjHospital jjpatient-Centered
jjCare jjDifficulty: jjDifficult
Reasoning:->>>
1 This jjhospital jjpatient jjhas jja jjdangerously jjlow jjblood jjglucose jjlevel jjand jjrequires
jjimmediatejintervention.
2 This jjhospital jjpatient jjwill jjneed jjto jjbe jjassessed, jjbut jjis jjnot jjas jjhigh jja jjpriority.
3 According jjto jjMaslow, jjpsychosocial jjneeds jjare jjnot jjas jjhigh jjof jja jjpriority jjas
jphysiological jjneeds.
4 A jrespiratory jjrate jjof jj22 jjis jjwithin jjnormal jjrange.
POINTS: 1 CON: j j Hospital jjpatient-Centered jjCare
2. The jjLPN/LVN jjenters jjthe jjroom jjof jja jjhospital jjpatient jjwho jjis jjangry jjand jjyells, jj“I
jjasked jj5 jjminutes jjagof j or jjmy jjpain jjmedication. jjI’m jjgoing jjto jjcall jjthe jjCEO jjof jjthe
jjhealth jjcenter jjif jjyou jjdon’t jjget jjit jjfor jjme jjnow.” jjWhich jjstatement jjby jjthe jjnursing
jjattendant jjdemonstrates jjintellectual jjempathy?
1. “We jjare jjshort-staffed jjtoday, jjso jjit jjwill jjtake jjme jjlonger jjto jjmeet jjyour jjneeds.”
2. “I jjam jjsorry jjyou jjhad jjto jjwait, jjI jjknow jjyou jjmust jjbe jjin jja jjlot jjof jjpain.”
3. “I jjhad jjanother jjhospital jjpatient jjwho jjhad jjsevere jjpain, jjand jjI jjhad jjto jjget jjto jjthem jjfirst.”
4. “I jjwill jjget jjyou jjthe jjnumber jjfor jjthe jjCEO, jjbut jjhe jjis jjaware jjof jjhow jjbusy jjwe jjare.”
ACCURATE jjANSWER:-2
CHAPTER: jj1 jjCritical jjThinking jjand jjthe jjNursing jjProcess
OBJ jj2. jjDescribe jjattitudes jjand jjskills jjthat jjpromote jjgood jjcritical jjthinkingP
j g:
jj2
Heading: jjIntellectual jjEmpathy
Integrated jjProcess: jjCommunication jjand jjDocumentation
jHospital jjpatient jj Need: jjPsychosocial jjIntegrity
, Cognitive jjLevel: jjApplication jj[Applying]
jConcept: jj Communication
Difficulty: jjModerate
Reasoning:->>>
1 This jjstatement jjdoes jjnot jjconsider jjan jjindividual’s jjsituation.
2 This jjstatement jjdemonstrates jjintellectual jjempathy jjby jjconsidering jjthis jjhospital
jjpatient’sjsituation jjand jj will jjlikely jjalleviate jjthe jjhospital jjpatient’s jjanger.
3 This jjstatement jjdoes jjnot jjconsider jja jjhospital jjpatient’s jjsituation jjand jjdoes jjnot
jjdemonstratejintellectual jjempathy.
4 This jjstatement jjaddresses jjthe jjhospital jjpatient’s jjstatement jjof jjwanting jjto jjcall
jjthe jjCEO, jjbutjdoes jjnot jjdemonstrate jjintellectual jjempathy jjby jjconsidering jjthe
jjhospital jjpatient’s jj situation.
POINTS: 1 CON: j j Communication
3. The jjnursing jjattendant jjis jjcollecting jjdata jjon jja jjhospital jjpatient. jjWhich jjdata jjare jjdescribed jjas
jjsubjective?
1. Respiratory jjrate jjof jj26 jjper jjminute
2. Hospital jjpatient jjreport jjof jjshortness jjof jjbreath
3. Coarse jjlung jjsounds jjbilaterally
4. Cough jjproducing jjgreen jjsputum
ACCURATE jjANSWER:-2
CHAPTER: jj1 jjCritical jjThinking jjand jjthe jjNursing jjProcess
jjOBJ jj5. jjDifferentiate jjbetween jjobjective jjand jjsubjective jjdata.P
j g:
jj4
Heading: jjSubjective jjData
Integrated jjProcess: jjCommunication jjand jjDocumentation
jHospital jjpatient jj Need: jjCommunication jjand
jj Documentation jjCognitive jjLevel: jj Application
jj(Applying)
Concept:
jjCommunication
jDifficulty: jjModerate
Reasoning:->>>
1 Respiratory jjrate jjof jj26 jjper jjminute jjis jjan jjexample jjof jjobjective jjdata.
2 Ajhospital jjpatient jjreporting jjsymptoms jjto jjthe jjnursing jjattendant jjis jjan jjexample
jjof jjsubjectivejdata.
3 Coarse jjlung jjsounds jjis jjan jjexample jjof jjobjective jjdata.
4 A jproductive jjcough jjis jjan jjexample jjof jjobjective jjdata.
POINTS: 1 CON: j j Communication
4. A jhospital jjpatient jjwith jja jjnewly jjfractured jjfemur jjreports jja jjpain jjlevel jjof jj8/10 jjand
jjanalgesic jjmedicationi j s jjnot jjdue jjfor jjanother jj50 jjminutes. jj Which jjaction jjshould jjthe
jjnursing jjattendant jjtake jjfirst?
1. Reposition jjthe jjhospital jjpatient.
2. Give jjthe jjmedication jjin jj30 jjminutes.
3. Notify jjthe jjregistered jjnursing jjattendant jj(RN) jjor jjphysician.
4. Tell jjthe jjhospital jjpatient jjit jjis jjtoo jjearly jjfor jjpain
jj medication.A
j NS: j j 3
, CHAPTER: jj1 jjCritical jjThinking jjand jjthe jjNursing jjProcess
OBJ jj4. jjIdentify jjthe jjrole jjof jja jjlicensed jjpractical jjnursing jjattendant/licensed jjvocational
jnursing jjattendant jj in jjusing jjthe jjnursing jjprocess.
Pg: jj3
Heading: jjClinical jjJudgement
Integrated jjProcess: jjClinical jjProblem-solving jjProcess jj(Nursing
jjProcess)jHospital jjpatient jj Need: jjSECE—Coordinated jjCare
Cognitive jjLevel: jjApplication jj[Applying]
jConcept: jjHospital jjpatient-Centered
jjCare jjDifficulty: jjModerate
Reasoning:->>>
1 The jjhospital jjpatient jjwho jjhas jja jjfractured jjfemur jjis jjhaving jjacute jjpain.
jjRepositioning jjajhospital jjpatient jjwith jja jjnew jjfracture jjis jjnot jjlikely jjto
jjrelieve jjpain.
2 Giving jjthe jjmedication jjbefore jjthe jjprescribed jjtime jjis jjbeyond jjthe jjnurse
caregiver’s jjscope jjof jjpractice.
3 The jjhospital jjpatient jjshould jjnot jjhave jjto jjwait jjfor jjpain jjrelief, jjso jjthe jjLPN
jjshould jjinformjthe jjRN jjor jjphysician jjso jj new jjpain jjrelief jjorders jjcan jjbe
jjobtained.
4 The jjnursing jjattendant jjneeds jjto jjdo jjmore jjthan jjexpect jjthe jjhospital jjpatient jjto
jjwait jjfor jjpainjrelief.
POINTS: 1 CON: j j Hospital jjpatient-Centered jjCare
5. The jjnursing jjattendant jjis jjprioritizing jjcare jjbased jjon jjMaslow jjhierarchy jjof jjneeds.
jjWhichjneed jjdoes jjthe jjnursing jjattendant jj identify jjas jjhaving jjthe jjhighest jj priority?
1. Job-related jjstress
2. Feeling jjof jjloneliness
3. Pain jjlevel jjof jj9 jjon jj0-to-10 jjscale
4. Lack jjof jjconfidence
ACCURATE jjANSWER:-3
CHAPTER: jj1 jjCritical jjThinking jjand jjthe jjNursing jjProcess
OBJ jj7. jjPrioritize jjhospital jjpatient jjcare jjactivities jjbased jjon jjthe jjMaslow jjhierarchy jjof
jjhumanjneeds
Pg: jj7
Heading: jjPrioritize jjCare
jjIntegrated jjProcess:
jjCaring
Hospital jjpatient jjNeed: jjSECE jj–
jjCoordinated jjCare jjCognitive jjLevel:
jjApplication jj[Applying]jConcept:
jjHospital jjpatient-Centered jjCare
jjDifficulty: jjModerate
Reasoning:->>>
1 Job-related jjstress jjfalls jjunder jjsafety jjaccording jjto jjMaslow jjand jjis jjaddressed
jjafterjphysiological jjneeds.
2 According jjto jjMaslow, jjloneliness jjis jjaddressed jjunder jjsocial jjneeds jjfollowing
jphysiological jjand jj safety.
3 Pain jjis jja jjphysiological jjneed jjand jjis jjthe jjhighest jjpriority.
4 Lack jjof jjconfidence jjfalls jjunder jjesteem jjaccording jjto jjMaslow jjand jjis jjaddressed
jfollowing jjphysiological, jj safety, jj and jjsocial jjneeds.
