, TABLE OF CONTENT xc xc
I.xc Understanding Health Care Issues xc xc xc
1. xcCritical Thinking and the Nursing Process
xc xc xc xc xc
2. xcEvidence Based Practice - NEW!
xc xc xc xc
3. xcIssues in Nursing Practice
xc xc xc
4. xcCultural Influences on Nursing Care
xc xc xc xc
5. xcComplementary and Alternative Modalities xc xc xc
II. Understanding Health and Illness
xc xc xc xc
6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
xc xc xc xc xc xc xc xc xc xc
7. Nursing Care of Patients Receiving Intravenous Therapy
xc xc xc xc xc xc xc
8. Nursing Care of Patients with Infections
xc xc xc xc xc xc
9. Nursing Care of Patients in Shock
xc xc xc xc xc xc
10. Nursing Care of Patients in Pain
xc xc xc xc xc xc
11. Nursing Care of Patients with Cancer
xc xc xc xc xc xc
12. Nursing Care of Patients Having Surgery
xc xc xc xc xc xc
13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
xc xc xc xc xc xc xc xc xc xc
III. xc Understanding Life Span Influences on Health and Illness
xc xc xc xc xc xc xc
14. xc Developing Considerations in the Nursing Care of Adults
xc xc xc xc xc xc xc
15. xc Nursing Care of Older Adult Patients
xc xc xc xc xc
16. xc Nursing Care of the Patient at Home
xc xc xc xc xc xc
17. xc Nursing Care of Patients at the End of Life
xc xc xc xc xc xc xc xc
IV. xc Understanding the Immune System xc xc xc
18. xc Immune System Function, Assessment and Therapeutic Measures
xc xc xc xc xc xc
19. xc Nursing Care of Patients with Immune Disorders
xc xc xc xc xc xc
20. xc Nursing Care of Patients with HIV Disease and AIDS
xc xc xc xc xc xc xc xc
V. Understanding the Cardiovascular System
xc xc xc xc
21. Cardiovascular System Function, Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc
22. Nursing Care of Patients with Hypertension
xc xc xc xc xc xc
23. Nursing Care of Patients with Inflammatory and Infectious Cardiac or Venous Disorders
xc xc xc xc xc xc xc xc xc xc xc xc
24. Nursing Care of Patients with Occlusive Cardiovascular Disorders
xc xc xc xc xc xc xc xc
25. Nursing Care of Patients with Cardiac Dysrhythmias
xc xc xc xc xc xc xc
26. Nursing Care of Patients with Heart Failure
xc xc xc xc xc xc xc
VI. Understanding the Hematopoietic and Lymphatic Systems
xc xc xc xc xc xc
27. Hematopoietic and Lymphatic System Function, Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc xc xc
28. Nursing Care of Patients with Hematopoietic and Lymphatic Disorders
xc xc xc xc xc xc xc xc xc
VII. Understanding the Respiratory System
xc xc xc xc
29. Respiratory System Function and Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc xc
30. Nursing Care of Patients with Upper Respiratory Tract Disorders
xc xc xc xc xc xc xc xc xc
31. Nursing Care of Patients with Lower Respiratory Tract Disorders
xc xc xc xc xc xc xc xc xc
VIII. Understanding xc the Gastrointestinal, Hepatic, and Pancreatic Systems
xc xc xc xc xc xc xc
32. Gastrointestinal,
xc xc Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic Measures
xc xc xc xc xc xc xc xc
33. Nursing Care of
xc xc xc Patients with Upper Gastrointestinal Disorders
xc xc xc xc xc
34. Nursing Care of
xc xc xc Patients with Lower Gastrointestinal Disorders
xc xc xc xc xc
35. Nursing Care of
xc xc xc Patients with Liver,Pancreatic, and Gallbladder Disorders
xc xc xc xc xc xc
IX. Understanding the Urinary System
xc xc xc xc
36. Urinary System Function, Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc
37. Nursing Care of Patients with Disorders of the Urinary System
xc xc xc xc xc xc xc xc xc xc
X. Understanding the Endocrine System
xc xc xc xc
38. Endocrine System Function and Assessment
xc xc xc xc xc
48. Nursing Care of Patients with Endocrine Disorders
xc xc xc xc xc xc xc
40. Nursing Care of Patients with Disorders of the Endocrine Pancreas
xc xc xc xc xc xc xc xc xc xc
XI. Understanding the Genitourinary and Reproductive System
xc xc xc xc xc xc
41. Genitourinary and Reproductive System Function and Assessment
xc xc xc xc xc xc xc
42. Nursing Care of Women with Reproductive System Disorders
xc xc xc xc xc xc xc xc
,43. Nursing Care of Male Patients with Genitourinary Disorders
xc xc xc xc xc xc xc xc
44. Nursing Care of Patients with Sexually Transmitted Diseases
xc xc xc xc xc xc xc xc
XII. Understanding the Musculoskeletal System
xc xc xc xc
45. Musculoskeletal Function and Assessment
xc xc xc xc
46. Nursing Care of Patients with Musculoskeletal and Connective Tissue Disorders
xc xc xc xc xc xc xc xc xc xc
XIII. Understanding the Neurological System
xc xc xc xc
47. Neurologic System Function, Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc
48. Nursing Care of Patients with Central Nervous System Disorders
xc xc xc xc xc xc xc xc xc
49. Nursing Care of Patients with Cerebrovascular Disorders
xc xc xc xc xc xc xc
50. Nursing Care of Patients with Peripheral Nervous System Disorders
xc xc xc xc xc xc xc xc xc
XIV. Understanding the Sensory System
xc xc xc xc
51. Sensory System Function, Assessment, and Therapeutic Measures: Vision And Hearing
xc xc xc xc xc xc xc xc xc xc
52. Nursing Care of Patients with Sensory Disorders - Vision and Hearing
xc xc xc xc xc xc xc xc xc xc xc
XV. Understanding the Integumentary System
xc xc xc xc
53. Integumentary System Function, Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc
54. Nursing Care of Patients with Skin Disorders
xc xc xc xc xc xc xc
55. Nursing Care of Patients with Burns
xc xc xc xc xc xc
XVI. Understanding Mental Health Care
xc xc xc xc
56. Mental Health Function, Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc
57. Nursing Care of Patients with Mental Health Disorders
xc xc xc xc xc xc xc xc
Chapter 1. Critical Thinking and the Nursing Process
xc xc xc xc xc xc xc
MULTIPLE CHOICE xc
1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
should the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
xc xc xc xc xc xc xc xc xc xc
1. A patient with a blood glucose of 42 mg/dL
xc xc xc xc xc xc xc xc
2. A patient who reports a pain level of 2
xc xc xc xc xc xc xc xc
3. A patient who has just received a diagnosis of cancer
xc xc xc xc xc xc xc xc xc
4. A patient who has a respiratory rate of 22
xc xc xc xc xc xc xc xc
ANS: 1 x c x c
Chapter: Chapter 1 Critical Thinking and the Nursing Process
xc xc xc xc xc xc xc xc
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of
xc xc xc xc xc xc xc xc xc xc xc
human needs.
xc xc
Pages: 6–7 xc
Heading: Prioritize Care xc xc
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
xc xc xc xc xc xc
Client Need: SECE—Coordinated Care
xc xc xc xc
Cognitive Level: Application [Applying] xc xc xc
Concept: Patient-Centered Care
xc xc xc
Difficulty: Difficult
xc xc
Feedback
1 This patient has a dangerously low blood glucose level and requires
xc xc xc xc xc xc xc xc xc xc
immediate
xc
intervention.
2 This patient will need to be assessed, but is not as high a priority.
xc xc xc xc xc xc xc xc xc xc xc xc xc
, 3 According to Maslow, psychosocial needs are not as high of a priority as
xc xc xc xc xc xc xc xc xc xc xc xc
physiological needs. xc
4 A respiratory rate of 22 is within normal range.
xc xc xc xc xc xc xc xc
PTS: 1 CON: x c Patient-Centered Care xc
2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
minutes ago for my pain medication. I’m going to call the CEO of the hospital if you
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
don’t get it for me now.” Which statement by the nurse demonstrates intellectual
xc xc xc xc xc xc xc xc xc xc xc xc xc
empathy?
xc
1. “We are short-staffed today, so it will take me longer to meet your needs.”
xc xc xc xc xc xc xc xc xc xc xc xc xc
2. “I am sorry you had to wait, I know you must be in a lot of pain.”
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
3. “I had another patient who had severe pain, and I had to get to them first.”
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
4. “I will get you the number for the CEO, but he is aware of how busy we are.”
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ANS: 2 x c x c
Chapter: Chapter 1 Critical Thinking and the Nursing Process
xc xc xc xc xc xc xc xc
Objective: 2. Describe attitudes and skills that promote good critical
xc xc xc xc xc xc xc xc xc
thinking Page: 2
xc xc xc
Heading: Intellectual Empathy
xc xc
Integrated Process: Communication and
xc xc xc
Documentation Client Need: Psychosocial Integrity
xc xc xc xc xc
I.xc Understanding Health Care Issues xc xc xc
1. xcCritical Thinking and the Nursing Process
xc xc xc xc xc
2. xcEvidence Based Practice - NEW!
xc xc xc xc
3. xcIssues in Nursing Practice
xc xc xc
4. xcCultural Influences on Nursing Care
xc xc xc xc
5. xcComplementary and Alternative Modalities xc xc xc
II. Understanding Health and Illness
xc xc xc xc
6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
xc xc xc xc xc xc xc xc xc xc
7. Nursing Care of Patients Receiving Intravenous Therapy
xc xc xc xc xc xc xc
8. Nursing Care of Patients with Infections
xc xc xc xc xc xc
9. Nursing Care of Patients in Shock
xc xc xc xc xc xc
10. Nursing Care of Patients in Pain
xc xc xc xc xc xc
11. Nursing Care of Patients with Cancer
xc xc xc xc xc xc
12. Nursing Care of Patients Having Surgery
xc xc xc xc xc xc
13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
xc xc xc xc xc xc xc xc xc xc
III. xc Understanding Life Span Influences on Health and Illness
xc xc xc xc xc xc xc
14. xc Developing Considerations in the Nursing Care of Adults
xc xc xc xc xc xc xc
15. xc Nursing Care of Older Adult Patients
xc xc xc xc xc
16. xc Nursing Care of the Patient at Home
xc xc xc xc xc xc
17. xc Nursing Care of Patients at the End of Life
xc xc xc xc xc xc xc xc
IV. xc Understanding the Immune System xc xc xc
18. xc Immune System Function, Assessment and Therapeutic Measures
xc xc xc xc xc xc
19. xc Nursing Care of Patients with Immune Disorders
xc xc xc xc xc xc
20. xc Nursing Care of Patients with HIV Disease and AIDS
xc xc xc xc xc xc xc xc
V. Understanding the Cardiovascular System
xc xc xc xc
21. Cardiovascular System Function, Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc
22. Nursing Care of Patients with Hypertension
xc xc xc xc xc xc
23. Nursing Care of Patients with Inflammatory and Infectious Cardiac or Venous Disorders
xc xc xc xc xc xc xc xc xc xc xc xc
24. Nursing Care of Patients with Occlusive Cardiovascular Disorders
xc xc xc xc xc xc xc xc
25. Nursing Care of Patients with Cardiac Dysrhythmias
xc xc xc xc xc xc xc
26. Nursing Care of Patients with Heart Failure
xc xc xc xc xc xc xc
VI. Understanding the Hematopoietic and Lymphatic Systems
xc xc xc xc xc xc
27. Hematopoietic and Lymphatic System Function, Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc xc xc
28. Nursing Care of Patients with Hematopoietic and Lymphatic Disorders
xc xc xc xc xc xc xc xc xc
VII. Understanding the Respiratory System
xc xc xc xc
29. Respiratory System Function and Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc xc
30. Nursing Care of Patients with Upper Respiratory Tract Disorders
xc xc xc xc xc xc xc xc xc
31. Nursing Care of Patients with Lower Respiratory Tract Disorders
xc xc xc xc xc xc xc xc xc
VIII. Understanding xc the Gastrointestinal, Hepatic, and Pancreatic Systems
xc xc xc xc xc xc xc
32. Gastrointestinal,
xc xc Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic Measures
xc xc xc xc xc xc xc xc
33. Nursing Care of
xc xc xc Patients with Upper Gastrointestinal Disorders
xc xc xc xc xc
34. Nursing Care of
xc xc xc Patients with Lower Gastrointestinal Disorders
xc xc xc xc xc
35. Nursing Care of
xc xc xc Patients with Liver,Pancreatic, and Gallbladder Disorders
xc xc xc xc xc xc
IX. Understanding the Urinary System
xc xc xc xc
36. Urinary System Function, Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc
37. Nursing Care of Patients with Disorders of the Urinary System
xc xc xc xc xc xc xc xc xc xc
X. Understanding the Endocrine System
xc xc xc xc
38. Endocrine System Function and Assessment
xc xc xc xc xc
48. Nursing Care of Patients with Endocrine Disorders
xc xc xc xc xc xc xc
40. Nursing Care of Patients with Disorders of the Endocrine Pancreas
xc xc xc xc xc xc xc xc xc xc
XI. Understanding the Genitourinary and Reproductive System
xc xc xc xc xc xc
41. Genitourinary and Reproductive System Function and Assessment
xc xc xc xc xc xc xc
42. Nursing Care of Women with Reproductive System Disorders
xc xc xc xc xc xc xc xc
,43. Nursing Care of Male Patients with Genitourinary Disorders
xc xc xc xc xc xc xc xc
44. Nursing Care of Patients with Sexually Transmitted Diseases
xc xc xc xc xc xc xc xc
XII. Understanding the Musculoskeletal System
xc xc xc xc
45. Musculoskeletal Function and Assessment
xc xc xc xc
46. Nursing Care of Patients with Musculoskeletal and Connective Tissue Disorders
xc xc xc xc xc xc xc xc xc xc
XIII. Understanding the Neurological System
xc xc xc xc
47. Neurologic System Function, Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc
48. Nursing Care of Patients with Central Nervous System Disorders
xc xc xc xc xc xc xc xc xc
49. Nursing Care of Patients with Cerebrovascular Disorders
xc xc xc xc xc xc xc
50. Nursing Care of Patients with Peripheral Nervous System Disorders
xc xc xc xc xc xc xc xc xc
XIV. Understanding the Sensory System
xc xc xc xc
51. Sensory System Function, Assessment, and Therapeutic Measures: Vision And Hearing
xc xc xc xc xc xc xc xc xc xc
52. Nursing Care of Patients with Sensory Disorders - Vision and Hearing
xc xc xc xc xc xc xc xc xc xc xc
XV. Understanding the Integumentary System
xc xc xc xc
53. Integumentary System Function, Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc
54. Nursing Care of Patients with Skin Disorders
xc xc xc xc xc xc xc
55. Nursing Care of Patients with Burns
xc xc xc xc xc xc
XVI. Understanding Mental Health Care
xc xc xc xc
56. Mental Health Function, Assessment, and Therapeutic Measures
xc xc xc xc xc xc xc
57. Nursing Care of Patients with Mental Health Disorders
xc xc xc xc xc xc xc xc
Chapter 1. Critical Thinking and the Nursing Process
xc xc xc xc xc xc xc
MULTIPLE CHOICE xc
1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
should the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
xc xc xc xc xc xc xc xc xc xc
1. A patient with a blood glucose of 42 mg/dL
xc xc xc xc xc xc xc xc
2. A patient who reports a pain level of 2
xc xc xc xc xc xc xc xc
3. A patient who has just received a diagnosis of cancer
xc xc xc xc xc xc xc xc xc
4. A patient who has a respiratory rate of 22
xc xc xc xc xc xc xc xc
ANS: 1 x c x c
Chapter: Chapter 1 Critical Thinking and the Nursing Process
xc xc xc xc xc xc xc xc
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of
xc xc xc xc xc xc xc xc xc xc xc
human needs.
xc xc
Pages: 6–7 xc
Heading: Prioritize Care xc xc
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
xc xc xc xc xc xc
Client Need: SECE—Coordinated Care
xc xc xc xc
Cognitive Level: Application [Applying] xc xc xc
Concept: Patient-Centered Care
xc xc xc
Difficulty: Difficult
xc xc
Feedback
1 This patient has a dangerously low blood glucose level and requires
xc xc xc xc xc xc xc xc xc xc
immediate
xc
intervention.
2 This patient will need to be assessed, but is not as high a priority.
xc xc xc xc xc xc xc xc xc xc xc xc xc
, 3 According to Maslow, psychosocial needs are not as high of a priority as
xc xc xc xc xc xc xc xc xc xc xc xc
physiological needs. xc
4 A respiratory rate of 22 is within normal range.
xc xc xc xc xc xc xc xc
PTS: 1 CON: x c Patient-Centered Care xc
2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
minutes ago for my pain medication. I’m going to call the CEO of the hospital if you
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
don’t get it for me now.” Which statement by the nurse demonstrates intellectual
xc xc xc xc xc xc xc xc xc xc xc xc xc
empathy?
xc
1. “We are short-staffed today, so it will take me longer to meet your needs.”
xc xc xc xc xc xc xc xc xc xc xc xc xc
2. “I am sorry you had to wait, I know you must be in a lot of pain.”
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
3. “I had another patient who had severe pain, and I had to get to them first.”
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
4. “I will get you the number for the CEO, but he is aware of how busy we are.”
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ANS: 2 x c x c
Chapter: Chapter 1 Critical Thinking and the Nursing Process
xc xc xc xc xc xc xc xc
Objective: 2. Describe attitudes and skills that promote good critical
xc xc xc xc xc xc xc xc xc
thinking Page: 2
xc xc xc
Heading: Intellectual Empathy
xc xc
Integrated Process: Communication and
xc xc xc
Documentation Client Need: Psychosocial Integrity
xc xc xc xc xc
