PATIENT CENTERED NURSING PROCESS
APPROACH, 11TH EDITION BY LINDA E.
MCCUISTION ISBN-10;0323793150/ ISBN-13; 978-
0323793155 ADVANCED SOLUTIONS FOR ALL
CHAPTERS A+ GRADED
,Chapter 01: The Nursing Process and Patient-Centered Care
S S S S S S S
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11thEdition
S S S S S S S
MULTIPLESCHOICE
1. AllSofStheSfollowingSwouldSbeSconsideredSsubjectiveSdata,SEXCEPT:
a. Patient-reportedShealthShistory
b. Patient-reportedSsignsSandSsymptomsSofStheirSillness
c. FinancialSbarriersSreportedSbyStheSpatient’sScaregiver.
d. VitalSsignsSobtainedSfromStheSmedicalSrecord.
ANS:S D.
SubjectiveSdataSisSbasedSonSwhatSpatientsSorSfamilySmembersScommunicateStoStheSnurse.SP
atient-
reportedShealthShistory,SsignsSandSsymptoms,SandScaregiverSreportedfinancialSbarriersSwou
ldSbeSconsideredSsubjectiveSdata.SVitalSsignsSobtainedSfromSthemedicalSrecordSwouldSbeScon
sideredSobjectiveSdata.
DIF: CognitiveSLevel:SUnderstandingS(Comprehension)
TOP:SNursingSProcess:SPlanningMSC:SNCLEX:SManagementSofSClientSCare
2. TheSnurseSisSusingSdataScollectedStoSdefineSaSsetSofSinterventionsStoSachieveStheSmostSd
esirableoutcomes.SWhichSofStheSfollowingSstepsSisStheSnurseSapplying?
a. RecognizingScuesS(assessment)
b. AnalyzeScuesS&SprioritizeShypothesisS(analysis)
c. GenerateSsolutionsS(planning)
d. TakeSactionS(nursingSinterventions)
ANS:S C
WhenSgeneratingSsolutionsS(planning),StheSnurseSidentifiesSexpectedSoutcomesSandSusestheSpati
ent’sSproblem(s)StoSdefineSaSsetSofSinterventionsStoSachieveStheSmostSdesirableSoutcomes.SRecog
nizingScuesS(assessment)SinvolvesStheSgatheringSofScuesS(information)SfromStheSpatientSaboutSth
eirShealthSandSlifestyleSpractices,SwhichSareSimportantSfactsSthatSaidStheSnurseSinSmakingSclinicalS
careSdecisions.SPrioritizingShypothesisSisSusedStoSorganizeSandSrankStheSpatientSproblem(s)identif
ied.SFinally,StakingSactionSinvolvesSimplementationSofSnursingSinterventionsStoSaccomplishStheSex
pectedSoutcomes.
DIF:
CognitiveSLevel:SUnderstandingS(Compre
hension)TOP:SNursingSProcess:SNursingSInterven
tion
MSC:S NCLEX:SManagementSofSClientSCare
3. AS5-year-oldSchildSwithStypeS1SdiabetesSmellitusShasShadSrepeatedShospitalizationsSfor
episodesSofhyperglycemia.STheSparentsStellStheSnurseSthatStheyScan’tSkeepStrackSofSeverythingSt
hatShasStoSbeSdoneStoScareSforStheirSchild.STheSnurseSreviewsSmedications,Sdiet,SandSsymptomSm
anagementSwiththeSparentsSandSdrawsSupSaSdailySchecklistSforSthefamilyStoSuse.STheseSactivitie
sSareScompletedSinwhichSstepSofStheSnursingSprocess?
a. RecognizingScuesS(assessment)
b. AnalyzeScuesS&SprioritizeShypothesisS(analysis)
, c. GenerateSsolutionsS(planning)
d. TakeSactionS(nursingSinterventions)
ANS:S D
TakingSactionSthroughSnursingSinterventionsSisSwhereStheSnurseSprovidesSpatientShealthSteachi
ng,drugSadministration,SpatientScare,SandSotherSinterventionsSnecessaryStoSassistStheSpatientSinS
accomplishingSexpectedSoutcomes.
DIF:
CognitiveSLevel:SUnderstandingS(Compre
hension)TOP:SNursingSProcess:SNursingSInterven
tion
MSC:S NCLEX:SManagementSofSClientSCare
4. TheSnurseSisSpreparingStoSadministerSaSmedicationSandSreviewsStheSpatient’sSchartSforSdrug
Sallergies,SserumScreatinine,SandSbloodSureaSnitrogenS(BUN)Slevels.STheSnurse’sSactionsSarer
eflectiveSofSwhichSofStheSfollowing?
a. RecognizingScuesS(assessment)
b. AnalyzeScuesS&SprioritizeShypothesisS(analysis)
c. TakeSactionS(nursingSinterventions)
d. GenerateSsolutionsS(planning)
ANS:S A
RecognizingScuesS(assessment)SinvolvesSgatheringSsubjectiveSandSobjectiveSinformationaboutSt
hepatientSandStheSmedication.SLaboratorySvaluesSfromStheSpatient’sSchartSwouldSbeSconsidere
dScollectionSofSobjectiveSdata.
DIF: CognitiveSLevel:SUnderstandingS(Comprehension)
TOP:S NursingSProcess:SAssessment MSC:S NCLEX:SManagementSofSClientSCare
5. WhichSofStheSfollowingSwouldSbeScorrectlyScategorizedSasSobjectiveSdata?
a. ASlistSofSherbalSsupplementsSregularlySusedSprovidedSbyStheSpatient.
b. LabSvaluesSassociatedSwithStheSdrugsStheSpatientSisStaking.
c. TheSagesSandSrelationshipSofSallShouseholdSmembersStoStheSpatient.
d. UsualSdietarySpatternsSandSfoodSintake.
ANS:S B
ObjectiveSdataSareSmeasuredSandSdetectedSbySanotherSpersonSandSwouldSincludeSlabvalues.ST
heotherSexamplesSareSsubjectiveSdata.
DIF: CognitiveSLevel:SUnderstandingS(Comprehension)
TOP:S NursingSProcess:SAssessment MSC:S NCLEX:SManagementSofSClientSCare
6. TheSnurseSreviewsSaSpatient’sSdatabaseSandSlearnsSthatStheSpatientSlivesSalone,SisSforgetful,San
dSdoesSnotShaveSanSestablishedSroutine.STheSpatientSwillSbeSsentShomeSwiththreeSnewSmedica
tionsStoSbeStakenSatSdifferentStimesSofStheSday.STheSnurseSdevelopsSaSdailySmedicationSchartSan
dSenlistsaSfamilySmemberStoSputStheSpatient’sSpillsSinSaSpillSorganizer.SThisSisSanSexampleSofSwhi
chSelementSofStheSnursingSprocess?
a. RecognizingScuesS(assessment)
b. AnalyzeScuesS&SprioritizeShypothesisS(analysis)
c. TakeSactionS(nursingSinterventions)
, d. GenerateSsolutionsS(planning)
ANS:S C
TakingSactionS(nursingSinterventions)SinvolvesSeducationSandSpatientScareSinSorderStoassistSt
hepatientStoSaccomplishStheSgoalsSofStreatment.
DIF:
CognitiveSLevel:SApplyingS(A
pplication)TOP:SNursingSProcess:
NursingSInterventionSMSC:S NCLEX:
ManagementSofSClientSCare
7. ASpatientSwhoSisShospitalizedSforSchronicSobstructiveSpulmonarySdiseaseS(COPD)SwantstoSgoSho
me.STheSnurseSandStheSpatientSdiscussStheSpatient’sSsituationSandSdecideSthatStheSpatientSmaySg
ohomeSwhenSableStoSperformSself-
careSwithoutSdyspneaSandShypoxia.ThisSisSanSexampleSofSwhichSphaseSofStheSnursingSprocess?
a. RecognizingScuesS(assessment)
b. AnalyzeScuesS&SprioritizeShypothesisS(analysis)
c. TakeSactionS(nursingSinterventions)
d. GenerateSsolutionsS(planning)
ANS:S D
GeneratingSsolutionsS(planning)SinvolvesSdefiningSaSsetSofSinterventionsStoSachieveStheSmost
SdesirableSoutcomes,Swhich,SforSthisSpatient,SmeansSbeingSableStoSperformSself-
careSactivitieswithoutSdyspneaSandShypoxia.
DIF:SCognitiveSLevel:SUnderstandingS(Comprehension)STOP:SNursingSProcess:SPlanningMSC:SNCLEX:S
ManagementSofSClientSCare
8. ASpatientSwillSbeSsentShomeSwithSaSmetered-
doseSinhaler,SandStheSnurseSisSprovidingSteaching.WhichSisSaScorrectlySwrittenSexpecte
dSoutcomeSforSthisSprocess?
a. TheSnurseSwillSdemonstrateStheScorrectSuseSofSaSmetered-doseSinhalerStoStheSpatient.
b. TheSnurseSwillSteachStheSpatientShowStoSadministerSmedicationSwithSaS
metered-doseinhaler.
c. TheSpatientSwillSknowShowStoSself-
administerStheSmedicationSusingStheSmetered-doseSinhaler.
d. TheSpatientSwillSindependentlySadministerStheSmedicationSusingStheS
metered-doseinhalerSatStheSendSofStheSsession.
ANS:S D
ExpectedSoutcomesSmustSbeSpatient-
centeredSandSclearlySstateStheSoutcomeSwithSaSreasonabledeadlineSandSshouldSidentifyScomp
onentsSforSevaluation.
DIF:SSS CognitiveSLevel:SApplyingS(Application) TOP: Nursing
Process:P
S lanningMSC:SNCLEX:SMa
nagementSofSClientSCare
9. TheSnurseSisSgeneratingSsolutionsS(planning)SforSaSpatientSwhoShasSchronicSlungSdiseaseandS
hypoxia.STheSpatientShasSbeenSadmittedSforSincreasedSoxygenSneedsSaboveSaSbaselineSofS2SL
/min.TheSnurseSgeneratesSanSexpectedSoutcomesSstating,S“TheSpatientSwillShaveSoxygenSsat
urationsSof
>95%SonSroomSairSatStheStimeSofSdischargeSfromStheShospital.”SWhatSisSwrongSwithSthisSgoal?
a. ItScannotSbeSevaluated.