Test Bank for Understanding Medical-Surgical Nursing 6th Edition Linda S. Williams Paula D. Hopper

Chapter 1. Critical Thinking and the Nursing Process MULTIPLE CHOICE 1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient should the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first? 1. A patient with a blood glucose of 42 mg/dL 2. A patient who reports a pain level of 2 3. A patient who has just received a diagnosis of cancer 4. A patient who has a respiratory rate of 22 ANS: 1 Chapter: Chapter 1 Critical Thinking and the Nursing Process Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human needs. Pages: 6–7 Heading: Prioritize Care Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: SECE—Coordinated Care Cognitive Level: Application [Applying] Concept: Patient-Centered Care Difficulty: Difficult Feedback 1 This patient has a dangerously low blood glucose level and requires immediate intervention. 2 This patient will need to be assessed, but is not as high a priority. 3 According to Maslow, psychosocial needs are not as high of a priority as physiological needs. 4 A respiratory rate of 22 is within normal range. PTS: 1 CON: Patient-Centered Care 2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes ago for my pain medication. I’m going to call the CEO of the hospital if you don’t get it for me now.‖ Which statement by the nurse demonstrates intellectual empathy? 1. ―We are short-staffed today, so it will take me longer to meet your needs.‖ 2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖ 3. ―I had another patient who had severe pain, and I had to get to them first.‖ 4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖ ANS: 2 Chapter: Chapter 1 Critical Thinking and the Nursing Process Objective: 2. Describe attitudes and skills that promote good critical thinking Page: 2 Heading: Intellectual Empathy Integrated Process: Communication and Documentation Client Need: Psychosocial IntegrityCognitive Level: Application [Applying] Concept: Communication Difficulty: Moderate Feedback 1 This statement does not consider an individual’s situation. 2 This statement demonstrates intellectual empathy by considering this patient’s situation and will likely alleviate the patient’s anger. 3 This statement does not consider a patient’s situation and does not demonstrate intellectual empathy. 4 This statement addresses the patient’s statement of wanting to call the CEO, but does not demonstrate intellectual empathy by considering the patient’s situation. PTS: 1 CON: Communication