{"id":118394,"date":"2023-09-03T08:46:35","date_gmt":"2023-09-03T08:46:35","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118394"},"modified":"2023-09-03T08:46:36","modified_gmt":"2023-09-03T08:46:36","slug":"test-bank-understanding-medical-surgical-nursing-6th-edition","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/03\/test-bank-understanding-medical-surgical-nursing-6th-edition\/","title":{"rendered":"Test bank Understanding Medical-Surgical Nursing 6th Edition"},"content":{"rendered":"\n

Chapter 1. Critical Thinking and the Nursing Process
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient should
    the licensed practical nurse\/licensed vocational nurse (LPN\/LVN) assess first?<\/li>\n\n\n\n
  2. A patient with a blood glucose of 42 mg\/dL<\/li>\n\n\n\n
  3. A patient who reports a pain level of 2<\/li>\n\n\n\n
  4. A patient who has just received a diagnosis of cancer<\/li>\n\n\n\n
  5. A patient who has a respiratory rate of 22
    ANS: 1
    Chapter: Chapter 1 Critical Thinking and the Nursing Process
    Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human
    needs.
    Pages: 6\u20137
    Heading: Prioritize Care
    Integrated Process: Clinical Problem-Solving Process (Nursing Process)
    Client Need: SECE\u2014Coordinated Care
    Cognitive Level: Application [Applying]
    Concept: Patient-Centered Care
    Difficulty: Difficult
    Feedback
    1 This patient has a dangerously low blood glucose level and requires immediate
    intervention.
    2 This patient 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: Patient-Centered Care<\/li>\n\n\n\n
  6. The LPN\/LVN enters the room of a patient who is angry and yells, \u201cI asked 5 minutes ago
    for my pain medication. I\u2019m going to call the CEO of the hospital if you don\u2019t get it for me
    now.\u201d Which statement by the nurse demonstrates intellectual empathy?<\/li>\n\n\n\n
  7. \u201cWe are short-staffed today, so it will take me longer to meet your needs.\u201d<\/li>\n\n\n\n
  8. \u201cI am sorry you had to wait, I know you must be in a lot of pain.\u201d<\/li>\n\n\n\n
  9. \u201cI had another patient who had severe pain, and I had to get to them first.\u201d<\/li>\n\n\n\n
  10. \u201cI will get you the number for the CEO, but he is aware of how busy we are.\u201d
    ANS: 2
    Chapter: 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<\/li>\n<\/ol>\n\n\n\n

    Cognitive Level: Application [Applying]
    Concept: Communication
    Difficulty: Moderate
    Feedback
    1 This statement does not consider an individual\u2019s situation.
    2 This statement demonstrates intellectual empathy by considering this patient\u2019s
    situation and will likely alleviate the patient\u2019s anger.
    3 This statement does not consider a patient\u2019s situation and does not demonstrate
    intellectual empathy.
    4 This statement addresses the patient\u2019s statement of wanting to call the CEO, but
    does not demonstrate intellectual empathy by considering the patient\u2019s
    situation.
    PTS: 1 CON: Communication<\/p>\n\n\n\n

      \n
    1. The nurse is collecting data on a patient. Which data are described as subjective?<\/li>\n\n\n\n
    2. Respiratory rate of 26 per minute<\/li>\n\n\n\n
    3. Patient report of shortness of breath<\/li>\n\n\n\n
    4. Coarse lung sounds bilaterally<\/li>\n\n\n\n
    5. Cough producing green sputum
      ANS: 2
      Chapter: 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
      Feedback
      1 Respiratory rate of 26 per minute is an example of objective data.
      2 A patient reporting symptoms to the 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<\/li>\n\n\n\n
    6. A patient 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 take first?<\/li>\n\n\n\n
    7. Reposition the patient.<\/li>\n\n\n\n
    8. Give the medication in 30 minutes.<\/li>\n\n\n\n
    9. Notify the registered nurse (RN) or physician.<\/li>\n\n\n\n
    10. Tell the patient it is too early for pain medication.
      ANS: 3<\/li>\n<\/ol>\n\n\n\n

      Chapter: Chapter 1 Critical Thinking and the Nursing Process
      Objective: 4. Identify the role of a licensed practical nurse\/licensed vocational nurse in using
      the nursing process.
      Page: 3
      Heading: Clinical Judgement
      Integrated Process: Clinical Problem-solving Process (Nursing Process)
      Client Need: SECE\u2014Coordinated Care
      Cognitive Level: Application [Applying]
      Concept: Patient-Centered Care
      Difficulty: Moderate
      Feedback
      1 The patient who has a fractured femur is having acute pain. Repositioning a
      patient with a new fracture is not likely to relieve pain.
      2 Giving the medication before the prescribed time is beyond the nurse\u2019s scope
      of practice.
      3 The patient 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 needs to do more than expect the patient to wait for pain relief.
      PTS: 1 CON: Patient-Centered Care<\/p>\n\n\n\n

        \n
      1. The nurse is prioritizing care based on Maslow 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. Feeling of loneliness<\/li>\n\n\n\n
      4. Pain level of 9 on 0-to-10 scale<\/li>\n\n\n\n
      5. Lack of confidence
        ANS: 3
        Chapter: Chapter 1 Critical Thinking and the Nursing Process
        Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human
        needs
        Page: 7
        Heading: Prioritize Care
        Integrated Process: Caring
        Client Need: SECE \u2013 Coordinated Care
        Cognitive Level: Application [Applying]
        Concept: Patient-Centered Care
        Difficulty: Moderate
        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.
        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.<\/li>\n<\/ol>\n\n\n\n

        PTS: 1 CON: Patient-Centered Care<\/p>\n\n\n\n

          \n
        1. The nurse is planning care and setting goals for a newly admitted patient. Who should the
          nurse include when conducting these nursing actions?<\/li>\n\n\n\n
        2. Patient<\/li>\n\n\n\n
        3. Nurse manager<\/li>\n\n\n\n
        4. Hospital chaplain<\/li>\n\n\n\n
        5. Patient\u2019s health care provider (HCP)
          ANS: 1
          Chapter: Chapter 1 Critical Thinking and the Nursing Process
          Objective: 4. Identify the role of a licensed practical nurse\/licensed vocational nurse is using
          the nursing process.
          Page: 6
          Heading: Prioritize Care
          Integrated Process: Communication and Documentation
          Client Need: SECE\u2014Management of Care
          Cognitive Level: Application [Applying]
          Concept: Communication
          Difficulty: Moderate
          Feedback
          1 Planning care and setting goals is an action performed with the patient. The
          patient must be in agreement with the plan for it to be successful in meeting the
          desired outcomes.
          2 The nurse manager may or may not be aware of the patient\u2019s care needs.
          3 The hospital chaplain may not be aware of the patient\u2019s needs.
          4 The focus of nursing care is different from that of the HCP.
          PTS: 1 CON: Communication<\/li>\n\n\n\n
        6. While caring for a patient 4 hours after a surgical procedure, the LPN\/LVN notes
          serosanguineous drainage on the dressing. Which statement should the nurse use to
          document this finding?<\/li>\n\n\n\n
        7. \u201cNormal drainage noted.\u201d<\/li>\n\n\n\n
        8. \u201cModerate drainage recently noted.\u201d<\/li>\n\n\n\n
        9. \u201cScant serosanguineous drainage seen on dressing.\u201d<\/li>\n\n\n\n
        10. \u201cPale pink drainage 2 cm by 1 cm noted on dressing.\u201d
          ANS: 4
          Chapter: Chapter 1 Critical Thinking and the Nursing Process
          Objective: 6. Document subjective and objective data.
          Page: 5
          Heading: Documentation of Data
          Integrated Process: Communication and Documentation
          Client Need: PHYS\u2014Physiological Adaptation
          Cognitive Level: Application [Applying]
          Concept: Communication<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          Chapter 1. Critical Thinking and the Nursing ProcessMULTIPLE CHOICE Cognitive Level: Application [Applying]Concept: CommunicationDifficulty: ModerateFeedback1 This statement does not consider an individual\u2019s situation.2 This statement demonstrates intellectual empathy by considering this patient\u2019ssituation and will likely alleviate the patient\u2019s anger.3 This statement does not consider a patient\u2019s situation and does not demonstrateintellectual empathy.4 This statement addresses […]<\/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-118394","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118394","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=118394"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118394\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118394"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118394"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}