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Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank

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Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank

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Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank

Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process 2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ago for my
pain medication. You’re so worthless!” Which action by the nurse demonstrates intellectual
integrity?
1. Refusing to share details of the interaction with colleagues
2. Responding to the patient that the unlicensed assistive personnel (UAP) did not
Multiple Choice communicate the information
Identify the choice that best completes the statement or answers the question. 3. Refusing to provide care for the patient
4. Getting the medication without saying another word

ANS: 1
1. The nurse is caring for a group of patients on a medical–surgical unit. Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
The licensed practical nurse/licensed vocational nurse (LPN/LVN) Objective: 4. Describe attitudes of good critical thinkers.
assesses the patient experiencing a low blood glucosefirst. Which
Page: 3
process was needed to make this decision? Heading: Critical Thinking Attitudes
1. Application of clinical judgment Integrated Process: Communication and Documentation
2. Recommendation of the registered nurse (RN) Client Need: Psychosocial Integrity
3. Understanding of what regulates blood glucose levels Cognitive Level: Application [Applying]
4. Knowing the patient’s past medical history Concept: Communication
Difficulty: Moderate
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process Feedback
Objective: 7. Explain the difference between critical thinking and clinical judgment. 1 This action demonstrates intellectual integrity, as the nurse refuses to speak
Page: 2 poorly about a patient’s behavior.
Heading: Clinical Judgment 2 This action does not allow for accountability and places blame.
Integrated Process: Clinical Problem-Solving Process (Nursing Process) 3 This action does not demonstrate the attitudes of critical thinking.
Client Need: SECE: Coordinated Care 4 Nurses should not allow patients to demean them. The nurse should tell the
Cognitive Level: Comprehension [Understanding]
patient that they now have the opportunity to obtain the medication and will do
Concept: Clinical Judgment
so.
Difficulty: Difficult

Feedback PTS: 1
1 Clinical judgment is the observed outcome of critical thinking and decision CON: Communication
making. The nurse identified the patient at high risk and decided to assess this
person first.
2 The LPN/LVN needs to make clinical decisions independently from the RN.
3
3. The nurse is collecting data on a patient. Which data is considered cues?
Understanding the pathophysiology of the disease does not determine how
1. Respiratory rate of 26 per minute
decisions are made.
4
2. The doctor will be at the agency in 5 minutes
Past medical history is important, but the current clinical cues will determine
3. The patient has three daughters
prioritized nursing actions.
4. The client prefers to use a bedpan rather than a commode chair
PTS: 1 ANS: 1
CON: Patient-Centered Care Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
Objective: 2. Discuss why critical thinking and clinical judgment are essential in nursing.
Page: 4
Heading: Clinical Judgment Process
Integrated Process: Clinical Problem-Solving Process (Nursing Process)

,Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank

Client Need: SECE: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Clinical Judgment 5. The nurse is prioritizing care based on Maslow’s hierarchy of needs. Which need does the nurse
Difficulty: Moderate identify as having the highest priority?
1. Job-related stress
Feedback 2. Feelings of loneliness
1 Respiratory rate of 26 per minute is an example of a cue that alerts the nurse to a 3. Poor sleep habits
possible problem. 4. Lack of confidence
2 The doctor’s presence is not a cue, but just information.
3 The number of children that a patient has is informational, unless the nurse ANS: 3
needs the support of the children to provide care, then it becomes important. Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
4 This is patient preference and not a cue. Objective: 7. Prioritize patient care activities based on Maslow’s hierarchy of human needs.
Page: 6
PTS: 1 Heading: Prioritize Care
CON: Patient-Centered Care Integrated Process: Caring
Client Need: SECE: Coordinated Care
Cognitive Level: Comprehension [Understanding]
Concept: Patient-Centered Care
4. Which items are a part of “generate solutions” when using the clinical judgment process? Difficulty: Easy
1. Reposition the patient.
2. Leg pain is rated at an 8/10. Feedback
1 Job-related stress falls under safety, according to Maslow, and is addressed after
3. Pain medication allowed the patient to sleep.
4. The leg pain is caused from immobility. physiological needs.
2 According to Maslow, loneliness is addressed under social needs, following
ANS: 1 physiological and safety needs.
3 Sleep is a physiological need and is the highest priority.
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
Objective: 2. Discuss why critical thinking and clinical judgment are essential in nursing. 4 Lack of confidence falls under self-esteem, according to Maslow, and is
Page: 4 addressed following physiological, safety, and social needs.
Heading: Clinical Judgement Process
Integrated Process: Clinical Problem-Solving Process (Nursing Process) PTS: 1
Client Need: SECE: Coordinated Care CON: Patient-Centered Care
Cognitive Level: Comprehension [Understanding]
Concept: Patient-Centered Care
Difficulty: Easy
6. The nurse is using the clinical judgment process to provide care to a patient experiencing nausea.
Feedback During the process of generating solutions, the patient begins to vomit. What should the nurse do
1 Repositioning is an action or solution the nurse can use to provide comfort. next?
2 A pain scale rating is a cue. 1. Take actions as prepared.
3 The nurse is evaluating the outcome of the pain medication by recognizing that 2. Evaluate outcomes of the solutions generated.
the patient is not sleeping. 3. Identify and analyze the new cues presented.
4 Recognizing that the pain is from immobility is the step of prioritizing 4. Generate different solutions.
hypotheses.
ANS: 3
PTS: 1 Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
CON: Patient-Centered Care Objective: 2. Discuss why critical thinking and clinical judgment are essential.
in nursing.

,Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank

Page: 5 Feedback
Heading: Clinical Judgment Process 1 The nurse notes a change in the dressing appearance, this is identify cues.
Integrated Process: Clinical Problem-Solving Process (Nursing Process) 2 The nurse notes a change in the dressing appearance, this is identify cues.
Client Need: SECE: Management of Care 3 The nurse notes a change in the dressing appearance, this is identify cues.
Cognitive Level: Application [Applying] 4 The nurse notes a change in the dressing appearance, this is identify cues.
Concept: Clinical Judgment
Difficulty: Moderate
PTS: 1
CON: Patient-Centered Care
Feedback
1 At any point in the cycle of clinical judgment, if a problem is encountered or
something changes, the nurse should go back a step or two in the process and try
again. 8. The nurse is caring for a patient using the nursing process. Which step should the nurse take first?
2 At any point in the cycle of clinical judgment, if a problem is encountered or 1. Implementation
something changes, the nurse should go back a step or two in the process and try 2. Planning
again. 3. Nursing diagnosis
3 At any point in the cycle of clinical judgment, if a problem is encountered or 4. Assessment
something changes, the nurse should go back a step or two in the process and try
again. ANS: 4
4 At any point in the cycle of clinical judgment, if a problem is encountered or Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
something changes, the nurse should go back a step or two in the process and try Objective: 3. Compare the nursing process to the clinical judgment process.
again. Page: 3
Heading: The Nursing Process and Clinical Judgment
PTS: 1 Integrated Process: Clinical Problem-Solving Process (Nursing Process)
CON: Patient-Centered Care Client Need: SECE: Coordinated Care
Cognitive Level: Knowledge [Remembering]
Concept: Patient-Centered Care
Difficulty: Easy
7. While caring for a patient 4 hours after a surgical procedure, the LPN/LVN notes serosanguineous
drainage on the dressing. Which phase of clinical judgment does this represent? Feedback
1. Identify cues 1 The steps of the nursing process are data collection/assessment, nursing
2. Prioritize hypotheses diagnosis, planning, implementation, and evaluation.
3. Generate solutions 2 The steps of the nursing process are data collection/assessment, nursing
4. Evaluate outcomes diagnosis, planning, implementation, and evaluation.
3 The steps of the nursing process are data collection/assessment, nursing
ANS: 1 diagnosis, planning, implementation, and evaluation.
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process 4 Assessment, or data collection, is the first step in the nursing process and is used
Objective: 2. Discuss why critical thinking and clinical judgment are essential to evaluate a patient’s condition before providing care. The other steps, in order,
in nursing. are nursing diagnosis, planning, implementation, and evaluation.
Page: 4
Heading: Clinical Judgment Process
PTS: 1
Integrated Process: Clinical Problem-Solving Process (Nursing Process) CON: Patient-Centered Care
Client Need: SECE: Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Clinical Judgment
Difficulty: Easy 9. The nurse hears the patient groan when getting out of bed and asks if there is pain, using a pain
scale. This describes which step of the clinical judgment process?

, Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank

1. Identify and analyze cues Feedback
2. Prioritize hypotheses 1 Continuation of the symptoms does not show improvement.
3. Take action 2 Additional medication demonstrates the problem is not resolved.
4. Evaluate outcomes 3 Activity without breathing difficulty is a sign of improvement.
4 The client says it is not better, which is not an improvement.
ANS: 1
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process PTS: 1
Objective: 3. Compare the nursing process to the clinical judgment process. CON: Patient-Centered Care
Page: 4
Heading: Clinical Judgment Process
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordination of Care 11. The nurse is speaking with a patient about a new medication. The patient asks the nurse a question
Cognitive Level: Application [Applying] that the nurse cannot answer confidently, and the nurse says, “I’m not sure, but I’ll find out for
Concept: Patient-Centered Care you.” What is the nurse practicing?
Difficulty: Moderate 1. Intellectual humility
2. Intellectual courage
Feedback 3. Intellectual autonomy
1 Recognizing that the client is having pain is a part of identify and analyze cues. 4. Intellectual integrity
2 Prioritize hypotheses occurs when the nurse begins to predict what is causing
the pain. ANS: 1
3 Take action includes the process of treating the pain. Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
4 Evaluate outcomes determines if the treatment was effective. Objective: 4. Describe attitudes of good critical thinkers.
Page: 3
PTS: 1 Heading: Critical Thinking Attitudes
CON: Patient-Centered Care Integrated Process: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Professionalism
10. The nurse is evaluating outcomes for a patient with difficult breathing from asthma. Which Difficulty: Moderate
determines a positive outcome after the delivery of medication?
1. The patient continues to have trouble breathing. Feedback
2. The patient requires additional medication for difficulty breathing. 1 Intellectual humility occurs when a nurse admits they don’t have all the answers
3. The patient can walk to the restroom without reporting shortness of breath. and seeks clarification.
4. The patient tells the nurse they cannot tell a difference in breathing. 2 Intellectual courage looks at other points of view, even when the nurse does not
agree with them.
ANS: 3 3 Intellectual autonomy allows the nurse to make decisions based on safety and
Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process not because of the choices of others.
Objective: 3. Compare the nursing process to the clinical judgment process. 4 A person with intellectual integrity values the truth.
Page: 4
Heading: Clinical Judgment Process PTS: 1
Integrated Process: Clinical Problem-Solving (Nursing Process) CON: Patient-Centered Care
Client Need: SECE: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate 12. The nurse is evaluating outcomes for a patient who is dehydrated. Which outcome should the nurse
use to guide this patient’s care?

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Publisher: 2022 ISBN: 9781719644587 Edition: Unknown

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