TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
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m
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
x% x% x% x% x% x% x%
Chapter 01: The Nursing Process and Patient-Centered Care
x% x% x% x% x% x% x%
McCuistion: Pharmacology: APatient-Centered Nursing Process Approach, 10th Edition
x% x% x% vj x% x% x%
MULTIPLE CHOICE x%
1. The nursing process is a five-step decision-
x% x% x% x% vj x%
making approach that includes all of the following steps, EXCEPT:
vj x% x% x% x% x% vj x% x%
a. Assessment
b. Patient problem x%
c. Planning
d. Right Drug x%
ANS: x % x % D
The nursing process is a five-step decision-
x% x% x% x% x% x%
making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implementati
x% x% x% x% x% x% x% x% x% x% x% x%
o n, and 5) evaluation. “Right drug” is one of the “Six Rights” of medication administration.
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
DIF: Cognitive Level: Understanding (Comprehension) x% x% x%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care x% x% vj x % x% x% x%
2. The nurse is using data collected to set goals or expected outcomes and interventions that a
x% x% x% x% x% vj x% x% x% x% vj x% vj x% x%
d dress the patient’s problems. Which step of the nursing process is the nurse applying
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
?
a. Assessment
b. Patient problem x%
c. Planning N
d. Evaluation
ANS: x % x % C
During the planning phase, the nurse uses the data collected to set goals or expected outcomes and int
vj x% x% x% vj x% x% x% x% x% vj x% x% x% x% x% x%
erventions which address the patient’s problems. The data was collected during the “Assess me
x% x% x% x% x% x% x% x% x% x% x% x% x%
nt” and “Patient problem” steps. During the “Evaluation” phase the nurse would determine w hethe
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
r the goals and objectives set during the planning phase were met.
x% x% x% x% x% x% vj x% x% x% x%
DIF:
Cognitive Level: Understanding (Comprehension) x% x% x%
TOP:
Nursing Process: Nursing Interventio x% x% x%
n MSC: NCLEX: Management of Care
x% x % x% x% x%
3. A 5-year-
x%
old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hypergl
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
y cemia. The parents tell the nurse that they can’t keep track of everything that has to be done t
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
o c are for their child. The nurse reviews medications, diet, and symptom management with th
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
e par ents and draws up a daily checklist for the family to use. These activities are completed i
x% x% x% x% x% x% x% x% x% x% x% x% vj x% x% x% x% x%
n whic h step of the nursing process?
vj x% x% x% x% x% x%
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: x % x % C
m
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
x% x% x% x% x% x% x%
The implementation phase is the part of the nursing process in which the nurse provides educat
x% x% x% x% x% x% x% x% vj x% vj x% x% x% x%
i on, drug administration, patient care, and other interventions necessary to assist the patient in
x% x% x% x% x% x% vj x% x% x% x% x% x% x% x%
acc omplishing established medication goals.
x% x% vj x%
DIF:
Cognitive Level: Understanding (Comprehension)
x% x% x%
TOP:
Nursing Process: Nursing Interventio x% x% x%
n MSC: NCLEX: Management of Care
x% x % x% x% x%
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
al lergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
x% x% vj x% x% x% x% x% x% x% x% vj x% x%
refl ective of which phase of the nursing process?
x% x% x% x% x% x% x% x%
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: x % x % A
Assessment involves gathering information about the patient and the drug, including any previo
x% x% x% x% x% x% x% x% x% x% x% x%
u s use of the drug.
x% x% x% x% x%
DIF: Cognitive Level: Understanding (Comprehension) x% x% vj
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care x% x% x % x% x% x%
5. Which assessment is categorized as objective data?
x% x% vj vj x% x%
a. A list of herbal supplements regularly used
x% x% x% x% vj x%
b. Lab values associated with the drugs the patient is taking
x% x% x% x% x% x% x% x% x%
c. The ages and relationship to the patient of all household members
x% x% x% x% x% x% x% x% x% x%
d. Usualdietary patterns and fNo od intake x% vj x% x% x%
ANS: x % x % B
Objective data are measured and detected by another person and would include lab values. The ot
x% x% x% x% x% vj x% x% x% x% vj x% x% x% x%
her examples are subjective data.
x% x% x% x%
DIF: Cognitive Level: Understanding (Comprehension) x% x% vj
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care x% x% x % x% x% x%
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and do
x% x% x% x% vj x% x% x% x% x% x% x% x% vj x% vj x
%es not have an established routine. The patient will be sent home with three new medication
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
s t o be taken at different times of the day. The nurse develops a daily medication chart and en
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
lists a family member to put the patient’s pills in a pill organizer. This is an example of whic
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
h phas e of the nursing process?
x% x% x% x% x% x%
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: x % x % C
The implementation phase involves education and patient care in order to assist the patient to acc om
x% vj x% x% x% vj x% x% x% x% x% x% x% vj x% x%
plish the goals of treatment.
x% x% x% x%
DIF:
Cognitive Level: Applying (Application) x% x% x%
TOP: Nursing Process: Nursing Intervention x% x% x%
m
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
x% x% x% x% x% x% x%
MSC: x % NCLEX: Management of Care x% x% x%
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
x% x% x% vj x% x% x% x% x% x% x% x% x% x%
h ome. The nurse and the patient discuss the patient’s situation and decide that the patient may
x% x% x% x% x% x% x% x% x% x% vj x% x% vj x% x% x
%go home when able to perform self-
vjx % x% x% x% x% x%
care without dyspnea and hypoxia. This is an example of which phase of the nursing process?
x% vj x% x% x% x% x% x% x% x% x% x% x% x% x%
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: x % x % D
Planning involves goal setting, which, for this patient, means being able to perform self-
x% x% x% x% x% x% x% x% x% x% x% x% x%
care activities without dyspnea and hypoxia.
x% x% x% x% x% vj
DIF: Cognitive Level: Understanding (Comprehension) x% x% x%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care x% x% vj x % x% x% x%
8. A patient will be sent home with a metered-
x% x% x% x% vj x% x% vj
dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this proc
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
ess?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
x% x% x% x% x% x% x% x% x% x% x% x% x%
b. The nurse will teach the patient how to administer medication with a metered-
x% x% x% x% x% vj x% x% x% x% x% x%
dose inhaler.
x% x%
c. The patient will know how to self-x% vj x% x% x% x%
administer the medication using the metered-dose inhaler. x% x% vj x% x% x%
d. The patient will independently administer the medication using the metered-
x% vj x% x% x% x% x% x% x%
dose inhaler at the end of the session.
x% x% x% x% x% x% x% x%
N
ANS: x % x % D
Goals must be patient- vj x% x%
centered and clearly state the outcome with a reasonable deadline and should identify component
x% x% x% x% x% x% x% x% x% x% vj x% x% x
s for evaluation.
% x% x%
DIF: Cognitive Level: Applying (Application) x% x% x%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care x% x% vj x % x% x% x%
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia. T
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
h e patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The n
x% x% x% x% x% x% x% vj x% x% x% vj x% x% x% x% x%
urse develops a goal stating, “The patient will have oxygen saturations of >95% on room air a
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
t the ti me of discharge from the hospital.” What is wrong with this goal?
x% x% x% x% x% x% x% x% x% vj x% x% x% x%
a. It cannot be evaluated.x% x% x%
b. It is not measurable. x% x% vj
c. It is not patient-centered.
x% x% x%
d. It is not realistic. x% x% vj
ANS: x % x % D
This goal is not realistic because the patient is not usually on room air and should not be expecte
x% x% x% x% x% x% x% x% x% vj x% x% x% x% x% x% vj x%
d to attain that goal by discharge from this hospitalization.
x% x% x% vj x% x% x% x% x%
DIF: Cognitive Level: Applying (Application) x% x% x%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care x% x% vj x % x% x% x%
m
x% x% x% x% x% x% x%
m
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
x% x% x% x% x% x% x%
Chapter 01: The Nursing Process and Patient-Centered Care
x% x% x% x% x% x% x%
McCuistion: Pharmacology: APatient-Centered Nursing Process Approach, 10th Edition
x% x% x% vj x% x% x%
MULTIPLE CHOICE x%
1. The nursing process is a five-step decision-
x% x% x% x% vj x%
making approach that includes all of the following steps, EXCEPT:
vj x% x% x% x% x% vj x% x%
a. Assessment
b. Patient problem x%
c. Planning
d. Right Drug x%
ANS: x % x % D
The nursing process is a five-step decision-
x% x% x% x% x% x%
making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implementati
x% x% x% x% x% x% x% x% x% x% x% x%
o n, and 5) evaluation. “Right drug” is one of the “Six Rights” of medication administration.
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
DIF: Cognitive Level: Understanding (Comprehension) x% x% x%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care x% x% vj x % x% x% x%
2. The nurse is using data collected to set goals or expected outcomes and interventions that a
x% x% x% x% x% vj x% x% x% x% vj x% vj x% x%
d dress the patient’s problems. Which step of the nursing process is the nurse applying
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
?
a. Assessment
b. Patient problem x%
c. Planning N
d. Evaluation
ANS: x % x % C
During the planning phase, the nurse uses the data collected to set goals or expected outcomes and int
vj x% x% x% vj x% x% x% x% x% vj x% x% x% x% x% x%
erventions which address the patient’s problems. The data was collected during the “Assess me
x% x% x% x% x% x% x% x% x% x% x% x% x%
nt” and “Patient problem” steps. During the “Evaluation” phase the nurse would determine w hethe
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
r the goals and objectives set during the planning phase were met.
x% x% x% x% x% x% vj x% x% x% x%
DIF:
Cognitive Level: Understanding (Comprehension) x% x% x%
TOP:
Nursing Process: Nursing Interventio x% x% x%
n MSC: NCLEX: Management of Care
x% x % x% x% x%
3. A 5-year-
x%
old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hypergl
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
y cemia. The parents tell the nurse that they can’t keep track of everything that has to be done t
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
o c are for their child. The nurse reviews medications, diet, and symptom management with th
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
e par ents and draws up a daily checklist for the family to use. These activities are completed i
x% x% x% x% x% x% x% x% x% x% x% x% vj x% x% x% x% x%
n whic h step of the nursing process?
vj x% x% x% x% x% x%
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: x % x % C
m
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
x% x% x% x% x% x% x%
The implementation phase is the part of the nursing process in which the nurse provides educat
x% x% x% x% x% x% x% x% vj x% vj x% x% x% x%
i on, drug administration, patient care, and other interventions necessary to assist the patient in
x% x% x% x% x% x% vj x% x% x% x% x% x% x% x%
acc omplishing established medication goals.
x% x% vj x%
DIF:
Cognitive Level: Understanding (Comprehension)
x% x% x%
TOP:
Nursing Process: Nursing Interventio x% x% x%
n MSC: NCLEX: Management of Care
x% x % x% x% x%
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
al lergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
x% x% vj x% x% x% x% x% x% x% x% vj x% x%
refl ective of which phase of the nursing process?
x% x% x% x% x% x% x% x%
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: x % x % A
Assessment involves gathering information about the patient and the drug, including any previo
x% x% x% x% x% x% x% x% x% x% x% x%
u s use of the drug.
x% x% x% x% x%
DIF: Cognitive Level: Understanding (Comprehension) x% x% vj
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care x% x% x % x% x% x%
5. Which assessment is categorized as objective data?
x% x% vj vj x% x%
a. A list of herbal supplements regularly used
x% x% x% x% vj x%
b. Lab values associated with the drugs the patient is taking
x% x% x% x% x% x% x% x% x%
c. The ages and relationship to the patient of all household members
x% x% x% x% x% x% x% x% x% x%
d. Usualdietary patterns and fNo od intake x% vj x% x% x%
ANS: x % x % B
Objective data are measured and detected by another person and would include lab values. The ot
x% x% x% x% x% vj x% x% x% x% vj x% x% x% x%
her examples are subjective data.
x% x% x% x%
DIF: Cognitive Level: Understanding (Comprehension) x% x% vj
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care x% x% x % x% x% x%
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and do
x% x% x% x% vj x% x% x% x% x% x% x% x% vj x% vj x
%es not have an established routine. The patient will be sent home with three new medication
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
s t o be taken at different times of the day. The nurse develops a daily medication chart and en
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
lists a family member to put the patient’s pills in a pill organizer. This is an example of whic
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
h phas e of the nursing process?
x% x% x% x% x% x%
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: x % x % C
The implementation phase involves education and patient care in order to assist the patient to acc om
x% vj x% x% x% vj x% x% x% x% x% x% x% vj x% x%
plish the goals of treatment.
x% x% x% x%
DIF:
Cognitive Level: Applying (Application) x% x% x%
TOP: Nursing Process: Nursing Intervention x% x% x%
m
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
x% x% x% x% x% x% x%
MSC: x % NCLEX: Management of Care x% x% x%
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
x% x% x% vj x% x% x% x% x% x% x% x% x% x%
h ome. The nurse and the patient discuss the patient’s situation and decide that the patient may
x% x% x% x% x% x% x% x% x% x% vj x% x% vj x% x% x
%go home when able to perform self-
vjx % x% x% x% x% x%
care without dyspnea and hypoxia. This is an example of which phase of the nursing process?
x% vj x% x% x% x% x% x% x% x% x% x% x% x% x%
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: x % x % D
Planning involves goal setting, which, for this patient, means being able to perform self-
x% x% x% x% x% x% x% x% x% x% x% x% x%
care activities without dyspnea and hypoxia.
x% x% x% x% x% vj
DIF: Cognitive Level: Understanding (Comprehension) x% x% x%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care x% x% vj x % x% x% x%
8. A patient will be sent home with a metered-
x% x% x% x% vj x% x% vj
dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this proc
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
ess?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
x% x% x% x% x% x% x% x% x% x% x% x% x%
b. The nurse will teach the patient how to administer medication with a metered-
x% x% x% x% x% vj x% x% x% x% x% x%
dose inhaler.
x% x%
c. The patient will know how to self-x% vj x% x% x% x%
administer the medication using the metered-dose inhaler. x% x% vj x% x% x%
d. The patient will independently administer the medication using the metered-
x% vj x% x% x% x% x% x% x%
dose inhaler at the end of the session.
x% x% x% x% x% x% x% x%
N
ANS: x % x % D
Goals must be patient- vj x% x%
centered and clearly state the outcome with a reasonable deadline and should identify component
x% x% x% x% x% x% x% x% x% x% vj x% x% x
s for evaluation.
% x% x%
DIF: Cognitive Level: Applying (Application) x% x% x%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care x% x% vj x % x% x% x%
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia. T
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
h e patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The n
x% x% x% x% x% x% x% vj x% x% x% vj x% x% x% x% x%
urse develops a goal stating, “The patient will have oxygen saturations of >95% on room air a
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
t the ti me of discharge from the hospital.” What is wrong with this goal?
x% x% x% x% x% x% x% x% x% vj x% x% x% x%
a. It cannot be evaluated.x% x% x%
b. It is not measurable. x% x% vj
c. It is not patient-centered.
x% x% x%
d. It is not realistic. x% x% vj
ANS: x % x % D
This goal is not realistic because the patient is not usually on room air and should not be expecte
x% x% x% x% x% x% x% x% x% vj x% x% x% x% x% x% vj x%
d to attain that goal by discharge from this hospitalization.
x% x% x% vj x% x% x% x% x%
DIF: Cognitive Level: Applying (Application) x% x% x%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care x% x% vj x % x% x% x%
m
