CENTERED NURSING PROCESS APPROACH, 11TH EDITION B
Y LINDA E. MCCUISTION CHAPTER 1-58 NEW UPDATE v
Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11thEdition
v
MULTIPLE CHOICE
1. All of the following would be considered subjective data, EXCEPT:
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.
Subjective data is based on what patients or family members communicate to the nurse. Pat
ient-
reported health history, signs and symptoms, and caregiver reportedfinancial barriers woul
d be considered subjective data. Vital signs obtained from themedical record would be consi
dered objective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process:PlanningMSC: NCLEX: Management of Client Care
2. The nurse is using data collected to define a set of interventions to achieve the mostdesirabl
eoutcomes. Which of the following steps is the nurse applying?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
ANS: C
When generating solutions (planning), the nurse identifies expected outcomes and usesthe patie
nt’s problem(s) to define a set of interventions to achieve the most desirable outcomes. Recogni
zing cues (assessment) involves the gathering of cues (information) from the patient about their
health and lifestyle practices, which are important facts that aid the nurse in makingvclinical care
decisions. Prioritizing hypothesis is used to organize and rankvthe patient problem(s)identified. Fi
nally, taking action involves implementation of nursing interventions to accomplish the expected
outcomes.
DIF:
Cognitive Level: Understandingv(Comprehensio
n)TOP: Nursing Process: NursingIntervention
MSC: NCLEX: Management of Client Care
3. A 5-year-
,old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes ofhyperg
lycemia. The parents tell the nurse that they can’t keep track of everything that has to be done
to care for their child. The nurse reviews medications, diet, and symptom management withth
e parents and draws up a daily checklist for thefamily to use. These activities are completed in
which step of the nursingvprocess?
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
Taking action through nursing interventions is where the nurse provides patient healthteachin
g,drug administration, patient care, and other interventions necessary to assistthe patient in a
ccomplishing expected outcomes.
DIF:
Cognitive Level: Understanding (Comprehensio
n)TOP: Nursing Process: NursingIntervention
MSC: NCLEX: Management of Client Care
4. The nurse is preparing to administer a medication and reviews the patient’s chartfor drug
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
reflective of which of the following?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
ANS: A
Recognizing cues (assessment) involves gathering subjective and objective informationabout th
epatient and the medication. Laboratory values from the patient’s chart would be considered co
llection of objective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
5. Which of the following would be correctly categorized 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
Objective data are measured and detected by another person and would include labvalues.
Theother examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and
doesvnot have an established routine. The patient will be sent home withthree new medication
s to be taken at different times of the day. The nurse develops a daily medication chart and enli
stsa family member to put the patient’s pills in a pill organizer. This is an example of which ele
ment of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)