Exam (elaborations)
Test Bank for Understanding Medical-Surgical Nursing, 6th Edition, Linda S. Williams, Paula D. Hopper
Test Bank for Understanding Medical-Surgical Nursing, 6th Edition, Linda S. Williams, Paula D. Hopper
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
Content preview
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooooooo oooo oooo ooooUNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION TEST BANK
oooo oooo oooo oooo oooo oooo oooo
oooo
,Understanding Medical Surgical Nursing 6th Edition WilliamsTest Bank
oooo oooo oooo oooo oooo oooo o oooo
Chapter 1. Critical Thinking and the Nursing Process
oooo oooo oooo oooo oooo oooo oooo
MULTIPLE CHOICE oooo
1. The nurse is caring for a group of patients on a medical-surgical unit. Which
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
patient shouldthe licensed practical nurse/licensed vocational nurse (LPN/LVN)
oooo oooo o oooo oooo oooo oooo oooo oooo
assess first?
oooo oooo
1. A patient with a blood glucose of 42 mg/dL
oooo oooo oooo oooo oooo oooo oooo oooo
2. A patient who reports a pain level of 2
oooo oooo oooo oooo oooo oooo oooo oooo
3. A patient who has just received a diagnosis of cancer
oooo oooo oooo oooo oooo oooo oooo oooo oooo
4. A patient who has a respiratory rate of 22
oooo oooo oooo oooo oooo oooo oooo oooo
ANS: 1 o o o o
Chapter: Chapter 1 Critical Thinking and the Nursing Process
oooo oooo oooo oooo oooo oooo oooo oooo
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
of humanneeds.
oooo oooo o
Pages: 6–7 oooo
Heading: Prioritize Care oooo oooo
Integrated Process: Clinical Problem-Solving Process (Nursing
oooo oooo oooo oooo oooo
Process)Client Need: SECE—Coordinated Care
oooo o oooo oooo oooo
Cognitive Level: Application oooo oooo
[Applying]Concept: Patient-Centered
oooo o oooo
Care Difficulty: Difficult
oooo oooo oooo
Feedback
1 This patient has a dangerously low blood glucose level and requires
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
immediateintervention.
oooo o
2 This patient will need to be assessed, but is not as high a priority.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
3 According to Maslow, psychosocial needs are not as high of a oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
priority asphysiological needs.
oooo oooo o oooo
4 A respiratory rate of 22 is within normal range.
oooo oooo oooo oooo oooo oooo oooo oooo
PTS: 1 CON: oooo Patient-Centered Care oooo
2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
minutes ago for my pain medication. I‘m going to call the CEO of the hospital
oooo oooo o oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
if you don‘t get it for me now.‖ Which statement by the nurse demonstrates
oooo oooo oooo oooo oooo oooo oooo o oooo oooo oooo oooo oooo oooo
intellectual empathy?
oooo oooo
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
3. ―I had another patient who had severe pain, and I had to get to them first.‖
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
ANS: 2 o o o o
Chapter: Chapter 1 Critical Thinking and the Nursing Process
oooo oooo oooo oooo oooo oooo oooo oooo
Objective: 2. Describe attitudes and skills that promote good critical
oooo oooo oooo oooo oooo oooo oooo oooo oooo
thinkingPage: 2
oooo o oooo
Heading: Intellectual Empathy oooo oooo
Integrated Process: Communication and oooo oooo oooo
DocumentationClient Need: Psychosocial Integrity
oooo o oooo oooo oooo
NURSING TEST BANK oo oo
, Cognitive Level: Application oooo oooo
[Applying]Concept: Communication
oooo o oooo
Difficulty: Moderate oooo
Feedback
1 This statement does not consider an individual‘s situation.
oooo oooo oooo oooo oooo oooo oooo
2 This statement demonstrates intellectual empathy by considering this
oooo oooo oooo oooo oooo oooo oooo
patient‘s
oooo
situation and will likely alleviate the patient‘s anger.
oooo oooo oooo oooo oooo oooo oooo
3 This statement does not consider a patient‘s situation and does not
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
demonstrateintellectual empathy.
oooo o oooo
4 This statement addresses the patient‘s statement of wanting to call the
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
CEO, butdoes not demonstrate intellectual empathy by considering the
oooo oooo o oooo oooo oooo oooo oooo oooo oooo
patient‘s
oooo
situation.
PTS: 1 CON: o o o o Communication
3. The nurse is collecting data on a patient. Which data are described as subjective?
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
1. Respiratory rate of 26 per minute oooo oooo oooo oooo oooo
2. Patient report of shortness of breath oooo oooo oooo oooo oooo
3. Coarse lung sounds bilaterally oooo oooo oooo
4. Cough producing green sputum oooo oooo oooo
ANS: 2 o o o o
Chapter: Chapter 1 Critical Thinking and the Nursing Process
oooo oooo oooo oooo oooo oooo oooo oooo
Objective: 5. Differentiate between objective and subjective
oooo oooo oooo oooo oooo oooo oooo
data.Page: 4
oooo o oooo
Heading: Subjective Data oooo oooo
Integrated Process: Communication and oooo oooo oooo
DocumentationClient Need: Communication and
oooo o oooo oooo oooo
Documentation Cognitive Level: Application
oooo oooo oooo oooo
(Applying)
oooo
Concept:
CommunicationDifficult
oooo o
y: Moderate
oooo
Feedback
1 Respiratory rate of 26 per minute is an example of objective data.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
2 A patient reporting symptoms to the nurse is an example of subjective
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
data.
oooo
3 Coarse lung sounds is an example of objective data.
oooo oooo oooo oooo oooo oooo oooo oooo
4 A productive cough is an example of objective data.
oooo oooo oooo oooo oooo oooo oooo oooo
PTS: 1 CON: o o o o Communication
4. A patient with a newly fractured femur reports a pain level of 8/10 and analgesic
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
medicationis not due for another 50 minutes. Which action should the nurse take
oooo o oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
first?
oooo
1. Reposition the patient. oooo oooo
2. Give the medication in 30 minutes.
oooo oooo oooo oooo oooo
3. Notify the registered nurse (RN) or physician.
oooo oooo oooo oooo oooo oooo
4. Tell the patient it is too early for pain
oooo oooo oooo oooo oooo oooo oooo oooo
oooo medication.ANS: o o o o o 3
NURSING TEST BANK oo oo
, Chapter: Chapter 1 Critical Thinking and the Nursing Process
oooo oooo oooo oooo oooo oooo oooo oooo
Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
in usingthe nursing process.
oooo oooo o oooo oooo
Page: 3 oooo
Heading: Clinical Judgement oooo oooo
Integrated Process: Clinical Problem-solving Process (Nursing
oooo oooo oooo oooo oooo
Process)Client Need: SECE—Coordinated Care
oooo o oooo oooo oooo
Cognitive Level: Application oooo oooo
[Applying]Concept: Patient-Centered
oooo o oooo
Care Difficulty: Moderate
oooo oooo oooo
Feedback
1 The patient who has a fractured femur is having acute pain.
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
Repositioning apatient with a new fracture is not likely to relieve
oooo oooo o oooo oooo oooo oooo oooo oooo oooo oooo oooo
pain.
oooo
2 Giving the medication before the prescribed time is beyond the nurse‘s
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
scopeof practice.
oooo o oooo
3 The patient should not have to wait for pain relief, so the LPN
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
should informthe RN or physician so new pain relief orders can be
oooo oooo o oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
obtained.
oooo
4 The nurse needs to do more than expect the patient to wait for pain
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
relief.
oooo
PTS: 1 CON: oooo Patient-Centered Care oooo
5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
need does thenurse identify as having the highest priority?
oooo oooo oooo o oooo oooo oooo oooo oooo oooo
1. Job-related stress oooo
2. Feeling of loneliness oooo oooo
3. Pain level of 9 on 0-to-10 scale
oooo oooo oooo oooo oooo oooo
4. Lack of confidence oooo oooo
ANS: 3 o o o o
Chapter: Chapter 1 Critical Thinking and the Nursing Process
oooo oooo oooo oooo oooo oooo oooo oooo
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
of humanneeds
oooo oooo o
Page: 7 oooo
Heading: Prioritize Care oooo oooo
Integrated Process: Caring
oooo oooo oooo
Client Need: SECE – Coordinated
oooo oooo oooo oooo
Care Cognitive Level: Application
oooo oooo oooo oooo
[Applying]Concept: Patient-Centered
oooo o oooo
Care Difficulty: Moderate
oooo oooo oooo
Feedback
1 Job-related stress falls under safety according to Maslow and is
oooo oooo oooo oooo oooo oooo oooo oooo oooo
addressed afterphysiological needs.
oooo oooo o oooo
2 According to Maslow, loneliness is addressed under social needs
oooo oooo oooo oooo oooo oooo oooo oooo
followingphysiological and safety.
oooo o oooo oooo
3 Pain is a physiological need and is the highest priority.
oooo oooo oooo oooo oooo oooo oooo oooo oooo
4 Lack of confidence falls under esteem according to Maslow and is
oooo oooo oooo oooo oooo oooo oooo oooo oooo oooo
addressed
oooo
following physiological, safety, and social needs. oooo oooo oooo oooo oooo
NURSING TEST BANK oo oo
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GeniusExpert. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
56326 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now