STUDY GUIDE
Davis Advantage for Understanding
Medical-Surgical Nursing 7th Edition
By Hopper, Williams, All Chapter's 1 - 57
1
,(DavisEAdvantageEforEUnderstandingEMedical-SurgicalENursing,E7eELindaEWilliams,EPaulaEHopper)
Answers
CHAPTER 1 E
toEcollectEappropriateEdata,EidentifyEaEpatientEproblem,Eand
EdetermineEtheEbestEpossibleEplanEofEaction.EClinicalEjudgme
CRITICAL THINKING,
E
ntEisEbasedEonEgoodEcriticalEthinking.
CLINICAL JUDGMENT, ANDTHE
E E E E
Cue
E
NURSING PROCESS E
Definition:ESignificantEorErelevantEdata.ENotEallEdataEare
cuesE(relevant),EbutEallEcuesEareEdata.
AUDIOE CASEE STUDY Collaboration
JaneE PracticesE ClinicalE Judgment Definition:EWorkingEtogetherEwithEtheEhealthEteamEtoEim
proveEpatientEoutcomes.
1. IdentifyEandEanalyzeEcues;EprioritizeEhypotheses;EgenerateEsolut
ions;EtakeEaction;EevaluateEoutcomes;Erepeat. Intervention
2. JaneEwasEexhausted,EfailedEaEtest,EandEwasEpulledEinEtooEma Definition:ETakingEactionEtoEcarryEoutEaEplan.
nyEdirections.ESheEwasEalsoEcryingEinEherEcarEandEhadEpoorEst
Evaluation
udyEhabitsEandEnotEenoughEsleep.
3. Jane’sEresourcesEincludedEaEgoodEfriend,EsickEtimeEfromEwor Definition:EComparingEtheEoutcomesEyouEexpectedEwithEactu
k,EandEwastedEtimeEbetweenEclassesEthatEsheEcouldEbetterEu alEoutcomes.EDidEtheEplanEwork?EWereEexpectedEoutcom
tilize.EYourEresourcesEwillEbeEdifferent,EbutEtheyEexist! esEmet?
4. CriticalEthinking— Vigilance
theEwhy:EJaneEusesEcriticalEthinkingEtoEdetermineEwhyEherEcu Definition:ETheEactEofEbeingEattentive,Ealert,EandEwatchful.
rrentEplanEisn’tEworking.ESheEthinksEhonestlyEaboutEherEpoo
rEstudyEhabits,EherEtime- CRITICALE THINKINGE ANDE CLINICALEJUDGMENT
EmanagementEproblems,EandEtheE impactEthisEisEhavingEonEher
EandEherEfamily. CriticalEthinkingEandEclinicalEjudgmentEbothEfollowEaEsimilarEform
ClinicalEjudgment— at.EBothEfollowEstepsEfromEcollectingEdataEtoEdetermin-
theEdo:EJaneEusesEherEthinkingEtoEdevelopEandEcarryEoutEaEplanE EingEproblemsEandEoutcomes,EdevelopingEandEtakingEactions,E and
EevaluatingEoutcomes.EHowever,EcriticalEthinkingEhelpsEyouEthink
thatEusesEherEresourcesEandEprovidesEmoreEproductiveEstudyEti
EaboutEtheEproblem:EWhatEisEit?E WhyEisEitEhappen-
meEandEmoreEqualityEtimeEwithEherEkids.
Eing?EAndEclinicalEjudgmentEleadsEyouEtoEdoEsomethingEtoEmanag
VOCABULARY eEtheEproblem.
SampleEsentencesEwillEvaryEforEtheEVocabularyEproblems. CUEE RECOGNITION
NursingE process YouEwillEdoEmanyEthingsEforEeachEindividual,EbutEtheEFIRSTEthingEisElist
Definition:EAnEorganizingEframeworkEthatElinksEthinkingEwithEn edEbelow.
ursingEactions.EStepsEincludeEassessment/dataEcollection,Enur
singEdiagnosis,Eplanning,Eimplementation,EandEevaluation. 1. SitEtheEpatientEupright.
2. CallE911EwhileErunningEacrossEtheEstreet.
CriticalEthinking 3. ElevateEtheEfeetEoffEtheEbedEbyEplacingEaEpillowEunderEtheEcalv
Definition:ETheEuseEofEthoseEcognitiveE(knowledge)EskillsEorEstr esEandEallowingEtheEfeetEtoEhangEoffEtheEedgeEofEtheEpillow.
ategiesEthatEincreaseEtheEprobabilityEofEaEdesirableEoutcome.E 4. CheckEbloodEglucoseEandEhaveEaEglucoseEsourceEready.
AlsoEinvolvesEreflection,Eproblem- 5. TurnEtheEpatientEtoEtheEsideEtoEpreventEaspiration.
solving,EandErelatedEthinkingEskills.
ClinicalEjudgment
Definition:ETheEobservedEoutcomeEofEcriticalEthinkingEandEdecisi
onEmaking.EAEprocessEthatEusesEnursingEknowledge
,2 ChapterE1 Answers
CRITICALE THINKING
ThisEisEjustEoneEpossibleEwayEtoEcompleteEaEcognitiveEmap.
CouldEitEbeElow AmE IE diabetic? FrontalEarea "Sick"E feeling Hard TylenolEhelps HungerEmakes
bloodEsugar? itEworse
Patient's WhereEisEit Quality AggravatingE and
perception ? alleviatingE factors
FoodE helps
Headache
UsefulE other Severity Timing
data
SometimesE feel MotherEis 7–8E onE 0– LastsE1– BeforeEmeals EarlyEinEth
sickE toE stomac diabetic 10 2Ehours e
h scale onceE starts morning
REVIEWE QUESTIONS takingEvitalEsigns;EdataEcollectionEisEtheEfirstEstepEinEtheEnursi
ngEprocess.E(2,E3,E4)EareEallEstepsEinEtheEnursingEprocess,Efor
TheEcorrectEanswersEareEinEboldface.
EwhichEtheEregisteredEnurseEisEresponsible;EtheELPN/LVNEm
1. (2)ECriticalEthinkingEcanEleadEtoEbetterEoutcomesEforEtheEpati ayEassistEtheEregisteredEnurseEwithEthese.ENitroglycerinEshoul
ent.E(1,E3,E4)EmayEbeEtrueEbutEareEnotEtheEbestEanswer. dEnotEbeEadministeredEwithoutEfirstEknowingEtheEpatient’sEbl
2. (4)EisEcorrect.ETheEnurseEwhoEcanEadmitEtoEnotEknowingEso oodEpressure.
methingEisEexhibitingEintellectualEhumility.E(1)EshowsEexperti 7. (2)EindicatesEthatEtheEpatientEisEconcernedEaboutEfreedomEfro
seEbutEnotEnecessarilyEintellectualEhumility; mEinjuryEandEharm.E(1)ErelatesEtoEbasicEneedsEsuchEasEair,Eox
(2) reportingEanEerrorEshowsEintellectualEintegrity; ygen,EandEwater.E(3)ErelatesEtoEfeelingEloved.E(4)EisErelatedEto
EhavingEpositiveEself-esteem.
(3) empathizingEisEpositiveEbutEdoesEisEnotEevidenceEofEh
umility. 8. (3,E1,E2,E4)EisEtheEcorrectEorderEaccordingEtoEMaslow.
3. (3,E4,E5,E1,E2)EisEtheEcorrectEorder. 9. (5,E2,E1,E4,E6,E3)EisEtheEcorrectEorder.
4. (1)EisEtheEbestEdefinition.E(2,E3,E4)EdoEnotEdefineEcriticalEthi 10. (3)EshowsEtheEpatientEisEactuallyEtakingEaction.E(1,E2,E4)Eare
nkingEbutEareEexamplesEofEgoodEthinking. EallEpositiveEbutEdoEnotEshowEintentEtoEtakeEaction.
5. (4)EisEcorrect.EEvaluationEdeterminesEwhetherEgoalsEareEachie 11. (4)EisEtheEnurse’sEanalysisEofEtheEsituation.E(1,E2)EareEdat
vedEandEinterventionsEeffective.E(2)EisEtheEroleEofEtheEphysician a;E(3)EisEaErecommendation.
.E(1,E3)EencompassEdataEcollectionEandEimple- 12. (1,E2,E3,E4)EshouldEbeEpresent.ESinceEtheEdataEprovidesEonl
Ementation,EwhichEareEearlierEstepsEinEtheEnursingEprocess. yEhipEreplacementEasEtheEpatient’sEproblem,E(5)EtheEdietiti
6. (1)EisEcorrect.ETheElicensedEpracticalEnurse/licensedEvoca- anEisEnotEnecessary.
EtionalEnurseE(LPN/LVN)EcanEcollectEdata,EwhichEincludes
1
, Answers
CHAPTER 2 E EVIDENCE-BASEDE PRACTICE
EVIDENCE-BASED PRACTICE E 1. proof
2. context
AUDIOE CASEE STUDY 3. quality
4. care
MarieE andE Evidence-BasedE Practice 5. randomized
1. ThirdhandEsmokeEisEtheEdangerousEtoxinsEofEsmokeEthatEling 6. outcomes
erEonEhair,Eclothing,Efurniture,EandEotherEsurfacesEinEanEarea 7. gold
EafterEaEcigaretteEisEputEout.EMarieElearnedEthatEexposureEto 8. nursing
EtheseEtoxinsEcanEbeEneurotoxicEtoEchildrenEandEcanEtriggerE 9. patient’s
asthmaEattacksEinEsensitiveEpeople. 10. information
2. Evidence-
basedEpracticeEisEconsideredEtheEgoldEstandardEofEhealthEcare. CLINICALE JUDGMENT
3. StepE1:EAskEtheEburningEquestion.EStepE2:ESearchEandEcoll
ectEtheEmostErelevantEandEbestEevidenceEavailable.EStepE3: 1. ByEquestioningEtheEexistingEwayEofEdoingEthingsEtoEensur
EThinkEcritically.EAppraiseEtheEevidenceEforEvalidity,Erelev
eEthatEtheEpatientEreceivesEtheEbestEcareEpossible
anceEtoEtheEsituation,EandEapplicability. 2. AEthoroughEsearchEofEtheEliterature,EwithEtheEassistanceEofEtheE
StepE4:EMeasureEtheEoutcomesEbeforeEandEafterEinstitutingEtheE medicalElibrarian,EinEtheEareaEofEtheirEburningEques-
EtionEregardingEmusicEreducingEpreoperativeEanxiety.
change.EStepE5:EMakeEitEhappen.EStepE6:EEvaluateEtheEpractice
EdecisionEorEchange. 3. CumulativeEIndexEtoENursingEandEAlliedEHealthELiteratureE(
4. CombinationEtherapyEwithEaEnicotineEpatchEandEnicotineElozen CINAHL)EDatabase,EJoannaEBriggsEInstituteEevidence-
gesEworkedEbest,EalthoughEbupropionE(Zyban)EorEvareniclineE( basedEresources,ECochraneEReviews,EMedline/EPubMed
Chantix)EandEnicotineElozengesEworkedEwell,Etoo.EAECochrane 4. MeasureEpatientEoutcomesEbeforeEinstitutingEtheEevidence-
EReviewEfoundEthatEadviceEandEsupportEfromEnursingEstaffEcan basedEchangeEinEpracticeEsoEcomparisonsEcanEbeEmadeEafterEi
EincreaseEpatients’EsuccessEinEquit- mplementationEtoEdetermineEifEtheEinter-EventionEworked
EtingEsmoking,EespeciallyEinEaEhospitalEsetting. 5. EvaluateEtheEresultsEtoEdetermineEwhetherEtheEchangeEma
deEaEsignificantEdifferenceEandEifEitEwasEvaluableEinEtermsEo
VOCABULARY fEcostEandEtime
SampleEsentencesEwillEvaryEforEtheEVocabularyEproblems. REVIEWE QUESTIONS
1. Evidence- TheEcorrectEanswersEareEinEboldface.
basedEpractice:EAEsystematicEprocessEthatEusesEcurrentEeviden
ceEinEmakingEdecisionsEaboutEpatientEcare. 1. (3)EisEcorrect.EProvidingEanEexplanationEofEwhyEsome-
2. Evidence- EthingEisEdoneEpromotesEtheEunderstandingEforEwhyEitEisEim
informedEpractice:EConsiderationEofEpatientEfactorsEalongEwith portantEtoEbeEdoneEandEthereforeEwillEmoreElikelyEbeEdone.
EtheEuseEofEevidenceEforEsharedEdecisionEmakingEbetweenEtheEh E(1,E2,E4)EonlyEcommunicateEtheEneedEtoEperformEaEtask.ET
ealth-careEproviderEandEtheEpatient. heyEdoEnotEprovideErationaleEforEtheEtaskEtoEpro-
EmoteEunderstandingEofEtheEimportanceEofEtheEtask.
3. RandomizedEcontrolledEtrials:ETrueEexperimentalEstudiesEinE
whichEasEmanyEfactorsEasEpossibleEthatEcouldEfalselyEchangeEt 2. (3)EisEcorrect.EEvidence-
heEresultsEareEcontrolled. basedEnursingEcareEthatEhasEbeenEevaluatedEasEappropriateEforE
4. Research:EScientificEstudy,Einvestigation,EorEexperimenta- anEagencyEprovidesEtheEbestEandEsafestEpatientEcare.E(1)EOpini
EtionEtoEestablishEfactsEandEanalyzeEtheirEsignificance.
onsEmayEnotEbeEbasedEon
5. SystematicEreview:EAEreviewEofErelevantEresearchEusingEguid
elines.
