The Test Bank for Davis Advantage for Understanding Medical-Surgical Nursing, 7th Edition by Williams and Hopper is an invaluable resource designed to complement the textbook, offering a comprehensive set of exam questions and answers that align with key concepts in medical-surgical nursing. Develo...
Test Bank for Davis Advantage for Understanding Medical-
Surgical Nursing 7th Edition by Williams and Hopper
,Chapter 1. Critical Thinking and the Nursing Process
MULTIPLE CHOICE
1. The professional nurse is caring for a group of clients on a medical-surgical unit. Which
client should the licensed practical nurse/licensed vocational professional nurse
(LPN/LVN) assess first?
1. A client with a blood glucose of 42 mg/dL
2. A client who reports a pain level of 2
3. A client who has just received a diagnosis of cancer
4. A client who has a respiratory rate of 22
CORRECT CHOICE✔✔ 1
Chapter: 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
DETAILED 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.
PTS: 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 hospital if you don’t get it for me
now.” Which statement by the professional nurse 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.”
CORRECT CHOICE✔✔ 2
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 2. Describe attitudes and skills that promote good critical thinking
Source: pp. 2
Heading: Intellectual Empathy
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity
, Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
DETAILED 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.
PTS: 1 CON: Communication
3. The professional nurse 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
CORRECT CHOICE✔✔ 2
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 5. Differentiate between objective and subjective data.
Source: pp. 4
Heading: Subjective Data
Integrated Process: Communication and Documentation
Client Need: Communication and Documentation
Cognitive Level: Application (Applying)
Concept: Communication
Difficulty: Moderate
DETAILED ELABORATION
1 Respiratory rate of 26 per minute is an example of objective data.
2 A client reporting symptoms to the professional nurse 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.
PTS: 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 professional nurse take first?
1. Reposition the client.
2. Give the medication in 30 minutes.
3. Notify the registered professional nurse (RN) or physician.
4. Tell the client it is too early for pain medication.
CORRECT CHOICE✔✔ 3
Chapter: Chapter 1 Critical Thinking and the Nursing Process
, Objective: 4. Identify the role of a licensed practical nurse/licensed vocational professional
nurse in using the nursing process.
Source: pp. 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
DETAILED 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’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 professional nurse needs to do more than expect the client to wait for pain
relief.
PTS: 1 CON: Client-Centered Care
5. The professional nurse is prioritizing care based on Maslow hierarchy of needs. Which
need does the professional nurse 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
CORRECT CHOICE✔✔ 3
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 7. Prioritize client care activities based on the Maslow hierarchy of human
needs
Source: pp. 7
Heading: Prioritize Care
Integrated Process: Caring
Client Need: SECE – Coordinated Care
Cognitive Level: Application [Applying]
Concept: Client-Centered Care
Difficulty: Moderate
DETAILED 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.
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 TopNursingSolution. 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.
