A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice (MCQ)
Question:
A nurse is preparing to administer a newly prescribed
medication. Which action best reflects the Recognize Cues step
of the Clinical Judgment Management Model (CJMM)?
A. Comparing medication options to determine the safest
therapy
B. Assessing the patient's allergies, vital signs, and current
medications
C. Evaluating whether the medication achieved the desired
effect
D. Developing patient education about the prescribed
medication
Correct Answer: B
Rationale: Recognize Cues involves gathering relevant
assessment data before making clinical decisions. Reviewing
allergies, vital signs, and current medications helps identify
factors that may affect medication safety.
Question 2
,Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A nurse reviews a patient's assessment findings before
administering an antihypertensive medication. The blood
pressure is 88/54 mm Hg, and the patient reports dizziness.
Which CJMM step is demonstrated when the nurse determines
these findings increase the patient's risk for medication-related
hypotension?
A. Generate Solutions
B. Analyze Cues
C. Take Action
D. Evaluate Outcomes
Correct Answer: B
Rationale: Analyze Cues involves interpreting assessment
findings to determine their clinical significance. Identifying
hypotension as a potential risk requires analysis of the collected
data.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
, Question:
A nurse is assessing a patient before administering a medication
known to affect kidney function. Which findings are important
cues to recognize?
A. Recent serum creatinine level
B. Urine output
C. Patient's favorite foods
D. History of kidney disease
E. Current fluid balance
Correct Answer: A, B, D, E
Rationale: Kidney function, urine output, fluid status, and
medical history directly influence medication safety. Dietary
preferences are generally not priority assessment data in this
situation.
Question 4
Difficulty: Moderate
Question Type: Prioritization
Question:
The nurse is preparing morning medications for four patients.
Which patient should be assessed first?