A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice
Question:
A nurse is preparing to administer a newly prescribed
medication. Before giving the medication, the nurse reviews the
patient's allergies, current medications, and most recent
laboratory results. Which step of the Clinical Judgment
Measurement Model (CJMM) is the nurse demonstrating?
A. Generate Solutions
B. Recognize Cues
C. Evaluate Outcomes
D. Take Action
Correct Answer: B. Recognize Cues
Rationale: Recognizing cues involves collecting and identifying
relevant patient information before making clinical decisions.
Reviewing allergies, medications, and laboratory values helps
identify factors that may influence safe medication
administration.
Question 2
,Difficulty: Moderate
Question Type: Multiple Choice
Question:
A patient receiving an antihypertensive medication reports
dizziness when standing. The nurse determines the dizziness is
likely caused by orthostatic hypotension related to the
medication. Which CJMM step is demonstrated?
A. Analyze Cues
B. Evaluate Outcomes
C. Take Action
D. Generate Solutions
Correct Answer: A. Analyze Cues
Rationale: Analyzing cues involves interpreting assessment
findings and determining their clinical significance. The nurse
links the patient's symptom to the medication's known effect
before planning interventions.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
, A nurse is caring for a patient who is receiving intravenous
antibiotics. Which nursing actions represent the Recognize Cues
(Assessment) step? (Select all that apply.)
A. Review the patient's allergy history.
B. Measure the patient's temperature.
C. Decide to notify the provider about worsening symptoms.
D. Assess the IV site for redness and swelling.
E. Evaluate whether the infection has resolved.
Correct Answer: A, B, D
Rationale: Recognizing cues involves collecting assessment data
such as allergies, vital signs, and IV site status. Deciding to
notify the provider is a planning/action step, while evaluating
resolution occurs after interventions.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice
Question:
A nurse identifies that a patient's potassium level is 2.9 mEq/L
before administering a medication known to lower potassium
further. Which action best reflects Prioritize Hypotheses?