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,EandE
determineEtheEbestEpossibleEplanEofEaction.EClinicalEjudgment
CRITICAL THINKING,
E
EisEbasedEonEgoodEcriticalEthinking.
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:EWorkingEtogetherEwithEtheEhealthEteamEtoEimp
roveEpatientEoutcomes.
1. IdentifyEandEanalyzeEcues;EprioritizeEhypotheses;EgenerateEsoluti
ons;EtakeEaction;EevaluateEoutcomes;Erepeat. Intervention
2. JaneEwasEexhausted,EfailedEaEtest,EandEwasEpulledEinEtooEmany Definition:ETakingEactionEtoEcarryEoutEaEplan.
Edirections.ESheEwasEalsoEcryingEinEherEcarEandEhadEpoorEstudy
Evaluation
EhabitsEandEnotEenoughEsleep.
3. Jane’sEresourcesEincludedEaEgoodEfriend,EsickEtimeEfromEwork Definition:EComparingEtheEoutcomesEyouEexpectedEwithEactua
,EandEwastedEtimeEbetweenEclassesEthatEsheEcouldEbetterEutili lEoutcomes.EDidEtheEplanEwork?EWereEexpectedEoutcomesE
ze.EYourEresourcesEwillEbeEdifferent,EbutEtheyEexist! met?
4. CriticalEthinking— Vigilance
theEwhy:EJaneEusesEcriticalEthinkingEtoEdetermineEwhyEherEcurr Definition:ETheEactEofEbeingEattentive,Ealert,EandEwatchful.
entEplanEisn’tEworking.ESheEthinksEhonestlyEaboutEherEpoorEst
udyEhabits,EherEtime- CRITICALE THINKINGE ANDE CLINICALEJUDGMENT
EmanagementEproblems,EandEtheEimpactEthisEisEhavingEonEherE
andEherEfamily. CriticalEthinkingEandEclinicalEjudgmentEbothEfollowEaEsimilarEformat
ClinicalEjudgment— .EBothEfollowEstepsEfromEcollectingEdataEtoEdetermin-
EingEproblemsEandEoutcomes,EdevelopingEandEtakingEactions,EandEe
theEdo:EJaneEusesEherEthinkingEtoEdevelopEandEcarryEoutEaEplanEt
hatEusesEherEresourcesEandEprovidesEmoreEproductiveEstudyEtim valuatingEoutcomes.EHowever,EcriticalEthinkingEhelpsEyouEthinkEab
eEandEmoreEqualityEtimeEwithEherEkids. outEtheEproblem:EWhatEisEit?EWhyEisEitEhappen-
Eing?EAndEclinicalEjudgmentEleadsEyouEtoEdoEsomethingEtoEmanageE
VOCABULARY theEproblem.
SampleEsentencesEwillEvaryEforEtheEVocabularyEproblems. CUEE RECOGNITION
NursingE process YouEwillEdoEmanyEthingsEforEeachEindividual,EbutEtheEFIRSTEthingEisElisted
Definition:EAnEorganizingEframeworkEthatElinksEthinkingEwithEnu Ebelow.
rsingEactions.EStepsEincludeEassessment/dataEcollection,Enursin
gEdiagnosis,Eplanning,Eimplementation,EandEevaluation. 1. SitEtheEpatientEupright.
2. CallE911EwhileErunningEacrossEtheEstreet.
CriticalEthinking 3. ElevateEtheEfeetEoffEtheEbedEbyEplacingEaEpillowEunderEtheEcalve
Definition:ETheEuseEofEthoseEcognitiveE(knowledge)EskillsEorEstrat sEandEallowingEtheEfeetEtoEhangEoffEtheEedgeEofEtheEpillow.
egiesEthatEincreaseEtheEprobabilityEofEaEdesirableEoutcome.EAls 4. CheckEbloodEglucoseEandEhaveEaEglucoseEsourceEready.
oEinvolvesEreflection,Eproblem- 5. TurnEtheEpatientEtoEtheEsideEtoEpreventEaspiration.
solving,EandErelatedEthinkingEskills.
ClinicalEjudgment
Definition:ETheEobservedEoutcomeEofEcriticalEthinkingEandEdecisio
nEmaking.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 0–10 LastsE1–2Ehours BeforeEmeals EarlyEinEthe
sickE toE stomach diabetic scale onceE starts morning
REVIEWE QUESTIONS takingEvitalEsigns;EdataEcollectionEisEtheEfirstEstepEinEtheEnursin
gEprocess.E(2,E3,E4)EareEallEstepsEinEtheEnursingEprocess,EforEw
TheEcorrectEanswersEareEinEboldface.
hichEtheEregisteredEnurseEisEresponsible;EtheELPN/LVNEmayEa
1. (2)ECriticalEthinkingEcanEleadEtoEbetterEoutcomesEforEtheEpatie ssistEtheEregisteredEnurseEwithEthese.ENitroglycerinEshouldEno
nt.E(1,E3,E4)EmayEbeEtrueEbutEareEnotEtheEbestEanswer. tEbeEadministeredEwithoutEfirstEknowingEtheEpatient’sEbloodEpr
2. (4)EisEcorrect.ETheEnurseEwhoEcanEadmitEtoEnotEknowingEsom essure.
ethingEisEexhibitingEintellectualEhumility.E(1)EshowsEexpertiseE 7. (2)EindicatesEthatEtheEpatientEisEconcernedEaboutEfreedomEfrom
butEnotEnecessarilyEintellectualEhumility; EinjuryEandEharm.E(1)ErelatesEtoEbasicEneedsEsuchEasEair,Eoxyge
(2) reportingEanEerrorEshowsEintellectualEintegrity; n,EandEwater.E(3)ErelatesEtoEfeelingEloved.E(4)EisErelatedEtoEhavi
(3) empathizingEisEpositiveEbutEdoesEisEnotEevidenceEofEhu ngEpositiveEself-esteem.
mility. 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)EdoEnotEdefineEcriticalEthin 10. (3)EshowsEtheEpatientEisEactuallyEtakingEaction.E(1,E2,E4)EareEa
kingEbutEareEexamplesEofEgoodEthinking. llEpositiveEbutEdoEnotEshowEintentEtoEtakeEaction.
5. (4)EisEcorrect.EEvaluationEdeterminesEwhetherEgoalsEareEachiev 11. (4)EisEtheEnurse’sEanalysisEofEtheEsituation.E(1,E2)EareEdata;
edEandEinterventionsEeffective.E(2)EisEtheEroleEofEtheEphysician.E( E(3)EisEaErecommendation.
1,E3)EencompassEdataEcollectionEandEimple- 12. (1,E2,E3,E4)EshouldEbeEpresent.ESinceEtheEdataEprovidesEonly
Ementation,EwhichEareEearlierEstepsEinEtheEnursingEprocess. EhipEreplacementEas EtheEpatient’sEproblem,E(5)EtheEdietitianE
6. (1)EisEcorrect.ETheElicensedEpracticalEnurse/licensedEvoca- isEnotEnecessary.
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. ThirdhandEsmokeEisEtheEdangerousEtoxinsEofEsmokeEthatElinge 6. outcomes
rEonEhair,Eclothing,Efurniture,EandEotherEsurfacesEinEanEareaEaf 7. gold
terEaEcigaretteEisEputEout.EMarieElearnedEthatEexposureEtoEthe 8. nursing
seEtoxinsEcanEbeEneurotoxicEtoEchildrenEandEcanEtriggerEasth 9. patient’s
maEattacksEinEsensitiveEpeople. 10. information
2. Evidence-
basedEpracticeEisEconsideredEtheEgoldEstandardEofEhealthEcare. CLINICALE JUDGMENT
3. StepE1:EAskEtheEburningEquestion.EStepE2:ESearchEandEcolle
ctEtheEmostErelevantEandEbestEevidenceEavailable.EStepE3:ET 1. ByEquestioningEtheEexistingEwayEofEdoingEthingsEtoEensureE
hinkEcritically.EAppraiseEtheEevidenceEforEvalidity,Erelevanc thatEtheEpatientEreceivesEtheEbestEcareEpossible
eEtoEtheEsituation,EandEapplicability. 2. AEthoroughEsearchEofEtheEliterature,EwithEtheEassistanceEofEtheE
StepE4:EMeasureEtheEoutcomesEbeforeEandEafterEinstitutingEtheEc medicalElibrarian,EinEtheEareaEofEtheirEburningEques-
EtionEregardingEmusicEreducingEpreoperativeEanxiety.
hange.EStepE5:EMakeEitEhappen.EStepE6:EEvaluateEtheEpracticeEd
ecisionEorEchange. 3. CumulativeEIndexEtoENursingEandEAlliedEHealthELiteratureE(C
4. CombinationEtherapyEwithEaEnicotineEpatchEandEnicotineElozeng INAHL)EDatabase,EJoannaEBriggsEInstituteEevidence-
esEworkedEbest,EalthoughEbupropionE(Zyban)EorEvareniclineE(C basedEresources,ECochraneEReviews,EMedline/EPubMed
hantix)EandEnicotineElozengesEworkedEwell,Etoo.EAECochraneER 4. MeasureEpatientEoutcomesEbeforeEinstitutingEtheEevidence-
eviewEfoundEthatEadviceEandEsupportEfromEnursingEstaffEcanEinc basedEchangeEinEpracticeEsoEcomparisonsEcanEbeEmadeEafterEi
reaseEpatients’EsuccessEinEquit- mplementationEtoEdetermineEifEtheEinter-EventionEworked
EtingEsmoking,EespeciallyEinEaEhospitalEsetting. 5. EvaluateEtheEresultsEtoEdetermineEwhetherEtheEchangeEmad
eEaEsignificantEdifferenceEandEifEitEwasEvaluableEinEtermsEofEc
VOCABULARY ostEandEtime
SampleEsentencesEwillEvaryEforEtheEVocabularyEproblems. REVIEWE QUESTIONS
1. Evidence- TheEcorrectEanswersEareEinEboldface.
basedEpractice:EAEsystematicEprocessEthatEusesEcurrentEevidenc
eEinEmakingEdecisionsEaboutEpatientEcare. 1. (3)EisEcorrect.EProvidingEanEexplanationEofEwhyEsome-
2. Evidence- EthingEisEdoneEpromotesEtheEunderstandingEforEwhyEitEisEimp
informedEpractice:EConsiderationEofEpatientEfactorsEalongEwithE ortantEtoEbeEdoneEandEthereforeEwillEmoreElikelyEbeEdone.E(1
theEuseEofEevidenceEforEsharedEdecisionEmakingEbetweenEtheEhea ,E2,E4)EonlyEcommunicateEtheEneedEtoEperformEaEtask.ETheyEd
lth-careEproviderEandEtheEpatient. oEnotEprovideErationaleEforEtheEtaskEtoEpro-
EmoteEunderstandingEofEtheEimportanceEofEtheEtask.
3. RandomizedEcontrolledEtrials:ETrueEexperimentalEstudiesEinEw
hichEasEmanyEfactorsEasEpossibleEthatEcouldEfalselyEchangeEtheEr 2. (3)EisEcorrect.EEvidence-
esultsEareEcontrolled. basedEnursingEcareEthatEhasEbeenEevaluatedEasEappropriateEforEa
4. Research:EScientificEstudy,Einvestigation,EorEexperimenta- nEagencyEprovidesEtheEbestEandEsafestEpatientEcare.E(1)EOpinion
EtionEtoEestablishEfactsEandEanalyzeEtheirEsignificance.
sEmayEnotEbeEbasedEon
5. SystematicEreview:EAEreviewEofErelevantEresearchEusingEguidel
ines.
