TEST BANK FOR
nn n
UNDERSTANDING
MEDICAL-SURGICAL
NURSING
5TH EDITION BY
n n
HOPPER ,WILLIAMS
n
,Chapter 1. Critical Thinking and the Nursing Process
n n n n n n n
MULTIPLE nCHOICE
1. The nnurse nis ncaring nfor na ngroup nof npatients non na nmedical-surgical nunit. nWhich
npatient nshould nthe nlicensed npractical nnurse/licensed nvocational nnurse
n(LPN/LVN) nassess nfirst?
1. A npatient nwith na nblood nglucose nof n42 nmg/dL
2. A npatient nwho nreports na npain nlevel nof n2
3. A npatient nwho nhas njust nreceived na ndiagnosis nof ncancer
4. A npatient nwho nhas na nrespiratory nrate nof n22
ANS: n n 1
Chapter: nChapter n1 nCritical nThinking nand nthe nNursing nProcess
Objective: n7. nPrioritize npatient ncare nactivities nbased non nthe nMaslow
nhierarchy nof nhuman nneeds.
Pages: n6–7
Heading: nPrioritize nCare
Integrated nProcess: nClinical nProblem-Solving nProcess n(Nursing
nProcess) n Client nNeed: nSECE—Coordinated nCare
Cognitive nLevel: nApplication
n[Applying] nConcept: nPatient-
Centered nCare nDifficulty: nDifficult
Feedback
1 This npatient nhas na ndangerously nlow nblood nglucose nlevel nand nrequires
nimmediate
intervention.
2 This npatient nwill nneed nto nbe nassessed, nbut nis nnot nas nhigh na npriority.
3 According nto nMaslow, npsychosocial nneeds nare nnot nas nhigh nof na
npriority nas
physiological nneeds.
4 A nrespiratory nrate nof n22 nis nwithin nnormal nrange.
PTS: 1 CON: n Patient-Centered nCare
2. The nLPN/LVN nenters nthe nroom nof na npatient nwho nis nangry nand nyells, n“I
nasked n5 nminutes nago nfor nmy npain nmedication. nI’m ngoing nto ncall nthe nCEO nof
nthe nhospital nif nyou ndon’t nget nit nfor nme nnow.” nWhich nstatement nby nthe nnurse
ndemonstrates nintellectual nempathy?
1. “We nare nshort-staffed ntoday, nso nit nwill ntake nme nlonger nto nmeet nyour nneeds.”
2. “I nam nsorry nyou nhad nto nwait, nI nknow nyou nmust nbe nin na nlot nof npain.”
3. “I nhad nanother npatient nwho nhad nsevere npain, nand nI nhad nto nget nto nthem nfirst.”
4. “I nwill nget nyou nthe nnumber nfor nthe nCEO, nbut nhe nis naware nof nhow nbusy nwe nare.”
ANS: n n 2
Chapter: nChapter n1 nCritical nThinking nand nthe nNursing nProcess
Objective: n2. nDescribe nattitudes nand nskills nthat npromote ngood
ncritical nthinking nPage: n2
Heading: nIntellectual nEmpathy
,Integrated nProcess: nCommunication nand
nDocumentation n Client nNeed: nPsychosocial
nIntegrity
, Cognitive nLevel: nApplication
n[Applying] nConcept:
nCommunication
Difficulty: nModerate
Feedback
1 This nstatement ndoes nnot nconsider nan nindividual’s nsituation.
2 This nstatement ndemonstrates nintellectual nempathy nby nconsidering nthis
npatient’s n situation nand nwill nlikely nalleviate nthe npatient’s nanger.
3 This nstatement ndoes nnot nconsider na npatient’s nsituation nand ndoes nnot
ndemonstrate
intellectual nempathy.
4 This nstatement naddresses nthe npatient’s nstatement nof nwanting nto ncall
nthe nCEO, nbut ndoes nnot ndemonstrate nintellectual nempathy nby
nconsidering nthe npatient’s nsituation.
PTS: 1 CON: n Communication
3. The nnurse nis ncollecting ndata non na npatient. nWhich ndata nare ndescribed nas nsubjective?
1. Respiratory nrate nof n26 nper nminute
2. Patient nreport nof nshortness nof nbreath
3. Coarse nlung nsounds nbilaterally
4. Cough nproducing ngreen nsputum
ANS: n n 2
Chapter: nChapter n1 nCritical nThinking nand nthe nNursing
nProcess n Objective: n5. nDifferentiate nbetween nobjective nand
nsubjective ndata. nPage: n4
Heading: nSubjective nData
Integrated nProcess: nCommunication nand
nDocumentation n Client nNeed: nCommunication
nand nDocumentation nCognitive nLevel:
nApplication n(Applying)
Concept:
nCommunication
nDifficulty: nModerate
Feedback
1 Respiratory nrate nof n26 nper nminute nis nan nexample nof nobjective ndata.
2 A npatient nreporting nsymptoms nto nthe nnurse nis nan nexample nof
nsubjective ndata.
3 Coarse nlung nsounds nis nan nexample nof nobjective ndata.
4 A nproductive ncough nis nan nexample nof nobjective ndata.
PTS: 1 CON: n Communication
4. A npatient nwith na nnewly nfractured nfemur nreports na npain nlevel nof n8/10 nand
nanalgesic nmedication nis nnot ndue nfor nanother n50 nminutes. nWhich naction nshould
nthe nnurse ntake nfirst?
1. Reposition nthe npatient.
nn n
UNDERSTANDING
MEDICAL-SURGICAL
NURSING
5TH EDITION BY
n n
HOPPER ,WILLIAMS
n
,Chapter 1. Critical Thinking and the Nursing Process
n n n n n n n
MULTIPLE nCHOICE
1. The nnurse nis ncaring nfor na ngroup nof npatients non na nmedical-surgical nunit. nWhich
npatient nshould nthe nlicensed npractical nnurse/licensed nvocational nnurse
n(LPN/LVN) nassess nfirst?
1. A npatient nwith na nblood nglucose nof n42 nmg/dL
2. A npatient nwho nreports na npain nlevel nof n2
3. A npatient nwho nhas njust nreceived na ndiagnosis nof ncancer
4. A npatient nwho nhas na nrespiratory nrate nof n22
ANS: n n 1
Chapter: nChapter n1 nCritical nThinking nand nthe nNursing nProcess
Objective: n7. nPrioritize npatient ncare nactivities nbased non nthe nMaslow
nhierarchy nof nhuman nneeds.
Pages: n6–7
Heading: nPrioritize nCare
Integrated nProcess: nClinical nProblem-Solving nProcess n(Nursing
nProcess) n Client nNeed: nSECE—Coordinated nCare
Cognitive nLevel: nApplication
n[Applying] nConcept: nPatient-
Centered nCare nDifficulty: nDifficult
Feedback
1 This npatient nhas na ndangerously nlow nblood nglucose nlevel nand nrequires
nimmediate
intervention.
2 This npatient nwill nneed nto nbe nassessed, nbut nis nnot nas nhigh na npriority.
3 According nto nMaslow, npsychosocial nneeds nare nnot nas nhigh nof na
npriority nas
physiological nneeds.
4 A nrespiratory nrate nof n22 nis nwithin nnormal nrange.
PTS: 1 CON: n Patient-Centered nCare
2. The nLPN/LVN nenters nthe nroom nof na npatient nwho nis nangry nand nyells, n“I
nasked n5 nminutes nago nfor nmy npain nmedication. nI’m ngoing nto ncall nthe nCEO nof
nthe nhospital nif nyou ndon’t nget nit nfor nme nnow.” nWhich nstatement nby nthe nnurse
ndemonstrates nintellectual nempathy?
1. “We nare nshort-staffed ntoday, nso nit nwill ntake nme nlonger nto nmeet nyour nneeds.”
2. “I nam nsorry nyou nhad nto nwait, nI nknow nyou nmust nbe nin na nlot nof npain.”
3. “I nhad nanother npatient nwho nhad nsevere npain, nand nI nhad nto nget nto nthem nfirst.”
4. “I nwill nget nyou nthe nnumber nfor nthe nCEO, nbut nhe nis naware nof nhow nbusy nwe nare.”
ANS: n n 2
Chapter: nChapter n1 nCritical nThinking nand nthe nNursing nProcess
Objective: n2. nDescribe nattitudes nand nskills nthat npromote ngood
ncritical nthinking nPage: n2
Heading: nIntellectual nEmpathy
,Integrated nProcess: nCommunication nand
nDocumentation n Client nNeed: nPsychosocial
nIntegrity
, Cognitive nLevel: nApplication
n[Applying] nConcept:
nCommunication
Difficulty: nModerate
Feedback
1 This nstatement ndoes nnot nconsider nan nindividual’s nsituation.
2 This nstatement ndemonstrates nintellectual nempathy nby nconsidering nthis
npatient’s n situation nand nwill nlikely nalleviate nthe npatient’s nanger.
3 This nstatement ndoes nnot nconsider na npatient’s nsituation nand ndoes nnot
ndemonstrate
intellectual nempathy.
4 This nstatement naddresses nthe npatient’s nstatement nof nwanting nto ncall
nthe nCEO, nbut ndoes nnot ndemonstrate nintellectual nempathy nby
nconsidering nthe npatient’s nsituation.
PTS: 1 CON: n Communication
3. The nnurse nis ncollecting ndata non na npatient. nWhich ndata nare ndescribed nas nsubjective?
1. Respiratory nrate nof n26 nper nminute
2. Patient nreport nof nshortness nof nbreath
3. Coarse nlung nsounds nbilaterally
4. Cough nproducing ngreen nsputum
ANS: n n 2
Chapter: nChapter n1 nCritical nThinking nand nthe nNursing
nProcess n Objective: n5. nDifferentiate nbetween nobjective nand
nsubjective ndata. nPage: n4
Heading: nSubjective nData
Integrated nProcess: nCommunication nand
nDocumentation n Client nNeed: nCommunication
nand nDocumentation nCognitive nLevel:
nApplication n(Applying)
Concept:
nCommunication
nDifficulty: nModerate
Feedback
1 Respiratory nrate nof n26 nper nminute nis nan nexample nof nobjective ndata.
2 A npatient nreporting nsymptoms nto nthe nnurse nis nan nexample nof
nsubjective ndata.
3 Coarse nlung nsounds nis nan nexample nof nobjective ndata.
4 A nproductive ncough nis nan nexample nof nobjective ndata.
PTS: 1 CON: n Communication
4. A npatient nwith na nnewly nfractured nfemur nreports na npain nlevel nof n8/10 nand
nanalgesic nmedication nis nnot ndue nfor nanother n50 nminutes. nWhich naction nshould
nthe nnurse ntake nfirst?
1. Reposition nthe npatient.
