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Process Approach, 11th Edition by Linda E. McCuistion
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Chapter 1-58: LATEST 2024/2025 CORRECT QUESTIONS
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AND ANSWERS
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Chapter 01:The Nursing Processand Patient-Centered Care
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McCuistion:Pharmacology:APatient-CenteredNursingProcess Approach,11thEdition
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MULTIPLE CHOICE `
1. All of the following would be considered subjective data, EXCEPT:
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a. Patient-reported health history ` `
b. Patient-reported signs and symptoms of their illness ` ` ` ` ` `
c. Financial barriers reported bythe patient‘s caregiver ` ` ` ` ` `
d. Vital signs obtained from the medical record
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ANS: D `
Subjective data is based on what patients or family members communicate to the nurse. Patient-
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reported health history, signs and symptoms, and caregiver reported financial barriers would be
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considered subjective data. Vital signs obtained from the medical record would be considered
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objective data.
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DIF: Cognitive Level: Understanding (Comprehension) ` ` ` TOP: NursingProcess: Planning
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MSC: NCLEX: Management of Client Care
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2. The nurse is using data collected to define a set of interventions to achieve the most desirable
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outcomes. Which of the following steps is the nurse applying?
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a. Recognizingcues (assessment) ` `
b. Analyze cues & prioritize hypothesis (analysis) ` ` ` ` `
c. Generatesolutions (planning) ` `
, d. Takeaction (nursinginterventions) ` ` `
ANS: C `
When generating solutions (planning), the nurse identifies expected outcomes and uses the patient‘s
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problem(s) to define a set of interventions to achieve the most desirable outcomes. Recognizing
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cues (assessment) involves the gathering of cues (information) from the patient about their health
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and lifestyle practices, which are important facts that aid the nurse in making clinical care decisions.
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Prioritizing hypothesis is used to organize and rank the patient problem(s) identified. Finally, taking
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action involves implementation of nursing interventions to accomplish the expected outcomes.
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DIF: Cognitive Level: Understanding (Comprehension) ` ` `
TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX: Management of Client Care
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3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of
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hyperglycemia. The parents tell the nurse that they can‘t keep track of everything that has to be done
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to care for their child. The nurse reviews medications, diet, and symptom management with the
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parents and draws up a daily checklist for the family to use. These activities are completed in which
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step of the nursing process?
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a. Recognizingcues (assessment) ` `
,b. Analyze cues & prioritize hypothesis (analysis)
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, c. Generatesolutions (planning) ` `
d. Takeaction (nursinginterventions)
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ANS: D `
Taking action through nursinginterventions is where the nurse provides patient health teaching, drug
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administration, patient care, and other interventions necessary to assist the patient in accomplishing
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expected outcomes.
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DIF: Cognitive Level: Understanding (Comprehension) ` ` `
TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX: Management of Client Care
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4. The nurse is preparing to administer a medication and reviews the patient‘s chart for drug
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allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse‘s actions are
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reflective of which of the following?
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a. Recognizingcues (assessment) ` `
b. Analyze cues & prioritize hypothesis (analysis) ` ` ` ` `
c. Takeaction (nursinginterventions) ` ` `
d. Generatesolutions (planning) ` `
ANS: A `
Recognizing cues (assessment) involves gathering subjective and objective information about the
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patient and the medication. Laboratory values from the patient‘s chart would be considered
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collection of objective data.
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DIF: Cognitive Level: Understanding(Comprehension) ` ` `
TOP: NursingProcess: Assessment
` MSC: NCLEX: Management of Client Care ` ` ` ` ` ` `
5. Which of the following would be correctly categorized as objective data?
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a. A list of herbal supplements regularlyused provided bythe patient.
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b. Lab values associated with the drugs the patient is taking.
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c. Theages and relationship of all household members to the patient.
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d. Usual dietarypatterns and food intake. ` ` ` ` `
ANS: B `
Objective data are measured and detected byanother person and would include lab values. The other
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examples are subjective data.
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DIF: Cognitive Level: Understanding(Comprehension) ` ` `
TOP: NursingProcess: 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
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not have an established routine. The patient will be sent home with three new medications to be
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taken at different times of the day. The nurse develops a dailymedication chart and enlists a family
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member to put the patient‘s pills in a pill organizer. This is an example of which element of the
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nursing process?
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a. Recognizingcues (assessment) ` `
b. Analyze cues & prioritize hypothesis (analysis) ` ` ` ` `
c. Takeaction (nursinginterventions) ` ` `