Test Bank Pharmacology: A Patient-Centered Nursing Process Approach 12th Edition by Linda E. McCuistion, Kathleen V. DiMaggio & Mary B. Winton Expert Approved| Complete Chapter 1-55 ||Complete A+ Guide

TestBankPharmacologyAPatient-Centered
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Nursing Process Approach, 11th Edition by
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Linda E. McCuistion Chapter 1-58
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,Chapter01:TheNursingProcessandPatient-CenteredCare
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McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,11thEdition ie ie ie ie ie ie ie ie




MULTIPLE CHOICE ie




1. Allofthefollowingwouldbeconsidered subjective data, EXCEPT:
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a. Patient-reportedhealthhistory ie ie




b. Patient-reportedsignsandsymptomsoftheirillness ie ie ie ie ie ie




c. Financialbarriersreportedbythepatient’s caregiver ie ie ie ie ie ie




d. Vitalsignsobtainedfromthemedical record ie ie ie ie ie ie




ANS: D i e




Subjectivedataisbasedonwhat patientsorfamilymemberscommunicate tothenurse.Patient- reported ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie




healthhistory, signs and symptoms, and caregiverreportedfinancialbarriers would be considered
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subjective data. Vital signs obtained from the medical record would be considered objective data.
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DIF: Cognitive Level: Understanding (Comprehension) ie ie ie TOP: NursingProcess:Planning i e ie ie




MSC: NCLEX: Management of Client Care
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2. Thenurseisusingdatacollected todefineasetof interventions toachievethemostdesirable
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ie outcomes. Which of the following steps is the nurse applying? ie ie ie ie ie ie ie ie ie




a. Recognizingcues(assessment) ie ie




b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie




c. Generatesolutions(planning) ie ie




d. Takeaction(nursinginterventions) ie ie ie




ANS: C i e




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 cues
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(assessment) involves the gathering of cues (information) from the patient about their health and
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lifestyle practices, which are important facts that aid the nurse in making clinicalcaredecisions.
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Prioritizinghypothesisisusedtoorganizeandrankthepatientproblem(s) identified.Finally,taking
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actioninvolves implementationof nursing interventionsto accomplish the expected outcomes.
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DIF: Cognitive Level: Understanding (Comprehension) ie ie ie




TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX:ManagementofClientCare i e ie ie ie ie




3. A5-year-old child with type1diabetesmellitus hashadrepeatedhospitalizations forepisodesof
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hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be doneto
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carefortheirchild.Thenursereviewsmedications, diet,andsymptom management with the parents and
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draws up a daily checklist for the family to use. These activities arecompleted in which step of the
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nursing process?
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a. Recognizingcues(assessment) ie ie




b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie

, c. Generatesolutions(planning) ie ie




d. Takeaction(nursinginterventions) ie ie ie




ANS: D i e




Takingactionthroughnursinginterventionsiswherethenurseprovidespatienthealthteaching, 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) ie ie ie




TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX:ManagementofClientCare i e ie ie ie ie




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) ie ie




b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie




c. Takeaction(nursinginterventions) ie ie ie




d. Generatesolutions(planning) ie ie




ANS: A i e




Recognizingcues(assessment)involvesgatheringsubjectiveandobjectiveinformationaboutthe ie ie ie ie ie ie ie ie ie ie




patient and the medication. Laboratory values from the patient’s chart would be considered collection
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of objective data.
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DIF: Cognitive Level: Understanding(Comprehension) ie ie ie




TOP: NursingProcess: Assessment i MSC: NCLEX:ManagementofClientCare
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5. Whichofthe followingwouldbecorrectlycategorized asobjective data?
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a. Alist ofherbalsupplements regularlyused provided bythe patient.
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b. Labvalues associatedwith thedrugs thepatient istaking. ie ie ie ie ie ie ie ie ie




c. Theagesandrelationship ofallhousehold members tothepatient. ie ie ie ie ie ie ie ie ie ie




d. Usualdietarypatternsandfoodintake. ie ie ie ie ie




ANS: B i e




Objectivedataaremeasuredanddetectedbyanotherpersonandwouldincludelabvalues.The other ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie




examples are subjective data.
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DIF: Cognitive Level: Understanding(Comprehension) ie ie ie




TOP: NursingProcess: Assessment i MSC: NCLEX:ManagementofClientCare
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6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does not
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have an established routine. The patient will be sent home with three new medications tobetakenat
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differenttimes oftheday.Thenursedevelops adailymedicationchartand enlists a family member to
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put the patient’s pills in a pill organizer. This is an example of which element of the nursing process?
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a. Recognizingcues(assessment) ie ie




b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie




c. Takeaction(nursinginterventions) ie ie ie

, d. Generatesolutions(planning) ie ie




ANS: C i e




Takingaction(nursinginterventions)involveseducationandpatient carein ordertoassistthe patient to
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accomplish the goals of treatment.
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DIF: CognitiveLevel: Applying (Application) ie ie ie




TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX: Management of Client Care
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7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home.
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Thenurseand thepatient discuss thepatient’s situationanddecidethatthepatientmaygo home when
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able to perform self-carewithout dyspnea and hypoxia. This is an exampleof which phase of the
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nursing process?
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a. Recognizingcues(assessment) ie ie




b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie




c. Takeaction(nursinginterventions) ie ie ie




d. Generatesolutions(planning) ie ie




ANS: D i e




Generating solutions (planning) involves defining a set of interventions to achieve the most ie ie ie ie ie ie ie ie ie ie ie ie




desirable outcomes, which, for this patient, means being able to perform self-care activities
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without dyspnea and hypoxia.
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DIF: Cognitive Level: Understanding (Comprehension)
i e ie ie ie TOP: Nursing Process: Planning ie ie ie




MSC: NCLEX: Management of Client Care
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8. Apatientwillbesenthomewith ametered-doseinhaler,and thenurseisprovidingteaching. Which
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ie is a correctly written expected outcome for this process?
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a. Thenursewilldemonstrate thecorrect useof a metered-doseinhaler to thepatient.
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b. Thenursewillteachthepatienthowtoadministermedicationwithametered-dose
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inhaler.
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c. Thepatientwillknowhowtoself-administerthemedicationusingthemetered- dose
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inhaler.
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d. Thepatientwillindependentlyadministerthemedicationusingthemetered-dose
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inhaler at the end of the session.
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ANS: D i e




Expected outcomes must be patient-centered and clearly state the outcome with a reasonable ie ie ie ie ie ie ie ie ie ie ie ie




deadline and should identify components for evaluation.
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DIF: Cognitive Level: Applying (Application)
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MSC: NCLEX: Management of Client Care
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9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and hypoxia.
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Thepatient hasbeenadmittedforincreasedoxygenneeds aboveabaselineof2 L/min. Thenurse
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generates an expected outcomes stating, “Thepatientwill haveoxygen saturations of
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>95%on roomair at the time ofdischargefromthehospital.”What is wrongwith this goal?
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a. Itcannotbeevaluated. ie ie ie