{"id":117557,"date":"2023-08-29T04:12:58","date_gmt":"2023-08-29T04:12:58","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117557"},"modified":"2023-08-29T04:12:59","modified_gmt":"2023-08-29T04:12:59","slug":"davis-advantage-for-understanding-medical-surgical-nursing-7th-edition-linda-s-williams","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/29\/davis-advantage-for-understanding-medical-surgical-nursing-7th-edition-linda-s-williams\/","title":{"rendered":"Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams"},"content":{"rendered":"\n
    \n
  1. The nurse is caring for a group of patients on a medical\u2013
    surgical unit. The licensed practical nurse\/licensed vocational
    nurse (LPN\/LVN) assesses the patient experiencing a low
    blood glucosefirst. Which process was needed to make this
    decision?<\/li>\n\n\n\n
  2. Application of clinical judgment<\/li>\n\n\n\n
  3. Recommendation of the registered nurse (RN)<\/li>\n\n\n\n
  4. Understanding of what regulates blood glucose levels<\/li>\n\n\n\n
  5. Knowing the patient\u2019s past medical history
    ANS: 1
    Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
    Objective: 7. Explain the difference between critical thinking and clinical judgment.
    Page: 2
    Heading: Clinical Judgment
    Integrated Process: Clinical Problem-Solving Process (Nursing Process)
    Client Need: SECE: Coordinated Care
    Cognitive Level: Comprehension [Understanding]
    Concept: Clinical Judgment
    Difficulty: Difficult
    Feedback
    1 Clinical judgment is the observed outcome of critical thinking and decision
    making. The nurse identified the patient at high risk and decided to assess this
    person first.
    2 The LPN\/LVN needs to make clinical decisions independently from the RN.
    3 Understanding the pathophysiology of the disease does not determine how
    decisions are made.
    4 Past medical history is important, but the current clinical cues will determine
    prioritized nursing actions.<\/li>\n<\/ol>\n\n\n\n
      \n
    1. The LPN\/LVN enters the room of a patient who is angry and yells, \u201cI asked 5 minutes ago for my
      pain medication. You\u2019re so worthless!\u201d Which action by the nurse demonstrates intellectual
      integrity?<\/li>\n\n\n\n
    2. Refusing to share details of the interaction with colleagues<\/li>\n\n\n\n
    3. Responding to the patient that the unlicensed assistive personnel (UAP) did not
      communicate the information<\/li>\n\n\n\n
    4. Refusing to provide care for the patient<\/li>\n\n\n\n
    5. Getting the medication without saying another word
      ANS: 1
      Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
      Objective: 4. Describe attitudes of good critical thinkers.
      Page: 3
      Heading: Critical Thinking Attitudes
      Integrated Process: Communication and Documentation
      Client Need: Psychosocial Integrity
      Cognitive Level: Application [Applying]
      Concept: Communication
      Difficulty: Moderate
      Feedback
      1 This action demonstrates intellectual integrity, as the nurse refuses to speak
      poorly about a patient\u2019s behavior.
      2 This action does not allow for accountability and places blame.
      3 This action does not demonstrate the attitudes of critical thinking.
      4 Nurses should not allow patients to demean them. The nurse should tell the
      patient that they now have the opportunity to obtain the medication and will do
      so.
      PTS: 1
      CON: Communication<\/li>\n\n\n\n
    6. The nurse is collecting data on a patient. Which data is considered cues?<\/li>\n\n\n\n
    7. Respiratory rate of 26 per minute<\/li>\n\n\n\n
    8. The doctor will be at the agency in 5 minutes<\/li>\n\n\n\n
    9. The patient has three daughters<\/li>\n\n\n\n
    10. The client prefers to use a bedpan rather than a commode chair
      ANS: 1
      Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
      Objective: 2. Discuss why critical thinking and clinical judgment are essential in nursing.
      Page: 4
      Heading: Clinical Judgment Process
      Integrated Process: Clinical Problem-Solving Process (Nursing Process)<\/li>\n<\/ol>\n\n\n\n

      Client Need: SECE: Coordinated Care
      Cognitive Level: Application [Applying]
      Concept: Clinical Judgment
      Difficulty: Moderate
      Feedback
      1 Respiratory rate of 26 per minute is an example of a cue that alerts the nurse to a
      possible problem.
      2 The doctor\u2019s presence is not a cue, but just information.
      3 The number of children that a patient has is informational, unless the nurse
      needs the support of the children to provide care, then it becomes important.
      4 This is patient preference and not a cue.
      PTS: 1
      CON: Patient-Centered Care<\/p>\n\n\n\n

        \n
      1. Which items are a part of \u201cgenerate solutions\u201d when using the clinical judgment process?<\/li>\n\n\n\n
      2. Reposition the patient.<\/li>\n\n\n\n
      3. Leg pain is rated at an 8\/10.<\/li>\n\n\n\n
      4. Pain medication allowed the patient to sleep.<\/li>\n\n\n\n
      5. The leg pain is caused from immobility.
        ANS: 1
        Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
        Objective: 2. Discuss why critical thinking and clinical judgment are essential in nursing.
        Page: 4
        Heading: Clinical Judgement Process
        Integrated Process: Clinical Problem-Solving Process (Nursing Process)
        Client Need: SECE: Coordinated Care
        Cognitive Level: Comprehension [Understanding]
        Concept: Patient-Centered Care
        Difficulty: Easy
        Feedback
        1 Repositioning is an action or solution the nurse can use to provide comfort.
        2 A pain scale rating is a cue.
        3 The nurse is evaluating the outcome of the pain medication by recognizing that
        the patient is not sleeping.
        4 Recognizing that the pain is from immobility is the step of prioritizing
        hypotheses<\/li>\n<\/ol>\n\n\n\n
          \n
        1. The nurse is prioritizing care based on Maslow\u2019s hierarchy of needs. Which need does the nurse
          identify as having the highest priority?<\/li>\n\n\n\n
        2. Job-related stress<\/li>\n\n\n\n
        3. Feelings of loneliness<\/li>\n\n\n\n
        4. Poor sleep habits<\/li>\n\n\n\n
        5. Lack of confidence
          ANS: 3
          Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
          Objective: 7. Prioritize patient care activities based on Maslow\u2019s hierarchy of human needs.
          Page: 6
          Heading: Prioritize Care
          Integrated Process: Caring
          Client Need: SECE: Coordinated Care
          Cognitive Level: Comprehension [Understanding]
          Concept: Patient-Centered Care
          Difficulty: Easy
          Feedback
          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 needs.
          3 Sleep is a physiological need and is the highest priority.
          4 Lack of confidence falls under self-esteem, according to Maslow, and is
          addressed following physiological, safety, and social needs.
          PTS: 1
          CON: Patient-Centered Care<\/li>\n\n\n\n
        6. The nurse is using the clinical judgment process to provide care to a patient experiencing nausea.
          During the process of generating solutions, the patient begins to vomit. What should the nurse do
          next?<\/li>\n\n\n\n
        7. Take actions as prepared.<\/li>\n\n\n\n
        8. Evaluate outcomes of the solutions generated.<\/li>\n\n\n\n
        9. Identify and analyze the new cues presented.<\/li>\n\n\n\n
        10. Generate different solutions.
          ANS: 3
          Chapter: Chapter 1. Critical Thinking, Clinical Judgment, and the Nursing Process
          Objective: 2. Discuss why critical thinking and clinical judgment are essential.
          in nursing<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          Client Need: SECE: Coordinated CareCognitive Level: Application [Applying]Concept: Clinical JudgmentDifficulty: ModerateFeedback1 Respiratory rate of 26 per minute is an example of a cue that alerts the nurse to apossible problem.2 The doctor\u2019s presence is not a cue, but just information.3 The number of children that a patient has is informational, unless the nurseneeds the support […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117557","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117557","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117557"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117557\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117557"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117557"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117557"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}