Centered Nursing Process Approach 10th
Edition by Linda E. McCuistion
COMPLETE CHAPTERS 1-55| EXPERT ASSURED
QUESTIONS AND 100% ACCURATE ANSWERS
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, Chapter 01: The Nursing Process and Patient-Centered Care
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
CORRECT ANSWER: 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 theSix Rights of medication
administration.
DIF: Cognitive Level:
Understanding (Comprehension) 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 address the
patient‘s problems. Which step of the nursing process is the nurse applying?
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a. Assessment
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b. Patient problem
c. Planning
d. Evaluation
CORRECT ANSWER: 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
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,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 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
CORRECT ANSWER: C
The implementation phase is the part of the nursing process in which the nurse provides 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
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creatinine, and blood urea nitrogen (BUN) levels. The nurse‘s actions are reflective of which phase of the
nursing process?
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a. Assessment
b. Evaluation
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c. Implementation
d. Planning
CORRECT ANSWER: 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 food intake
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, CORRECT ANSWER: 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 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
CORRECT ANSWER: C
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The implementation phase involves education and patient care in order to assist the patient toaccomplish the
goals of treatment.
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DIF: Cognitive Level: Applying (Application)TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Care
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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
CORRECT ANSWER: 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
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