Test Bank for Understanding Medical-
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Surgical Nursing
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ap th Edition Linda S. Williams Paula D. H
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opper
,TABLE OF CONTENTS
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Unit 1 Understanding Health Care Issues
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1. Critical Thinking andthe Nursing Process
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2. Evidence-Based Practice ap
3. Issues in NursingPractice
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4. Cultural Influences on NursingCare
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5. Complementary and Alternative Modalities ap ap ap
Unit 2 Understanding Health and Illness
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6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
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7. Nursing Care of Patients Receiving Intravenous Therapy
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8. Nursing Care of Patients withInfections
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9. Nursing Care of Patients inShock
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10. Nursing Care of Patients inPain
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11. Nursing Care of Patients WithCancer
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12. Nursing Care of Patients HavingSurgery
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13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
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Unit 3 Understanding Life Span Influences on Health and Illness
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14. Developmental Considerations and Chronic Illness in the Nursing Care of Adults
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15. Nursing Care of Older AdultPatients
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16. Patient Care Settings
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17. Nursing Care of Patients at the End of Life
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Unit 4 Understanding the Immune System
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18. Immune System Function, Assessment and Therapeutic Measures
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19. Nursing Care of Patients With Immune Disorders
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20. Nursing Care of Patients With HIV Disease and AIDS
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Unit 5 Understanding the Cardiovascular System
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21. Cardiovascular System Function, Assessment and Therapeutic Measures
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22. Nursing Care of Patients WithHypertension
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23. Nursing Care of Patients With Valvular, Inflammatory and Infectious Cardiac or Venous Disorders
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24. Nursing Care of Patients With Occlusive Cardiovascular Disorders
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25. Nursing Care of Patients With Cardiac Arrhythmias
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26. Nursing Care of Patients With Heart Failure
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Unit 6 Understanding the Hematologic and Lymphatic Systems
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27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
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28. Nursing Care of Patients With Hematologic and Lymphatic Disorders
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Unit 7 Understanding the Respiratory System
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29. Respiratory System Function, Assessment, and Therapeutic Measures
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30. Nursing Care of Patients With Upper Respiratory Tract Disorders
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31. Nursing Care of Patients With Lower Respiratory Tract Disorders
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,Unit 8 Understanding the Gastrointestinal, Hepatic, and Pancreatic Systems
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32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic Measures
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33. Nursing Care of Patients With Upper Gastrointestinal Disorders
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34. Nursing Care of Patients With Lower Gastrointestinal Disorders
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35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
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Unit 9 Understanding the Urinary System
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36. Urinary System Function, Assessment, and Therapeutic Measures
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37. Nursing Care of Patients With Disorders of the Urinary System
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Unit 10 Understanding the Endocrine System
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38. Endocrine System Function andAssessment
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39. Nursing Care of Patients With Endocrine Disorders
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40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
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Unit 11 Understanding the Genitourinary and Reproductive System
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41. Genitourinary and Reproductive System Function and Assessment
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42. Nursing Care of Women With Reproductive System Disorders
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43. Nursing Care of Male Patients With Genitourinary Disorders
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44. Nursing Care of Patients With Sexually Transmitted Infections
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Unit 12 Understanding the Musculoskeletal System
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45. Musculoskeletal Function and Assessment ap ap ap
46. Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
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Unit 13 Understanding the Neurologic System
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47. Neurologic System Function, Assessment, and Therapeutic Measures
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48. Nursing Care of Patients With Central Nervous System Disorders
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49. Nursing Care of Patients With Cerebrovascular Disorders
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50. Nursing Care of Patients With Peripheral Nervous System Disorders
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Unit 14 Understanding the Sensory System
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51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing
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52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
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Unit 15 Understanding the Integumentary System
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53. Integumentary System Function, Assessment and Therapeutic Measures
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54. Nursing Care of Patients With Skin Disorders
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55. Nursing Care of Patients WithBurns
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Unit 16 Understanding Mental Health Care
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56. Mental Health Function, Assessment, and Therapeutic Measures
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57. Nursing Care of Patients With Mental Health Disorders
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, Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE ap
1. The nurse is caring for a group of patients on a medical-
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surgical unit. Which patient should the licensed practical nurse/licensed vocational nurse (L
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PN/LVN) assess first? ap ap
1. A patient with a blood glucose of 42 mg/dL
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2. A patient who reports a pain level of 2
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3. A patient who has just received a diagnosis of cancer
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4. A patient who has a respiratory rate of 22
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ANS: 1 a p
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human n
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eeds.
Pages: 6–7 ap
Heading: Prioritize Care ap ap
Integrated Process: Clinical Problem- ap ap ap
Solving Process (Nursing Process) Client Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying] ap ap ap ap
Concept: Patient- ap
Centered Care Difficulty: Difficult ap ap ap
Feedback
1 This patient has a dangerously low blood glucose level and requires immediate int
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ervention.
2 This patient will need to be assessed, but is not as high a priority.
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3 According to Maslow, psychosocial needs are not as high of a priority as physiolog
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ical needs. ap
4 A respiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-CenteredCare ap ap
2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes ago f
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or my pain medication. I’m going to call the CEO of the hospital if you don’t get it for me n
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ow.‖ Which statement by the nurse demonstrates intellectual empathy?
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1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
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2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
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3. ―I had another patient who had severe pain, and I had to get to them first.‖
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4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
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ANS: 2 a p
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 2. Describe attitudes and skills that promote good critical thinking
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Page: 2 ap
Heading: Intellectual Empathy ap ap
Integrated Process: Communication and Documentation
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Client Need: Psychosocial Integrity
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Cognitive Level: Application [Applying] ap ap ap
ap ap ap ap
Surgical Nursing
ap ap
ap th Edition Linda S. Williams Paula D. H
ap ap ap ap ap ap ap
opper
,TABLE OF CONTENTS
ap ap
Unit 1 Understanding Health Care Issues
ap ap ap ap ap
1. Critical Thinking andthe Nursing Process
ap ap ap ap
2. Evidence-Based Practice ap
3. Issues in NursingPractice
ap ap ap
4. Cultural Influences on NursingCare
ap ap ap ap
5. Complementary and Alternative Modalities ap ap ap
Unit 2 Understanding Health and Illness
ap ap ap ap ap
6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
ap ap ap ap ap ap ap ap ap
7. Nursing Care of Patients Receiving Intravenous Therapy
ap ap ap ap ap ap
8. Nursing Care of Patients withInfections
ap ap ap ap
9. Nursing Care of Patients inShock
ap ap ap ap
10. Nursing Care of Patients inPain
ap ap ap ap
11. Nursing Care of Patients WithCancer
ap ap ap ap
12. Nursing Care of Patients HavingSurgery
ap ap ap ap
13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
ap ap ap ap ap ap ap ap ap
Unit 3 Understanding Life Span Influences on Health and Illness
ap ap ap ap ap ap ap ap ap
14. Developmental Considerations and Chronic Illness in the Nursing Care of Adults
ap ap ap ap ap ap ap ap ap ap
15. Nursing Care of Older AdultPatients
ap ap ap ap
16. Patient Care Settings
ap ap
17. Nursing Care of Patients at the End of Life
ap ap ap ap ap ap ap ap
Unit 4 Understanding the Immune System
ap ap ap ap ap
18. Immune System Function, Assessment and Therapeutic Measures
ap ap ap ap ap ap
19. Nursing Care of Patients With Immune Disorders
ap ap ap ap ap ap
20. Nursing Care of Patients With HIV Disease and AIDS
ap ap ap ap ap ap ap ap
Unit 5 Understanding the Cardiovascular System
ap ap ap ap ap
21. Cardiovascular System Function, Assessment and Therapeutic Measures
ap ap ap ap ap ap
22. Nursing Care of Patients WithHypertension
ap ap ap ap
23. Nursing Care of Patients With Valvular, Inflammatory and Infectious Cardiac or Venous Disorders
ap ap ap ap ap ap ap ap ap ap ap ap
24. Nursing Care of Patients With Occlusive Cardiovascular Disorders
ap ap ap ap ap ap ap
25. Nursing Care of Patients With Cardiac Arrhythmias
ap ap ap ap ap ap
26. Nursing Care of Patients With Heart Failure
ap ap ap ap ap ap
Unit 6 Understanding the Hematologic and Lymphatic Systems
ap ap ap ap ap ap ap
27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
ap ap ap ap ap ap ap ap
28. Nursing Care of Patients With Hematologic and Lymphatic Disorders
ap ap ap ap ap ap ap ap
Unit 7 Understanding the Respiratory System
ap ap ap ap ap
29. Respiratory System Function, Assessment, and Therapeutic Measures
ap ap ap ap ap ap
30. Nursing Care of Patients With Upper Respiratory Tract Disorders
ap ap ap ap ap ap ap ap
31. Nursing Care of Patients With Lower Respiratory Tract Disorders
ap ap ap ap ap ap ap ap
,Unit 8 Understanding the Gastrointestinal, Hepatic, and Pancreatic Systems
ap ap ap ap ap ap ap ap
32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic Measures
ap ap ap ap ap ap ap ap ap
33. Nursing Care of Patients With Upper Gastrointestinal Disorders
ap ap ap ap ap ap ap
34. Nursing Care of Patients With Lower Gastrointestinal Disorders
ap ap ap ap ap ap ap
35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
ap ap ap ap ap ap ap ap ap
Unit 9 Understanding the Urinary System
ap ap ap ap ap
36. Urinary System Function, Assessment, and Therapeutic Measures
ap ap ap ap ap ap
37. Nursing Care of Patients With Disorders of the Urinary System
ap ap ap ap ap ap ap ap ap
Unit 10 Understanding the Endocrine System
ap ap ap ap ap
38. Endocrine System Function andAssessment
ap ap ap
39. Nursing Care of Patients With Endocrine Disorders
ap ap ap ap ap ap
40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
ap ap ap ap ap ap ap ap ap
Unit 11 Understanding the Genitourinary and Reproductive System
ap ap ap ap ap ap ap
41. Genitourinary and Reproductive System Function and Assessment
ap ap ap ap ap ap
42. Nursing Care of Women With Reproductive System Disorders
ap ap ap ap ap ap ap
43. Nursing Care of Male Patients With Genitourinary Disorders
ap ap ap ap ap ap ap
44. Nursing Care of Patients With Sexually Transmitted Infections
ap ap ap ap ap ap ap
Unit 12 Understanding the Musculoskeletal System
ap ap ap ap ap
45. Musculoskeletal Function and Assessment ap ap ap
46. Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
ap ap ap ap ap ap ap ap ap
Unit 13 Understanding the Neurologic System
ap ap ap ap ap
47. Neurologic System Function, Assessment, and Therapeutic Measures
ap ap ap ap ap ap
48. Nursing Care of Patients With Central Nervous System Disorders
ap ap ap ap ap ap ap ap
49. Nursing Care of Patients With Cerebrovascular Disorders
ap ap ap ap ap ap
50. Nursing Care of Patients With Peripheral Nervous System Disorders
ap ap ap ap ap ap ap ap
Unit 14 Understanding the Sensory System
ap ap ap ap ap
51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing
ap ap ap ap ap ap ap ap ap
52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
ap ap ap ap ap ap ap ap ap
Unit 15 Understanding the Integumentary System
ap ap ap ap ap
53. Integumentary System Function, Assessment and Therapeutic Measures
ap ap ap ap ap ap
54. Nursing Care of Patients With Skin Disorders
ap ap ap ap ap ap
55. Nursing Care of Patients WithBurns
ap ap ap ap
Unit 16 Understanding Mental Health Care
ap ap ap ap ap
56. Mental Health Function, Assessment, and Therapeutic Measures
ap ap ap ap ap ap
57. Nursing Care of Patients With Mental Health Disorders
ap ap ap ap ap ap ap
, Chapter 1. Critical Thinking and the Nursing Process
ap ap ap ap ap ap ap
MULTIPLE CHOICE ap
1. The nurse is caring for a group of patients on a medical-
ap ap ap ap ap ap ap ap ap ap ap
surgical unit. Which patient should the licensed practical nurse/licensed vocational nurse (L
ap ap ap ap ap ap ap ap ap ap ap
PN/LVN) assess first? ap ap
1. A patient with a blood glucose of 42 mg/dL
ap ap ap ap ap ap ap ap
2. A patient who reports a pain level of 2
ap ap ap ap ap ap ap ap
3. A patient who has just received a diagnosis of cancer
ap ap ap ap ap ap ap ap ap
4. A patient who has a respiratory rate of 22
ap ap ap ap ap ap ap ap
ANS: 1 a p
Chapter: Chapter 1 Critical Thinking and the Nursing Process
ap ap ap ap ap ap ap ap
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human n
ap ap ap ap ap ap ap ap ap ap ap ap ap
eeds.
Pages: 6–7 ap
Heading: Prioritize Care ap ap
Integrated Process: Clinical Problem- ap ap ap
Solving Process (Nursing Process) Client Need: SECE—Coordinated Care
ap ap ap ap ap ap ap
Cognitive Level: Application [Applying] ap ap ap ap
Concept: Patient- ap
Centered Care Difficulty: Difficult ap ap ap
Feedback
1 This patient has a dangerously low blood glucose level and requires immediate int
ap ap ap ap ap ap ap ap ap ap ap ap
ervention.
2 This patient will need to be assessed, but is not as high a priority.
ap ap ap ap ap ap ap ap ap ap ap ap ap
3 According to Maslow, psychosocial needs are not as high of a priority as physiolog
ap ap ap ap ap ap ap ap ap ap ap ap ap
ical needs. ap
4 A respiratory rate of 22 is within normal range.
ap ap ap ap ap ap ap ap
PTS: 1 CON: Patient-CenteredCare ap ap
2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes ago f
ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap
or my pain medication. I’m going to call the CEO of the hospital if you don’t get it for me n
ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap
ow.‖ Which statement by the nurse demonstrates intellectual empathy?
ap ap ap ap ap ap ap ap
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
ap ap ap ap ap ap ap ap ap ap ap ap ap
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap
3. ―I had another patient who had severe pain, and I had to get to them first.‖
ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap
ANS: 2 a p
Chapter: Chapter 1 Critical Thinking and the Nursing Process
ap ap ap ap ap ap ap ap
Objective: 2. Describe attitudes and skills that promote good critical thinking
ap ap ap ap ap ap ap ap ap ap ap
Page: 2 ap
Heading: Intellectual Empathy ap ap
Integrated Process: Communication and Documentation
ap ap ap ap ap
Client Need: Psychosocial Integrity
ap ap ap
Cognitive Level: Application [Applying] ap ap ap