A Patient Centered Nursing Process
-
Chapter 01: (Complete Answered) Test
Bank Pharmacology A Patient-
Centered Nursing Process Approach,
11th Edition by Linda E.
McCuistion Chapter 1-58
MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the following
steps, EXCEPT: a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS: D
The nursing process is a five-step decision-making approach that includes: 1) assessment, 2)
patient problem, 3) planning, 4) implementation, and 5) evaluation. ―Right drug‖ is one of the
―Six Rights‖ of medication administration.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
2. The nurse is using data collected to set goals or expected outcomes and interventions that
address the patient‘s problems. Which step of the nursing process is the nurse applying?
a. Assessment
b. Patient problem
c. Planning N
d. Evaluation
ANS: C
During the planning phase, the nurse uses the data collected to set goals or expected outcomes
and interventions which address the patient‘s problems. The data was collected during the
―Assessment‖ and ―Patient problem‖ steps. During the ―Evaluation‖ phase the nurse would
determine whether the goals and objectives set during the planning phase were met.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes
of hyperglycemia. The parents tell the nurse that they can‘t keep track of everything that has
TESTBANKWORLD.ORG
,(Complete Answered) Test Bank Pharmacology
A Patient
to be done to care for their child. The nurse reviews medications, diet, and symptom
management with the parents and draws up a daily checklist for the family to use. These
activities are completed in which step of the nursing process? a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C
The implementation phase is the part of the nursing process in which the nurse provides-
Centered Nursing Process education, drug administration,
patient care, and other interventions necessary to assist the patient in accomplishing
established medication goals.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Care
4. The nurse is preparing to administer a medication and reviews the patient‘s chart for drug
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse‘s actions are
reflective of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A
Assessment involves gathering information about the patient and the drug, including any
previous use of the drug.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
5. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and fNood intake
ANS: B
Objective data are measured and detected by another person and would include lab values. The
other examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
6. The nurse reviews a patient‘s database and learns that the patient lives alone, is forgetful, and
does not have an established routine. The patient will be sent home with three new
TESTBANKWORLD.ORG
,(Complete Answered) Test Bank Pharmacology
A Patient Centered Nursing Process
medications to be taken at different times of the day. The nurse develops a daily medication
chart and enlists a family member to put the patient‘s pills in a pill organizer. This is an
example of which phase of the nursing process? a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C
The implementation phase involves education and patient care in order to assist the patient to
accomplish the goals of treatment.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of - Care
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
home. The nurse and the patient discuss the patient‘s situation and decide that the patient may
go home when able to perform self-care without dyspnea and hypoxia. This is an example of
which phase of the nursing process? a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D
Planning involves goal setting, which, for this patient, means being able to perform self-care
activities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching.
Which is a correctly written goal 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-dose inhaler.
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-dose inhaler at
the end of the session.
N
ANS: D
Goals must be patient-centered and clearly state the outcome with a reasonable deadline and
should identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX:
Management of Care
TESTBANKWORLD.ORG
, (Complete Answered) Test Bank Pharmacology
A Patient
9. The fnurse fis fdeveloping fa fplan fof fcare ffor fa fpatient fwho fhas fchronic flung fdisease fand
fhypoxia. fThe fpatient fhas fbeen fadmitted ffor fincreased foxygen fneeds fabove fa fbaseline fof f2
fL/min. fThe fnurse fdevelops fa fgoal fstating, f―The fpatient fwill fhave foxygen fsaturations fof
f>95% fon froom fair fat fthe ftime fof fdischarge ffrom fthe fhospital.‖ fWhat fis fwrong fwith fthis
fgoal? fa. fIt fcannot fbe fevaluated. f
b. It fis fnot fmeasurable. f
c. It fis fnot fpatient-centered. f
d. It fis fnot frealistic. f
ANS: fD f
This fgoal fis fnot frealistic fbecause fthe fpatient fis fnot fusually fon froom fair fand fshould fnot fbe
fexpected fto fattain fthat fgoal fby fdischarge ffrom fthis fhospitalization. f
f
DIF: fCognitive fLevel: fApplying f(Application) f TOP: fNursing fProcess: fPlanning fMSC:
fNCLEX: fManagement fof fCare f
10. The fnurse fis fdeveloping fa fteaching fplan ffor fan felderly fpatient fwho fwill fbegin ftaking fan -
Centered fNursing fProcess f fantihypertensive fdrug fthat fcauses
fdizziness fand forthostatic fhypotension. fWhich fpatient fproblem fdocumented fby fthe fnurse fis
fappropriate ffor fthis fpatient? fa. fDeficient fknowledge frelated fto fdrug fside feffects f
b. Ineffective fhealth fmaintenance frelated fto fage f
c. Readiness ffor fenhanced fknowledge frelated fto fmedication fside feffects f
d. Risk ffor finjury frelated fto fside feffects fof fthe fmedication f
ANS: fD f
This fpatient fhas fan fincreased frisk ffor finjury fbecause fof fdrug fside feffects, fso fthis fis fan
fappropriate fpatient fproblem fto fdirect fthe ftype fof fcare fand ffollow-up fthe fpatient fwill
freceive. f
f
DIF: fCognitive fLevel: fApplying f(Application) f
TOP: fNursing fProcess: fNursing fDiagnosis f
MSC: fNCLEX: fManagement fof fCare f
f
11. An folder fpatient fmust flearn fto fadminister fa fmedication fusing fa fdevice fthat frequires
fmanual fdexterity. fThe fpatient fbecomes ffrustrated fand fexpresses flack fof fself-confidence fin
fperforming fthis ftask. fWhich faction fwill fthe fnurse fperform fnext? f
a. Ask fthe fpatient fto fkeep ftrying funtil fthe fskill fis flearned. f
b. Provide fwritten finstructions fwith fillustrations fshowing feach fstep fof fthe fskill. f
c. Schedule fmultiple fsessions fand fpractice feach fstep fseparately. f
d. Teach fthe fprocedure fto ffamily fmembers fwho fcan fadminister fthe fmedication ffor fthe
fpatient. f
ANS: fC f
Nurses fshould fbe fsensitive fto fpatient‘s flevel fof ffrustration fwhen fteaching fskills. fIn fthis
fcase, fbreaking fthe fsteps fdown finto finNdividual fparts fwill fhelp fwith fthis fpatient‘s
ffrustration flevel. f
DIF: fCognitive fLevel: fApplying f(Application) f TOP: fNursing fProcess: fPlanning fMSC:
fNCLEX: fManagement fof fCare f
f
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