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