Chapter 01: The Nursing Process and Patient-Centered Care
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McCuistion: Pharmacology: A Patient- yx yx yx
Centered Nursing Process Approach, 10th Edition
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MULTIPLE CHOICE yx
1. The nursing process is a five-step decision-
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making approach that includes all of the following steps, EXCEPT:
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a. Assessment
b. Patient problem yx
c. Planning
d. Right Drug yx
ANS: D yxy x
The nursing process is a five-step decision-
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making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implement
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ation, and 5) evaluation. “Right drug” is one of the “Six Rights” of medication administratio
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n.
DIF: Cognitive Level: Understanding (Comprehension) yx yx yx
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
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2. The nurse is using data collected to set goals or expected outcomes and interventions that
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address the patient’s problems. Which step of the nursing process is the nurse applying?
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a. Assessment
b. Patient problem yx
c. Planning
d. Evaluation
N
ANS: C yxy x
During the planning phase, the nurse uses the data collected to set goals or expected outcomes
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xand interventions which address the patient’s problems. The data was collected during the “
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Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse would de
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termine whether the goals and objectives set during the planning phase were met.
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DIF:
Cognitive Level: Understanding (Comprehension) yx yx yx
TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX: Management of Care y x yx yx yx
3. A 5-year-
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old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyper
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glycemia. The parents tell the nurse that they can’t keep track of everything that has to be do
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ne to care for their child. The nurse reviews medications, diet, and symptom management wit
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h the parents and draws up a daily checklist for the family to use. These activities are complet
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ed in which step of the nursing process?
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a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C yxy x
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The implementation phase is the part of the nursing process in which the nurse provides educ
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ation, drug administration, patient care, and other interventions necessary to assist the patien
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t in accomplishing established medication goals.
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DIF:
Cognitive Level: Understanding (Comprehension) yx yx yx
TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX: Management of Care y x yx yx yx
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
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y allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions a
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re reflective of which phase of the nursing process?
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a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A yxy x
Assessment involves gathering information about the patient and the drug, including any pre
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vious use of the drug. yx yx yx yx
DIF: Cognitive Level: Understanding (Comprehension) yx yx yx
TOP: Nursing Process: Assessment yxy x MSC: NCLEX: Management of Care yx yx y x yx yx yx
5. Which assessment is categorized as objective data?
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a. A list of herbal supplements regularly used
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b. Lab values associated with the drugs the patient is taking
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c. The ages and relationship to the patient of all household members
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d. Usual dietary patterns and fNood intake yx yx yx yx yx
ANS: B yxy x
Objective data are measured and detected by another person and would include lab values.
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he other examples are subjective data.
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DIF: Cognitive Level: Understanding (Comprehension) yx yx yx
TOP: Nursing Process: Assessment yxy x MSC: NCLEX: Management of Care yx yx y x yx yx yx
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and
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y does not have an established routine. The patient will be sent home with three new medicati
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ons to be taken at different times of the day. The nurse develops a daily medication chart and
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enlists a family member to put the patient’s pills in a pill organizer. This is an example of w
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hich phase of the nursing process?
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a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C yxy x
The implementation phase involves education and patient care in order to assist the patient to
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xaccomplish the goals of treatment. yx yx yx yx
DIF:
Cognitive Level: Applying (Application) yx yx yx
y x TOP: Nursing Process: Nursing Intervention
yxy x yx yx yx
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y x yx yx yx
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
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go home when able to perform self-
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care without dyspnea and hypoxia. This is an example of which phase of the nursing process?
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a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D yxy x
Planning involves goal setting, which, for this patient, means being able to perform self-
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care activities without dyspnea and hypoxia.
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DIF: Cognitive Level: Understanding (Comprehension) yx yx yx
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
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8. A patient will be sent home with a metered-
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dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this p
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rocess?
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-
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dose inhaler. y x
c. The patient will know how to self-yx yx yx yx yx yx
administer the medication using the metered-dose inhaler. yx yx yx yx y x yx
d. The patient will independently administer the medication using the metered-
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dose inhaler at the end of the session.
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N
ANS: D yxy x
Goals must be patient- yx yx yx
centered and clearly state the outcome with a reasonable deadline and
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ents for evaluation.
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DIF: Cognitive Level: Applying (Application) yx yx yx
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
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9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia.
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xThe patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The n
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urse develops a goal stating, “The patient will have oxygen saturations of >95% on room air
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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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b. It is not measurable.
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c. It is not patient-centered.
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d. It is not realistic.
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ANS: D yxy x
This goal is not realistic because the patient is not usually on room air and should not be expe
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cted to attain that goal by discharge from this hospitalization.
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DIF: Cognitive Level: Applying (Application) yx yx yx
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
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