TESTBANK FOR DAVIES ADVANTAGE FOR
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UNDERSTANDING MEDICAL SURGICAL NURSING 7TH
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EDITION BY WILLIAMS & HOPPER
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,Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE BG
1. The nursing attendant is caring for a group of hospital patients on a medical-surgical unit.
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Which hospital patientshould the licensed practical nursing attendant/licensed vocational
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nursing attendant (LPN/LVN) assess first?
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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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ACCURATE ANSWER:-1 BG
CHAPTER: 1 Critical Thinking and the Nursing Process BG BG BG BG BG BG BG
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of human
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needs.
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Pgs: 6–7 BG
Heading: Prioritize Care BG BG
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
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Hospital patient Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying] BG BG BG
Concept: Hospital patient-Centered Care
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Difficulty: Difficult
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Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
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immediateintervention.
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2 This hospital 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
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physiological needs.
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4 A respiratory rate of 22 is within normal range.
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POINTS: 1 CON: Hospital patient-Centered Care BG BG BG
2. The LPN/LVN enters the room of a hospital patient who is angry and yells, “I asked 5
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minutes agofor my pain medication. I’m going to call the CEO of the health center if
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you don’t get it for me now.” Which statement by the nursing attendant demonstrates
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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 hospital 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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ACCURATE ANSWER:-2 BG
CHAPTER: 1 Critical Thinking and the Nursing Process BG BG BG BG BG BG BG
OBJ 2. Describe attitudes and skills that promote good critical thinkingPg: 2
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Heading: Intellectual Empathy BG BG
Integrated Process: Communication and Documentation BG BG BG BG
Hospital patient Need: Psychosocial Integrity
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, Cognitive Level: Application [Applying] BG BG BG
Concept: Communication
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Difficulty: Moderate BG
Reasoning:->>>
1 This statement does not consider an individual’s situation.
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2 This statement demonstrates intellectual empathy by considering this hospital
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patient’ssituation and will likely alleviate the hospital patient’s anger.
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3 This statement does not consider a hospital patient’s situation and does not
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demonstrateintellectual empathy.
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4 This statement addresses the hospital patient’s statement of wanting to call the
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CEO, butdoes not demonstrate intellectual empathy by considering the hospital
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patient’s situation.
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POINTS: 1 CON: Communication BG
3. The nursing attendant is collecting data on a hospital patient. Which data are described as
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subjective?
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1. Respiratory rate of 26 per minute BG BG BG BG BG
2. Hospital patient report of shortness of breath BG BG BG BG BG BG
3. Coarse lung sounds bilaterally BG BG BG
4. Cough producing green sputum BG BG BG
ACCURATE ANSWER:-2 BG
CHAPTER: 1 Critical Thinking and the Nursing Process OBJ 5.BG BG BG BG BG BG BG BG BG
Differentiate between objective and subjective data.Pg: 4
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Heading: Subjective Data BG BG
Integrated Process: Communication and Documentation
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Hospital patient Need: Communication and
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Documentation Cognitive Level: Application
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(Applying)
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Concept: Communication BG
Difficulty: Moderate
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Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data. BG BG BG BG BG BG BG BG BG BG BG
2 Ahospital patient reporting symptoms to the nursing attendant is an example of
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subjectivedata.
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3 Coarse lung sounds is an example of objective data.
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4 A productive cough is an example of objective data.
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POINTS: 1 CON: Communication BG
4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and analgesic
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medicationis not due for another 50 minutes. Which action should the nursing attendant
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take first?
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1. Reposition the hospital patient. BG BG BG
2. Give the medication in 30 minutes.
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3. Notify the registered nursing attendant (RN) or physician.
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4. Tell the hospital patient it is too early for pain
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BG medication.ANS: 3 B
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, CHAPTER: 1 Critical Thinking and the Nursing ProcessBG BG BG BG BG BG BG
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed vocational
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nursing attendant in using the nursing process.
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Pg: 3BG
Heading: Clinical Judgement BG BG
Integrated Process: Clinical Problem-solving Process (Nursing
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Process)Hospital patient Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying]
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Concept: Hospital patient-Centered Care
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Difficulty: Moderate
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Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
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Repositioning ahospital patient with a new fracture is not likely to relieve
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pain.
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2 Giving the medication before the prescribed time is beyond the nurse
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caregiver’s scope of practice. BG BG BG
3 The hospital patient should not have to wait for pain relief, so the LPN should
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informthe RN or physician so new pain relief orders can be obtained.
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4 The nursing attendant needs to do more than expect the hospital patient to wait
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for painrelief.
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G
POINTS: 1 CON: Hospital patient-Centered Care
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5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
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Whichneed does the nursing attendant identify as having the highest priority?
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1. Job-related stress BG
2. Feeling of loneliness BG BG
3. Pain level of 9 on 0-to-10 scale
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4. Lack of confidence BG BG
ACCURATE ANSWER:-3 BG
CHAPTER: 1 Critical Thinking and the Nursing ProcessBG BG BG BG BG BG BG
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of human
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needs
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Pg: 7BG
Heading: Prioritize Care BG BG
Integrated Process:
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Caring
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Hospital patient Need: SECE –
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Coordinated Care Cognitive Level:
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Application [Applying]Concept:
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Hospital patient-Centered Care
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Difficulty: Moderate
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Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed after
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physiological needs.
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2 According to Maslow, loneliness is addressed under social needs following
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physiological and safety.
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3 Pain is a physiological need and is the highest priority.
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4 Lack of confidence falls under esteem according to Maslow and is addressed
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following physiological, safety, and social needs.
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BG BG BG BG
UNDERSTANDING MEDICAL SURGICAL NURSING 7TH
BG BG BG BG BG
EDITION BY WILLIAMS & HOPPER
B
G BG BG BG BG
,Chapter 1. Critical Thinking and the Nursing Process
BG BG BG BG BG BG BG
MULTIPLE CHOICE BG
1. The nursing attendant is caring for a group of hospital patients on a medical-surgical unit.
BG BG BG BG BG BG BG BG BG BG BG BG BG BG
Which hospital patientshould the licensed practical nursing attendant/licensed vocational
BG BG BG B
G BG BG BG BG BG BG
nursing attendant (LPN/LVN) assess first?
BG BG BG BG BG
1. A patient with a blood glucose of 42 mg/dL
BG B G BG BG BG BG BG BG
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
BG BG BG BG BG BG BG BG BG
4. A patient who has a respiratory rate of 22
BG B G BG BG BG BG BG BG
ACCURATE ANSWER:-1 BG
CHAPTER: 1 Critical Thinking and the Nursing Process BG BG BG BG BG BG BG
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of human
BG BG BG BG BG BG BG BG BG BG BG BG BG
needs.
B
G
Pgs: 6–7 BG
Heading: Prioritize Care BG BG
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
BG BG BG BG BG BG
Hospital patient Need: SECE—Coordinated Care
B
G BG BG BG BG
Cognitive Level: Application [Applying] BG BG BG
Concept: Hospital patient-Centered Care
B
G BG BG BG
Difficulty: Difficult
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Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
BG BG BG BG BG BG BG BG BG BG BG
immediateintervention.
BG B
G
2 This hospital patient will need to be assessed, but is not as high a priority.
BG BG BG BG BG BG BG BG BG BG BG BG BG BG
3 According to Maslow, psychosocial needs are not as high of a priority as
BG BG BG BG BG BG BG BG BG BG BG BG
physiological needs.
B
G BG
4 A respiratory rate of 22 is within normal range.
BG BG BG BG BG BG BG BG
POINTS: 1 CON: Hospital patient-Centered Care BG BG BG
2. The LPN/LVN enters the room of a hospital patient who is angry and yells, “I asked 5
BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG
minutes agofor my pain medication. I’m going to call the CEO of the health center if
BG BG B
G BG BG BG BG BG BG BG BG BG BG BG BG BG BG
you don’t get it for me now.” Which statement by the nursing attendant demonstrates
BG BG BG BG BG BG BG BG BG BG BG BG BG BG
intellectual empathy?
BG BG
1. “We are short-staffed today, so it will take me longer to meet your needs.”
BG BG BG BG BG BG BG BG BG BG BG BG BG
2. “I am sorry you had to wait, I know you must be in a lot of pain.”
BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG
3. “I had another hospital patient who had severe pain, and I had to get to them first.”
BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG
4. “I will get you the number for the CEO, but he is aware of how busy we are.”
BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG
ACCURATE ANSWER:-2 BG
CHAPTER: 1 Critical Thinking and the Nursing Process BG BG BG BG BG BG BG
OBJ 2. Describe attitudes and skills that promote good critical thinkingPg: 2
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G BG
Heading: Intellectual Empathy BG BG
Integrated Process: Communication and Documentation BG BG BG BG
Hospital patient Need: Psychosocial Integrity
B
G BG BG BG BG
, Cognitive Level: Application [Applying] BG BG BG
Concept: Communication
B
G BG
Difficulty: Moderate BG
Reasoning:->>>
1 This statement does not consider an individual’s situation.
BG BG BG BG BG BG BG
2 This statement demonstrates intellectual empathy by considering this hospital
BG BG BG BG BG BG BG BG
patient’ssituation and will likely alleviate the hospital patient’s anger.
BG B
G BG BG BG BG BG BG BG BG
3 This statement does not consider a hospital patient’s situation and does not
BG BG BG BG BG BG BG BG BG BG BG
demonstrateintellectual empathy.
BG B
G BG
4 This statement addresses the hospital patient’s statement of wanting to call the
BG BG BG BG BG BG BG BG BG BG BG
CEO, butdoes not demonstrate intellectual empathy by considering the hospital
BG BG B
G BG BG BG BG BG BG BG BG
patient’s situation.
BG BG
POINTS: 1 CON: Communication BG
3. The nursing attendant is collecting data on a hospital patient. Which data are described as
BG BG BG BG BG BG BG BG BG BG BG BG BG BG
subjective?
BG
1. Respiratory rate of 26 per minute BG BG BG BG BG
2. Hospital patient report of shortness of breath BG BG BG BG BG BG
3. Coarse lung sounds bilaterally BG BG BG
4. Cough producing green sputum BG BG BG
ACCURATE ANSWER:-2 BG
CHAPTER: 1 Critical Thinking and the Nursing Process OBJ 5.BG BG BG BG BG BG BG BG BG
Differentiate between objective and subjective data.Pg: 4
BG BG BG BG BG BG B
G BG
Heading: Subjective Data BG BG
Integrated Process: Communication and Documentation
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Hospital patient Need: Communication and
B
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Documentation Cognitive Level: Application
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(Applying)
BG
Concept: Communication BG
Difficulty: Moderate
B
G BG
Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data. BG BG BG BG BG BG BG BG BG BG BG
2 Ahospital patient reporting symptoms to the nursing attendant is an example of
B
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subjectivedata.
BG B
G
3 Coarse lung sounds is an example of objective data.
BG BG BG BG BG BG BG BG
4 A productive cough is an example of objective data.
BG BG BG BG BG BG BG BG
POINTS: 1 CON: Communication BG
4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and analgesic
BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG
medicationis not due for another 50 minutes. Which action should the nursing attendant
BG B
G BG BG BG BG BG BG BG BG BG BG BG BG
take first?
BG BG
1. Reposition the hospital patient. BG BG BG
2. Give the medication in 30 minutes.
BG BG BG BG BG
3. Notify the registered nursing attendant (RN) or physician.
BG BG BG BG BG BG BG
4. Tell the hospital patient it is too early for pain
BG BG BG BG BG BG BG BG BG
BG medication.ANS: 3 B
G B G
, CHAPTER: 1 Critical Thinking and the Nursing ProcessBG BG BG BG BG BG BG
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed vocational
BG BG BG BG BG BG BG BG BG BG BG
nursing attendant in using the nursing process.
B
G BG BG BG BG BG BG
Pg: 3BG
Heading: Clinical Judgement BG BG
Integrated Process: Clinical Problem-solving Process (Nursing
BG BG BG BG BG
Process)Hospital patient Need: SECE—Coordinated Care
BG B
G BG BG BG BG
Cognitive Level: Application [Applying]
BG BG BG
Concept: Hospital patient-Centered Care
B
G BG BG BG
Difficulty: Moderate
BG BG
Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
BG BG BG BG BG BG BG BG BG BG BG
Repositioning ahospital patient with a new fracture is not likely to relieve
BG BG B
G BG BG BG BG BG BG BG BG BG BG
pain.
BG
2 Giving the medication before the prescribed time is beyond the nurse
BG BG BG BG BG BG BG BG BG BG
caregiver’s scope of practice. BG BG BG
3 The hospital patient should not have to wait for pain relief, so the LPN should
BG BG BG BG BG BG BG BG BG BG BG BG BG BG
informthe RN or physician so new pain relief orders can be obtained.
BG B
G BG BG BG BG BG BG BG BG BG BG BG
4 The nursing attendant needs to do more than expect the hospital patient to wait
BG BG BG BG BG BG BG BG BG BG BG BG BG
for painrelief.
BG BG B
G
POINTS: 1 CON: Hospital patient-Centered Care
BG BG BG
5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
BG BG BG BG BG BG BG BG BG BG BG
Whichneed does the nursing attendant identify as having the highest priority?
BG B
G BG BG BG BG BG BG BG BG BG BG
1. Job-related stress BG
2. Feeling of loneliness BG BG
3. Pain level of 9 on 0-to-10 scale
BG BG BG BG BG BG
4. Lack of confidence BG BG
ACCURATE ANSWER:-3 BG
CHAPTER: 1 Critical Thinking and the Nursing ProcessBG BG BG BG BG BG BG
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of human
BG BG BG BG BG BG BG BG BG BG BG BG BG
needs
B
G
Pg: 7BG
Heading: Prioritize Care BG BG
Integrated Process:
BG BG
Caring
BG
Hospital patient Need: SECE –
BG BG BG BG
Coordinated Care Cognitive Level:
BG BG BG BG
Application [Applying]Concept:
BG BG B
G
Hospital patient-Centered Care
BG BG BG
Difficulty: Moderate
BG BG
Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed after
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physiological needs.
B
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2 According to Maslow, loneliness is addressed under social needs following
BG BG BG BG BG BG BG BG BG
physiological and safety.
B
G BG BG
3 Pain is a physiological need and is the highest priority.
BG BG BG BG BG BG BG BG BG
4 Lack of confidence falls under esteem according to Maslow and is addressed
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following physiological, safety, and social needs.
B
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