STUDY GUIDE Davis Advantage for Understanding Med
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ical-
Surgical Nursing 7th Edition By Linda S. Hopper,Paula D.; Willia
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All Chapter's 1 - 57
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Daviss Advantages fors Understandings Medical-Surgicals Nursing,s 7es Lindas Williams,s PaulasHopper)
Answers
CHAPTER 1CRITICA
s s
toscollectsappropriatesdata,sidentifysaspatien
L THINKING,
s
tsproblem,sandsdeterminesthesbestspossiblespl
CLINICAL JUDGMENT,
s s ansofsaction.sClinicaljudgment s issbasedsonsgoo
AND THE NURSING P
s s s
dscriticalsthinking.
ROCESS Cue
datas are
Definition:sSignificantsorsrelevantsdata.sNotsallscuess
AUDIOsCASEsSTUDY (relevant),sbutsallscuessaresdata.
JanesPracticessClinicalsJudgment Criticalsthinking
Definition:sThesusesofsthosescognitives(k
1. Identifysandsanalyzescues;sprioritizesh
nowledge)sskillssorsstrategiessthatsincr
ypotheses;s generates solutions;s takesa
easesthesprobabilitysofsasdesirablesoutc
ction;sevaluatesoutcomes;srepeat.
ome.sAlsosinvolvessreflection,sproblem
2. Janeswassexhausted,sfailedsastest,sandswassp
-solving,s andrelateds thinkingsskills.
ulledsinstoosmanysdirections.sSheswassalsoscr
yingsinsherscarsandshadpoorsstudyshabitssands Clinicalsjudgment
notsenoughssleep. Definition:s Thes observeds outcomesof
3. Jane’sss resourcesss includedss ass goodss friend,ss scritical sthinkingsands decision smak
ickstimesfromwork,sandswastedstimesbetween ing.sAsprocesssthatsusessnursingsk
sclasses sthatsshescouldsbetter sutilize. sYoursre nowledge
sourcesswillsbesdifferent,sbutstheyexist!
4. Criticalsthinking—
theswhy:sJanesusesscriticalsthinkingstosdeterm
ineswhysherscurrentsplansisn’ts working.s Shesthi
nkss honestlys abouts herspoorsstudys habits,s hers
time-
s management sproblems, s ands thes impacts thiss i
ss havingsonhers ands hersfamily.s Clinicals judgm
ent—
thesdo:sJanesusesshersthinkingstosdevelopsandsc
arrys outs as plans thats usess hers resources s andspr
ovidess mores productives studys timesandsmores
qualitystimeswithsherskids.
VOCABULARY
Samplessentencesswillsvarysforsthes
Vocabularysproblems.
Nursings process
Definition:sAnsorganizingsframeworksthatslinksst
hinkings withs nursings actions.s Stepssincludesa
ssessment/datascollection,snursingsdiagnosis
,s planning,s implementation,and sevaluation.
,Collaboration
Definition:sWorkingstogetherswithstheshealthst
eamstos improvespatientsoutcomes.
Intervention
Definition:sTakingsactionstoscarrysoutsasplan.sE
valuation
Definition:s Comparings thes outcomess yous expectedsw
ithactual
outcomes.sDidsthesplanswork?sWeresexpectedsoutc
omess met?
Vigilance
Definition:s Thes acts ofs beings attentive,s alert,s andsw atc
hful.
CRITICALs THINKINGssANDs CLINICALJUDGMENT
Criticalsthinkingsandsclinicalsjudgmentsbothsfollowsassi
milarsformat.sBothsfollowssstepsssfromsscollectingsdatast
osdetermin-
singsproblems sandsoutcomes,sdeveloping sandstaking sacti
ons,sandsevaluatingsoutcomes.sHowever,scriticalsthinki
ngshelpssyousthinksaboutsthesproblem:sWhatsissit?ssWhyss
isssitsshappen-
sing?sAndsclinical sjudgment ssleads ssyousstossdossomething
s tos manages thes problem.
CUEs RECOGNITION
Youswillsdosmanys thingss fors eachs individual,sbutsth
esFIRSTs thingsisslistedsbelow.
1. Sitsthespatientsupright.
2. Calls911swhilesrunningsacrosssthesstreet.s3.Elev
atesthesfeetsoffsthesbedsbysplacingsaspillow
understhecalvessandsallowingsthesfeetstoshangsoffst
hesedgesofsthespillow.
4. Checksbloodsglucosesandshavesasglucosessourcesr
eady.
5. Turnsthespatientstosthessidestospreventsaspiration.
, 2 Chapters1 Answers
CRITICALs THINKING
Thississjustsonespossibleswaystoscompletesascognitivesmap.
Couldsitsbeslow AmsIsdiabetic? Frontalsarea "Sick"sfeeling Hard Tylenol Hunger
bloodssugar? itsworse
Patient'ss Wheresiss Qualits Aggravatingsa
perceptios it? y ndsalleviating
n factors Food
helps
Headachs
e
Usefuls Severis Timins
others ty g
data
Sometimess Mothers 7–8sons0– Lastss1– Befores Earlysinsth
feel issdiabe 10 2shours meals esmorning
sicksto tic scale oncesstarts
stomach
REVIEWsQUESTIONS
takingsvitalssigns;sdatascollectionsissthesfirstss
Thescorrectsanswerssaresinsboldface. tepsinsthesnursingsprocess.s(2,s3,s4)saresallsst
1.(2)sCriticalsthinkingscansleadstosbettersoutco epssinsthes nursings process,s forswhichs thesreg
mess fors thes patient.s(1,s3,s4)smaysbestruesbu isteredsnursesissresponsible;sthesLPN/LVNsm
tsaresnotsthesbestsanswer. aysassiststhesregisteredsnurseswithsthese.sNit
2.(4)sisscorrect.ssThessnursesswhosscanssadmitstos roglycerinsshouldsnotsbesadministeredswitho
notsknowingssomethingsissexhibitingsintellect utfirstsknowingsthespatient’ss bloodspressure
ualshumility.s(1)sshowsssexpertisesbutsnotsnec .
essarily sintellectualshumility; 7.(2)sindicatessthatsthespatientsissconcernedsa
(2) reportingsanserrorsshowssintellectuals boutsfreedomfrom sinjurysandsharm.s(1)srelat
integrity; ess tos basics needss suchs ass air,s oxygen,sandswa
(3) empathizings iss positives buts doess iss ter.s(3)srelatesstosfeelingsloved.s(4)sisrelateds
nots evidencesofs humility. toshavings positivesself-esteem.
3.(3,s4,s5,s1,s2)sissthescorrectsorder. 8.(3,s1,s2,s4)sissthescorrectsordersaccordingstos
4.(1)sissthesbestsdefinition.s(2,s3,s4)sdosnotsd Maslow.
efinescriticalssthinkingsbutsaresexampless 9.(5,s2,s1,s4,s6,s3)sissthescorrectsorder.
ofsgoodsthinking. 10. (3)sshowssthespatientssisssactually stakingsac
5.(4)sisscorrect.sEvaluationsdetermines swh tion.s(1,s2,s4)aresallspositivesbutsdosnotssho
ethersgoalssaresachievedsandsinterventio wsintentstostakesaction.
nsseffective.s(2)sissthesrolesofsthesphysicia 11. (4)sissthesnurse’ssanalysis sofsthessitu
n.s(1,s3)sencompasssdatascollectionsandsi ation.s(1,s2)saredata;
mple- (3)s iss as recommendation.
smentation, swhichsares earliers stepss ins the 12. (1,s2,s3,s4)sshouldssbespresent.ssSincesthesda
s nursings process. tasprovidesonlyshipsreplacementsassthespati
6.(1)sisscorrect.sTheslicensedspracticalsnurse/l ent’ssproblem,s(5)sthedietitiansissnotsnecess
icensedsvoca- ary.
tionals nurses(LPN/LVN)scanscollectsdata,swhi
chsincludes
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