TestBANK
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PHARMACOLOGY,
Bank Pharmacology k
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A Patient-Centered k k
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Patient-Centered k
Nursing
Nursing Process Approach, Process
11th Edition by k
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Linda E. McCuistion Chapter 1-58
Approach 11th EDITION McCuistion
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Chapters 1-58
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,Chapter 01: The Nursing Process and Patient-Centered Care
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McCuistion:Pharmacology: A Patient-CenteredNursing Process Approach, 11thEdition
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MULTIPLE CHOICE k
1. All of the following would be considered subjective data, EXCEPT:
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a. Patient-reported health history k k
b. Patient-reported signs and symptoms of their illness k k k k k k
c. Financial barriers reported by the patient‘s caregiver k k k k k k
d. Vital signs obtained from the medical record
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ANS: D k
Subjective data is based on what patients or family members communicate to the nurse. Patient-
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reported health history, signs and symptoms, and caregiver reported financial barriers would be
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considered subjective data. Vital signs obtained from the medical record would be considered
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objective data.
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DIF: Cognitive Level: Understanding (Comprehension) k k k TOP: Nursing Process: Planning
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MSC: NCLEX: Management of Client Care
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2. The nurse is using data collected to define a set of interventions to achieve the most desirable
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koutcomes. Which of the following steps is the nurse applying?
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a. Recognizing cues (assessment) k k
b. Analyze cues & prioritize hypothesis (analysis) k k k k k
c. Generatesolutions (planning) k k
d. Take action (nursing interventions) k k k
ANS: C k
When generating solutions (planning), the nurse identifies expected outcomes and uses the
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patient‘s problem(s) to define a set of interventions to achieve the most desirable outcomes.
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Recognizing cues (assessment) involves the gathering of cues (information) from the patient
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about their health and lifestyle practices, which are important facts that aid the nurse in making
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clinical care decisions. Prioritizing hypothesis is used to organize and rank the patient problem(s)
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identified. Finally, taking action involves implementation of nursing interventions to accomplish
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the expected outcomes.
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DIF: Cognitive Level: Understanding (Comprehension) k k k
TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX: Management of Client Care
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3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of
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hyperglycemia. The parents tell the nurse that they can‘t keep track of everything that has to be
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done to care for their child. The nurse reviews medications, diet, and symptom management with
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the parents and draws up a daily checklist for the family to use. These activities are completed in
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which step of the nursing process?
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a. Recognizing cues (assessment) k k
b. Analyze cues & prioritize hypothesis (analysis) k k k k k
, c. Generatesolutions (planning) k k
d. Take action (nursing interventions)
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ANS: D k
Taking action through nursing interventions is where the nurse provides patient health teaching,
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drug administration, patient care, and other interventions necessary to assist the patient in
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accomplishing expected outcomes.
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DIF: Cognitive Level: Understanding (Comprehension) k k k
TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX: Management of Client Care
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4. The nurse is preparing to administer a medication and reviews the patient‘s chart for drug
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allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse‘s actions are
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reflective of which of the following?
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a. Recognizing cues (assessment) k k
b. Analyze cues & prioritize hypothesis (analysis) k k k k k
c. Take action (nursing interventions)
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d. Generatesolutions (planning) k k
ANS: A k
Recognizing cues (assessment) involves gathering subjective and objective information about the
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patient and the medication. Laboratory values from the patient‘s chart would be considered
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collection of objective data.
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DIF: Cognitive Level: Understanding (Comprehension) k k k
TOP: Nursing Process: Assessment
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5. Which of the following would be correctly categorized as objective data?
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a. A list of herbal supplements regularly used provided by the patient.
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b. Lab values associated with the drugs the patient is taking.
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c. The ages and relationship of all household members to the patient.
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d. Usual dietary patterns and food intake. k k k k k
ANS: B k
Objective data are measured and detected by another person and would include lab values. The other
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examples are subjective data.
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DIF: Cognitive Level: Understanding (Comprehension) k k k
TOP: Nursing Process: Assessment
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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 medications to
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be taken at different times of the day. The nurse develops a daily medication chart and enlists a
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family member to put the patient‘s pills in a pill organizer. This is an example of which element
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of the nursing process?
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a. Recognizing cues (assessment) k k
b. Analyze cues & prioritize hypothesis (analysis) k k k k k
c. Take action (nursing interventions)
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, d. Generatesolutions (planning) k k
ANS: C k
Taking action (nursing interventions) involves education and patient care in order to assist the
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patient to accomplish the goals of treatment.
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DIF: Cognitive Level: Applying (Application) k k k
TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX: Management of Client Care
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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 go
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home when able to perform self-care without dyspnea and hypoxia. This is an example of which
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phase of the nursing process?
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a. Recognizing cues (assessment) k k
b. Analyze cues & prioritize hypothesis (analysis) k k k k k
c. Take action (nursing interventions) k k k
d. Generatesolutions (planning) k k
ANS: D k
Generating solutions (planning) involves defining a set of interventions to achieve the most
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desirable outcomes, which, for this patient, means being able to perform self-care activities
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without dyspnea and hypoxia.
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DIF: Cognitive Level: Understanding (Comprehension)
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MSC: NCLEX: Management of Client Care
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8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching.
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kWhich is a correctly written expected outcome 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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kinhaler.
c. The patient will know how to self-administer the medication using the metered-
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kdose inhaler. k
d. The patient will independently administer the medication using the metered-dose
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kinhaler at the end of the session. k k k k k k
ANS: D k
Expected outcomes must be patient-centered and clearly state the outcome with a reasonable
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deadline and should identify components for evaluation.
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DIF: Cognitive Level: Applying (Application)
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MSC: NCLEX: Management of Client Care
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9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and
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hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2 L/min.
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The nurse generates an expected outcomes stating, ―The patient will have oxygen saturations of
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>95% on room air at the time of discharge from the hospital.‖ What is wrong with this goal?
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a. It cannot be evaluated.
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