,TABLE OF CONTENTS
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Unit 1 Understanding Health Care Issues
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1. Critical Thinking andthe Nursing Process
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2. Evidence-Based Practice 7ii
3. Issues in Nursing Practice
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4. Cultural Influences on NursingCare
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5. Complementary and Alternative Modalities 7ii 7ii 7i
Unit 2 Understanding Health and Illness
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6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
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7. Nursing Care of Patients Receiving Intravenous Therapy
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8. Nursing Care of Patients withInfections
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9. Nursing Care of Patients inShock
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10. Nursing Care of Patients inPain
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11. Nursing Care of Patients WithCancer
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12. Nursing Care of Patients HavingSurgery
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13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
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Unit 3 Understanding Life Span Influences on Health and Illness
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14. Developmental Considerations and Chronic Illness in the Nursing Care of Adults
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15. Nursing Care of Older AdultPatients
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16. Patient Care Settings 7ii 7ii
17. Nursing Care of Patients at the End of Life
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Unit 4 Understanding the Immune System
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18. Immune System Function, Assessment and Therapeutic Measures
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19. Nursing Care of Patients With Immune Disorders
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20. Nursing Care of Patients With HIV Disease and AIDS
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Unit 5 Understanding the Cardiovascular System
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21. Cardiovascular System Function, Assessment and Therapeutic Measures
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22. Nursing Care of Patients WithHypertension
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23. Nursing Care of Patients With Valvular, Inflammatory and Infectious Cardiac or Venous Disorders
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24. Nursing Care of Patients With Occlusive Cardiovascular Disorders
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25. Nursing Care of Patients With Cardiac Arrhythmias
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26. Nursing Care of Patients With Heart Failure
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Unit 6 Understanding the Hematologic and Lymphatic Systems
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27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
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28. Nursing Care of Patients With Hematologic and Lymphatic Disorders
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Unit 7 Understanding the Respiratory System
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29. Respiratory System Function, Assessment, and Therapeutic Measures
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30. Nursing Care of Patients With Upper Respiratory Tract Disorders
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31. Nursing Care of Patients With Lower Respiratory Tract Disorders
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,Unit 8 Understanding the Gastrointestinal, Hepatic, and Pancreatic Systems
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32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic Measures
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33. Nursing Care of Patients With Upper Gastrointestinal Disorders
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34. Nursing Care of Patients With Lower Gastrointestinal Disorders
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35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
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Unit 9 Understanding the Urinary System
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36. Urinary System Function, Assessment, and Therapeutic Measures
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37. Nursing Care of Patients With Disorders of the Urinary System
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Unit 10 Understanding the Endocrine System
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38. Endocrine System Function andAssessment
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39. Nursing Care of Patients With Endocrine Disorders
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40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
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Unit 11 Understanding the Genitourinary and Reproductive System
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41. Genitourinary and Reproductive System Function and Assessment
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42. Nursing Care of Women With Reproductive System Disorders
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43. Nursing Care of Male Patients With Genitourinary Disorders
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44. Nursing Care of Patients With Sexually Transmitted Infections
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Unit 12 Understanding the Musculoskeletal System
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45. Musculoskeletal Function and Assessment 7ii 7ii 7i
46. Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
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Unit 13 Understanding the Neurologic System
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47. Neurologic System Function, Assessment, and Therapeutic Measures
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48. Nursing Care of Patients With Central Nervous System Disorders
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49. Nursing Care of Patients With Cerebrovascular Disorders
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50. Nursing Care of Patients With Peripheral Nervous System Disorders
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Unit 14 Understanding the Sensory System
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51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing
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52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
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Unit 15 Understanding the Integumentary System
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53. Integumentary System Function, Assessment and Therapeutic Measures
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54. Nursing Care of Patients With Skin Disorders
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55. Nursing Care of Patients WithBurns
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Unit 16 Understanding Mental Health Care
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56. Mental Health Function, Assessment, and Therapeutic Measures
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57. Nursing Care of Patients With Mental Health Disorders
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, Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE 7ii
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?
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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 7 i i
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 7ii
Heading: Prioritize Care 7ii 7ii
Integrated Process: Clinical Problem- 7ii 7ii 7ii
Solving Process (Nursing Process) Client Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying] 7ii 7ii 7ii 7i
Concept: Patient-
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Centered Care Difficulty: Difficult 7ii 7ii 7ii
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 physi
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ological needs. 7ii
4 A respiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-Centered Care 7ii 7i
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
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for 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 7 i i
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 2. Describe attitudes and skills that promote good critical thinki
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ng Page: 2 7ii 7ii
Heading: Intellectual Empathy 7ii 7ii
Integrated Process: Communication and Documentation 7ii 7ii 7ii 7ii 7i
Client Need: Psychosocial Integrity
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Cognitive Level: Application [Applying] 7ii 7ii 7ii