Chapteri01:iTheiNursingiProcessiandiPatient-CenterediCare
McCuistion:iPharmacology:iAiPatient-CenterediNursingiProcessiApproach,i11thiEdition
MULTIPLEiCHOICE
1. Alliofitheifollowingiwouldibeiconsideredisubjectiveidata,iEXCEPT:
a. Patient-reportedihealthihistory
b. Patient-reportedisignsiandisymptomsiofitheiriillness
c. Financialibarriersireportedibyitheipatient’sicaregiver.
d. Vitalisignsiobtainedifromitheimedicalirecord.
, ANS:i D.
Subjectiveidataiisibasedioniwhatipatientsiorifamilyimembersicommunicateitoitheinurse.iPat
ient-
reportedihealthihistory,isignsiandisymptoms,iandicaregiverireportedifinancialibarriersiwoul
dibeiconsideredisubjectiveidata.iVitalisignsiobtainedifromitheimedicalirecordiwouldibeiconsi
derediobjectiveidata.
DIF: CognitiveiLevel:iUnderstandingi(Comprehension)
TOP:i NursingiProcess:iPlanningMSC:i NCLEX:iManagementiofiClientiCare
2. Theinurseiisiusingidataicollecteditoidefineiaisetiofiinterventionsitoiachieveitheimostidesirabl
eoutcomes.iWhichiofitheifollowingistepsiisitheinurseiapplying?
a. Recognizingicuesi(assessment)
b. Analyzeicuesi&iprioritizeihypothesisi(analysis)
c. Generateisolutionsi(planning)
d. Takeiactioni(nursingiinterventions)
ANS:i C
Whenigeneratingisolutionsi(planning),itheinurseiidentifiesiexpectedioutcomesiandiusesitheipati
ent’siproblem(s)itoidefineiaisetiofiinterventionsitoiachieveitheimostidesirableioutcomes.iRecogn
izingicuesi(assessment)iinvolvesitheigatheringioficuesi(information)ifromitheipatientiaboutitheiri
healthiandilifestyleipractices,iwhichiareiimportantifactsithatiaiditheinurseiinimakingiclinicalicarei
decisions.iPrioritizingihypothesisiisiuseditoiorganizeiandirankitheipatientiproblem(s)identified.iF
, inally,itakingiactioniinvolvesiimplementationiofinursingiinterventionsitoiaccomplishitheiexpecte
dioutcomes.
DIF:
CognitiveiLevel:iUnderstandingi(Comprehe
nsion)TOP:iNursingiProcess:iNursingiIntervention
MSC:i NCLEX:iManagementiofiClientiCare
3. Ai5-year-
oldichildiwithitypei1idiabetesimellitusihasihadirepeatedihospitalizationsiforiepisodesiofhyperg
lycemia.iTheiparentsitellitheinurseithatitheyican’tikeepitrackiofieverythingithatihasitoibeidoneit
oicareiforitheirichild.iTheinurseireviewsimedications,idiet,iandisymptomimanagementiwiththei
parentsiandidrawsiupiaidailyichecklistiforitheifamilyitoiuse.iTheseiactivitiesiareicompletediinwh
ichistepiofitheinursingiprocess?
a. Recognizingicuesi(assessment)
b. Analyzeicuesi&iprioritizeihypothesisi(analysis)
, c. Generateisolutionsi(planning)
d. Takeiactioni(nursingiinterventions)
ANS:i D
Takingiactionithroughinursingiinterventionsiisiwhereitheinurseiprovidesipatientihealthiteachi
ng,drugiadministration,ipatienticare,iandiotheriinterventionsinecessaryitoiassistitheipatientiini
accomplishingiexpectedioutcomes.
DIF:
CognitiveiLevel:iUnderstandingi(Comprehe
nsion)TOP:iNursingiProcess:iNursingiIntervention
MSC:i NCLEX:iManagementiofiClientiCare
4. Theinurseiisipreparingitoiadministeriaimedicationiandireviewsitheipatient’sichartiforidrugi
allergies,iserumicreatinine,iandibloodiureainitrogeni(BUN)ilevels.iTheinurse’siactionsiarer
eflectiveiofiwhichiofitheifollowing?
a. Recognizingicuesi(assessment)
b. Analyzeicuesi&iprioritizeihypothesisi(analysis)
c. Takeiactioni(nursingiinterventions)
d. Generateisolutionsi(planning)
ANS:i A
Recognizingicuesi(assessment)iinvolvesigatheringisubjectiveiandiobjectiveiinformationiaboutith
epatientianditheimedication.iLaboratoryivaluesifromitheipatient’sichartiwouldibeiconsideredico
llectioniofiobjectiveidata.
DIF: CognitiveiLevel:iUnderstandingi(Comprehension)
McCuistion:iPharmacology:iAiPatient-CenterediNursingiProcessiApproach,i11thiEdition
MULTIPLEiCHOICE
1. Alliofitheifollowingiwouldibeiconsideredisubjectiveidata,iEXCEPT:
a. Patient-reportedihealthihistory
b. Patient-reportedisignsiandisymptomsiofitheiriillness
c. Financialibarriersireportedibyitheipatient’sicaregiver.
d. Vitalisignsiobtainedifromitheimedicalirecord.
, ANS:i D.
Subjectiveidataiisibasedioniwhatipatientsiorifamilyimembersicommunicateitoitheinurse.iPat
ient-
reportedihealthihistory,isignsiandisymptoms,iandicaregiverireportedifinancialibarriersiwoul
dibeiconsideredisubjectiveidata.iVitalisignsiobtainedifromitheimedicalirecordiwouldibeiconsi
derediobjectiveidata.
DIF: CognitiveiLevel:iUnderstandingi(Comprehension)
TOP:i NursingiProcess:iPlanningMSC:i NCLEX:iManagementiofiClientiCare
2. Theinurseiisiusingidataicollecteditoidefineiaisetiofiinterventionsitoiachieveitheimostidesirabl
eoutcomes.iWhichiofitheifollowingistepsiisitheinurseiapplying?
a. Recognizingicuesi(assessment)
b. Analyzeicuesi&iprioritizeihypothesisi(analysis)
c. Generateisolutionsi(planning)
d. Takeiactioni(nursingiinterventions)
ANS:i C
Whenigeneratingisolutionsi(planning),itheinurseiidentifiesiexpectedioutcomesiandiusesitheipati
ent’siproblem(s)itoidefineiaisetiofiinterventionsitoiachieveitheimostidesirableioutcomes.iRecogn
izingicuesi(assessment)iinvolvesitheigatheringioficuesi(information)ifromitheipatientiaboutitheiri
healthiandilifestyleipractices,iwhichiareiimportantifactsithatiaiditheinurseiinimakingiclinicalicarei
decisions.iPrioritizingihypothesisiisiuseditoiorganizeiandirankitheipatientiproblem(s)identified.iF
, inally,itakingiactioniinvolvesiimplementationiofinursingiinterventionsitoiaccomplishitheiexpecte
dioutcomes.
DIF:
CognitiveiLevel:iUnderstandingi(Comprehe
nsion)TOP:iNursingiProcess:iNursingiIntervention
MSC:i NCLEX:iManagementiofiClientiCare
3. Ai5-year-
oldichildiwithitypei1idiabetesimellitusihasihadirepeatedihospitalizationsiforiepisodesiofhyperg
lycemia.iTheiparentsitellitheinurseithatitheyican’tikeepitrackiofieverythingithatihasitoibeidoneit
oicareiforitheirichild.iTheinurseireviewsimedications,idiet,iandisymptomimanagementiwiththei
parentsiandidrawsiupiaidailyichecklistiforitheifamilyitoiuse.iTheseiactivitiesiareicompletediinwh
ichistepiofitheinursingiprocess?
a. Recognizingicuesi(assessment)
b. Analyzeicuesi&iprioritizeihypothesisi(analysis)
, c. Generateisolutionsi(planning)
d. Takeiactioni(nursingiinterventions)
ANS:i D
Takingiactionithroughinursingiinterventionsiisiwhereitheinurseiprovidesipatientihealthiteachi
ng,drugiadministration,ipatienticare,iandiotheriinterventionsinecessaryitoiassistitheipatientiini
accomplishingiexpectedioutcomes.
DIF:
CognitiveiLevel:iUnderstandingi(Comprehe
nsion)TOP:iNursingiProcess:iNursingiIntervention
MSC:i NCLEX:iManagementiofiClientiCare
4. Theinurseiisipreparingitoiadministeriaimedicationiandireviewsitheipatient’sichartiforidrugi
allergies,iserumicreatinine,iandibloodiureainitrogeni(BUN)ilevels.iTheinurse’siactionsiarer
eflectiveiofiwhichiofitheifollowing?
a. Recognizingicuesi(assessment)
b. Analyzeicuesi&iprioritizeihypothesisi(analysis)
c. Takeiactioni(nursingiinterventions)
d. Generateisolutionsi(planning)
ANS:i A
Recognizingicuesi(assessment)iinvolvesigatheringisubjectiveiandiobjectiveiinformationiaboutith
epatientianditheimedication.iLaboratoryivaluesifromitheipatient’sichartiwouldibeiconsideredico
llectioniofiobjectiveidata.
DIF: CognitiveiLevel:iUnderstandingi(Comprehension)
