Davis Advantage for Understanding
Medical-Surgical Nursing 7th Edition
By Hopper, Williams, All Chapter's 1 - 57
1
,(DavisCAdvantageCforCUnderstandingCMedical-SurgicalCNursing,C7eCLindaCWilliams,CPaulaCHopper)
Answers
CHAPTER 1 C
toCcollectCappropriateCdata,CidentifyCaCpatientCproblem,CandCde
termineCtheCbestCpossibleCplanCofCaction.CClinicalCjudgmentCisCb
CRITICAL THINKING,
C
asedConCgoodCcriticalCthinking.
CLINICAL JUDGMENT, ANDTHE
C C C C
Cue
C
NURSING PROCESS C
Definition:CSignificantCorCrelevantCdata.CNotCallCdataCare
cuesC(relevant),CbutCallCcuesCareCdata.
AUDIOC CASEC STUDY Collaboration
JaneC PracticesC ClinicalC Judgment Definition:CWorkingCtogetherCwithCtheChealthCteamCtoCimpr
oveCpatientCoutcomes.
1. IdentifyCandCanalyzeCcues;CprioritizeChypotheses;CgenerateCsolutio
ns;CtakeCaction;CevaluateCoutcomes;Crepeat. Intervention
2. JaneCwasCexhausted,CfailedCaCtest,CandCwasCpulledCinCtooCmanyC Definition:CTakingCactionCtoCcarryCoutCaCplan.
directions.CSheCwasCalsoCcryingCinCherCcarCandChadCpoorCstudyCha
Evaluation
bitsCandCnotCenoughCsleep.
3. Jane’sCresourcesCincludedCaCgoodCfriend,CsickCtimeCfromCwork,C Definition:CComparingCtheCoutcomesCyouCexpectedCwithCactual
Coutcomes.CDidCtheCplanCwork?CWereCexpectedCoutcomesCm
andCwastedCtimeCbetweenCclassesCthatCsheCcouldCbetterCutilize.
CYourCresourcesCwillCbeCdifferent,CbutCtheyCexist!
et?
4. CriticalCthinking— Vigilance
theCwhy:CJaneCusesCcriticalCthinkingCtoCdetermineCwhyCherCcurre Definition:CTheCactCofCbeingCattentive,Calert,CandCwatchful.
ntCplanCisn’tCworking.CSheCthinksChonestlyCaboutCherCpoorCstud
yChabits,CherCtime- CRITICALC THINKINGC ANDC CLINICALCJUDGMENT
CmanagementCproblems,CandCtheCimpactCthisCisChavingConCherCan
dCherCfamily. CriticalCthinkingCandCclinicalCjudgmentCbothCfollowCaCsimilarCformat.
CBothCfollowCstepsCfromCcollectingCdataCtoCdetermin-
ClinicalCjudgment—
CingCproblemsCandCoutcomes,CdevelopingCandCtakingCactions,CandCev
theCdo:CJaneCusesCherCthinkingCtoCdevelopCandCcarryCoutCaCplanCtha
tCusesCherCresourcesCandCprovidesCmoreCproductiveCstudyCtimeCa aluatingCoutcomes.CHowever,CcriticalCthinkingChelpsCyouCthinkCabou
ndCmoreCqualityCtimeCwithCherCkids. tCtheCproblem:CWhatCisCit?CWhyCisCitChappen-
Cing?CAndCclinicalCjudgmentCleadsCyouCtoCdoCsomethingCtoCmanageCth
VOCABULARY eCproblem.
SampleCsentencesCwillCvaryCforCtheCVocabularyCproblems. CUEC RECOGNITION
NursingC process YouCwillCdoCmanyCthingsCforCeachCindividual,CbutCtheCFIRSTCthingCisClistedC
Definition:CAnCorganizingCframeworkCthatClinksCthinkingCwithCnurs below.
ingCactions.CStepsCincludeCassessment/dataCcollection,CnursingC
diagnosis,Cplanning,Cimplementation,CandCevaluation. 1. SitCtheCpatientCupright.
2. CallC911CwhileCrunningCacrossCtheCstreet.
CriticalCthinking 3. ElevateCtheCfeetCoffCtheCbedCbyCplacingCaCpillowCunderCtheCcalvesCa
Definition:CTheCuseCofCthoseCcognitiveC(knowledge)CskillsCorCstrate ndCallowingCtheCfeetCtoChangCoffCtheCedgeCofCtheCpillow.
giesCthatCincreaseCtheCprobabilityCofCaCdesirableCoutcome.CAlsoCi 4. CheckCbloodCglucoseCandChaveCaCglucoseCsourceCready.
nvolvesCreflection,Cproblem-solving,CandCrelatedCthinkingCskills. 5. TurnCtheCpatientCtoCtheCsideCtoCpreventCaspiration.
ClinicalCjudgment
Definition:CTheCobservedCoutcomeCofCcriticalCthinkingCandCdecisionC
making.CACprocessCthatCusesCnursingCknowledge
,2 ChapterC1 Answers
CRITICALC THINKING
ThisCisCjustConeCpossibleCwayCtoCcompleteCaCcognitiveCmap.
CouldCitCbeClow AmC IC diabetic? FrontalCarea "Sick"C feeling Hard TylenolChelps HungerCmakes
bloodCsugar? itCworse
Patient's WhereCisCit? Quality AggravatingC and
perception alleviatingC factors
FoodC helps
Headache
UsefulC other Severity Timing
data
SometimesC feel MotherCis 7–8C onC 0–10 LastsC1–2Chours BeforeCmeals EarlyCinCthe
sickC toC stomach diabetic scale onceC starts morning
REVIEWC QUESTIONS takingCvitalCsigns;CdataCcollectionCisCtheCfirstCstepCinCtheCnursingC
process.C(2,C3,C4)CareCallCstepsCinCtheCnursingCprocess,CforCwhic
TheCcorrectCanswersCareCinCboldface.
hCtheCregisteredCnurseCisCresponsible;CtheCLPN/LVNCmayCassist
1. (2)CCriticalCthinkingCcanCleadCtoCbetterCoutcomesCforCtheCpatien CtheCregisteredCnurseCwithCthese.CNitroglycerinCshouldCnotCbeCa
t.C(1,C3,C4)CmayCbeCtrueCbutCareCnotCtheCbestCanswer. dministeredCwithoutCfirstCknowingCtheCpatient’sCbloodCpressure
2. (4)CisCcorrect.CTheCnurseCwhoCcanCadmitCtoCnotCknowingCsomet .
hingCisCexhibitingCintellectualChumility.C(1)CshowsCexpertiseCbut 7. (2)CindicatesCthatCtheCpatientCisCconcernedCaboutCfreedomCfromCi
CnotCnecessarilyCintellectualChumility; njuryCandCharm.C(1)CrelatesCtoCbasicCneedsCsuchCasCair,Coxygen,Ca
(2) reportingCanCerrorCshowsCintellectualCintegrity; ndCwater.C(3)CrelatesCtoCfeelingCloved.C(4)CisCrelatedCtoChavingCpo
(3) empathizingCisCpositiveCbutCdoesCisCnotCevidenceCofChu sitiveCself-esteem.
mility. 8. (3,C1,C2,C4)CisCtheCcorrectCorderCaccordingCtoCMaslow.
3. (3,C4,C5,C1,C2)CisCtheCcorrectCorder. 9. (5,C2,C1,C4,C6,C3)CisCtheCcorrectCorder.
4. (1)CisCtheCbestCdefinition.C(2,C3,C4)CdoCnotCdefineCcriticalCthinki 10. (3)CshowsCtheCpatientCisCactuallyCtakingCaction.C(1,C2,C4)CareCall
ngCbutCareCexamplesCofCgoodCthinking. CpositiveCbutCdoCnotCshowCintentCtoCtakeCaction.
5. (4)CisCcorrect.CEvaluationCdeterminesCwhetherCgoalsCareCachieve 11. (4)CisCtheCnurse’sCanalysisCofCtheCsituation.C(1,C2)CareCdata;C(
dCandCinterventionsCeffective.C(2)CisCtheCroleCofCtheCphysician.C(1,C 3)CisCaCrecommendation.
3)CencompassCdataCcollectionCandCimple- 12. (1,C2,C3,C4)CshouldCbeCpresent.CSinceCtheCdataCprovidesConlyC
Cmentation,CwhichCareCearlierCstepsCinCtheCnursingCprocess. hipCreplacementCasCtheCpatient’sCproblem,C(5)CtheCdietitianCisC
6. (1)CisCcorrect.CTheClicensedCpracticalCnurse/licensedCvoca- notCnecessary.
CtionalCnurseC(LPN/LVN)CcanCcollectCdata,CwhichCincludes
1
, Answers
CHAPTER 2 C
EVIDENCE-BASEDC PRACTICE
EVIDENCE-BASED PRACTICE C 1. proof
2. context
AUDIOC CASEC STUDY 3. quality
4. care
MarieC andC Evidence-BasedC Practice 5. randomized
1. ThirdhandCsmokeCisCtheCdangerousCtoxinsCofCsmokeCthatClingerC 6. outcomes
onChair,Cclothing,Cfurniture,CandCotherCsurfacesCinCanCareaCafterC 7. gold
aCcigaretteCisCputCout.CMarieClearnedCthatCexposureCtoCtheseCto 8. nursing
xinsCcanCbeCneurotoxicCtoCchildrenCandCcanCtriggerCasthmaCatta 9. patient’s
cksCinCsensitiveCpeople. 10. information
2. Evidence-
basedCpracticeCisCconsideredCtheCgoldCstandardCofChealthCcare. CLINICALC JUDGMENT
3. StepC1:CAskCtheCburningCquestion.CStepC2:CSearchCandCcollect
CtheCmostCrelevantCandCbestCevidenceCavailable.CStepC3:CThin
1. ByCquestioningCtheCexistingCwayCofCdoingCthingsCtoCensureCt
kCcritically.CAppraiseCtheCevidenceCforCvalidity,CrelevanceCtoC hatCtheCpatientCreceivesCtheCbestCcareCpossible
theCsituation,CandCapplicability. 2. ACthoroughCsearchCofCtheCliterature,CwithCtheCassistanceCofCtheCme
StepC4:CMeasureCtheCoutcomesCbeforeCandCafterCinstitutingCtheCch dicalClibrarian,CinCtheCareaCofCtheirCburningCques-
CtionCregardingCmusicCreducingCpreoperativeCanxiety.
ange.CStepC5:CMakeCitChappen.CStepC6:CEvaluateCtheCpracticeCdecis
ionCorCchange. 3. CumulativeCIndexCtoCNursingCandCAlliedCHealthCLiteratureC(CI
4. CombinationCtherapyCwithCaCnicotineCpatchCandCnicotineClozenge NAHL)CDatabase,CJoannaCBriggsCInstituteCevidence-
sCworkedCbest,CalthoughCbupropionC(Zyban)CorCvareniclineC(Cha basedCresources,CCochraneCReviews,CMedline/CPubMed
ntix)CandCnicotineClozengesCworkedCwell,Ctoo.CACCochraneCRevie 4. MeasureCpatientCoutcomesCbeforeCinstitutingCtheCevidence-
wCfoundCthatCadviceCandCsupportCfromCnursingCstaffCcanCincreaseC basedCchangeCinCpracticeCsoCcomparisonsCcanCbeCmadeCafterCim
patients’CsuccessCinCquit- plementationCtoCdetermineCifCtheCinter-CventionCworked
CtingCsmoking,CespeciallyCinCaChospitalCsetting. 5. EvaluateCtheCresultsCtoCdetermineCwhetherCtheCchangeCmadeC
aCsignificantCdifferenceCandCifCitCwasCvaluableCinCtermsCofCcostC
VOCABULARY andCtime
SampleCsentencesCwillCvaryCforCtheCVocabularyCproblems. REVIEWC QUESTIONS
1. Evidence- TheCcorrectCanswersCareCinCboldface.
basedCpractice:CACsystematicCprocessCthatCusesCcurrentCevidenceC
inCmakingCdecisionsCaboutCpatientCcare. 1. (3)CisCcorrect.CProvidingCanCexplanationCofCwhyCsome-
2. Evidence- CthingCisCdoneCpromotesCtheCunderstandingCforCwhyCitCisCimpor
informedCpractice:CConsiderationCofCpatientCfactorsCalongCwithCt tantCtoCbeCdoneCandCthereforeCwillCmoreClikelyCbeCdone.C(1,C2,C
heCuseCofCevidenceCforCsharedCdecisionCmakingCbetweenCtheChealt 4)ConlyCcommunicateCtheCneedCtoCperformCaCtask.CTheyCdoCnotC
h-careCproviderCandCtheCpatient. provideCrationaleCforCtheCtaskCtoCpro-
CmoteCunderstandingCofCtheCimportanceCofCtheCtask.
3. RandomizedCcontrolledCtrials:CTrueCexperimentalCstudiesCinCwhi
chCasCmanyCfactorsCasCpossibleCthatCcouldCfalselyCchangeCtheCresu 2. (3)CisCcorrect.CEvidence-
ltsCareCcontrolled. basedCnursingCcareCthatChasCbeenCevaluatedCasCappropriateCforCanC
4. Research:CScientificCstudy,Cinvestigation,CorCexperimenta- agencyCprovidesCtheCbestCandCsafestCpatientCcare.C(1)COpinionsCm
CtionCtoCestablishCfactsCandCanalyzeCtheirCsignificance.
ayCnotCbeCbasedCon
5. SystematicCreview:CACreviewCofCrelevantCresearchCusingCguideli
nes.