TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
TEST BANK PHARMACOLOGY A PATIENT-CENTERED
NURSING PROCESS APPROACH, 11TH EDITION BY LINDA E.
MCCUISTION CHAPTER 1-58 NEW UPDATE
Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11thEdition
MULTIPLE CHOICE
1. The following would all be regarded as subjective data, with the exception of:
a. Patient-reported health history
b. Patient-reported signs and symptoms of their illness
c. Financial barriers reported by the patient’s caregiver.
d. Vital signs obtained from the medical record.
ANS: D.
Based on what patients or family members tell the nurse, subjective data is collected. Subjective data
would include signs and symptoms, financial obstacles reported by caregivers, and health history
provided by the patient. Vital indicators from the patient's medical file would be regarded as objective
data.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
2. The nurse is defining a set of actions to get the highest desired outcomes utilizing the data that has
been gathered. Which action is the nurse taking from the list below?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
ANS: C
The nurse uses the patient's problem or problems to establish a set of treatments that will accomplish
the most desirable results when producing solutions, or planning. Acquiring cues (information) from
the patient regarding their health and lifestyle behaviors is part of recognizing cues (assessment). These
are crucial details that support the nurse in making clinical care decisions. The patient problem(s) that
have been found are ranked and organized using prioritizing hypotheses. Lastly, taking action entails
putting nursing interventions into practice to achieve the desired results.
DIF: Cognitive Level: Understanding
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
(Comprehension)TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Client Care
3. A 5-year-old child diagnosed with type 1 diabetes has been hospitalized multiple times due to
episodes of hyperglycemia. The parents confide in the nurse, saying they are unable to remember
everything that needs to be done for their child's care. Along with going over nutrition, medicine, and
symptom management with the parents, the nurse creates a daily checklist that the family can utilize.
Which nursing procedure phase does this set of tasks get finished?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
c. Generate solutions (planning)
d. Take action (nursing interventions)
ANS: D
When a nurse uses nursing interventions, they help patients achieve their goals by offering health
education, administering medications, providing patient care, and other interventions.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Client Care
4. The nurse checks the patient's chart for drug allergies, serum creatinine, and blood urea nitrogen
(BUN) values as she gets ready to give a prescription. Which of the following is reflected in the
nurse's actions?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
ANS: A
The process of identifying cues (assessment) entails obtaining both objective and subjective patient and
medication information. The patient's chart laboratory readings would be regarded as the gathering of
objective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
5. Out of the following, which one should be properly classified as objective data?
a. A list of herbal supplements regularly used provided by the patient.
b. Lab values associated with the drugs the patient is taking.
c. The ages and relationship of all household members to the patient.
d. Usual dietary patterns and food intake.
ANS: B
Lab values are examples of objective data, which are measured and observed by a different person.
Subjective data is used in the other situations.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
6. After looking through a patient's database, the nurse discovers that the patient lacks a routine, is
forgetful, and lives alone. Three new prescriptions, to be taken at different intervals throughout the
day, will be delivered home with the patient. A family member helps the nurse create a daily
medication schedule and organizes the patient's medicines in a pill organizer. Which step in the
nursing process is this an example of?
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
d. Generate solutions (planning)
ANS: C
In order to help the patient achieve the treatment goals, taking action (nursing interventions) entails
patient care and education.
DIF: Cognitive Level: Applying
(Application)TOP: Nursing Process:
Nursing Intervention MSC: NCLEX:
Management of Client Care
7. A hospitalized patient with chronic obstructive pulmonary disease (COPD) desires to return home.
After discussing the patient's condition, the nurse and the patient decide that the patient can return
home once they are able to take care of themselves without experiencing dyspnea or hypoxia. Which
stage of the nursing process is this example of?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
ANS: D
Planning is coming up with a series of actions to accomplish the most desired results, which in this case
is the patient's ability to engage in self-care tasks without experiencing dyspnea or hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: PlanningMSC: NCLEX:
Management of Client Care
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
teaching.Which is a correctly written expected outcome for this process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a
metered-doseinhaler.
c. The patient will know how to self-administer the medication using the
metered-dose inhaler.
d. The patient will independently administer the medication using the
metered-doseinhaler at the end of the session.
ANS: D
Expected outcomes must be patient-centered and clearly state the outcome with a
reasonabledeadline and should identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and
hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2
L/min.The nurse generates an expected outcomes stating, “The patient will have oxygen
saturations of
>95% on room air at the time of discharge from the hospital.” What is wrong with this goal?
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
a. It cannot be evaluated.
, TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
ANS: D
The expected outcome is not realistic because the patient is not usually on room airand
shouldnot be expected to attain that expected outcome by discharge from this
hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an
antihypertensive drug that causes dizziness and orthostatic hypotension. Which
hypothesis(problem) documented by the nurse is appropriatefor this patient?
a. Deficient knowledge related to drug side effects.
b. Ineffective health maintenance related to age.
c. Readiness for enhanced knowledge related to medication side effects.
d. Risk for injury related to side effects of the medication.
ANS: D
This patient has an increased risk for injury because of drug side effects, so this is an
appropriatehypothesis (problem) to direct the type of care and follow-up the patient willreceive.
DIF: Cognitive Level: Applying
(Application)TOP: Nursing Process:
Nursing Diagnosis MSC: NCLEX:
Management of Client Care
11. An older patient must learn to administer a medication using a device that requires
manual dexterity. The patient becomes frustrated and expresses lack of self- confidence
in performingthis task. Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned.
b. Provide written instructions with illustrations showing each step of the skill.
c. Schedule multiple sessions and practice each step separately.
d. Teach the procedure to family members who can administer the
medication for thepatient.
ANS: C
Nurses should be sensitive to patient’s level of frustration when teaching skills. In this
case,breaking the steps down into individual parts will help with this patient’s
frustration level.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
12. A school-age child will begin taking a medication to be administered at 5 mL three timesdaily.
The child’s parent tells the nurse that, with a previous use of the drug, the child repeatedly
forgotto bring the medication home from school, resulting in missed evening doses. What will
the nurse recommend?
a. Encourage the child to be more responsible and that it is important to take
themedication as prescribed.
APPROACH, 11TH EDITION
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
TEST BANK PHARMACOLOGY A PATIENT-CENTERED
NURSING PROCESS APPROACH, 11TH EDITION BY LINDA E.
MCCUISTION CHAPTER 1-58 NEW UPDATE
Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11thEdition
MULTIPLE CHOICE
1. The following would all be regarded as subjective data, with the exception of:
a. Patient-reported health history
b. Patient-reported signs and symptoms of their illness
c. Financial barriers reported by the patient’s caregiver.
d. Vital signs obtained from the medical record.
ANS: D.
Based on what patients or family members tell the nurse, subjective data is collected. Subjective data
would include signs and symptoms, financial obstacles reported by caregivers, and health history
provided by the patient. Vital indicators from the patient's medical file would be regarded as objective
data.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
2. The nurse is defining a set of actions to get the highest desired outcomes utilizing the data that has
been gathered. Which action is the nurse taking from the list below?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
ANS: C
The nurse uses the patient's problem or problems to establish a set of treatments that will accomplish
the most desirable results when producing solutions, or planning. Acquiring cues (information) from
the patient regarding their health and lifestyle behaviors is part of recognizing cues (assessment). These
are crucial details that support the nurse in making clinical care decisions. The patient problem(s) that
have been found are ranked and organized using prioritizing hypotheses. Lastly, taking action entails
putting nursing interventions into practice to achieve the desired results.
DIF: Cognitive Level: Understanding
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
(Comprehension)TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Client Care
3. A 5-year-old child diagnosed with type 1 diabetes has been hospitalized multiple times due to
episodes of hyperglycemia. The parents confide in the nurse, saying they are unable to remember
everything that needs to be done for their child's care. Along with going over nutrition, medicine, and
symptom management with the parents, the nurse creates a daily checklist that the family can utilize.
Which nursing procedure phase does this set of tasks get finished?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
c. Generate solutions (planning)
d. Take action (nursing interventions)
ANS: D
When a nurse uses nursing interventions, they help patients achieve their goals by offering health
education, administering medications, providing patient care, and other interventions.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Client Care
4. The nurse checks the patient's chart for drug allergies, serum creatinine, and blood urea nitrogen
(BUN) values as she gets ready to give a prescription. Which of the following is reflected in the
nurse's actions?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
ANS: A
The process of identifying cues (assessment) entails obtaining both objective and subjective patient and
medication information. The patient's chart laboratory readings would be regarded as the gathering of
objective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
5. Out of the following, which one should be properly classified as objective data?
a. A list of herbal supplements regularly used provided by the patient.
b. Lab values associated with the drugs the patient is taking.
c. The ages and relationship of all household members to the patient.
d. Usual dietary patterns and food intake.
ANS: B
Lab values are examples of objective data, which are measured and observed by a different person.
Subjective data is used in the other situations.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
6. After looking through a patient's database, the nurse discovers that the patient lacks a routine, is
forgetful, and lives alone. Three new prescriptions, to be taken at different intervals throughout the
day, will be delivered home with the patient. A family member helps the nurse create a daily
medication schedule and organizes the patient's medicines in a pill organizer. Which step in the
nursing process is this an example of?
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
d. Generate solutions (planning)
ANS: C
In order to help the patient achieve the treatment goals, taking action (nursing interventions) entails
patient care and education.
DIF: Cognitive Level: Applying
(Application)TOP: Nursing Process:
Nursing Intervention MSC: NCLEX:
Management of Client Care
7. A hospitalized patient with chronic obstructive pulmonary disease (COPD) desires to return home.
After discussing the patient's condition, the nurse and the patient decide that the patient can return
home once they are able to take care of themselves without experiencing dyspnea or hypoxia. Which
stage of the nursing process is this example of?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
ANS: D
Planning is coming up with a series of actions to accomplish the most desired results, which in this case
is the patient's ability to engage in self-care tasks without experiencing dyspnea or hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: PlanningMSC: NCLEX:
Management of Client Care
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
teaching.Which is a correctly written expected outcome for this process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a
metered-doseinhaler.
c. The patient will know how to self-administer the medication using the
metered-dose inhaler.
d. The patient will independently administer the medication using the
metered-doseinhaler at the end of the session.
ANS: D
Expected outcomes must be patient-centered and clearly state the outcome with a
reasonabledeadline and should identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and
hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2
L/min.The nurse generates an expected outcomes stating, “The patient will have oxygen
saturations of
>95% on room air at the time of discharge from the hospital.” What is wrong with this goal?
,TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
a. It cannot be evaluated.
, TEST BANK PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS
APPROACH, 11TH EDITION
b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
ANS: D
The expected outcome is not realistic because the patient is not usually on room airand
shouldnot be expected to attain that expected outcome by discharge from this
hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an
antihypertensive drug that causes dizziness and orthostatic hypotension. Which
hypothesis(problem) documented by the nurse is appropriatefor this patient?
a. Deficient knowledge related to drug side effects.
b. Ineffective health maintenance related to age.
c. Readiness for enhanced knowledge related to medication side effects.
d. Risk for injury related to side effects of the medication.
ANS: D
This patient has an increased risk for injury because of drug side effects, so this is an
appropriatehypothesis (problem) to direct the type of care and follow-up the patient willreceive.
DIF: Cognitive Level: Applying
(Application)TOP: Nursing Process:
Nursing Diagnosis MSC: NCLEX:
Management of Client Care
11. An older patient must learn to administer a medication using a device that requires
manual dexterity. The patient becomes frustrated and expresses lack of self- confidence
in performingthis task. Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned.
b. Provide written instructions with illustrations showing each step of the skill.
c. Schedule multiple sessions and practice each step separately.
d. Teach the procedure to family members who can administer the
medication for thepatient.
ANS: C
Nurses should be sensitive to patient’s level of frustration when teaching skills. In this
case,breaking the steps down into individual parts will help with this patient’s
frustration level.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
12. A school-age child will begin taking a medication to be administered at 5 mL three timesdaily.
The child’s parent tells the nurse that, with a previous use of the drug, the child repeatedly
forgotto bring the medication home from school, resulting in missed evening doses. What will
the nurse recommend?
a. Encourage the child to be more responsible and that it is important to take
themedication as prescribed.
