,McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 12th Edition
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Chapter 01: The Nursing Process and Patient-Centered Care st st st st st st st
MULTIPLE CHOICE st
1. The nursing process is a five-step decision-
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making approach that includes all of the following steps, EXCEPT:
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a. Assessment
b. Patient problem st
c. Planning
d. Right Drug st
ANS: D st
The nursing process is a five-step decision-
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making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implementatio
st st st st st st st st st st st st
n, and 5) evaluation. “Right drug” is one of the “Six Rights” of medication administration.
st st st st st st st st st st st st st st
DIF: Cognitive Level: Understanding (Comprehension) st st st
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
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2. The nurse is using data collected to set goals or expected outcomes and interventions that add
st st st st st st st st st st st st st st st
ress the patient’s problems. Which step of the nursing process is the nurse applying?
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a. Assessment
b. Patient problem st
c. Planning N
d. Evaluation
ANS: C st
During the planning phase, the nurse uses the data collected to set goals or expected outcomes and
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interventions which address the patient’s problems. The data was collected during the “Assessm
st st st st st st st st st st st st
ent” and “Patient problem” steps. During the “Evaluation” phase the nurse would determine whe
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ther the goals and objectives set during the planning phase were met.
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DIF:
Cognitive Level: Understanding (Comprehension) st st st st
TOP: Nursing Process: Nursing Intervention
s t st st st
MSC: NCLEX: Management of Care s t st st st
3. A 5-year-
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old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyperglyc
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emia. The parents tell the nurse that they can’t keep track of everything that has to be done to car
st st st st st st st st st st st st st st st st st st st
e for their child. The nurse reviews medications, diet, and symptom management with the parent
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s and draws up a daily checklist for the family to use. These activities are completed in which ste
st st st st st st st st st st st st st st st st st st
p of the nursing process?
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a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C st
, The implementation phase is the part of the nursing process in which the nurse provides educatio
st st st st st st st st st st st st st st st
n, drug administration, patient care, and other interventions necessary to assist the patient in acco
st st st st st st st st st st st st st st
mplishing established medication goals. st st st
DIF:
Cognitive Level: Understanding (Comprehension) st st st st
TOP: Nursing Process: Nursing Intervention
s t st st st
MSC: NCLEX: Management of Care
s t st st st
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug all
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ergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are refle
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ctive of which phase of the nursing process?
st st st st st st st
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A st
Assessment involves gathering information about the patient and the drug, including any previous
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use of the drug.
st st st st
DIF: Cognitive Level: Understanding (Comprehension) st st st
TOP: Nursing Process: Assessment
s t MSC: NCLEX: Management of Care st st s t st st st
5. Which assessment is categorized as objective data?
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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 fNo o d intake st st st st st
ANS: B st
Objective data are measured and detected by another person and would include lab values. The
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other examples are subjective data.
st st st st
DIF: Cognitive Level: Understanding (Comprehension) st st st
TOP: Nursing Process: Assessment
s t MSC: NCLEX: Management of Care st st s t st st st
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and doe
st st st st st st st st st st st st st st st st
s not have an established routine. The patient will be sent home with three new medications to b
st st st st st st st st st st st st st st st st st
e taken at different times of the day. The nurse develops a daily medication chart and enlists a fa
st st st st st st st st st st st st st st st st st st
mily member to put the patient’s pills in a pill organizer. This is an example of which phase of th
st st st st st st st st st st st st st st st st st st st
e nursing process?
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a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C st
The implementation phase involves education and patient care in order to assist the patient to acco
st st st st st st st st st st st st st st st
mplish the goals of treatment. st st st st
DIF:
Cognitive Level: Applying (Application) st st st st
TOP: Nursing Process: Nursing Intervention
s t st st st
, MSC: NCLEX: Management of Care s t st st st
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go ho
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me. The nurse and the patient discuss the patient’s situation and decide that the patient may go ho
st st st st st st st st st st st st st st st st st
me when able to perform self-
st st st st st
care without dyspnea and hypoxia. This is an example of which phase of the nursing process?
st st st st st st st st st st st st st st st
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D st
Planning involves goal setting, which, for this patient, means being able to perform self-
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care activities without dyspnea and hypoxia.
st st st st st
DIF: Cognitive Level: Understanding (Comprehension) st st st
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
st st st st s t st st st
8. A patient will be sent home with a metered-
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dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this proce
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ss?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
st st st st st st st st st st st st st
b. The nurse will teach the patient how to administer medication with a metered-
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dose inhaler. st
c. The patient will know how to self- st st st st st st
administer the medication using the metered-dose inhaler. st st st st st st
d. The patient will independently administer the medication using the metered-
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dose inhaler at the end of the session.
N
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ANS: D st
Goals must be patient- st st st
centered and clearly state the outcome with a reasonable deadline and should identify component
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s for evaluation.
st st
DIF: Cognitive Level: Applying (Application) st st st
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
st st st st s t st st st
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia. The
st st st st st st st st st st st st st st st st st st st
patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The nurse dev
st st st st st st st st st st st st st st st st
elops a goal stating, “The patient will have oxygen saturations of >95% on room air at the time of
st st st st st st st st st st st st st st st st st st
discharge from the hospital.” What is wrong with this goal?
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a. It cannot be evaluated. st st st
b. It is not measurable. st st st
c. It is not patient-centered. st st st
d. It is not realistic. st st st
ANS: D st
This goal is not realistic because the patient is not usually on room air and should not be expected t
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o attain that goal by discharge from this hospitalization.
st st st st st st st st
DIF: Cognitive Level: Applying (Application) st st st
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
st st st st s t st st st
st st st st st st st st
Chapter 01: The Nursing Process and Patient-Centered Care st st st st st st st
MULTIPLE CHOICE st
1. The nursing process is a five-step decision-
st st st st st st
making approach that includes all of the following steps, EXCEPT:
st st st st st st st st st
a. Assessment
b. Patient problem st
c. Planning
d. Right Drug st
ANS: D st
The nursing process is a five-step decision-
st st st st st st
making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implementatio
st st st st st st st st st st st st
n, and 5) evaluation. “Right drug” is one of the “Six Rights” of medication administration.
st st st st st st st st st st st st st st
DIF: Cognitive Level: Understanding (Comprehension) st st st
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
st st st st s t st st st
2. The nurse is using data collected to set goals or expected outcomes and interventions that add
st st st st st st st st st st st st st st st
ress the patient’s problems. Which step of the nursing process is the nurse applying?
st st st st st st st st st st st st st
a. Assessment
b. Patient problem st
c. Planning N
d. Evaluation
ANS: C st
During the planning phase, the nurse uses the data collected to set goals or expected outcomes and
st st st st st st st st st st st st st st st st st
interventions which address the patient’s problems. The data was collected during the “Assessm
st st st st st st st st st st st st
ent” and “Patient problem” steps. During the “Evaluation” phase the nurse would determine whe
st st st st st st st st st st st st st
ther the goals and objectives set during the planning phase were met.
st st st st st st st st st st st
DIF:
Cognitive Level: Understanding (Comprehension) st st st st
TOP: Nursing Process: Nursing Intervention
s t st st st
MSC: NCLEX: Management of Care s t st st st
3. A 5-year-
st
old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyperglyc
st st st st st st st st st st st st st st
emia. The parents tell the nurse that they can’t keep track of everything that has to be done to car
st st st st st st st st st st st st st st st st st st st
e for their child. The nurse reviews medications, diet, and symptom management with the parent
st st st st st st st st st st st st st st
s and draws up a daily checklist for the family to use. These activities are completed in which ste
st st st st st st st st st st st st st st st st st st
p of the nursing process?
st st st st
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C st
, The implementation phase is the part of the nursing process in which the nurse provides educatio
st st st st st st st st st st st st st st st
n, drug administration, patient care, and other interventions necessary to assist the patient in acco
st st st st st st st st st st st st st st
mplishing established medication goals. st st st
DIF:
Cognitive Level: Understanding (Comprehension) st st st st
TOP: Nursing Process: Nursing Intervention
s t st st st
MSC: NCLEX: Management of Care
s t st st st
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug all
st st st st st st st st st st st st st st st
ergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are refle
st st st st st st st st st st st st st
ctive of which phase of the nursing process?
st st st st st st st
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A st
Assessment involves gathering information about the patient and the drug, including any previous
st st st st st st st st st st st st
use of the drug.
st st st st
DIF: Cognitive Level: Understanding (Comprehension) st st st
TOP: Nursing Process: Assessment
s t MSC: NCLEX: Management of Care st st s t st st st
5. Which assessment is categorized as objective data?
st st st st st st
a. A list of herbal supplements regularly used
st st st st st st
b. Lab values associated with the drugs the patient is taking
st st st st st st st st st
c. The ages and relationship to the patient of all household members
st st st st st st st st st st
d. Usual dietary patterns and fNo o d intake st st st st st
ANS: B st
Objective data are measured and detected by another person and would include lab values. The
st st st st st st st st st st st st st st st
other examples are subjective data.
st st st st
DIF: Cognitive Level: Understanding (Comprehension) st st st
TOP: Nursing Process: Assessment
s t MSC: NCLEX: Management of Care st st s t st st st
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and doe
st st st st st st st st st st st st st st st st
s not have an established routine. The patient will be sent home with three new medications to b
st st st st st st st st st st st st st st st st st
e taken at different times of the day. The nurse develops a daily medication chart and enlists a fa
st st st st st st st st st st st st st st st st st st
mily member to put the patient’s pills in a pill organizer. This is an example of which phase of th
st st st st st st st st st st st st st st st st st st st
e nursing process?
st st
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C st
The implementation phase involves education and patient care in order to assist the patient to acco
st st st st st st st st st st st st st st st
mplish the goals of treatment. st st st st
DIF:
Cognitive Level: Applying (Application) st st st st
TOP: Nursing Process: Nursing Intervention
s t st st st
, MSC: NCLEX: Management of Care s t st st st
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go ho
st st st st st st st st st st st st st st
me. The nurse and the patient discuss the patient’s situation and decide that the patient may go ho
st st st st st st st st st st st st st st st st st
me when able to perform self-
st st st st st
care without dyspnea and hypoxia. This is an example of which phase of the nursing process?
st st st st st st st st st st st st st st st
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D st
Planning involves goal setting, which, for this patient, means being able to perform self-
st st st st st st st st st st st st st
care activities without dyspnea and hypoxia.
st st st st st
DIF: Cognitive Level: Understanding (Comprehension) st st st
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
st st st st s t st st st
8. A patient will be sent home with a metered-
st st st st st st st st
dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this proce
st st st st st st st st st st st st st st st st
ss?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
st st st st st st st st st st st st st
b. The nurse will teach the patient how to administer medication with a metered-
st st st st st st st st st st st st
dose inhaler. st
c. The patient will know how to self- st st st st st st
administer the medication using the metered-dose inhaler. st st st st st st
d. The patient will independently administer the medication using the metered-
st st st st st st st st st
dose inhaler at the end of the session.
N
st st st st st st st
ANS: D st
Goals must be patient- st st st
centered and clearly state the outcome with a reasonable deadline and should identify component
st st st st st st st st st st st st st
s for evaluation.
st st
DIF: Cognitive Level: Applying (Application) st st st
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
st st st st s t st st st
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia. The
st st st st st st st st st st st st st st st st st st st
patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The nurse dev
st st st st st st st st st st st st st st st st
elops a goal stating, “The patient will have oxygen saturations of >95% on room air at the time of
st st st st st st st st st st st st st st st st st st
discharge from the hospital.” What is wrong with this goal?
st st st st st st st st st st
a. It cannot be evaluated. st st st
b. It is not measurable. st st st
c. It is not patient-centered. st st st
d. It is not realistic. st st st
ANS: D st
This goal is not realistic because the patient is not usually on room air and should not be expected t
st st st st st st st st st st st st st st st st st st st
o attain that goal by discharge from this hospitalization.
st st st st st st st st
DIF: Cognitive Level: Applying (Application) st st st
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
st st st st s t st st st
