TEST BANK PHARMACOLOGY A
PATIENT- CENTERED NURSING
PROCESS APPROACH, 11TH EDITION
BY LINDA E. MCCUISTION –
COMPLETE STUDYGUIDE
A PATIENT-CENTERED NURSING PROCESS APPROACH, 11THEDITION
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CHAPTER 01: THE NURSING PROCESS AND PATIENT-CENTERED CARE
MCCUISTION: PHARMACOLOGY:
MULTIPLE CHOICE
1. All of the following would be considered subjective data, EXCEPT:
a. Patient-reported health history
b. Patient-reported signs and symptoms of their illness
c. Financial barriers reported by the patient’s caregiver.
d. Vital signs obtained from the medical record.
ANS: D.
Subjective data is based on what patients or family members
communicate to the nurse. Patient-reported health history, signs and
symptoms, and caregiver reportedfinancial barriers would be considered
subjective data. Vital signs obtained from themedical record would be
considered objective data.
-- Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: PlanningMSC: NCLEX: Management of Client Care
2. The nurse is using data collected to define a set of interventions to
achieve the most desirableoutcomes. Which of the following steps is
the nurse applying?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
ANS: C
When generating solutions (planning), the nurse identifies expected outcomes
and usesthe patient’s problem(s) to define a set of interventions to achieve the
most desirable outcomes. Recognizing cues (assessment) involves the
gathering of cues (information) from the patient about their health and
lifestyle practices, which are important facts that aid the nurse in making
clinical care decisions. Prioritizing hypothesis is used to organize and rank the
patient
problem(s)identified. Finally, taking action involves implementation of nursing
interventions to accomplish the expected outcomes.
-- Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Management of Client Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated
hospitalizations for episodes ofhyperglycemia. The parents tell the nurse that
they can’t keep track of everything that has to be done to care for their child.
The nurse reviews medications, diet, and symptom management withthe
parents and draws up a daily checklist for thefamily to use. These activities
are completed inwhich step of the nursing process?
a. Recognizing cues (assessment)
A PATIENT-CENTERED NURSING PROCESS APPROACH, 11THEDITION
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b. Analyze cues & prioritize hypothesis (analysis)
A PATIENT-CENTERED NURSING PROCESS APPROACH, 11THEDITION
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c. Generate solutions (planning)
d. Take action (nursing interventions)
ANS: D
Taking action through nursing interventions is where the nurse provides
patient health teaching,drug administration, patient care, and other
interventions necessary to assist the patient in accomplishing expected
outcomes.
-- Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Management of Client Care
4. The nurse is preparing to administer a medication and reviews the
patient’s chart for drug allergies, serum creatinine, and blood urea
nitrogen (BUN) levels. The nurse’s actions arereflective of which of the
following?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
ANS: A
Recognizing cues (assessment) involves gathering subjective and objective
informationabout thepatient and the medication. Laboratory values from the
patient’s chart would be considered collection of objective data.
-- Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
5. Which of the following would be correctly categorized as objective data?
a. A list of herbal supplements regularly used provided by the patient.
b. Lab values associated with the drugs the patient is taking.
c. The ages and relationship of all household members to the patient.
d. Usual dietary patterns and food intake.
ANS: B
Objective data are measured and detected by another person and would
include labvalues. Theother examples are subjective data.
-- Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
6. The nurse reviews a patient’s database and learns that the patient lives
alone, is forgetful, and does not have an established routine. The patient will
be sent home withthree new medications to be taken at different times of the
day. The nurse develops a daily medication chart and enlistsa family
member to put the patient’s pills in a pill organizer. This is an example of
which element of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
A PATIENT-CENTERED NURSING PROCESS APPROACH, 11THEDITION