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CENTEREDNURSINGPROCESS APPROACH,11THEDITION B t t t t t t
Y LINDA E. MCCUISTION CHAPTER 1-58 NEW UPDATE
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Chapter 01: The Nursing Process and Patient-Centered Care
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McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
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MULTIPLE CHOICE t
1. All of the following would be considered subjective data, EXCEPT:
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a. Patient-reported health history t t
b. Patient-reported signs and symptoms of their illness t t t t t t
c. Financial barriers reported by the patient’s caregiver. t t t t t t
d. Vital signs obtained from the medical record. t t t t t t
ANS: D. t
Subjective data is based on what patients or family members communicate to the nurse. Patie
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nt-
reported health history, signs and symptoms, and caregiver reported financial barriers wo uld
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be considered subjective data. Vital signs obtained from themedical record would be consider
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ed objective data.
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DIF: Cognitive Level: Understanding (Comprehension)
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TOP: Nursing Process:PlanningMSC: NCLEX: Management of Client Care t t t t t t t t
2. The nurse is using data collected to define a set of interventions to achieve the mostdesir ableo
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utcomes. Which of the following steps is the nurse applying? t t t t t t t t t
a. Recognizing cues (assessment) t t
b. Analyze cues & prioritize hypothesis (analysis) t t t t t
c. Generate solutions (planning) t t
d. Take action (nursing interventions) t t t
ANS: C t
When generating solutions (planning), the nurse identifies expected outcomes and uses the p ati
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ent’s problem(s) to define a set of interventions to achieve the most desirable outcomes. Recogni
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zing cues (assessment) involves the gathering of cues (information) from the patient a bout their
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health and lifestyle practices, which are important facts that aid the nurse in maki ng clinical care
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decisions. Prioritizing hypothesis is used to organize and rank the patient prob lem(s)identified. Fi
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nally, taking action involves implementation of nursing interventions to acc omplish the expected
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outcomes.
DIF:
Cognitive Level: Understanding (Comprehensi t t t
on)TOP: Nursing Process: Nursing Intervention MS t t t az t
C: NCLEX: Management of Client Care
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3. A 5-year-t
,old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes ofhyp ergly
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cemia. The parents tell the nurse that they can’t keep track of everything that has to b e done to
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care for their child. The nurse reviews medications, diet, and symptom managem ent withthe par
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ents and draws up a daily checklist for thefamily to use. These activities are completed inwhich st
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ep of the nursing process?
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a. Recognizing cues (assessment) t t
b. Analyze cues & prioritize hypothesis (analysis)
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, TEST BANK PHARMACOLOGY A PATIENT- az
CENTERED NURSING PROCESS APPROACH, 11TH EDITION
c. Generate solutions (planning)
d. Take action (nursing interventions)
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ANS: D t
Taking action through nursing interventions is where the nurse provides patient healthteac hing
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,drug administration, patient care, and other interventions necessary to assist the patie nt in acc
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omplishing expected outcomes. t t
DIF:
Cognitive Level: Understanding (Comprehensi t t t
on)TOP: Nursing Process: Nursing Intervention MS
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C: NCLEX: Management of Client Care
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4. The nurse is preparing to administer a medication and reviews the patient’s chart for d rug a
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llergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actio ns arerefl
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ective of which of the following? t t t t t
a. Recognizing cues (assessment) t t
b. Analyze cues & prioritize hypothesis (analysis) t t t t t
c. Take action (nursing interventions) t t t
d. Generate solutions (planning) t t
ANS: A t
Recognizing cues (assessment) involves gathering subjective and objective informationabout t hep
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atient and the medication. Laboratory values from the patient’s chart would be considere d collect
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ion of objective data.
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DIF: Cognitive Level: Understanding (Comprehension) t t t
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care t t tt t t t t
5. Which of the following would be correctly categorized as objective data?
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a. A list of herbal supplements regularly used provided by the patient.
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b. Lab values associated with the drugs the patient is taking.
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c. The ages and relationship of all household members to the patient.
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d. Usual dietary patterns and food intake. t t t t t
ANS: B t
Objective data are measured and detected by another person and would include labvalue
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s. Theother examples are subjective data.
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DIF: Cognitive Level: Understanding (Comprehension) t t t
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care t t tt t t t t
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and do
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es not have an established routine. The patient will be sent home with three new me dications to
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be taken at different times of the day. The nurse develops a daily medication c hart and enlistsa fa
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mily member to put the patient’s pills in a pill organizer. This is an exam ple of which element of th
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e nursing process?
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a. Recognizing cues (assessment) t t
b. Analyze cues & prioritize hypothesis (analysis) t t t t t
c. Take action (nursing interventions) t t t