Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion C
u u u u u u u u u u
hapter 1-58 u
MULTIPLE CHOICE u
1. The nursing process is a five-step decision-
u u u u u u
making approach that includes all of the followingsteps, EXCEPT:
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a. Assessment
b. Patient problem u
c. Planning
d. Right Drug u
ANS: D u
The nursing process is a five-step decision-
u u u u u u
making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implemen
u u u u u u u u u u u u
tation, and 5) evaluation. “Right drug” is one of the“Six Rights” of medication administratio
u u u u u u u u u u u u u u
n.
DIF: Cognitive Level: Understanding (Comprehension) u u u
TOP: Nursing Process: PlanningMSC: NCLEX: Management of Care
u u u u u u u u
2. The nurse is using data collected to set goals or expected outcomes and interventions t
u u u u u u u u u u u u u u
hataddress the patient’s problems. Which step of the nursing process is the nurse app
u u u u u u u u u u u u u u
lying?
a. Assessment
b. Patient problem u
c. Planning N
d. Evaluation
ANS: C u
During the planning phase, the nurse uses the data collected to set goals or expected outcome
u u u u u u u u u u u u u u u
sand interventions which address the patient’s problems. The data was collected during the
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“Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse would
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determine whether the goals and objectives set during the planning phase were met.
u u u u u u u u u u u u u
DIF:
Cognitive Level: Understanding (Comprehensi u u u
on)TOP: Nursing Process: Nursing Intervention
u u u u u
MSC: NCLEX: Management of Care
u u u u
3. A 5-year-
u
old child with type 1 diabetes mellitus has had repeated hospitalizations for episodesof hyp
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erglycemia. The parents tell the nurse that they can’t keep track of everything that has to
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be done to care for their child. The nurse reviews medications, diet, and symptom manage
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ment with the parents and draws up a daily checklist for the family to use. These activities
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are completed in which step of the nursing process?
u u u u u u u u
a. Assessment
b. Planning
c. Implementation
d. Evaluation
Test Bank Pharmacology A Patient- u u u u
Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion Chapter 1-58
u u u u u u u u u u u
, Test Bank Pharmacology A Patient-
u u u u
Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion C
u u u u u u u u u u
hapter 1-58 u
ANS: Cu
Test Bank Pharmacology A Patient-
u u u u
Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion Chapter 1-58
u u u u u u u u u u u
, Test Bank Pharmacology A Patient- u u u u
Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion C
u u u u u u u u u u
hapter 1-58 u
The implementation phase is the part of the nursing process in which the nurse provid
u u u u u u u u u u u u u u
es education, drug administration, patient care, and other interventions necessary to as
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sist thepatient in accomplishing established medication goals.
u u u u u u u
DIF:
Cognitive Level: Understanding (Comprehensi u u u
on)TOP: Nursing Process: Nursing Intervention
u u u u u
MSC: NCLEX: Management of Care
u u u u
4. The nurse is preparing to administer a medication and reviews the patient’s chart for
u u u u u u u u u u u u u u
drugallergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s ac
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tions arereflective of which phase of the nursing process?
u u u u u u u u u
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A u
Assessment involves gathering information about the patient and the drug, including
u u u u u u u u u u
anyprevious use of the drug.
u u u u u u
DIF: Cognitive Level: Understanding (Comprehension) u u u
TOP: Nursing Process: Assessment
u MSC: NCLEX: Management of Careu u u u u u
5. Which assessment is categorized as objective data?
u u u u u u
a. A list of herbal supplements regularly used
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b. Lab values associated with the drugs the patient is taking
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c. The ages and relationship to the patient of all household members
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d. Usual dietary patterns and fNood intake
u u u u u
ANS: B u
Objective data are measured and detected by another person and would include lab val
u u u u u u u u u u u u u
ues.The other examples are subjective data.
u u u u u u
DIF: Cognitive Level: Understanding (Comprehension) u u u
TOP: Nursing Process: Assessment
u MSC: NCLEX: Management of Careu u u u u u
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful,
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anddoes not have an established routine. The patient will be sent home with three new me
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dications to be taken at different times of the day. The nurse develops a daily medication
u u u u u u u u u u u u u u u u
chart and enlists a family member to put the patient’s pills in a pill organizer. This is an e
u u u u u u u u u u u u u u u u u u
xample of which phase of the nursing process?
u u u u u u u
a. Assessment
b. Evaluation
c. Implementation
d. Planning
Test Bank Pharmacology A Patient- u u u u
Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion Chapter 1-58
u u u u u u u u u u u
, Test Bank Pharmacology A Patient-
u u u u
Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion C
u u u u u u u u u u
hapter 1-58 u
ANS: C u
The implementation phase involves education and patient care in order to assist the patient t
u u u u u u u u u u u u u u
o
Test Bank Pharmacology A Patient-
u u u u
Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion Chapter 1-58
u u u u u u u u u u u