TEST BANK
e
Pharmacology A Patient-
e e
CenteredNursing ProcessApproachbyLindaE.
e e e e e e
McCuistion.
11th Edition
e
TEST BANK
e
,Chapter 01: The Nursing Process and Patient-Centered Care
e e e e e e e
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
e e e e e e e e
MULTIPLEeCHOICE
1. Alleofetheefollowingewouldebeeconsideredesubjectiveedata,eEXCEPT:
a. Patient-reportedehealthehistory
b. Patient-reportedesignseandesymptomseofetheireillness
c. Financialebarriersereportedebyetheepatient’secaregiver
d. Vitalesignseobtainedefrometheemedicalerecord
ANS:e D
Subjectiveedataeisebasedeonewhatepatientseorefamilyemembersecommunicateetoetheenurse.ePatient-
ereportedehealthehistory, esignseandesymptoms,eandecaregiverereportedefinancialebarriersewouldebeecons
ideredesubjectiveedata.eVitalesignseobtainedefrometheemedicalerecordewouldebeeconsideredeobjectiveed
ata.
DIF: CognitiveeLevel:eUnderstandinge(Comprehension)
TOP:eNursingeProcess:ePlanningeMSC:e NCLEX:eManagementeofeClienteCare
2. Theenurseeiseusingedataecollectedetoedefineeaeseteofeinterventionsetoeachieveetheemostedesirableeou
tcomes.eWhicheofetheefollowingestepseisetheenurseeapplying?
a. Recognizingecuese(assessment)
b. Analyzeecuese&eprioritizeehypothesise(analysis)
c. Generateesolutionse(planning)
d. Takeeactione(nursingeinterventions)
ANS:e C
Whenegeneratingesolutionse(planning),etheenurseeidentifieseexpectedeoutcomeseandeusesetheepatient
’seproblem(s)etoedefineeaeseteofeinterventionsetoeachieveetheemostedesirableeoutcomes.eRecognizinge
cuese(assessment)einvolvesetheegatheringeofecuese(information)efrometheepatienteaboutetheirehealthea
ndelifestyleepractices,ewhicheareeimportantefactsethateaidetheenurseeinemakingeclinicalecareedecisions.
ePrioritizingehypothesis eiseusedetoeorganizeeanderanketheepatienteproblem(s)eidentified.eFinally,etakin
geactioneinvolveseimplementationeofenursingeinterventionsetoeaccomplishetheeexpectedeoutcomes.
DIF:
CognitiveeLevel:eUnderstandinge(Comprehension)e
TOP:e NursingeProcess:eNursingeIntervention
MSC:e NCLEX:eManagementeofeClienteCare
3. Ae5-year-
oldechildewithetypee1ediabetesemellitusehasehaderepeatedehospitalizationseforeepisodeseofehyperglyce
mia.eTheeparentsetelletheenurseethatetheyecan’tekeepetrackeofeeverythingethatehasetoebeedoneetoecareefo
retheirechild.eTheenurseereviewsemedications,ediet,eandesymptomemanagementewithetheeparentseanded
rawseupeaedailyechecklisteforetheefamilyetoeuse.eTheseeactivitieseareecompletedeinewhichestepeofetheen
ursingeprocess?
a. Recognizingecuese(assessment)
b. Analyzeecuese&eprioritizeehypothesise(analysis)
, c. Generateesolutionse(planning)
d. Takeeactione(nursingeinterventions)
ANS:e D
Takingeactionethroughenursingeinterventionseisewhereetheenurseeprovidesepatientehealtheteaching,edru
geadministration,epatientecare,eandeothereinterventionsenecessaryetoeassistetheepatienteineaccomplishi
ngeexpectedeoutcomes.
DIF:
CognitiveeLevel:eUnderstandinge(Comprehension)e
TOP:e NursingeProcess:eNursingeIntervention
MSC:e NCLEX:eManagementeofeClienteCare
4. Theenurseeisepreparingetoeadministereaemedicationeandereviewsetheepatient’secharteforedrugeall
ergies,eserumecreatinine,eandebloodeureaenitrogene(BUN)elevels.eTheenurse’seactionseareerefl
ectiveeofewhicheofetheefollowing?
a. Recognizingecuese(assessment)
b. Analyzeecuese&eprioritizeehypothesise(analysis)
c. Takeeactione(nursingeinterventions)
d. Generateesolutionse(planning)
ANS:e A
Recognizingecuese(assessment)einvolvesegatheringesubjectiveeandeobjectiveeinformationeaboutetheepati
enteandetheemedication.eLaboratoryevaluesefrometheepatient’sechartewouldebeeconsideredecollectioneofe
objectiveedata.
DIF: CognitiveeLevel:eUnderstandinge(Comprehension)
TOP:e NursingeProcess:eAssessment MSC:e NCLEX:eManagementeofeClienteCare
5. Whicheofetheefollowingewouldebeecorrectlyecategorizedeaseobjectiveedata?
a. Aelisteofeherbalesupplementseregularlyeusedeprovidedebyetheepatient.
b. Labevalueseassociatedewithetheedrugsetheepatienteisetaking.
c. Theeageseanderelationshipeofeallehouseholdemembersetoetheepatient.
d. Usualedietaryepatternseandefoodeintake.
ANS:e B
Objectiveedataeareemeasuredeandedetectedebyeanotherepersoneandewouldeincludeelabevalues.eTheeothe
reexampleseareesubjectiveedata.
DIF: CognitiveeLevel:eUnderstandinge(Comprehension)
TOP:e NursingeProcess:eAssessment MSC:e NCLEX:eManagementeofeClienteCare
6. Theenurseereviewseaepatient’sedatabaseeandelearnsethatetheepatientelivesealone,eiseforgetful,eandedoe
senotehaveeaneestablishederoutine.eTheepatientewillebeesentehomeewithethreeenewemedicationsetoebeet
akeneatedifferentetimeseofetheeday.eTheenurseedevelopseaedailyemedicationecharteandeenlistseaefamily
ememberetoeputetheepatient’sepillseineaepilleorganizer.eThiseiseaneexampleeofewhicheelementeofetheen
ursingeprocess?
a. Recognizingecuese(assessment)
b. Analyzeecuese&eprioritizeehypothesise(analysis)
c. Takeeactione(nursingeinterventions)
, d. Generateesolutionse(planning)
ANS:e C
Takingeactione(nursingeinterventions)einvolveseeducationeandepatientecareeineorderetoeassistetheepatiente
toeaccomplishetheegoalseofetreatment.
DIF:
CognitiveeLevel:eApplyinge(Application)e
TOP:eNursingeProcess:eNursingeInterventioneM
SC:e NCLEX:eManagementeofeClienteCare
7. Aepatientewhoeisehospitalizedeforechroniceobstructiveepulmonaryediseasee(COPD)ewantsetoegoehom
e.eTheenurseeandetheepatientediscussetheepatient’sesituationeandedecideethatetheepatientemayegoehomee
wheneableetoeperformeself-
careewithoutedyspneaeandehypoxia.eThiseiseaneexampleeofewhichephaseeofetheenursingeprocess?
a. Recognizingecuese(assessment)
b. Analyzeecuese&eprioritizeehypothesise(analysis)
c. Takeeactione(nursingeinterventions)
d. Generateesolutionse(planning)
ANS:e D
Generatingesolutionse(planning)einvolvesedefiningeaeseteofeinterventionsetoeachieveetheemosted
esirableeoutcomes,ewhich,eforethisepatient,emeansebeingeableetoeperformeself-
careeactivitiesewithoutedyspneaeandehypoxia.
DIF:e CognitiveeLevel:eUnderstandinge(Comprehension)
TOP:eNursingeProcess:ePlanninge
MSC:e NCLEX:eManagementeofeClienteCare
8. Aepatientewillebeesentehomeewitheaemetered-
doseeinhaler,eandetheenurseeiseprovidingeteaching.eWhicheiseaecorrectlyewritteneexpectedeoutco
meeforethiseprocess?
a. Theenurseewilledemonstrateetheecorrecteuseeofeaemetered-doseeinhaleretoetheepatient.
b. Theenurseewilleteachetheepatientehowetoeadministeremedicationewitheaemetered-
doseeinhaler.
c. Theepatientewilleknowehowetoeself-administeretheemedicationeusingetheemetered-
edoseeinhaler.
d. Theepatientewilleindependentlyeadministeretheemedicationeusingetheemetered-
doseeinhalereatetheeendeofetheesession.
ANS:e D
Expectedeoutcomesemustebeepatient-
centeredeandeclearlyestateetheeoutcomeewitheaereasonableedeadlineeandeshouldeidentifyecompone
ntseforeevaluation.
DIF:e CognitiveeLevel:eApplyinge(Application)
TOP:eNursingeProcess:ePlanninge
MSC:e NCLEX:eManagementeofeClienteCare
9. Theenurseeisegeneratingesolutionse(planning)eforeaepatientewhoehasechronicelungediseaseeandehypox
ia.eTheepatientehasebeeneadmittedeforeincreasedeoxygeneneedseaboveeaebaselineeofe2eL/min.eTheenurs
eegenerateseaneexpectedeoutcomesestating,e“Theepatientewillehaveeoxygenesaturationseof
>95%eoneroomeaireatetheetimeeofedischargeefrometheehospital.”eWhateisewrongewithethisegoal?
a. Itecannotebeeevaluated.
e
Pharmacology A Patient-
e e
CenteredNursing ProcessApproachbyLindaE.
e e e e e e
McCuistion.
11th Edition
e
TEST BANK
e
,Chapter 01: The Nursing Process and Patient-Centered Care
e e e e e e e
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
e e e e e e e e
MULTIPLEeCHOICE
1. Alleofetheefollowingewouldebeeconsideredesubjectiveedata,eEXCEPT:
a. Patient-reportedehealthehistory
b. Patient-reportedesignseandesymptomseofetheireillness
c. Financialebarriersereportedebyetheepatient’secaregiver
d. Vitalesignseobtainedefrometheemedicalerecord
ANS:e D
Subjectiveedataeisebasedeonewhatepatientseorefamilyemembersecommunicateetoetheenurse.ePatient-
ereportedehealthehistory, esignseandesymptoms,eandecaregiverereportedefinancialebarriersewouldebeecons
ideredesubjectiveedata.eVitalesignseobtainedefrometheemedicalerecordewouldebeeconsideredeobjectiveed
ata.
DIF: CognitiveeLevel:eUnderstandinge(Comprehension)
TOP:eNursingeProcess:ePlanningeMSC:e NCLEX:eManagementeofeClienteCare
2. Theenurseeiseusingedataecollectedetoedefineeaeseteofeinterventionsetoeachieveetheemostedesirableeou
tcomes.eWhicheofetheefollowingestepseisetheenurseeapplying?
a. Recognizingecuese(assessment)
b. Analyzeecuese&eprioritizeehypothesise(analysis)
c. Generateesolutionse(planning)
d. Takeeactione(nursingeinterventions)
ANS:e C
Whenegeneratingesolutionse(planning),etheenurseeidentifieseexpectedeoutcomeseandeusesetheepatient
’seproblem(s)etoedefineeaeseteofeinterventionsetoeachieveetheemostedesirableeoutcomes.eRecognizinge
cuese(assessment)einvolvesetheegatheringeofecuese(information)efrometheepatienteaboutetheirehealthea
ndelifestyleepractices,ewhicheareeimportantefactsethateaidetheenurseeinemakingeclinicalecareedecisions.
ePrioritizingehypothesis eiseusedetoeorganizeeanderanketheepatienteproblem(s)eidentified.eFinally,etakin
geactioneinvolveseimplementationeofenursingeinterventionsetoeaccomplishetheeexpectedeoutcomes.
DIF:
CognitiveeLevel:eUnderstandinge(Comprehension)e
TOP:e NursingeProcess:eNursingeIntervention
MSC:e NCLEX:eManagementeofeClienteCare
3. Ae5-year-
oldechildewithetypee1ediabetesemellitusehasehaderepeatedehospitalizationseforeepisodeseofehyperglyce
mia.eTheeparentsetelletheenurseethatetheyecan’tekeepetrackeofeeverythingethatehasetoebeedoneetoecareefo
retheirechild.eTheenurseereviewsemedications,ediet,eandesymptomemanagementewithetheeparentseanded
rawseupeaedailyechecklisteforetheefamilyetoeuse.eTheseeactivitieseareecompletedeinewhichestepeofetheen
ursingeprocess?
a. Recognizingecuese(assessment)
b. Analyzeecuese&eprioritizeehypothesise(analysis)
, c. Generateesolutionse(planning)
d. Takeeactione(nursingeinterventions)
ANS:e D
Takingeactionethroughenursingeinterventionseisewhereetheenurseeprovidesepatientehealtheteaching,edru
geadministration,epatientecare,eandeothereinterventionsenecessaryetoeassistetheepatienteineaccomplishi
ngeexpectedeoutcomes.
DIF:
CognitiveeLevel:eUnderstandinge(Comprehension)e
TOP:e NursingeProcess:eNursingeIntervention
MSC:e NCLEX:eManagementeofeClienteCare
4. Theenurseeisepreparingetoeadministereaemedicationeandereviewsetheepatient’secharteforedrugeall
ergies,eserumecreatinine,eandebloodeureaenitrogene(BUN)elevels.eTheenurse’seactionseareerefl
ectiveeofewhicheofetheefollowing?
a. Recognizingecuese(assessment)
b. Analyzeecuese&eprioritizeehypothesise(analysis)
c. Takeeactione(nursingeinterventions)
d. Generateesolutionse(planning)
ANS:e A
Recognizingecuese(assessment)einvolvesegatheringesubjectiveeandeobjectiveeinformationeaboutetheepati
enteandetheemedication.eLaboratoryevaluesefrometheepatient’sechartewouldebeeconsideredecollectioneofe
objectiveedata.
DIF: CognitiveeLevel:eUnderstandinge(Comprehension)
TOP:e NursingeProcess:eAssessment MSC:e NCLEX:eManagementeofeClienteCare
5. Whicheofetheefollowingewouldebeecorrectlyecategorizedeaseobjectiveedata?
a. Aelisteofeherbalesupplementseregularlyeusedeprovidedebyetheepatient.
b. Labevalueseassociatedewithetheedrugsetheepatienteisetaking.
c. Theeageseanderelationshipeofeallehouseholdemembersetoetheepatient.
d. Usualedietaryepatternseandefoodeintake.
ANS:e B
Objectiveedataeareemeasuredeandedetectedebyeanotherepersoneandewouldeincludeelabevalues.eTheeothe
reexampleseareesubjectiveedata.
DIF: CognitiveeLevel:eUnderstandinge(Comprehension)
TOP:e NursingeProcess:eAssessment MSC:e NCLEX:eManagementeofeClienteCare
6. Theenurseereviewseaepatient’sedatabaseeandelearnsethatetheepatientelivesealone,eiseforgetful,eandedoe
senotehaveeaneestablishederoutine.eTheepatientewillebeesentehomeewithethreeenewemedicationsetoebeet
akeneatedifferentetimeseofetheeday.eTheenurseedevelopseaedailyemedicationecharteandeenlistseaefamily
ememberetoeputetheepatient’sepillseineaepilleorganizer.eThiseiseaneexampleeofewhicheelementeofetheen
ursingeprocess?
a. Recognizingecuese(assessment)
b. Analyzeecuese&eprioritizeehypothesise(analysis)
c. Takeeactione(nursingeinterventions)
, d. Generateesolutionse(planning)
ANS:e C
Takingeactione(nursingeinterventions)einvolveseeducationeandepatientecareeineorderetoeassistetheepatiente
toeaccomplishetheegoalseofetreatment.
DIF:
CognitiveeLevel:eApplyinge(Application)e
TOP:eNursingeProcess:eNursingeInterventioneM
SC:e NCLEX:eManagementeofeClienteCare
7. Aepatientewhoeisehospitalizedeforechroniceobstructiveepulmonaryediseasee(COPD)ewantsetoegoehom
e.eTheenurseeandetheepatientediscussetheepatient’sesituationeandedecideethatetheepatientemayegoehomee
wheneableetoeperformeself-
careewithoutedyspneaeandehypoxia.eThiseiseaneexampleeofewhichephaseeofetheenursingeprocess?
a. Recognizingecuese(assessment)
b. Analyzeecuese&eprioritizeehypothesise(analysis)
c. Takeeactione(nursingeinterventions)
d. Generateesolutionse(planning)
ANS:e D
Generatingesolutionse(planning)einvolvesedefiningeaeseteofeinterventionsetoeachieveetheemosted
esirableeoutcomes,ewhich,eforethisepatient,emeansebeingeableetoeperformeself-
careeactivitiesewithoutedyspneaeandehypoxia.
DIF:e CognitiveeLevel:eUnderstandinge(Comprehension)
TOP:eNursingeProcess:ePlanninge
MSC:e NCLEX:eManagementeofeClienteCare
8. Aepatientewillebeesentehomeewitheaemetered-
doseeinhaler,eandetheenurseeiseprovidingeteaching.eWhicheiseaecorrectlyewritteneexpectedeoutco
meeforethiseprocess?
a. Theenurseewilledemonstrateetheecorrecteuseeofeaemetered-doseeinhaleretoetheepatient.
b. Theenurseewilleteachetheepatientehowetoeadministeremedicationewitheaemetered-
doseeinhaler.
c. Theepatientewilleknowehowetoeself-administeretheemedicationeusingetheemetered-
edoseeinhaler.
d. Theepatientewilleindependentlyeadministeretheemedicationeusingetheemetered-
doseeinhalereatetheeendeofetheesession.
ANS:e D
Expectedeoutcomesemustebeepatient-
centeredeandeclearlyestateetheeoutcomeewitheaereasonableedeadlineeandeshouldeidentifyecompone
ntseforeevaluation.
DIF:e CognitiveeLevel:eApplyinge(Application)
TOP:eNursingeProcess:ePlanninge
MSC:e NCLEX:eManagementeofeClienteCare
9. Theenurseeisegeneratingesolutionse(planning)eforeaepatientewhoehasechronicelungediseaseeandehypox
ia.eTheepatientehasebeeneadmittedeforeincreasedeoxygeneneedseaboveeaebaselineeofe2eL/min.eTheenurs
eegenerateseaneexpectedeoutcomesestating,e“Theepatientewillehaveeoxygenesaturationseof
>95%eoneroomeaireatetheetimeeofedischargeefrometheehospital.”eWhateisewrongewithethisegoal?
a. Itecannotebeeevaluated.
