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