,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
,.human ,.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
,.physiological ,.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 ,.ago ,.for ,.my ,.pain ,.medication. ,.I‘m ,.going ,.to ,.call ,.the ,.CEO ,.of ,.the ,.hospital ,.if
,.you ,.don‘t ,.get ,.it ,.for ,.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 ,.situation ,.and ,.will ,.likely ,.alleviate ,.the ,.patient‘s ,.anger.
3 This ,.statement ,.does ,.not ,.consider ,.a ,.patient‘s ,.situation ,.and ,.does ,.not
,.demonstrate ,.intellectual ,.empathy.
4 This ,.statement ,.addresses ,.the ,.patient‘s ,.statement ,.of ,.wanting ,.to ,.call ,.the ,.CEO,
,.but ,.does ,.not ,.demonstrate ,.intellectual ,.empathy ,.by ,.considering ,.the
,.patient‘s
situation.
PTS: 1 CON: , . Communication
3. The ,.nurse ,.is ,.collecting ,.data ,.on ,.a ,.patient. ,.Which ,.data ,.are ,.described ,.as ,.subjective?
1. Respiratory ,.rate ,.of ,.26 ,.per ,.minute
2. Patient ,.report ,.of ,.shortness ,.of ,.breath
3. Coarse ,.lung ,.sounds ,.bilaterally
4. Cough ,.producing ,.green ,.sputum
ANS: , . 2
Chapter: ,.Chapter ,.1 ,.Critical ,.Thinking ,.and ,.the ,.Nursing
,.Process ,.Objective: ,.5. ,.Differentiate ,.between ,.objective ,.and
,.subjective ,.data. ,.Page: ,.4
Heading: ,.Subjective ,.Data
Integrated ,.Process: ,.Communication ,.and
,.Documentation ,.Client ,.Need: ,.Communication ,.and
,.Documentation ,.Cognitive ,.Level: ,.Application
,.(Applying)
Concept: ,.Communication
,.Difficulty: ,.Moderate
Feedback
1 Respiratory ,.rate ,.of ,.26 ,.per ,.minute ,.is ,.an ,.example ,.of ,.objective ,.data.
2 A ,.patient ,.reporting ,.symptoms ,.to ,.the ,.nurse ,.is ,.an ,.example ,.of ,.subjective
,.data.
3 Coarse ,.lung ,.sounds ,.is ,.an ,.example ,.of ,.objective ,.data.
4 A ,.productive ,.cough ,.is ,.an ,.example ,.of ,.objective ,.data.
PTS: 1 CON: , . Communication
4. A ,.patient ,.with ,.a ,.newly ,.fractured ,.femur ,.reports ,.a ,.pain ,.level ,.of ,.8/10 ,.and ,.analgesic
,.medication ,.is ,.not ,.due ,.for ,.another ,.50 ,.minutes. ,.Which ,.action ,.should ,.the ,.nurse ,.take
,.first?
1. Reposition ,.the ,.patient.
2. Give ,.the ,.medication ,.in ,.30 ,.minutes.
3. Notify ,.the ,.registered ,.nurse ,.(RN) ,.or ,.physician.
4. Tell ,.the ,.patient ,.it ,.is ,.too ,.early ,.for ,.pain
,.medication. ,.ANS: , . 3
, Chapter: ,.Chapter ,.1 ,.Critical ,.Thinking ,.and ,.the ,.Nursing ,.Process
Objective: ,.4. ,.Identify ,.the ,.role ,.of ,.a ,.licensed ,.practical ,.nurse/licensed ,.vocational ,.nurse ,.in
,.using ,.the ,.nursing ,.process.
Page: ,.3
Heading: ,.Clinical ,.Judgement
Integrated ,.Process: ,.Clinical ,.Problem-solving ,.Process ,.(Nursing ,.Process)
,.Client ,.Need: ,.SECE—Coordinated ,.Care
Cognitive ,.Level: ,.Application
,.[Applying] ,.Concept: ,.Patient-Centered
,.Care ,.Difficulty: ,.Moderate
Feedback
1 The ,.patient ,.who ,.has ,.a ,.fractured ,.femur ,.is ,.having ,.acute ,.pain. ,.Repositioning
,.a ,.patient ,.with ,.a ,.new ,.fracture ,.is ,.not ,.likely ,.to ,.relieve ,.pain.
2 Giving ,.the ,.medication ,.before ,.the ,.prescribed ,.time ,.is ,.beyond ,.the ,.nurse‘s
,.scope ,.of ,.practice.
3 The ,.patient ,.should ,.not ,.have ,.to ,.wait ,.for ,.pain ,.relief, ,.so ,.the ,.LPN ,.should
,.inform ,.the ,.RN ,.or ,.physician ,.so ,.new ,.pain ,.relief ,.orders ,.can ,.be ,.obtained.
4 The ,.nurse ,.needs ,.to ,.do ,.more ,.than ,.expect ,.the ,.patient ,.to ,.wait ,.for ,.pain
,.relief.
PTS: 1 CON: , . Patient-Centered ,.Care
5. The ,.nurse ,.is ,.prioritizing ,.care ,.based ,.on ,.Maslow ,.hierarchy ,.of ,.needs. ,.Which ,.need
,.does ,.the ,.nurse ,.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
ANS: , . 3
Chapter: ,.Chapter ,.1 ,.Critical ,.Thinking ,.and ,.the ,.Nursing ,.Process
Objective: ,.7. ,.Prioritize ,.patient ,.care ,.activities ,.based ,.on ,.the ,.Maslow ,.hierarchy ,.of
,.human ,.needs
Page: ,.7
Heading: ,.Prioritize ,.Care
,.Integrated ,.Process: ,.Caring
Client ,.Need: ,.SECE ,.– ,.Coordinated
,.Care ,.Cognitive ,.Level: ,.Application
,.[Applying] ,.Concept: ,.Patient-Centered
,.Care ,.Difficulty: ,.Moderate
Feedback
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.
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
,.human ,.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
,.physiological ,.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 ,.ago ,.for ,.my ,.pain ,.medication. ,.I‘m ,.going ,.to ,.call ,.the ,.CEO ,.of ,.the ,.hospital ,.if
,.you ,.don‘t ,.get ,.it ,.for ,.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 ,.situation ,.and ,.will ,.likely ,.alleviate ,.the ,.patient‘s ,.anger.
3 This ,.statement ,.does ,.not ,.consider ,.a ,.patient‘s ,.situation ,.and ,.does ,.not
,.demonstrate ,.intellectual ,.empathy.
4 This ,.statement ,.addresses ,.the ,.patient‘s ,.statement ,.of ,.wanting ,.to ,.call ,.the ,.CEO,
,.but ,.does ,.not ,.demonstrate ,.intellectual ,.empathy ,.by ,.considering ,.the
,.patient‘s
situation.
PTS: 1 CON: , . Communication
3. The ,.nurse ,.is ,.collecting ,.data ,.on ,.a ,.patient. ,.Which ,.data ,.are ,.described ,.as ,.subjective?
1. Respiratory ,.rate ,.of ,.26 ,.per ,.minute
2. Patient ,.report ,.of ,.shortness ,.of ,.breath
3. Coarse ,.lung ,.sounds ,.bilaterally
4. Cough ,.producing ,.green ,.sputum
ANS: , . 2
Chapter: ,.Chapter ,.1 ,.Critical ,.Thinking ,.and ,.the ,.Nursing
,.Process ,.Objective: ,.5. ,.Differentiate ,.between ,.objective ,.and
,.subjective ,.data. ,.Page: ,.4
Heading: ,.Subjective ,.Data
Integrated ,.Process: ,.Communication ,.and
,.Documentation ,.Client ,.Need: ,.Communication ,.and
,.Documentation ,.Cognitive ,.Level: ,.Application
,.(Applying)
Concept: ,.Communication
,.Difficulty: ,.Moderate
Feedback
1 Respiratory ,.rate ,.of ,.26 ,.per ,.minute ,.is ,.an ,.example ,.of ,.objective ,.data.
2 A ,.patient ,.reporting ,.symptoms ,.to ,.the ,.nurse ,.is ,.an ,.example ,.of ,.subjective
,.data.
3 Coarse ,.lung ,.sounds ,.is ,.an ,.example ,.of ,.objective ,.data.
4 A ,.productive ,.cough ,.is ,.an ,.example ,.of ,.objective ,.data.
PTS: 1 CON: , . Communication
4. A ,.patient ,.with ,.a ,.newly ,.fractured ,.femur ,.reports ,.a ,.pain ,.level ,.of ,.8/10 ,.and ,.analgesic
,.medication ,.is ,.not ,.due ,.for ,.another ,.50 ,.minutes. ,.Which ,.action ,.should ,.the ,.nurse ,.take
,.first?
1. Reposition ,.the ,.patient.
2. Give ,.the ,.medication ,.in ,.30 ,.minutes.
3. Notify ,.the ,.registered ,.nurse ,.(RN) ,.or ,.physician.
4. Tell ,.the ,.patient ,.it ,.is ,.too ,.early ,.for ,.pain
,.medication. ,.ANS: , . 3
, Chapter: ,.Chapter ,.1 ,.Critical ,.Thinking ,.and ,.the ,.Nursing ,.Process
Objective: ,.4. ,.Identify ,.the ,.role ,.of ,.a ,.licensed ,.practical ,.nurse/licensed ,.vocational ,.nurse ,.in
,.using ,.the ,.nursing ,.process.
Page: ,.3
Heading: ,.Clinical ,.Judgement
Integrated ,.Process: ,.Clinical ,.Problem-solving ,.Process ,.(Nursing ,.Process)
,.Client ,.Need: ,.SECE—Coordinated ,.Care
Cognitive ,.Level: ,.Application
,.[Applying] ,.Concept: ,.Patient-Centered
,.Care ,.Difficulty: ,.Moderate
Feedback
1 The ,.patient ,.who ,.has ,.a ,.fractured ,.femur ,.is ,.having ,.acute ,.pain. ,.Repositioning
,.a ,.patient ,.with ,.a ,.new ,.fracture ,.is ,.not ,.likely ,.to ,.relieve ,.pain.
2 Giving ,.the ,.medication ,.before ,.the ,.prescribed ,.time ,.is ,.beyond ,.the ,.nurse‘s
,.scope ,.of ,.practice.
3 The ,.patient ,.should ,.not ,.have ,.to ,.wait ,.for ,.pain ,.relief, ,.so ,.the ,.LPN ,.should
,.inform ,.the ,.RN ,.or ,.physician ,.so ,.new ,.pain ,.relief ,.orders ,.can ,.be ,.obtained.
4 The ,.nurse ,.needs ,.to ,.do ,.more ,.than ,.expect ,.the ,.patient ,.to ,.wait ,.for ,.pain
,.relief.
PTS: 1 CON: , . Patient-Centered ,.Care
5. The ,.nurse ,.is ,.prioritizing ,.care ,.based ,.on ,.Maslow ,.hierarchy ,.of ,.needs. ,.Which ,.need
,.does ,.the ,.nurse ,.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
ANS: , . 3
Chapter: ,.Chapter ,.1 ,.Critical ,.Thinking ,.and ,.the ,.Nursing ,.Process
Objective: ,.7. ,.Prioritize ,.patient ,.care ,.activities ,.based ,.on ,.the ,.Maslow ,.hierarchy ,.of
,.human ,.needs
Page: ,.7
Heading: ,.Prioritize ,.Care
,.Integrated ,.Process: ,.Caring
Client ,.Need: ,.SECE ,.– ,.Coordinated
,.Care ,.Cognitive ,.Level: ,.Application
,.[Applying] ,.Concept: ,.Patient-Centered
,.Care ,.Difficulty: ,.Moderate
Feedback
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.
