TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS APPROACH, 11TH
EDITION BY LINDA E
TEST BANK PHARMACOLOGY A PATIENT-CENTERED
NURSING PROCESS APPROACH, 11TH EDITION BY
LINDA E. MCCUISTION CHAPTER 1-58 NEWEST
VERSION
Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
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:: 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.
DIF: Cognitive Level: Understanding (Comprehension) TOPIC: Nursing
Process: PlanningMSC: NCLEX: Management of Client Care
2. The nurse is using data collected to define a set of interventions to achieve the most
desirableoutcomes. 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:: 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.
DIF: Cognitive Level: Understanding
(Comprehension)TOPIC: Nursing Process:
Nursing Intervention
, MSC: NCLEX: Management of Client Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for
episodes ofhyperglycemia. The parents tell the nurse that they can’t keep track of everything
that has to be done to care for their child. The nurse reviews medications, diet, and symptom
management withthe parents and draws up a daily checklist for the family to use. These
activities are completed inwhich step of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
d. Take action (nursing interventions)
CORRECT:: 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.
DIF: Cognitive Level: Understanding
(Comprehension)TOPIC: Nursing Process:
Nursing Intervention
MSC: NCLEX: Management of Client Care
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:: 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.
DIF: Cognitive Level: Understanding (Comprehension)
TOPIC: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
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:: B
Objective data are measured and detected by another person and would include lab
values. Theother examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOPIC: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING
PROCESS APPROACH, 11TH EDITION
c. Generate solutions (planning)
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 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:: C
Taking action (nursing interventions) involves education and patient care in order to assist
thepatient to accomplish the goals of treatment.
DIF: Cognitive Level: Applying
(Application)TOPIC: Nursing
Process:
Nursing Intervention MSC: NCLEX:
Management of Client Care
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:: 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.
DIF: Cognitive Level: Understanding (Comprehension) TOPIC: Nursing Process: PlanningMSC: NCLEX:
Management of Client Care
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:: D
Expected outcomes must be patient-centered and clearly state the outcome with a
reasonabledeadline and should identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOPIC: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
, TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING
PROCESS APPROACH, 11TH EDITION
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and
hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2
L/min.The nurse generates an expected outcomes stating, “The patient will have oxygen
saturations of
>95% on room air at the time of discharge from the hospital.” What is wrong with this goal?
a. It cannot be evaluated.
b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
CORRECT:: D
The expected outcome is not realistic because the patient is not usually on room air and
shouldnot be expected to attain that expected outcome by discharge from this
hospitalization.
DIF: Cognitive Level: Applying (Application) TOPIC: Nursing
Process: PlanningMSC: NCLEX: Management of Client Care
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an
antihypertensive drug that causes dizziness and orthostatic hypotension. Which
hypothesis(problem) documented by the nurse is appropriate for this patient?
a. Deficient knowledge related to drug side effects.
b. Ineffective health maintenance related to age.
c. Readiness for enhanced knowledge related to medication side effects.
d. Risk for injury related to side effects of the medication.
CORRECT:: D
This patient has an increased risk for injury because of drug side effects, so this is an
appropriatehypothesis (problem) to direct the type of care and follow-up the patient will receive.
DIF: Cognitive Level: Applying
(Application)TOPIC: Nursing
Process:
Nursing Diagnosis MSC: NCLEX:
Management of Client Care
11. An older patient must learn to administer a medication using a device that requires
manual dexterity. The patient becomes frustrated and expresses lack of self- confidence
in performingthis task. Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned.
b. Provide written instructions with illustrations showing each step of the skill.
c. Schedule multiple sessions and practice each step separately.
d. Teach the procedure to family members who can administer the
medication for thepatient.
CORRECT:: C
Nurses should be sensitive to patient’s level of frustration when teaching skills. In this
case,breaking the steps down into individual parts will help with this patient’s frustration
level.
DIF: Cognitive Level: Applying (Application) TOPIC: Nursing
Process: PlanningMSC: NCLEX: Management of Client Care
12. A school-age child will begin taking a medication to be administered at 5 mL three times daily.
EDITION BY LINDA E
TEST BANK PHARMACOLOGY A PATIENT-CENTERED
NURSING PROCESS APPROACH, 11TH EDITION BY
LINDA E. MCCUISTION CHAPTER 1-58 NEWEST
VERSION
Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
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:: 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.
DIF: Cognitive Level: Understanding (Comprehension) TOPIC: Nursing
Process: PlanningMSC: NCLEX: Management of Client Care
2. The nurse is using data collected to define a set of interventions to achieve the most
desirableoutcomes. 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:: 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.
DIF: Cognitive Level: Understanding
(Comprehension)TOPIC: Nursing Process:
Nursing Intervention
, MSC: NCLEX: Management of Client Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for
episodes ofhyperglycemia. The parents tell the nurse that they can’t keep track of everything
that has to be done to care for their child. The nurse reviews medications, diet, and symptom
management withthe parents and draws up a daily checklist for the family to use. These
activities are completed inwhich step of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
d. Take action (nursing interventions)
CORRECT:: 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.
DIF: Cognitive Level: Understanding
(Comprehension)TOPIC: Nursing Process:
Nursing Intervention
MSC: NCLEX: Management of Client Care
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:: 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.
DIF: Cognitive Level: Understanding (Comprehension)
TOPIC: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
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:: B
Objective data are measured and detected by another person and would include lab
values. Theother examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOPIC: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING
PROCESS APPROACH, 11TH EDITION
c. Generate solutions (planning)
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 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:: C
Taking action (nursing interventions) involves education and patient care in order to assist
thepatient to accomplish the goals of treatment.
DIF: Cognitive Level: Applying
(Application)TOPIC: Nursing
Process:
Nursing Intervention MSC: NCLEX:
Management of Client Care
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:: 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.
DIF: Cognitive Level: Understanding (Comprehension) TOPIC: Nursing Process: PlanningMSC: NCLEX:
Management of Client Care
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:: D
Expected outcomes must be patient-centered and clearly state the outcome with a
reasonabledeadline and should identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOPIC: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
, TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING
PROCESS APPROACH, 11TH EDITION
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and
hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2
L/min.The nurse generates an expected outcomes stating, “The patient will have oxygen
saturations of
>95% on room air at the time of discharge from the hospital.” What is wrong with this goal?
a. It cannot be evaluated.
b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
CORRECT:: D
The expected outcome is not realistic because the patient is not usually on room air and
shouldnot be expected to attain that expected outcome by discharge from this
hospitalization.
DIF: Cognitive Level: Applying (Application) TOPIC: Nursing
Process: PlanningMSC: NCLEX: Management of Client Care
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an
antihypertensive drug that causes dizziness and orthostatic hypotension. Which
hypothesis(problem) documented by the nurse is appropriate for this patient?
a. Deficient knowledge related to drug side effects.
b. Ineffective health maintenance related to age.
c. Readiness for enhanced knowledge related to medication side effects.
d. Risk for injury related to side effects of the medication.
CORRECT:: D
This patient has an increased risk for injury because of drug side effects, so this is an
appropriatehypothesis (problem) to direct the type of care and follow-up the patient will receive.
DIF: Cognitive Level: Applying
(Application)TOPIC: Nursing
Process:
Nursing Diagnosis MSC: NCLEX:
Management of Client Care
11. An older patient must learn to administer a medication using a device that requires
manual dexterity. The patient becomes frustrated and expresses lack of self- confidence
in performingthis task. Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned.
b. Provide written instructions with illustrations showing each step of the skill.
c. Schedule multiple sessions and practice each step separately.
d. Teach the procedure to family members who can administer the
medication for thepatient.
CORRECT:: C
Nurses should be sensitive to patient’s level of frustration when teaching skills. In this
case,breaking the steps down into individual parts will help with this patient’s frustration
level.
DIF: Cognitive Level: Applying (Application) TOPIC: Nursing
Process: PlanningMSC: NCLEX: Management of Client Care
12. A school-age child will begin taking a medication to be administered at 5 mL three times daily.
