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lOMoAR cPSD| 30878495




Chapter 1. Critical Thinking and the Nursing Process

MULTIPLE CHOICE

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?
1. A patient with a blood glucose of 42 mg/dL
2. A patient who reports a pain level of 2
3. A patient who has just received a diagnosis of cancer
4. 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: 6–7
Heading: Prioritize Care
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE—Coordinated 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

2. The LPN/LVN enters the room of a patient 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 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 patient 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.‖
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

, lOMoAR cPSD| 30878495




Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate

Feedback
1 This statement does not consider an individual‘s situation.
2 This statement demonstrates intellectual empathy by considering this patient‘s
situation and will likely alleviate the patient‘s anger.
3 This statement does not consider a patient‘s situation and does not demonstrate
intellectual empathy.
4 This statement addresses the patient‘s statement of wanting to call the CEO, but
does not demonstrate intellectual empathy by considering the patient‘s situation.

PTS: 1 CON: Communication

3. The nurse is collecting data on a patient. Which data are described as subjective?
1. Respiratory rate of 26 per minute
2. Patient report of shortness of breath
3. Coarse lung sounds bilaterally
4. 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

4. 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?
1. Reposition the patient.
2. Give the medication in 30 minutes.
3. Notify the registered nurse (RN) or physician.
4. Tell the patient it is too early for pain medication.
ANS: 3
Chapter: Chapter 1 Critical Thinking and the Nursing Process

, lOMoAR cPSD| 30878495




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—Coordinated 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‘s 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

5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does the
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
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 – 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.

, lOMoAR cPSD| 30878495




PTS: 1 CON: Patient-Centered Care

6. The nurse is planning care and setting goals for a newly admitted patient. Who should the
nurse include when conducting these nursing actions?
1. Patient
2. Nurse manager
3. Hospital chaplain
4. Patient‘s 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—Management 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‘s care needs.
3 The hospital chaplain may not be aware of the patient‘s needs.
4 The focus of nursing care is different from that of the HCP.

PTS: 1 CON: Communication

7. 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?
1. ―Normal drainage noted.‖
2. ―Moderate drainage recently noted.‖
3. ―Scant serosanguineous drainage seen on dressing.‖
4. ―Pale pink drainage 2 cm by 1 cm noted on dressing.‖
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—Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate

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