k k k kk k k k
da E. McCuistion Chapter 1-58
k k k k
Chapterk01:kThekNursingkProcesskandkPatient-CenteredkCare
McCuistion:kPharmacology:kAkPatient-CenteredkNursingkProcesskApproach,k11thkEdition
MULTIPLEkCHOICE
1. Allkofkthekfollowingkwouldkbekconsideredksubjectivekdata,kEXCEPT:
a. Patient-reportedkhealthkhistory
b. Patient-reportedksignskandksymptomskofktheirkillness
c. Financialkbarrierskreportedkbykthekpatient’skcaregiver
d. Vitalksignskobtainedkfromkthekmedicalkrecord
ANS:k D
Subjectivekdatakiskbasedkonkwhatkpatientskorkfamilykmemberskcommunicatektoktheknurse.kPatient-
kreportedkhealthkhistory,ksignskandksymptoms,kandkcaregiverkreportedkfinancialkbarrierskwouldkbek
consideredksubjectivekdata.kVitalksignskobtainedkfromkthekmedicalkrecordkwouldkbekconsideredko
bjectivekdata.
DIF: CognitivekLevel:kUnderstandingk(Comprehension)
TOP:k NursingkProcess:kPlanningkMSC:k NCLEX:kManagementkofkClientkCare
2. Theknursekiskusingkdatakcollectedktokdefinekaksetkofkinterventionsktokachievekthekmostkdesirablek
outcomes.kWhichkofkthekfollowingkstepskisktheknursekapplying?
a. Recognizingkcuesk(assessment)
b. Analyzekcuesk&kprioritizekhypothesisk(analysis)
c. Generateksolutionsk(planning)
d. Takekactionk(nursingkinterventions)
ANS:k C
Whenkgeneratingksolutionsk(planning),ktheknursekidentifieskexpectedkoutcomeskandkuseskthekpatie
nt’skproblem(s)ktokdefinekaksetkofkinterventionsktokachievekthekmostkdesirablekoutcomes.kRecogniz
ingkcuesk(assessment)kinvolveskthekgatheringkofkcuesk(information)kfromkthekpatientkaboutktheirkh
ealthkandklifestylekpractices,kwhichkarekimportantkfactskthatkaidktheknursekinkmakingkclinicalkcarek
decisions.kPrioritizingkhypothesiskiskusedktokorganizekandkrankkthekpatientkproblem(s)kidentified.kF
inally,ktakingkactionkinvolveskimplementationkofknursingkinterventionsktokaccomplishkthekexpecte
dkoutcomes.
DIF:
CognitivekLevel:kUnderstandingk(Comprehension
)kTOP:k NursingkProcess:kNursingkIntervention
MSC:k NCLEX:kManagementkofkClientkCare
3. Ak5-year-
oldkchildkwithktypek1kdiabeteskmellituskhaskhadkrepeatedkhospitalizationskforkepisodeskofkhypergly
cemia.kThekparentsktellktheknursekthatktheykcan’tkkeepktrackkofkeverythingkthatkhasktokbekdonektokc
arekforktheirkchild.kTheknursekreviewskmedications,kdiet,kandksymptomkmanagementkwithkthekparen
tskandkdrawskupkakdailykchecklistkforkthekfamilyktokuse.kThesekactivitieskarekcompletedkinkwhichkst
,Test Bank ( Pharmacology) 11th Edition by Lin
k k k kk k k k
da E. McCuistion Chapter 1-58
k k k k
epkofktheknursingkprocess?
a. Recognizingkcuesk(assessment)
b. Analyzekcuesk&kprioritizekhypothesisk(analysis)
,Test Bank ( Pharmacology) 11th Edition by Lin
k k k kk k k k
da E. McCuistion Chapter 1-58
k k k k
c. Generateksolutionsk(planning)
d. Takekactionk(nursingkinterventions)
ANS:k D
Takingkactionkthroughknursingkinterventionskiskwherektheknursekprovideskpatientkhealthkteaching,k
drugkadministration,kpatientkcare,kandkotherkinterventionsknecessaryktokassistkthekpatientkinkacco
mplishingkexpectedkoutcomes.
DIF:
CognitivekLevel:kUnderstandingk(Comprehension
)kTOP:k NursingkProcess:kNursingkIntervention
MSC:k NCLEX:kManagementkofkClientkCare
4. Theknursekiskpreparingktokadministerkakmedicationkandkreviewskthekpatient’skchartkforkdrugk
allergies,kserumkcreatinine,kandkbloodkureaknitrogenk(BUN)klevels.kTheknurse’skactionskarek
reflectivekofkwhichkofkthekfollowing?
a. Recognizingkcuesk(assessment)
b. Analyzekcuesk&kprioritizekhypothesisk(analysis)
c. Takekactionk(nursingkinterventions)
d. Generateksolutionsk(planning)
ANS:k A
Recognizingkcuesk(assessment)kinvolveskgatheringksubjectivekandkobjectivekinformationkaboutkthek
patientkandkthekmedication.kLaboratorykvalueskfromkthekpatient’skchartkwouldkbekconsideredkcolle
ctionkofkobjectivekdata.
DIF: CognitivekLevel:kUnderstandingk(Comprehension)
TOP:k NursingkProcess:kAssessment MSC:k NCLEX:kManagementkofkClientkCare
5. Whichkofkthekfollowingkwouldkbekcorrectlykcategorizedkaskobjectivekdata?
a. Aklistkofkherbalksupplementskregularlykusedkprovidedkbykthekpatient.
b. Labkvalueskassociatedkwithkthekdrugskthekpatientkisktaking.
c. Thekageskandkrelationshipkofkallkhouseholdkmembersktokthekpatient.
d. Usualkdietarykpatternskandkfoodkintake.
ANS:k B
Objectivekdatakarekmeasuredkandkdetectedkbykanotherkpersonkandkwouldkincludeklabkvalues.kTheko
therkexampleskareksubjectivekdata.
DIF: CognitivekLevel:kUnderstandingk(Comprehension)
TOP:k NursingkProcess:kAssessment MSC:k NCLEX:kManagementkofkClientkCare
6. Theknursekreviewskakpatient’skdatabasekandklearnskthatkthekpatientkliveskalone,kiskforgetful,kandkd
oesknotkhavekankestablishedkroutine.kThekpatientkwillkbeksentkhomekwithkthreeknewkmedicationskt
okbektakenkatkdifferentktimeskofkthekday.kTheknursekdevelopskakdailykmedicationkchartkandkenlistsk
akfamilykmemberktokputkthekpatient’skpillskinkakpillkorganizer.kThiskiskankexamplekofkwhichkelem
entkofktheknursingkprocess?
a. Recognizingkcuesk(assessment)
b. Analyzekcuesk&kprioritizekhypothesisk(analysis)
c. Takekactionk(nursingkinterventions)
, Test Bank ( Pharmacology) 11th Edition by Lin
k k k kk k k k
da E. McCuistion Chapter 1-58
k k k k
d. Generateksolutionsk(planning)
ANS:k C
Takingkactionk(nursingkinterventions)kinvolveskeducationkandkpatientkcarekinkorderktokassistkthekpa
tientktokaccomplishkthekgoalskofktreatment.
DIF:
CognitivekLevel:kApplyingk(Application
)kTOP:kNursingkProcess:kNursingkInterventionk
MSC:k NCLEX:kManagementkofkClientkCare
7. Akpatientkwhokiskhospitalizedkforkchronickobstructivekpulmonarykdiseasek(COPD)kwantsktokgokho
me.kTheknursekandkthekpatientkdiscusskthekpatient’sksituationkandkdecidekthatkthekpatientkmaykgokho
mekwhenkablektokperformkself-
carekwithoutkdyspneakandkhypoxia.kThiskiskankexamplekofkwhichkphasekofktheknursingkprocess?
a. Recognizingkcuesk(assessment)
b. Analyzekcuesk&kprioritizekhypothesisk(analysis)
c. Takekactionk(nursingkinterventions)
d. Generateksolutionsk(planning)
ANS:k D
Generatingksolutionsk(planning)kinvolveskdefiningkaksetkofkinterventionsktokachievekthekmostk
desirablekoutcomes,kwhich,kforkthiskpatient,kmeanskbeingkablektokperformkself-
carekactivitieskwithoutkdyspneakandkhypoxia.
DIF:k CognitivekLevel:kUnderstandingk(Comprehension)
TOP:k Nursingk Process:k Planningk
MSC:k NCLEX:kManagementkofkClientkCare
8. Akpatientkwillkbeksentkhomekwithkakmetered-
dosekinhaler,kandktheknursekiskprovidingkteaching.kWhichkiskakcorrectlykwrittenkexpectedkoutco
mekforkthiskprocess?
a. Theknursekwillkdemonstratekthekcorrectkusekofkakmetered-dosekinhalerktokthekpatient.
b. Theknursekwillkteachkthekpatientkhowktokadministerkmedicationkwithkakmetered-
dosekinhaler.
c. Thekpatientkwillkknowkhowktokself-administerkthekmedicationkusingkthekmetered-
kdosekinhaler.
d. Thekpatientkwillkindependentlykadministerkthekmedicationkusingkthekmetered-
dosekinhalerkatkthekendkofktheksession.
ANS:k D
Expectedkoutcomeskmustkbekpatient-
centeredkandkclearlykstatekthekoutcomekwithkakreasonablekdeadlinekandkshouldkidentifykcompo
nentskforkevaluation.
DIF:k CognitivekLevel:kApplyingk(Application)
TOP:k Nursingk Process:k Planningk
MSC:k NCLEX:kManagementkofkClientkCare
9. Theknursekiskgeneratingksolutionsk(planning)kforkakpatientkwhokhaskchronicklungkdiseasekandkhyp
oxia.kThekpatientkhaskbeenkadmittedkforkincreasedkoxygenkneedskabovekakbaselinekofk2kL/min.kThe