CENTERED NURSING PROCESS APPROACH, 10TH
EDITION BY LINDA E. MCCUISTION(CHAPTER1- 58 ALL
COVERED) ISBN: 978-0323672603
,TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the followingT T T T T T T T T T T T
steps, EXCEPT: T
a.
Assessment
b.
Patient problem T
c.
Planning
d.
Right Drug T
ANS: D T
The nursing process is a five-step decision-making approach that includes: 1) assessment, 2)
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patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one of the
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“Six Rights” of medication administration.
T T T T
DIF: Cognitive Level: Understanding (Comprehension) T T T TOP: Nursing Process:T T T
Planning MSC: NCLEX: Management of Care
T T T T T
2. The nurse is using data collected to set goals or expected outcomes and interventions that
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address the patient’s problems. Which step of the nursing process is the nurse applying?
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a.
Assessment
b.
Patient problem T
c.
Planning
d.
Evaluation
ANS: C T
During the planning phase, the nurse uses the data collected to set goals or expected outcomes
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and interventions which address the patient’s problems. The data was collected during the
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“Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse would
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determine whether the goals and objectives set during the planning phase were met.
T T T T T T T T T T T T
DIF: Cognitive Level: Understanding T T T
(Comprehension) TOP: Nursing Process: Nursing T T T T T
Intervention
MSC: NCLEX: Management of Care
T T T T
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes
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of hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has
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to be done to care for their child. The nurse reviews medications, diet, and symptom
T T T T T T T T T T T T T T T
management with the parents and draws up a daily checklist for the family to use. These
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activities are completed in which step of the nursing process?
T T T T T T T T T
a.
Assessment
b.
Planning
c.
Implementation
d.
Evaluation
ANS: C T
,TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
The implementation phase is the part of the nursing process in which the nurse provides
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education, drug administration, patient care, and other interventions necessary to assist the
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patient in accomplishing established medication goals.
T T T T T
DIF: Cognitive Level: Understanding T T T
(Comprehension) TOP: Nursing Process: Nursing T T T T T
Intervention
MSC: NCLEX: Management of Care
T T T T
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
T T T T T T T T T T T T T T T
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
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reflective of which phase of the nursing process?
T T T T T T T
a.
Assessment
b.
Evaluation
c.
Implementation
d.
Planning
ANS: A T
Assessment involves gathering information about the patient and the drug, including any
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previous use of the drug. T T T T
DIF: Cognitive Level: Understanding (Comprehension) T T T
TOP: Nursing Process: Assessment
T MSC: NCLEX: Management of Care
T T T T T T
5. Which assessment is categorized as objective data?
T T T T T T
a.
A list of herbal supplements regularly used
T T T T T T
b.
Lab values associated with the drugs the patient is taking
T T T T T T T T T
c.
The ages and relationship to the patient of all household members
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d.
Usual dietary patterns and fNo od intake
T T T T T T
ANS: B T
Objective data are measured and detected by another person and would include lab values.
T T T T T T T T T T T T T T
The other examples are subjective data.
T T T T T
DIF: Cognitive Level: Understanding (Comprehension) T T T
TOP: Nursing Process: Assessment
T MSC: NCLEX: Management of Care
T T T T T T
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and
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does not have an established routine. The patient will be sent home with three new
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medications to be taken at different times of the day. The nurse develops a daily medication
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chart and enlists a family member to put the patient’s pills in a pill organizer. This is an
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example of which phase of the nursing process?
T T T T T T T
a.
Assessment
b.
Evaluation
c.
Implementation
d.
Planning
ANS: C T
The implementation phase involves education and patient care in order to assist the patient t
T T T T T T T T T T T T T T
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
accomplish the goals of treatment. T T T T
DIF: Cognitive Level: Applying T T T
(Application) TOP: Nursing Process: Nursing T T T T T
Intervention MSC: NCLEX: Management of T T T T T
Care
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
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home. The nurse and the patient discuss the patient’s situation and decide that the patient may
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go home when able to perform self-care without dyspnea and hypoxia. This is an example of
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which phase of the nursing process?
T T T T T
a.
Assessment
b.
Evaluation
c.
Implementation
d.
Planning
ANS: D T
Planning involves goal setting, which, for this patient, means being able to perform self-care
T T T T T T T T T T T T T T
activities without dyspnea and hypoxia.
T T T T
DIF: Cognitive Level: Understanding (Comprehension) T T T TOP: Nursing Process: T T T
Planning MSC: NCLEX: Management of Care
T T T T T
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching.
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Which is a correctly written goal for this process?
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a.
The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
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b.
The nurse will teach the patient how to administer medication with a metered-dose
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inhaler.
c.
The patient will know how to self-administer the medication using the
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metered-dose inhaler. T
d.
The patient will independently administer the medication using the metered-dose
T T T T T T T T T T
inhaler at the end of the session.
N
T T T T T T
ANS: D T
Goals must be patient-centered and clearly state the outcome with a reasonable deadline and
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should identify components for evaluation.
T T T T
DIF: Cognitive Level: Applying (Application) T T T TOP: Nursing Process: T T T
Planning MSC: NCLEX: Management of Care
T T T T T
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia.
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The patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The
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nurse develops a goal stating, “The patient will have oxygen saturations of >95% on room air
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at the time of discharge from the hospital.” What is wrong with this goal?
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a.
It cannot be evaluated.
T T T
b.
It is not measurable.
T T T
c.
It is not patient-centered.
T T T
d.
It is not realistic.
T T T
ANS: D T
This goal is not realistic because the patient is not usually on room air and should not be
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expected to attain that goal by discharge from this hospitalization.
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