Chapter 01: the Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
MULTIPLEJCHOICE
1. TheJnursingJprocessJisJaJfive-stepJdecision-
makingJapproachJthatJincludesJallJofJtheJfollowingJsteps,JEXCEPT:
a. Assessment
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b. PatientJproblem
c. Planning
d. RightJDrug
ANS:J D
TheJnursingJprocessJisJaJfive-stepJdecision-
makingJapproachJthatJincludes:J1)Jassessment,J2)JpatientJproblem,J3)Jplanning,J4)Jimplementatio
n,JandJ5)Jevaluation.J“RightJdrug”JisJoneJofJtheJ“SixJRights”JofJmedicationJadministration.
DIF: CognitiveJLevel:JUnderstandingJ(Comprehension)
TOP:J NursingJProcess:JPlanningJMSC:J NCLEX:JManagementJofJCare
2. TheJnurseJisJusingJdataJcollectedJtoJsetJgoalsJorJexpectedJoutcomesJandJinterventionsJthatJad
dressJtheJpatient’sJproblems.JWhichJstepJofJtheJnursingJprocessJisJtheJnurseJapplying?
a. Assessment
b. PatientJproblem
c. Planning N
d. Evaluation
ANS:J C
DuringJtheJplanningJphase,JtheJnurseJusesJtheJdataJcollectedJtoJsetJgoalsJorJexpectedJoutcomesJand
JinterventionsJwhichJaddressJtheJpatient’sJproblems.JTheJdataJwasJcollectedJduringJtheJ“Assessm
ent”JandJ“PatientJproblem”Jsteps.JDuringJtheJ“Evaluation”JphaseJtheJnurseJwouldJdetermineJwhe
therJtheJgoalsJandJobjectivesJsetJduringJtheJplanningJphaseJwereJmet.
DIF:
CognitiveJLevel:JUnderstandingJ(Comprehension)J
TOP:J NursingJProcess:JNursingJIntervention
MSC:J NCLEX:JManagementJofJCare
3. AJ5-year-
oldJchildJwithJtypeJ1JdiabetesJmellitusJhasJhadJrepeatedJhospitalizationsJforJepisodesJofJhypergly
cemia.JTheJparentsJtellJtheJnurseJthatJtheyJcan’tJkeepJtrackJofJeverythingJthatJhasJtoJbeJdoneJtoJcar
eJforJtheirJchild.JTheJnurseJreviewsJmedications,Jdiet,JandJsymptomJmanagementJwithJtheJparent
sJandJdrawsJupJaJdailyJchecklistJforJtheJfamilyJtoJuse.JTheseJactivitiesJareJcompletedJinJwhichJste
pJofJtheJnursingJprocess?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS:J C
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, TESTJBANKJFORJPHARMACOLOGYJ10THJEDITIONJBYJMCCUISTION
TheJimplementationJphaseJisJtheJpartJofJtheJnursingJprocessJinJwhichJtheJnurseJprovidesJeducatio
n,JdrugJadministration,JpatientJcare,JandJotherJinterventionsJnecessaryJtoJassistJtheJpatientJinJacco
mplishingJestablishedJmedicationJgoals.
DIF:
CognitiveJLevel:JUnderstandingJ(Comprehension)J
TOP:J NursingJProcess:JNursingJIntervention
MSC:J NCLEX:JManagementJofJCare
4. TheJnurseJisJpreparingJtoJadministerJaJmedicationJandJreviewsJtheJpatient’sJchartJforJdrugJall
ergies,JserumJcreatinine,JandJbloodJureaJnitrogenJ(BUN)Jlevels.JTheJnurse’sJactionsJareJrefle
ctiveJofJwhichJphaseJofJtheJnursingJprocess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:J A
AssessmentJinvolvesJgatheringJinformationJaboutJtheJpatientJandJtheJdrug,JincludingJanyJpreviou
sJuseJofJtheJdrug.
DIF: CognitiveJLevel:JUnderstandingJ(Comprehension)
TOP:J NursingJProcess:JAssessment MSC:J NCLEX:JManagementJofJCare
5. WhichJassessmentJisJcategorizedJasJobjectiveJdata?
a. AJlistJofJherbalJsupplementsJregularlyJused
b. LabJvaluesJassociatedJwithJtheJdrugsJtheJpatientJisJtaking
c. TheJagesJandJrelationshipJtoJtheJpatientJofJallJhouseholdJmembers
d. UsualJdietaryJpatternsJandJfNo o d Jintake
ANS:J B
ObjectiveJdataJareJmeasuredJandJdetectedJbyJanotherJpersonJandJwouldJincludeJlabJvalues.JThe
JotherJexamplesJareJsubjectiveJdata.
DIF: CognitiveJLevel:JUnderstandingJ(Comprehension)
TOP:J NursingJProcess:JAssessment MSC:J NCLEX:JManagementJofJCare
6. TheJnurseJreviewsJaJpatient’sJdatabaseJandJlearnsJthatJtheJpatientJlivesJalone,JisJforgetful,JandJdo
esJnotJhaveJanJestablishedJroutine.JTheJpatientJwillJbeJsentJhomeJwithJthreeJnewJmedicationsJtoJ
beJtakenJatJdifferentJtimesJofJtheJday.JTheJnurseJdevelopsJaJdailyJmedicationJchartJandJenlistsJaJf
amilyJmemberJtoJputJtheJpatient’sJpillsJinJaJpillJorganizer.JThisJisJanJexampleJofJwhichJphaseJofJt
heJnursingJprocess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:J C
TheJimplementationJphaseJinvolvesJeducationJandJpatientJcareJinJorderJtoJassistJtheJpatientJtoJaccompl
ishJtheJgoalsJofJtreatment.
DIF:
CognitiveJLevel:JApplyingJ(Application)J
TOP:J NursingJProcess:JNursingJIntervention
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, TESTJBANKJFORJPHARMACOLOGYJ10THJEDITIONJBYJMCCUISTION
MSC:J NCLEX:JManagementJofJCare
7. AJpatientJwhoJisJhospitalizedJforJchronicJobstructiveJpulmonaryJdiseaseJ(COPD)JwantsJtoJgoJho
me.JTheJnurseJandJtheJpatientJdiscussJtheJpatient’sJsituationJandJdecideJthatJtheJpatientJmayJgoJho
meJwhenJableJtoJperformJself-
careJwithoutJdyspneaJandJhypoxia.JThisJisJanJexampleJofJwhichJphaseJofJtheJnursingJprocess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:J D
PlanningJinvolvesJgoalJsetting,Jwhich,JforJthisJpatient,JmeansJbeingJableJtoJperformJself-
careJactivitiesJwithoutJdyspneaJandJhypoxia.
DIF: CognitiveJLevel:JUnderstandingJ(Comprehension)
TOP:J NursingJProcess:JPlanningJMSC:J NCLEX:JManagementJofJCare
8. AJpatientJwillJbeJsentJhomeJwithJaJmetered-
doseJinhaler,JandJtheJnurseJisJprovidingJteaching.JWhichJisJaJcorrectlyJwrittenJgoalJforJthisJproce
ss?
a. TheJnurseJwillJdemonstrateJtheJcorrectJuseJofJaJmetered-doseJinhalerJtoJtheJpatient.
b. TheJnurseJwillJteachJtheJpatientJhowJtoJadministerJmedicationJwithJaJmetered-
doseJinhaler.
c. TheJpatientJwillJknowJhowJtoJself-
administerJtheJmedicationJusingJtheJmetered-doseJinhaler.
d. TheJpatientJwillJindependentlyJadministerJtheJmedicationJusingJtheJmetered-
doseJinhalerJatJtheJendJofJtheJsession.
N
ANS:J D
GoalsJmustJbeJpatient-
centeredJandJclearlyJstateJtheJoutcomeJwithJaJreasonableJdeadlineJandJshouldJidentifyJcomponent
sJforJevaluation.
DIF: CognitiveJLevel:JApplyingJ(Application)
TOP:J NursingJProcess:JPlanningJMSC:J NCLEX:JManagementJofJCare
9. TheJnurseJisJdevelopingJaJplanJofJcareJforJaJpatientJwhoJhasJchronicJlungJdiseaseJandJhypoxia.JTh
eJpatientJhasJbeenJadmittedJforJincreasedJoxygenJneedsJaboveJaJbaselineJofJ2JL/min.JTheJnurseJde
velopsJaJgoalJstating,J“TheJpatientJwillJhaveJoxygenJsaturationsJofJ>95%JonJroomJairJatJtheJtimeJo
fJdischargeJfromJtheJhospital.”JWhatJisJwrongJwithJthisJgoal?
a. ItJcannotJbeJevaluated.
b. ItJisJnotJmeasurable.
c. ItJisJnotJpatient-centered.
d. ItJisJnotJrealistic.
ANS:J D
ThisJgoalJisJnotJrealisticJbecauseJtheJpatientJisJnotJusuallyJonJroomJairJandJshouldJnotJbeJexpectedJt
oJattainJthatJgoalJbyJdischargeJfromJthisJhospitalization.
DIF: CognitiveJLevel:JApplyingJ(Application)
TOP:J NursingJProcess:JPlanningJMSC:J NCLEX:JManagementJofJCare
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