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