,Chapterg1.gCriticalgThinkinggandgthegNursinggProcess
MULTIPLEgCHOICE
1. Thegnursegisgcaringgforgaggroupgofgpatientsgongagmedical-
surgicalgunit.gWhichgpatientgshouldgtheglicensedgpracticalgnurse/licensedgvocationalgnurseg
(LPN/LVN)gassessgfirst?
1. Agpatientgwithgagbloodgglucosegofg42gmg/dL
2. Agpatientgwhogreportsgagpainglevelgofg2
3. Agpatientgwhoghasgjustgreceivedgagdiagnosisgofgcancer
4. Agpatientgwhoghasgagrespiratorygrategofg22
ANS:g g 1
Chapter:gChapterg1gCriticalgThinkinggandgthegNursinggProcess
Objective:g7.gPrioritizegpatientgcaregactivitiesgbasedgongthegMaslowghierarchygofghuma
ngneeds.
Pages:g6–7
Heading:gPrioritizegCare
IntegratedgProcess:gClinicalgProblem-
SolvinggProcessg(NursinggProcess)gClientgNeed:gSECE—CoordinatedgCare
CognitivegLevel:gApplicationg[Applying]
gConcept:gPatient-
CenteredgCaregDifficulty:gDifficult
Feedback
1 Thisgpatientghasgagdangerouslyglowgbloodgglucoseglevelgandgrequiresgimmediate
intervention.
2 Thisgpatientgwillgneedgtogbegassessed,gbutgisgnotgasghighgagpriority.
3 AccordinggtogMaslow,gpsychosocialgneedsgaregnotgasghighgofgagprioritygas
physiologicalgneeds.
4 Agrespiratorygrategofg22gisgwithingnormalgrange.
PTS: 1 CON:g Patient-CenteredgCare
2. ThegLPN/LVNgentersgthegroomgofgagpatientgwhogisgangrygandgyells,g“Igaskedg5gminutesgag
ogforgmygpaingmedication.gI’mggoinggtogcallgthegCEOgofgtheghospitalgifgyougdon’tggetgitgfor
gmegnow.”gWhichgstatementgbygthegnursegdemonstratesgintellectualgempathy?
1. “Wegaregshort-staffedgtoday,gsogitgwillgtakegmeglongergtogmeetgyourgneeds.”
2. “Igamgsorrygyoughadgtogwait,gIgknowgyougmustgbegingaglotgofgpain.”
3. “Ighadganothergpatientgwhoghadgseveregpain,gandgIghadgtoggetgtogthemgfirst.”
4. “IgwillggetgyougthegnumbergforgthegCEO,gbutghegisgawaregofghowgbusygwegare.”
ANS:g g 2
Chapter:gChapterg1gCriticalgThinkinggandgthegNursinggProcess
Objective:g2.gDescribegattitudesgandgskillsgthatgpromoteggoodgcriticalgthinkin
ggPage:g2
Heading:gIntellectualgEmpathy
IntegratedgProcess:gCommunicationgandgDocumentation
gClientgNeed:gPsychosocialgIntegrity
, CognitivegLevel:gApplicationg[Applying]
gConcept:gCommunication
Difficulty:gModerate
Feedback
1 Thisgstatementgdoesgnotgconsidergangindividual’sgsituation.
2 Thisgstatementgdemonstratesgintellectualgempathygbygconsideringgthisgpatient’sgs
ituationgandgwillglikelygalleviategthegpatient’sganger.
3 Thisgstatementgdoesgnotgconsidergagpatient’sgsituationgandgdoesgnotgdemonstrate
intellectualgempathy.
4 Thisgstatementgaddressesgthegpatient’sgstatementgofgwantinggtogcallgthegCEO,gb
utgdoesgnotgdemonstrategintellectualgempathygbygconsideringgthegpatient’sgsitua
tion.
PTS: 1 CON:g Communication
3. Thegnursegisgcollectinggdatagongagpatient.gWhichgdatagaregdescribedgasgsubjective?
1. Respiratorygrategofg26gpergminute
2. Patientgreportgofgshortnessgofgbreath
3. Coarseglunggsoundsgbilaterally
4. Coughgproducingggreengsputum
ANS:g g 2
Chapter:gChapterg1gCriticalgThinkinggandgthegNursinggProcessgOb
jective:g5.gDifferentiategbetweengobjectivegandgsubjectivegdata.gPa
ge:g4
Heading:gSubjectivegData
IntegratedgProcess:gCommunicationgandgDocumentation
gClientgNeed:gCommunicationgandgDocumentationgCog
nitivegLevel:gApplicationg(Applying)
Concept:gCommunication
gDifficulty:gModerate
Feedback
1 Respiratorygrategofg26gpergminutegisgangexamplegofgobjectivegdata.
2 Agpatientgreportinggsymptomsgtogthegnursegisgangexamplegofgsubjectivegdata.
3 Coarseglunggsoundsgisgangexamplegofgobjectivegdata.
4 Agproductivegcoughgisgangexamplegofgobjectivegdata.
PTS: 1 CON:g Communication
4. Agpatientgwithgagnewlygfracturedgfemurgreportsgagpainglevelgofg8/10gandganalgesicgmedicatio
ngisgnotgduegforganotherg50gminutes.gWhichgactiongshouldgthegnursegtakegfirst?
1. Repositiongthegpatient.
2. Givegthegmedicationging30gminutes.
3. Notifygthegregisteredgnurseg(RN)gorgphysician.
4. Tellgthegpatientgitgisgtoogearlygforgpaingmedication
.gANS:g 3
, Chapter:gChapterg1gCriticalgThinkinggandgthegNursinggProcess
Objective:g4.gIdentifygthegrolegofgaglicensedgpracticalgnurse/licensedgvocationalgnursegingusin
ggthegnursinggprocess.
Page:g3
Heading:gClinicalgJudgement
IntegratedgProcess:gClinicalgProblem-
solvinggProcessg(NursinggProcess)gClientgNeed:gSECE—CoordinatedgCare
CognitivegLevel:gApplicationg[Applying]
gConcept:gPatient-
CenteredgCaregDifficulty:gModerate
Feedback
1 Thegpatientgwhoghasgagfracturedgfemurgisghavinggacutegpain.gRepositioningga
patientgwithgagnewgfracturegisgnotglikelygtogrelievegpain.
2 Givinggthegmedicationgbeforegthegprescribedgtimegisgbeyondgthegnurse’sgscope
gofgpractice.
3 Thegpatientgshouldgnotghavegtogwaitgforgpaingrelief,gsogthegLPNgshouldginform
thegRNgorgphysiciangsognewgpaingreliefgordersgcangbegobtained.
4 Thegnursegneedsgtogdogmoregthangexpectgthegpatientgtogwaitgforgpaingrelief.
PTS: 1 CON:g Patient-CenteredgCare
5. ThegnursegisgprioritizinggcaregbasedgongMaslowghierarchygofgneeds.gWhichgneedgdoesgth
egnursegidentifygasghavinggtheghighestgpriority?
1. Job-relatedgstress
2. Feelinggofgloneliness
3. Painglevelgofg9gong0-to-10gscale
4. Lackgofgconfidence
ANS:g g 3
Chapter:gChapterg1gCriticalgThinkinggandgthegNursinggProcess
Objective:g7.gPrioritizegpatientgcaregactivitiesgbasedgongthegMaslowghierarchygofghuma
ngneeds
Page:g7
Heading:gPrioritizegCaregIn
tegratedgProcess:gCaring
ClientgNeed:gSECEg–
gCoordinatedgCaregCognitivegLevel:gApp
licationg[Applying]gConcept:gPatient-
CenteredgCaregDifficulty:gModerate
Feedback
1 Job-relatedgstressgfallsgundergsafetygaccordinggtogMaslowgandgisgaddressedgafter
physiologicalgneeds.
2 AccordinggtogMaslow,glonelinessgisgaddressedgundergsocialgneedsgfollowinggphy
siologicalgandgsafety.
3 Paingisgagphysiologicalgneedgandgisgtheghighestgpriority.
4 LackgofgconfidencegfallsgundergesteemgaccordinggtogMaslowgandgisgaddressedgfo
llowinggphysiological,gsafety,gandgsocialgneeds.
MULTIPLEgCHOICE
1. Thegnursegisgcaringgforgaggroupgofgpatientsgongagmedical-
surgicalgunit.gWhichgpatientgshouldgtheglicensedgpracticalgnurse/licensedgvocationalgnurseg
(LPN/LVN)gassessgfirst?
1. Agpatientgwithgagbloodgglucosegofg42gmg/dL
2. Agpatientgwhogreportsgagpainglevelgofg2
3. Agpatientgwhoghasgjustgreceivedgagdiagnosisgofgcancer
4. Agpatientgwhoghasgagrespiratorygrategofg22
ANS:g g 1
Chapter:gChapterg1gCriticalgThinkinggandgthegNursinggProcess
Objective:g7.gPrioritizegpatientgcaregactivitiesgbasedgongthegMaslowghierarchygofghuma
ngneeds.
Pages:g6–7
Heading:gPrioritizegCare
IntegratedgProcess:gClinicalgProblem-
SolvinggProcessg(NursinggProcess)gClientgNeed:gSECE—CoordinatedgCare
CognitivegLevel:gApplicationg[Applying]
gConcept:gPatient-
CenteredgCaregDifficulty:gDifficult
Feedback
1 Thisgpatientghasgagdangerouslyglowgbloodgglucoseglevelgandgrequiresgimmediate
intervention.
2 Thisgpatientgwillgneedgtogbegassessed,gbutgisgnotgasghighgagpriority.
3 AccordinggtogMaslow,gpsychosocialgneedsgaregnotgasghighgofgagprioritygas
physiologicalgneeds.
4 Agrespiratorygrategofg22gisgwithingnormalgrange.
PTS: 1 CON:g Patient-CenteredgCare
2. ThegLPN/LVNgentersgthegroomgofgagpatientgwhogisgangrygandgyells,g“Igaskedg5gminutesgag
ogforgmygpaingmedication.gI’mggoinggtogcallgthegCEOgofgtheghospitalgifgyougdon’tggetgitgfor
gmegnow.”gWhichgstatementgbygthegnursegdemonstratesgintellectualgempathy?
1. “Wegaregshort-staffedgtoday,gsogitgwillgtakegmeglongergtogmeetgyourgneeds.”
2. “Igamgsorrygyoughadgtogwait,gIgknowgyougmustgbegingaglotgofgpain.”
3. “Ighadganothergpatientgwhoghadgseveregpain,gandgIghadgtoggetgtogthemgfirst.”
4. “IgwillggetgyougthegnumbergforgthegCEO,gbutghegisgawaregofghowgbusygwegare.”
ANS:g g 2
Chapter:gChapterg1gCriticalgThinkinggandgthegNursinggProcess
Objective:g2.gDescribegattitudesgandgskillsgthatgpromoteggoodgcriticalgthinkin
ggPage:g2
Heading:gIntellectualgEmpathy
IntegratedgProcess:gCommunicationgandgDocumentation
gClientgNeed:gPsychosocialgIntegrity
, CognitivegLevel:gApplicationg[Applying]
gConcept:gCommunication
Difficulty:gModerate
Feedback
1 Thisgstatementgdoesgnotgconsidergangindividual’sgsituation.
2 Thisgstatementgdemonstratesgintellectualgempathygbygconsideringgthisgpatient’sgs
ituationgandgwillglikelygalleviategthegpatient’sganger.
3 Thisgstatementgdoesgnotgconsidergagpatient’sgsituationgandgdoesgnotgdemonstrate
intellectualgempathy.
4 Thisgstatementgaddressesgthegpatient’sgstatementgofgwantinggtogcallgthegCEO,gb
utgdoesgnotgdemonstrategintellectualgempathygbygconsideringgthegpatient’sgsitua
tion.
PTS: 1 CON:g Communication
3. Thegnursegisgcollectinggdatagongagpatient.gWhichgdatagaregdescribedgasgsubjective?
1. Respiratorygrategofg26gpergminute
2. Patientgreportgofgshortnessgofgbreath
3. Coarseglunggsoundsgbilaterally
4. Coughgproducingggreengsputum
ANS:g g 2
Chapter:gChapterg1gCriticalgThinkinggandgthegNursinggProcessgOb
jective:g5.gDifferentiategbetweengobjectivegandgsubjectivegdata.gPa
ge:g4
Heading:gSubjectivegData
IntegratedgProcess:gCommunicationgandgDocumentation
gClientgNeed:gCommunicationgandgDocumentationgCog
nitivegLevel:gApplicationg(Applying)
Concept:gCommunication
gDifficulty:gModerate
Feedback
1 Respiratorygrategofg26gpergminutegisgangexamplegofgobjectivegdata.
2 Agpatientgreportinggsymptomsgtogthegnursegisgangexamplegofgsubjectivegdata.
3 Coarseglunggsoundsgisgangexamplegofgobjectivegdata.
4 Agproductivegcoughgisgangexamplegofgobjectivegdata.
PTS: 1 CON:g Communication
4. Agpatientgwithgagnewlygfracturedgfemurgreportsgagpainglevelgofg8/10gandganalgesicgmedicatio
ngisgnotgduegforganotherg50gminutes.gWhichgactiongshouldgthegnursegtakegfirst?
1. Repositiongthegpatient.
2. Givegthegmedicationging30gminutes.
3. Notifygthegregisteredgnurseg(RN)gorgphysician.
4. Tellgthegpatientgitgisgtoogearlygforgpaingmedication
.gANS:g 3
, Chapter:gChapterg1gCriticalgThinkinggandgthegNursinggProcess
Objective:g4.gIdentifygthegrolegofgaglicensedgpracticalgnurse/licensedgvocationalgnursegingusin
ggthegnursinggprocess.
Page:g3
Heading:gClinicalgJudgement
IntegratedgProcess:gClinicalgProblem-
solvinggProcessg(NursinggProcess)gClientgNeed:gSECE—CoordinatedgCare
CognitivegLevel:gApplicationg[Applying]
gConcept:gPatient-
CenteredgCaregDifficulty:gModerate
Feedback
1 Thegpatientgwhoghasgagfracturedgfemurgisghavinggacutegpain.gRepositioningga
patientgwithgagnewgfracturegisgnotglikelygtogrelievegpain.
2 Givinggthegmedicationgbeforegthegprescribedgtimegisgbeyondgthegnurse’sgscope
gofgpractice.
3 Thegpatientgshouldgnotghavegtogwaitgforgpaingrelief,gsogthegLPNgshouldginform
thegRNgorgphysiciangsognewgpaingreliefgordersgcangbegobtained.
4 Thegnursegneedsgtogdogmoregthangexpectgthegpatientgtogwaitgforgpaingrelief.
PTS: 1 CON:g Patient-CenteredgCare
5. ThegnursegisgprioritizinggcaregbasedgongMaslowghierarchygofgneeds.gWhichgneedgdoesgth
egnursegidentifygasghavinggtheghighestgpriority?
1. Job-relatedgstress
2. Feelinggofgloneliness
3. Painglevelgofg9gong0-to-10gscale
4. Lackgofgconfidence
ANS:g g 3
Chapter:gChapterg1gCriticalgThinkinggandgthegNursinggProcess
Objective:g7.gPrioritizegpatientgcaregactivitiesgbasedgongthegMaslowghierarchygofghuma
ngneeds
Page:g7
Heading:gPrioritizegCaregIn
tegratedgProcess:gCaring
ClientgNeed:gSECEg–
gCoordinatedgCaregCognitivegLevel:gApp
licationg[Applying]gConcept:gPatient-
CenteredgCaregDifficulty:gModerate
Feedback
1 Job-relatedgstressgfallsgundergsafetygaccordinggtogMaslowgandgisgaddressedgafter
physiologicalgneeds.
2 AccordinggtogMaslow,glonelinessgisgaddressedgundergsocialgneedsgfollowinggphy
siologicalgandgsafety.
3 Paingisgagphysiologicalgneedgandgisgtheghighestgpriority.
4 LackgofgconfidencegfallsgundergesteemgaccordinggtogMaslowgandgisgaddressedgfo
llowinggphysiological,gsafety,gandgsocialgneeds.
