TEST BANK
Understanding Medical-Surgical Nursing
LINDA S. WILLIAMS
Sixth Edition
, TABLE OF CONTENTS
Unit 1 Understanding Health Care Issues
1. Critical Thinking and the Nursing Process
2. Evidence-Based Practice
3. Issues in Nursing Practice
4. Cultural Influences on Nursing Care
5. Complementary and Alternative Modalities
Unit 2 Understanding Health and Illness
6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
7. Nursing Care of Patients Receiving Intravenous Therapy
8. Nursing Care of Patients with Infections
9. Nursing Care of Patients in Shock
10. Nursing Care of Patients in Pain
11. Nursing Care of Patients With Cancer
12. Nursing Care of Patients Having Surgery
13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
A
Unit 3 Understanding Life Span Influences on Health and Illness
14. Developmental Considerations and Chronic Illness in the Nursing Care of Adults
15. Nursing Care of Older Adult Patients
16. Patient Care Settings
17. Nursing Care of Patients at the End of Life
Unit 4 Understanding the Immune System
18. Immune System Function, Assessment and Therapeutic Measures
A
19. Nursing Care of Patients With Immune Disorders
20. Nursing Care of Patients With HIV Disease and AIDS
Unit 5 Understanding the Cardiovascular System
21. Cardiovascular System Function, Assessment and Therapeutic Measures
A
22. Nursing Care of Patients With Hypertension
23. Nursing Care of Patients With Valvular, Inflammatory and Infectious Cardiac or Venous Disorders
24. Nursing Care of Patients With Occlusive Cardiovascular Disorders
25. Nursing Care of Patients With Cardiac Arrhythmias
26. Nursing Care of Patients With Heart Failure
Unit 6 Understanding the Hematologic and Lymphatic Systems
27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
28. Nursing Care of Patients With Hematologic and Lymphatic Disorders
Unit 7 Understanding the Respiratory System
29. Respiratory System Function, Assessment, and Therapeutic Measures
30. Nursing Care of Patients With Upper Respiratory Tract Disorders
A
31. Nursing Care of Patients With Lower Respiratory Tract Disorders
Unit 8 Understanding the Gastrointestinal, Hepatic, and Pancreatic Systems
32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic Measures
33. Nursing Care of Patients With Upper Gastrointestinal Disorders
34. Nursing Care of Patients With Lower Gastrointestinal Disorders
35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
Unit 9 Understanding the Urinary System
36. Urinary System Function, Assessment, and Therapeutic Measures
37. Nursing Care of Patients With Disorders of the Urinary System
Unit 10 Understanding the Endocrine System
38. Endocrine System Function and Assessment
,39. Nursing Care of Patients With Endocrine Disorders
40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
Unit 11 Understanding the Genitourinary and Reproductive System
41. Genitourinary and Reproductive System Function and Assessment
42. Nursing Care of Women With Reproductive System Disorders
43. Nursing Care of Male Patients With Genitourinary Disorders
44. Nursing Care of Patients With Sexually Transmitted Infections
Unit 12 Understanding the Musculoskeletal System
45. Musculoskeletal Function and Assessment
46. Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
Unit 13 Understanding the Neurologic System
47. Neurologic System Function, Assessment, and Therapeutic Measures
48. Nursing Care of Patients With Central Nervous System Disorders
49. Nursing Care of Patients With Cerebrovascular Disorders
50. Nursing Care of Patients With Peripheral Nervous System Disorders
Unit 14 Understanding the Sensory System
51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing
52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
Unit 15 Understanding the Integumentary System
53. Integumentary System Function, Assessment and Therapeutic Measures
54. Nursing Care of Patients With Skin Disorders
55. Nursing Care of Patients With Burns
Unit 16 Understanding Mental Health Care
56. Mental Health Function, Assessment, and Therapeutic Measures
57. Nursing Care of Patients With Mental Health Disorders
, Chapter 1. Critical Thinking and the Nursing Process
MULTIPLE CHOICE
1. The nurse is caring for a group of patients on a medical-
surgical unit. Which patient should the licensed practical nurse/licensed vocational
nurse (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
ANS: 1
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of
huma n needs.
Pages: 6–7
Heading: Prioritize Care
Integrated Process: Clinical Problem-
Solving Process (Nursing Process) Client Need: SECE—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-
Centered Care Difficulty: Difficult
Feedback
1 This patient has a dangerously low blood glucose level and requires
immediate intervention.
2 This 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
physio logical needs.
4 A respiratory rate of 22 is within normal range.
PTS: 1 CON: Patient-Centered Care
2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5
minutes a go for my pain medication. I’m going to call the CEO of the hospital if you
don’t get it f or me now.‖ Which statement by the nurse 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 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.‖
ANS: 2
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 2. Describe attitudes and skills that promote good critical
thinking Page: 2
Heading: Intellectual Empathy
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Feedback
1 This statement does not consider an individual’s situation.
2 This statement demonstrates intellectual empathy by considering this
patient’s si tuation and will likely alleviate the patient’s anger.
3 This statement does not consider a patient’s situation and does not
demonstrate i ntellectual empathy.
Understanding Medical-Surgical Nursing
LINDA S. WILLIAMS
Sixth Edition
, TABLE OF CONTENTS
Unit 1 Understanding Health Care Issues
1. Critical Thinking and the Nursing Process
2. Evidence-Based Practice
3. Issues in Nursing Practice
4. Cultural Influences on Nursing Care
5. Complementary and Alternative Modalities
Unit 2 Understanding Health and Illness
6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
7. Nursing Care of Patients Receiving Intravenous Therapy
8. Nursing Care of Patients with Infections
9. Nursing Care of Patients in Shock
10. Nursing Care of Patients in Pain
11. Nursing Care of Patients With Cancer
12. Nursing Care of Patients Having Surgery
13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
A
Unit 3 Understanding Life Span Influences on Health and Illness
14. Developmental Considerations and Chronic Illness in the Nursing Care of Adults
15. Nursing Care of Older Adult Patients
16. Patient Care Settings
17. Nursing Care of Patients at the End of Life
Unit 4 Understanding the Immune System
18. Immune System Function, Assessment and Therapeutic Measures
A
19. Nursing Care of Patients With Immune Disorders
20. Nursing Care of Patients With HIV Disease and AIDS
Unit 5 Understanding the Cardiovascular System
21. Cardiovascular System Function, Assessment and Therapeutic Measures
A
22. Nursing Care of Patients With Hypertension
23. Nursing Care of Patients With Valvular, Inflammatory and Infectious Cardiac or Venous Disorders
24. Nursing Care of Patients With Occlusive Cardiovascular Disorders
25. Nursing Care of Patients With Cardiac Arrhythmias
26. Nursing Care of Patients With Heart Failure
Unit 6 Understanding the Hematologic and Lymphatic Systems
27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
28. Nursing Care of Patients With Hematologic and Lymphatic Disorders
Unit 7 Understanding the Respiratory System
29. Respiratory System Function, Assessment, and Therapeutic Measures
30. Nursing Care of Patients With Upper Respiratory Tract Disorders
A
31. Nursing Care of Patients With Lower Respiratory Tract Disorders
Unit 8 Understanding the Gastrointestinal, Hepatic, and Pancreatic Systems
32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic Measures
33. Nursing Care of Patients With Upper Gastrointestinal Disorders
34. Nursing Care of Patients With Lower Gastrointestinal Disorders
35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
Unit 9 Understanding the Urinary System
36. Urinary System Function, Assessment, and Therapeutic Measures
37. Nursing Care of Patients With Disorders of the Urinary System
Unit 10 Understanding the Endocrine System
38. Endocrine System Function and Assessment
,39. Nursing Care of Patients With Endocrine Disorders
40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
Unit 11 Understanding the Genitourinary and Reproductive System
41. Genitourinary and Reproductive System Function and Assessment
42. Nursing Care of Women With Reproductive System Disorders
43. Nursing Care of Male Patients With Genitourinary Disorders
44. Nursing Care of Patients With Sexually Transmitted Infections
Unit 12 Understanding the Musculoskeletal System
45. Musculoskeletal Function and Assessment
46. Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
Unit 13 Understanding the Neurologic System
47. Neurologic System Function, Assessment, and Therapeutic Measures
48. Nursing Care of Patients With Central Nervous System Disorders
49. Nursing Care of Patients With Cerebrovascular Disorders
50. Nursing Care of Patients With Peripheral Nervous System Disorders
Unit 14 Understanding the Sensory System
51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing
52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
Unit 15 Understanding the Integumentary System
53. Integumentary System Function, Assessment and Therapeutic Measures
54. Nursing Care of Patients With Skin Disorders
55. Nursing Care of Patients With Burns
Unit 16 Understanding Mental Health Care
56. Mental Health Function, Assessment, and Therapeutic Measures
57. Nursing Care of Patients With Mental Health Disorders
, Chapter 1. Critical Thinking and the Nursing Process
MULTIPLE CHOICE
1. The nurse is caring for a group of patients on a medical-
surgical unit. Which patient should the licensed practical nurse/licensed vocational
nurse (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
ANS: 1
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of
huma n needs.
Pages: 6–7
Heading: Prioritize Care
Integrated Process: Clinical Problem-
Solving Process (Nursing Process) Client Need: SECE—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-
Centered Care Difficulty: Difficult
Feedback
1 This patient has a dangerously low blood glucose level and requires
immediate intervention.
2 This 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
physio logical needs.
4 A respiratory rate of 22 is within normal range.
PTS: 1 CON: Patient-Centered Care
2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5
minutes a go for my pain medication. I’m going to call the CEO of the hospital if you
don’t get it f or me now.‖ Which statement by the nurse 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 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.‖
ANS: 2
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 2. Describe attitudes and skills that promote good critical
thinking Page: 2
Heading: Intellectual Empathy
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Feedback
1 This statement does not consider an individual’s situation.
2 This statement demonstrates intellectual empathy by considering this
patient’s si tuation and will likely alleviate the patient’s anger.
3 This statement does not consider a patient’s situation and does not
demonstrate i ntellectual empathy.
