FULL TEST BANK FOR Understanding Medical-Surgical Nursing 6th Edition by Linda S. Williams & Paula D. Hopper|ISBN: 9780803668980

,Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE qw




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
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(LPN/LVN) assess first? qw qw



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 q w q w



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 huma
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n needs.
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Pages: 6–7 qw



Heading: Prioritize Care qw qw



Integrated Process: Clinical Problem- qw qw qw



Solving Process (Nursing Process) Client Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying] qw qw qw q



wConcept: Patient- qw



Centered Care Difficulty: Difficult qw qw qw




Feedback
1 This patient has a dangerously low blood glucose level and requires immediate
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intervention.
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
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physiological needs. qw



4 A respiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-Centered Care q w qw




2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes a
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go for my pain medication. I’m going to call the CEO of the hospital if you don’t get it f
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or me now.” 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 q w q w



Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 2. Describe attitudes and skills that promote good critical thinkin
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g Page: 2
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Heading: Intellectual Empathy qw qw



Integrated Process: Communication and Documentationqw qw qw qw



Client Need: Psychosocial Integrity
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, Cognitive Level: Application [Applying] qw qw qw q



Concept: Communication
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Difficulty: Moderate qw




Feedback
1 This statement does not consider an individual’s situation.
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2 This statement demonstrates intellectual empathy by considering this patient’s si
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tuation and will likely alleviate the patient’s anger.
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3 This statement does not consider a patient’s situation and does not demonstrate
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intellectual empathy. qw



4 This statement addresses the patient’s statement of wanting to call the CEO, bu
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t does not demonstrate intellectual empathy by considering the patient’s situat
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ion.

PTS: 1 CON: Communication q w




3. The nurse is collecting data on a patient. Which data are described as subjective?
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1. Respiratory rate of 26 per minute qw qw qw qw qw



2. Patient report of shortness of breath qw qw qw qw qw



3. Coarse lung sounds bilaterally qw qw qw



4. Cough producing green sputum qw qw qw




ANS: 2 q w q w



Chapter: Chapter 1 Critical Thinking and the Nursing Process O
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bjective: 5. Differentiate between objective and subjective data. P
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age: 4 qw



Heading: Subjective Data qw qw



Integrated Process: Communication and Documentation
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Client Need: Communication and Documentation Cog
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nitive Level: Application (Applying)
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Concept: Communication qw



Difficulty: Moderate
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Feedback
1 Respiratory rate of 26 per minute is an example of objective data.qw qw qw qw qw qw qw qw qw qw qw



2 A patient reporting symptoms to the nurse is an example of subjective data.
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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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PTS: 1 CON: Communication q w




4. A patient with a newly fractured femur reports a pain level of 8/10 and analgesic medicatio
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n is not due for another 50 minutes. Which action should the nurse take first?
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1. Reposition the patient. qw qw



2. Give the medication in 30 minutes. qw qw qw qw qw



3. Notify the registered nurse (RN) or physician.
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4. Tell the patient it is too early for pain medication
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. ANS: 3
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, Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in usin
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g the nursing process.
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Page: 3 qw



Heading: Clinical Judgement qw qw



Integrated Process: Clinical Problem- qw qw qw



solving Process (Nursing Process) Client Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying] qw qw qw q



wConcept: Patient- qw



Centered Care Difficulty: Moderate qw qw qw




Feedback
1 The patient who has a fractured femur is having acute pain. Repositioning a
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patient with a new fracture is not likely to relieve pain.
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2 Giving the medication before the prescribed time is beyond the nurse’s scope
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of practice.
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3 The patient should not have to wait for pain relief, so the LPN should inform
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the RN or physician so new pain relief orders can be obtained.
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4 The nurse needs to do more than expect the patient to wait for pain relief.
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PTS: 1 CON: Patient-Centered Care q w qw




5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does th
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e nurse identify as having the highest priority?
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1. Job-related stress qw



2. Feeling of loneliness qw qw



3. Pain level of 9 on 0-to-10 scale
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4. Lack of confidence qw qw




ANS: 3 q w q w



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 huma
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n needs
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Page: 7 qw



Heading: Prioritize Care In qw qw qw



tegrated Process: Caring qw qw



Client Need: SECE – qw qw qw



Coordinated Care Cognitive Level: App
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lication [Applying] Concept: Patient-
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Centered Care Difficulty: Moderate qw qw qw




Feedback
1 Job-related stress falls under safety according to Maslow and is addressed after
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physiological needs. qw



2 According to Maslow, loneliness is addressed under social needs following phy
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siological and safety. qw qw


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 fo
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llowing physiological, safety, and social needs.
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