STUDY GUIDE Davis Advantage for UnderstandingMed
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Surgical Nursing 7th Edition By Linda S. Hopper,Paula D.; Willia
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All Chapter's 1 - 57
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Davis3Advantage3for3Understanding3Medical-Surgical3Nursing,37e3Linda3Williams,3PaulaHopper)
Answers
CHAPTER 1CRITICA L
s3 3
to3 collect3 appropriate3 data,3 identify3 a3 patien3
THINKING, CLINICALJ
s 3 3
t3 problem, 3 and3 determine3 the3 best3 possible3 pl3
UDGMENT, AND THE 3 3 3 an3 of3 action.3 Clinicaljudgment3 isbased3 on3 goo3d
NURSING P ROCESS
3 3
3critical3thinking.
data3 are Cue
AUDIO3CASE3STUDY Definition: 3Significant3or3relevant3data.3Not3allcues3(
Jane3Practices3Clinical3Judgment relevant), 3but3all3cues3are3data.
1. Identify3and3analyze 3cues;3prioritize3h3
Critical3thinking
ypotheses;3generate3solutions; 3takea3ct Definition: 3The3use3of3those3cognitive3(k3n
ion;3evaluate3outcomes;3 repeat. owledge)3skills3or3strategies3that3incr3ea
2. Jane3was3exhausted, 3failed3a3test,3and3was3p3 se3the3probability3of3a3desirableoutc3om
ulled3in3too3many3directions. 3She3was3also3cr3y e.3 Alsosinvolves3 reflection,3 problem
ing3in3her3car3and3hadpoor3study3habits3and3no -
t3enough3sleep. solving, 3andrelated3thinking3skills.3Clin
3. Jane’s33resources33included33a33good33friend,3s3i
ck3time3fromwork, 3and3wasted3timebetween 3cl ical3judgment
asses3that3she3could3better3utilize.3Your3re3sou Definition: 3 The3 observed3 outcomeof
rces3will3be3different,3buttheyexist! critical3thinking3and3decision3mak3i
4. Critical3 thinking— ng.3A3process3that3uses3nursing3k3n
the3why:3 Jane3 uses3 critical3 thinking3 to3 determ3i owledge
ne3 why3 her3current3 plan3 isn’t3 working.3 She3 thi3n
ks3honestly3aboutsher3poor3study3habits,3her3tim
e-
management3problems, 3and3the3impact33this33i3s
3having 3onher3and3her3family. 3Clinical 3judgm 3en
t—
thedo:3 Jane3 uses3 her3 thinking3 to3 develop3 and3 c3a
rry3outsa3plan3that3uses3her3resources 3and3pr3ovi
des3 more3 productive 3 study3 time3 and3 more3quali
ty3time3with3her3kids.
VOCABULARY
Sample3sentences3will3vary3for3the3
Vocabulary3problems.
Nursing3process
Definition: 3An3organizing3framework3that3linkst3hink
ing3with3nursing3actions. 3Steps3includea3ssessmen
t/data3 collection, 3 nursing3 diagnosis
,3 planning,3 implementation,and 3 evaluation.
,Collaboration
Definition: 3 Working3 together3 with3 the3 healtht3ea
m3to3 improve3patient3outcomes.
Intervention
Definition: 3 Taking3 action3 to3carry3 out3 a3 plan.E3val
uation
Definition: 3 Comparing3 the3 outcomes3 you3 expectedw3i
thactual
outcomes.3Did3the3plan3work?3Were3expectedoutc3
omes3 met?
Vigilance
Definition:3The3act3of3being3attentive,3alert,3andwatc3hful
.
CRITICALs3THINKING3AND3 CLINICALJUDGMENT
Critical3 thinking3 and3 clinical3 judgment3 both3 follow3 a3 si3
milar3 format.3 Both3 follow3 steps33 from33 collecting3 data3 t3o
3determin-
ing3 problems3 and3 outcomes, 3 developing3 and3 taking3 acti3
ons,3 and3 evaluating3 outcomes. 3 However,3 critical3 thinki3n
g3 helps3 you3 think3 aboutsthe3 problem:3 What3 is3 it?33 Why3is3
it3 happen-
ing?3 And3 clinical3 judgment3 leads3 you33 to33 do3something3t
o3manage3the3 problem.
CUE3 RECOGNITION
You3will3do3many3things3for3each3individual,3butth3e3
FIRST3thing3is3listed3below.
1. Sit3the3 patient3 upright.
2. Call3 9113 while3 running3 across3 the3 street. 3 3.Elev3
ate3the3feet3off3the3bed3by3placing3a3pillow
under3 thecalves3 and3 allowing3 the3 feet3 to3 hang3 offt3h
e3edge3of3the3pillow.
4. Check 3blood3glucose3and3have3a3glucose3sourcer3
eady.
5. Turn3 the3 patient3 to3the3side3 to3 prevent3 aspiration.
, 2 Chapter31 Answers
CRITICALs3 THINKING
This3is3just3one3possible3way3to3complete3a3cognitive3map.
Could3it3beslow AmsI3diabetic? Frontal3area "Sick"3feeling Hard Tylenol Hunger
blood3sugar? itsworse
Patient'ss Wheresiss3 Qualits Aggravatingsa3
3perceptio it? 3y ndsalleviating
s3n
factors Food
helps
Headachs3
e
Usefuls Severis Timins3
3others 3ty g
3data
Sometimes3 Mothers 7–83on30– Lasts31– Before3 Early3in3th3
feel 3is3diab 10 32hour
meals esmorning
sicksto3sto e3tic scale s
mach
oncesstarts
REVIEW3QUESTIONS
taking3 vital3 signs;3 data3 collection3 is3 the3 firsts3t
The3correct3answers3are3in3boldface. ep3in3the3 nursing3 process.3(2,3 3,3 4)3are3 allst3ep
1.(2)3Critical3thinking3can3lead3to3better3outco3 s3 in3 the3 nursing3 process,3for3 which3 the3 reg3ister
mes3for3the3patient. 3(1,33,34)3may3betrue3bu3ts ed3 nurse3 is3 responsible; 3 the3 LPN/LVN3 m3ay3 ass
are3not3the3best3answer. ist3 the3 registered3 nurse3 with3 these.3 Nit3roglyce
2.(4)3is3correct.3 The3nurse33 who33can33admitto3no rin3 should3 not3 be3 administered 3 witho3utfirst3 k
t3 knowing3 something3 is3 exhibiting3 intellect3ual nowing3 the3 patient’s3 blood3 pressure
3 humility. 3 (1) 3 shows 3 expertise 3 but3not 3nec3
essa .
rily3intellectual3humility; 7.(2)3 indicates 3 that3 thespatient3 is3 concerned3 a3b
(2) reporting3 an3 error3 shows3 intellectual3i out3 freedomfrom 3 injury3 and3 harm.3 (1)3 relat3es
ntegrity; 3 to3 basic 3 needs 3 such 3 as 3 air, 3 oxygen,and 3 wa3
ter
(3) empathizing3 is3 positive3 but3 does3 is3 .3 (3)3 relates3 to3 feeling3 loved.3 (4)isrelated 3to3h
not3 evidence3of3 humility. aving3 positive3self-esteem.
3.(3,34,35,31,32)3is3the3correct3order. 8.(3,3 1,3 2,3 4)3 is3 the3 correct3 order3 according3 to3Maslow.
4.(1)3is3the3best3 definition.3(2,33,34)3do3notd3 9.(5,32,31,34,36,33)3is3the3correct3order.
efine3 critical33 thinking3 but3 are3 examples3o 10. (3)3shows3the3patient3is3actually3taking3ac3ti
f3good3thinking. on.3(1,32,34)are3all3positive3but3do3not3sho3w3
5.(4)3is3correct.3Evaluation3determines3wh3e intent3to3take3action.
ther3goals3are3achieved3and3interventio3ns 11. (4)3is3the3nurse’s3analysis3of3thesitu3
3 effective. 3(2) 3is 3the 3role 3ofthe 3 physicia ation.3(1,32)3aredata;
n.3(1,33)3encompass3data3collection3and3i3 (3)3 is3 a3 recommendation.
mple- 12. (1,32,33,34)3should3be3present.33Since3the3da3ta
mentation, 3whichare3earlier3steps3in3the3n 3providesonly 3hip 3replacement 3as 3the 3pati 3ent
ursing3 process. ’s3problem, 3(5)3thedietitian 3is3not3necess3ary.
6.(1)3is3correct.3The3licensed3practical3nurse/l3i
censed3voca-
tional3nurse3(LPN/LVN)can 3collect3data,3whi3c
h3includes
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