CENTERED NURSING PROCESS APPROACH,
11TH EDITION BY LINDA E. MCCUISTION
VERIFIED QUESTIONS AND ACCURATE
ANSWERS|CHAPTER 1-58 LATEST UPDATE
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,MULTIPLE CHOICE
1. All of the following would be considered subjective data, EXCEPT:
a. Patient-reported health history
b. Patient-reported signs and symptoms of their illness
c. Financial barriers reported by the patient’s caregiver.
d. Vital signs obtained from the medical record.
CORRECT ANSWER: D.
Subjective data is based on what patients or family members communicate to the nurse. Patient-reported
health history, signs and symptoms, and caregiver reported financial barriers would be considered
subjective data. Vital signs obtained from the medical record would be considered objective data.
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2. The nurse is using data collected to define a set of interventions to achieve the most desirable
outcomes. Which of the following steps is the nurse applying? a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
CORRECT ANSWER: C
When generating solutions (planning), the nurse identifies expected outcomes and uses the patient’s
problem(s) to define a set of interventions to achieve the most desirable outcomes. Recognizing cues
(assessment) involves the gathering of cues (information) from the patient about their health and lifestyle
practices,which are important facts that aid the nurse in making clinical care decisions. Prioritizing
hypothesis is used to organize and rank the patient problem(s)identified. Finally, taking action involves
implementation of nursing interventions to accomplish the expected outcomes.
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3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of
hyperglycemia. The parents tell the nurse that they can’t keep track of everythingthat has to be done to
care for their child. The nurse reviews medications, diet, and symptom management with the parents and
draws up a daily checklist for the family to use. These activities are completed in which step of the
nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
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,c. Generate solutions (planning)
d. Take action (nursing interventions)
CORRECT ANSWER: D
Taking action through nursing interventions is where the nurse provides patient health teaching,drug
administration, patient care, and other interventions necessary to assist the patient in accomplishing
expected outcomes.
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4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug allergies,
serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions arereflective of which of the
following? a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
CORRECT ANSWER: A
Recognizing cues (assessment) involves gathering subjective and objective information about thepatient
and the medication. Laboratory values from the patient’s chart would be considered collection of
objective data.
5. Which of the following would be correctly categorized as objective data?
a. A list of herbal supplements regularly used provided by the patient.
b. Lab values associated with the drugs the patient is taking.
c. The ages and relationship of all household members to the patient.
d. Usual dietary patterns and food intake.
CORRECT ANSWER: B
Objective data are measured and detected by another person and would include lab values. The other
examples are subjective data.
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does not
have an established routine. The patient will be sent home with three new medications to be taken at
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, different times of the day.The nurse develops a daily medication chart and enlistsa family member to put
the patient’s pills in a pill organizer. This is an example of which element of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
CORRECT ANSWER: C
Taking action (nursing interventions) involves education and patient care in order to assist thepatient to
accomplish the goals of treatment.
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home.
The nurse and the patient discuss the patient’s situation and decide that the patient may gohome when
able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the nursing
process? a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
CORRECT ANSWER: D
Generating solutions (planning) involves defining a set of interventions to achieve the most desirable
outcomes, which, for this patient, means being able to perform self-care activitieswithout dyspnea and
hypoxia.
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8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching.Which is a
correctly written expected outcome for this process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a metered-doseinhaler.
c. The patient will know how to self-administer the medication using the metered-dose inhaler.
d. The patient will independently administer the medication using the metered-doseinhaler at the
end of the session.
CORRECT ANSWER: D
Expected outcomes must be patient-centered and clearly state the outcome with a reasonable deadline and
should identify components for evaluation.
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