A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: MCQ
Question:
A nurse reviews a patient’s medication list and notes the patient
is taking two drugs with similar therapeutic effects. Which
CJMM step is the nurse performing?
A. Recognize cues
B. Analyze cues
C. Generate solutions
D. Evaluate outcomes
Correct Answer: A
Rationale: Recognizing cues involves collecting and identifying
relevant patient data, such as medication lists. The nurse is
identifying potential duplication before interpreting its
meaning.
Question 2
Difficulty: Moderate
Question Type: MCQ
Question:
A patient receiving a new antihypertensive reports dizziness
,upon standing. What is the nurse’s priority action according to
the CJMM?
A. Document the finding
B. Analyze the cause of dizziness
C. Instruct the patient to stop the medication
D. Call the provider immediately
Correct Answer: B
Rationale: After recognizing the cue (dizziness), the nurse must
analyze it to determine if it is related to orthostatic hypotension
or another cause before taking further action.
Question 3
Difficulty: Moderate
Question Type: SATA
Question:
Which actions are part of the “Generate Solutions” phase of the
CJMM when managing medication therapy? (Select all that
apply.)
A. Identifying possible interventions
B. Reviewing lab results
C. Considering alternative medications
D. Prioritizing nursing diagnoses
E. Planning patient education
, Correct Answer: A, C, E
Rationale: Generating solutions involves developing possible
interventions, including alternative therapies and education.
Reviewing labs and prioritizing diagnoses occur in earlier steps.
Question 4
Difficulty: Moderate
Question Type: MCQ
Question:
A nurse notices a patient’s potassium level is 2.9 mEq/L while
receiving a loop diuretic. Which CJMM step involves
determining the significance of this finding?
A. Recognize cues
B. Analyze cues
C. Take action
D. Evaluate outcomes
Correct Answer: B
Rationale: Analyzing cues requires interpreting data and
determining clinical significance, such as identifying
hypokalemia as a potential adverse drug effect.