TEST BANK FOR UNDERSTANDING MEDICAL-SURGICAL NURSING 5TH EDITION BY HOPPER ,WILLIAMS

,Chapter 1. Critical Thinking and the Nursing Process
p p p p p p p




MULTIPLEpCHOICE

1. Thepnursepispcaringpforpapgrouppofppatientsponpapmedical-
surgicalpunit.pWhichppatientpshouldptheplicensedppracticalpnurse/licensedpvocationalpnursep(L
PN/LVN)passesspfirst?
1. Appatientpwithpapbloodpglucosepofp42pmg/dL
2. Appatientpwhopreportspappainplevelpofp2
3. Appatientpwhophaspjustpreceivedpapdiagnosispofpcancer
4. Appatientpwhophaspaprespiratorypratepofp22
ANS:p 1
Chapter:pChapterp1pCriticalpThinkingpandpthepNursingpProcess
Objective:p7.pPrioritizeppatientpcarepactivitiespbasedponpthepMaslowphierarchypofphumanpn
eeds.
Pages:p6–7
Heading:pPrioritizepCare
IntegratedpProcess:pClinicalpProblem-
SolvingpProcessp(NursingpProcess)pClientpNeed:pSECE—CoordinatedpCare
CognitivepLevel:pApplicationp[Applying]p
Concept:pPatient-
CenteredpCarepDifficulty:pDifficult

Feedback
1 Thisppatientphaspapdangerouslyplowpbloodpglucoseplevelpandprequirespimmediatepint
ervention.
2 Thisppatientpwillpneedptopbepassessed,pbutpispnotpasphighpappriority.
3 AccordingptopMaslow,ppsychosocialpneedsparepnotpasphighpofpapprioritypaspphysiolo
gicalpneeds.
4 Aprespiratorypratepofp22pispwithinpnormalprange.

PTS: 1 CON:p Patient-CenteredpCare

2. ThepLPN/LVNpentersptheproompofpappatientpwhopispangrypandpyells,p“Ipaskedp5pminutespagopf
orpmyppainpmedication.pI’mpgoingptopcallpthepCEOpofpthephospitalpifpyoupdon’tpgetpitpforpmepno
w.”pWhichpstatementpbypthepnursepdemonstratespintellectualpempathy?
1. “Weparepshort-staffedptoday,psopitpwillptakepmeplongerptopmeetpyourpneeds.”
2. “Ipampsorrypyouphadptopwait,pIpknowp youpmustpbepinpaplotpofppain.”
3. “Iphadpanotherppatientpwhophadpsevereppain,pandpIphadptopgetptopthempfirst.”
4. “IpwillpgetpyoupthepnumberpforpthepCEO,pbutphepispawarepofphowpbusypwepare.”
ANS:p 2
Chapter:pChapterp1pCriticalpThinkingpandpthepNursingpProcess
Objective:p2.pDescribepattitudespandpskillspthatppromotepgoodpcriticalpthinkingp
Page:p2
Heading:pIntellectualpEmpathy
IntegratedpProcess:pCommunicationpandpDocumentationp
ClientpNeed:pPsychosocialpIntegrity

, CognitivepLevel:pApplicationp[Applying]p
Concept:pCommunication
Difficulty:pModerate

Feedback
1 Thispstatementpdoespnotpconsiderpanpindividual’spsituation.
2 Thispstatementpdemonstratespintellectualpempathypbypconsideringpthisppatient’spsit
uationpandpwillplikelypalleviateptheppatient’spanger.
3 Thispstatementpdoespnotpconsiderpappatient’spsituationpandpdoespnotpdemonstratepint
ellectualpempathy.
4 Thispstatementpaddressesptheppatient’spstatementpofpwantingptopcallpthepCEO,pbutpd
oespnotpdemonstratepintellectualpempathypbypconsideringptheppatient’s
situation.

PTS: 1 CON:p Communication

3. Thepnursepispcollectingpdataponpappatient.pWhichpdataparepdescribedpaspsubjective?
1. Respiratorypratepofp26pperpminute
2. Patientpreportpofpshortnesspofpbreath
3. Coarseplungpsoundspbilaterally
4. Coughpproducingpgreenpsputum
ANS:p 2
Chapter:pChapterp1pCriticalpThinkingpandpthepNursingpProcesspObje
ctive:p5.pDifferentiatepbetweenpobjectivepandpsubjectivepdata.pPage:p
4
Heading:pSubjectivepData
IntegratedpProcess:pCommunicationpandpDocumentationp
ClientpNeed:pCommunicationpandpDocumentationpCogni
tivepLevel:pApplicationp(Applying)
Concept:pCommunicationpDiffi
culty:pModerate

Feedback
1 Respiratorypratepofp26pperpminutepispanpexamplepofpobjectivepdata.
2 Appatientpreportingpsymptomsptopthepnursepispanpexamplepofpsubjectivepdata.
3 Coarseplungpsoundspispanpexamplepofpobjectivepdata.
4 Approductivepcoughpispanpexamplepofpobjectivepdata.

PTS: 1 CON:p Communication

4. Appatientpwithpapnewlypfracturedpfemurpreportspappainplevelpofp8/10pandpanalgesicpmedicationpi
spnotpduepforpanotherp50pminutes.pWhichpactionpshouldpthepnurseptakepfirst?
1. Repositionptheppatient.
2. Givepthepmedicationpinp30pminutes.
3. Notifypthepregisteredpnursep(RN)porpphysician.
4. Tellptheppatientpitpisptoopearlypforppainpmedication.p
ANS:p 3

, Chapter:pChapterp1pCriticalpThinkingpandpthepNursingpProcess
Objective:p4.pIdentifyptheprolepofpaplicensedppracticalpnurse/licensedpvocationalpnursepinpusingpt
hepnursingpprocess.
Page:p3
Heading:pClinicalpJudgement
IntegratedpProcess:pClinicalpProblem-
solvingpProcessp(NursingpProcess)pClientpNeed:pSECE—CoordinatedpCare
CognitivepLevel:pApplicationp[Applying]p
Concept:pPatient-
CenteredpCarepDifficulty:pModerate

Feedback
1 Theppatientpwhophaspapfracturedpfemurpisphavingpacuteppain.pRepositioningpappatien
tpwithpapnewpfracturepispnotplikelyptoprelieveppain.
2 Givingpthepmedicationpbeforepthepprescribedptimepispbeyondpthepnurse’spscopepof
ppractice.

3 Theppatientpshouldpnotphaveptopwaitpforppainprelief,psopthepLPNpshouldpinformpth
epRNporpphysicianpsopnewppainpreliefporderspcanpbepobtained.
4 Thepnursepneedsptopdopmorepthanpexpectptheppatientptopwaitpforppainprelief.

PTS: 1 CON:p Patient-CenteredpCare

5. ThepnursepispprioritizingpcarepbasedponpMaslowphierarchypofpneeds.pWhichpneedpdoespthepn
ursepidentifypasphavingpthephighestppriority?
1. Job-relatedpstress
2. Feelingpofploneliness
3. Painplevelpofp9ponp0-to-10pscale
4. Lackpofpconfidence
ANS:p 3
Chapter:pChapterp1pCriticalpThinkingpandpthepNursingpProcess
Objective:p7.pPrioritizeppatientpcarepactivitiespbasedponpthepMaslowphierarchypofphumanpn
eeds
Page:p7
Heading:pPrioritizepCarepIntegr
atedpProcess:pCaring
ClientpNeed:pSECEp–
pCoordinatedpCarepCognitivepLevel:pAppl

icationp[Applying]pConcept:pPatient-
CenteredpCarepDifficulty:pModerate

Feedback
1 Job-
relatedpstresspfallspunderpsafetypaccordingptopMaslowpandpispaddressedpafterpphysio
logicalpneeds.
2 AccordingptopMaslow,plonelinesspispaddressedpunderpsocialpneedspfollowingpphysi
ologicalpandpsafety.
3 Painpispapphysiologicalpneedpandpispthephighestppriority.
4 LackpofpconfidencepfallspunderpesteempaccordingptopMaslowpandpispaddressedpfollo
wingpphysiological,psafety,pandpsocialpneeds.