xx xx xx xx
UNDERSTANDING MEDICAL SURGICAL
xx xx xx
NURSING 7THEDITION BY WILLIAMS & HOPPER
xx xx x xx xx xx xx
,Chapter 1. Critical Thinking and the Nursing Process
xx xx xx xx xx xx xx
MULTIPLE xxCHOICE
1. The xxnursing xxattendant xxis xxcaring xxfor xxa xxgroup xxof xxhospital xxpatients xxon xxa
xxmedical-surgical xxunit. xxWhich xxhospital xxpatients x hould xxthe xxlicensed xxpractical
xxnursing xxattendant/licensed xxvocational xxnursing xxattendant xx(LPN/LVN)
xxassess xx first?
1. Axxpatient x x with xxa xxblood xxglucose xxof xx42 xxmg/dL
2. Axxpatient xxwho xxreports xxa xxpain xxlevel xxof xx2
3. Axxpatient xxwho xxhas xxjust xxreceived xxa xxdiagnosis xxof xxcancer
4. Axxpatient x x who xxhas xxa xxrespiratory xxrate xxof xx22
ACCURATE xxANSWER:-1
CHAPTER: xx1 xxCritical xxThinking xxand xxthe xxNursing xxProcess
OBJ xx7. xxPrioritize xxhospital xxpatient xxcare xxactivities xxbased xxon xxthe xxMaslow
xxhierarchy xxof xxhumanx needs.
Pgs: xx6–7
Heading: xxPrioritize xxCare
Integrated xxProcess: xxClinical xxProblem-Solving xxProcess xx(Nursing
xxProcess)x Hospital xxpatient xxNeed: xxSECE—Coordinated xxCare
Cognitive xxLevel: xxApplication
xx[Applying]x Concept: xxHospital
xxpatient-Centered xxCare xxDifficulty:
xxDifficult
Reasoning:->>>
1 This xxhospital xxpatient xxhas xxa xxdangerously xxlow xxblood xxglucose xxlevel
xxand xxrequires xximmediatex intervention.
2 This xxhospital xxpatient xxwill xxneed xxto xxbe xxassessed, xxbut xxis xxnot xxas xxhigh
xxa xxpriority.
3 According xxto xxMaslow, xxpsychosocial xxneeds xxare xxnot xxas xxhigh xxof xxa
xxpriority xxasxphysiological xxneeds.
4 A xxrespiratory xxrate xxof xx22 xxis xxwithin xxnormal xxrange.
POINTS: 1 CON: x x Hospital xxpatient-Centered xxCare
2. The xxLPN/LVN xxenters xxthe xxroom xxof xxa xxhospital xxpatient xxwho xxis xxangry xxand
xxyells, xx“I xxasked xx5 xxminutes xxagof x or xxmy xxpain xxmedication. xxI’m xxgoing xxto
xxcall xxthe xxCEO xxof xxthe xxhealth xxcenter xxif xxyou xxdon’t xxget xxit xxfor xxme xxnow.”
xxWhich xxstatement xxby xxthe xxnursing xxattendant xxdemonstrates xxintellectual
xxempathy?
1. “We xxare xxshort-staffed xxtoday, xxso xxit xxwill xxtake xxme xxlonger xxto xxmeet xxyour xxneeds.”
2. “I xxam xxsorry xxyou xxhad xxto xxwait, xxI xxknow xxyou xxmust xxbe xxin xxa xxlot xxof xxpain.”
3. “I xxhad xxanother xxhospital xxpatient xxwho xxhad xxsevere xxpain, xxand xxI xxhad xxto xxget xxto
xxthem xxfirst.”
4. “I xxwill xxget xxyou xxthe xxnumber xxfor xxthe xxCEO, xxbut xxhe xxis xxaware xxof xxhow xxbusy xxwe
xxare.”
ACCURATE xxANSWER:-2
CHAPTER: xx1 xxCritical xxThinking xxand xxthe xxNursing xxProcess
,OBJ xx2. xxDescribe xxattitudes xxand xxskills xxthat xxpromote xxgood xxcritical
xxthinkingx Pg: xx2
Heading: xxIntellectual xxEmpathy
Integrated xxProcess: xxCommunication xxand
xxDocumentationx Hospital xxpatient xxNeed:
xxPsychosocial xxIntegrity
, Cognitive xxLevel: xxApplication
xx[Applying]x Concept:
xxCommunication
Difficulty: xxModerate
Reasoning:->>>
1 This xxstatement xxdoes xxnot xxconsider xxan xxindividual’s xxsituation.
2 This xxstatement xxdemonstrates xxintellectual xxempathy xxby xxconsidering
xxthis xxhospital xxpatient’sxsituation xxand xxwill xxlikely xxalleviate xxthe
xxhospital xxpatient’s xxanger.
3 This xxstatement xxdoes xxnot xxconsider xxa xxhospital xxpatient’s xxsituation xxand
xxdoes xxnot xxdemonstratex intellectual xxempathy.
4 This xxstatement xxaddresses xxthe xxhospital xxpatient’s xxstatement xxof
xxwanting xxto xxcall xxthe xxCEO, xxbutx does xxnot xxdemonstrate xxintellectual
xxempathy xxby xxconsidering xxthe xxhospital xxpatient’s xx situation.
POINTS: 1 CON: x x Communication
3. The xxnursing xxattendant xxis xxcollecting xxdata xxon xxa xxhospital xxpatient. xxWhich xxdata xxare
xxdescribed xxas xxsubjective?
1. Respiratory xxrate xxof xx26 xxper xxminute
2. Hospital xxpatient xxreport xxof xxshortness xxof xxbreath
3. Coarse xxlung xxsounds xxbilaterally
4. Cough xxproducing xxgreen xxsputum
ACCURATE xxANSWER:-2
CHAPTER: xx1 xxCritical xxThinking xxand xxthe xxNursing
xxProcess xxOBJ xx5. xxDifferentiate xxbetween xxobjective xxand
xxsubjective xxdata. x
Pg: xx4
Heading: xxSubjective xxData
Integrated xxProcess: xxCommunication xxand
xxDocumentationx Hospital xxpatient xxNeed:
xxCommunication xxand xx Documentation xx Cognitive
xxLevel: xx Application xx(Applying)
Concept:
xxCommunication
Difficulty: xxModerate
x
Reasoning:->>>
1 Respiratory xxrate xxof xx26 xxper xxminute xxis xxan xxexample xxof xxobjective xxdata.
2 Axxhospital xxpatient xxreporting xxsymptoms xxto xxthe xxnursing xxattendant xxis
xxan xxexample xxof xxsubjectivex data.
3 Coarse xxlung xxsounds xxis xxan xxexample xxof xxobjective xxdata.
4 A xxproductive xxcough xxis xxan xxexample xxof xxobjective xxdata.
POINTS: 1 CON: x x Communication
4. A xxhospital xxpatient xxwith xxa xxnewly xxfractured xxfemur xxreports xxa xxpain xxlevel xxof
xx8/10 xxand xxanalgesic xxmedicationi x s xxnot xxdue xxfor xxanother xx50 xxminutes. xxWhich
xxaction xxshould xxthe xxnursing xxattendant xxtake xxfirst?
1. Reposition xxthe xxhospital xxpatient.
2. Give xxthe xxmedication xxin xx30 xxminutes.
3. Notify xxthe xxregistered xxnursing xxattendant xx(RN) xxor xxphysician.