Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th
Edition
MULTIPLE01CHOICE
1. All01of01the01following01would01be01considered01subjective01data,01EXCEPT:
a. Patient-reported01health01history
b. Patient-reported01signs01and01symptoms01of01their01illness
c. Financial01barriers01reported01by01the01patient's01caregiver
d. Vital01signs01obtained01from01the01medical01record
ANS:01D
Subjective01data01is01based01on01what01patients01or01family01members01communicate01to01the01n
urse.01Patient-
01reported01health01history,01signs01and01symptoms,01and01caregiver01reported01financial01barri
ers01would01be01considered01subjective01data.01Vital01signs01obtained01from01the01medical01rec
ord01would01be01considered01objective01data.
DIF:
Cognitive01Level:01Understanding01(Comprehension)0 1 TOP:01Nursing01Process:01Planni
ng01MSC:01NCLEX:01Management01of01Client01Care
2. The01nurse01is01using01data01collected01to01define01a01set01of01interventions01to01achieve01the
01most01desirable01outcomes.01Which01of01the01following01steps01is01the01nurse01applying?0
1a.01Recognizing01cues01(assessment)
b. Analyze01cues01&01prioritize01hypothesis01(analysis)
c. Generate01solutions01(planning)
d. Take01action01(nursing01interventions)
ANS:01C
When01generating01solutions01(planning),01the01nurse01identifies01expected01outcomes01and01us
es01the01patient's01problem(s)01to01define01a01set01of01interventions01to01achieve01the01most01de
sirable01outcomes.01Recognizing01cues01(assessment)01involves01the01gathering01of01cues01(info
rmation)01from01the01patient01about01their01health01and01lifestyle01practices,01which01are01impo
rtant01facts01that01aid01the01nurse01in01making01clinical01care01decisions.01Prioritizing01hypothe
sis01is01used01to01organize01and01rank01the01patient01problem(s)01identified.01Finally,01taking01a
ction01involves01implementation01of01nursing01interventions01to01accomplish01the01expected01ou
tcomes.
DIF:
Cognitive01Level:01Understanding01(Comprehensi
on)01TOP:01Nursing01Process:01Nursing01Intervention
MSC:01NCLEX:01Management01of01Client01Care
, 3. A015-year-
old01child01with01type01101diabetes01mellitus01has01had01repeated01hospitalizations01for01episo
des01of01hyperglycemia.01The01parents01tell01the01nurse01that01they01can't01keep01track01of01ev
erything01that01has01to01be01done01to01care01for01their01child.01The01nurse01reviews01medicatio
ns,01diet,01and01symptom01management01with01the01parents01and01draws01up01a01daily01checkl
ist01for01the01family01to01use.01These01activities01are01completed01in01which01step01of01the01n
ursing01process?
a. Recognizing01cues01(assessment)
b. Analyze01cues01&01prioritize01hypothesis01(analysis)
c. Generate01solutions01(planning)
d. Take01action01(nursing01interventions)
ANS:01D
Taking01action01through01nursing01interventions01is01where01the01nurse01provides01patient01healt
h01teaching,01drug01administration,01patient01care,01and01other01interventions01necessary01to01a
ssist01the01patient01in01accomplishing01expected01outcomes.
DIF:
Cognitive01Level:01Understanding01(Comprehensi
on)01TOP:01Nursing01Process:01Nursing01Intervention
MSC:01NCLEX:01Management01of01Client01Care
4. The01nurse01is01preparing01to01administer01a01medication01and01reviews01the01patient's01c
hart01for01drug01allergies,01serum01creatinine,01and01blood01urea01nitrogen01(BUN)01level
s.01The01nurse's01actions01are01reflective01of01which01of01the01following?01a.01Recognizi
ng01cues01(assessment)
b. Analyze01cues01&01prioritize01hypothesis01(analysis)
c. Take01action01(nursing01interventions)
d. Generate01solutions01(planning)
ANS:01A
Recognizing01cues01(assessment)01involves01gathering01subjective01and01objective01information01
about01the01patient01and01the01medication.01Laboratory01values01from01the01patient's01chart01wo
uld01be01considered01collection01of01objective01data.
DIF:0 1 Cognitive01Level:01Understanding01(Comprehension)
TOP:01Nursing01Process:01Assessment MSC:01NCLEX:01Management01of01Client01Care
5. Which01of01the01following01would01be01correctly01categorized01as01objective01data?
a. A01list01of01herbal01supplements01regularly01used01provided01by01the01patient.
b. Lab01values01associated01with01the01drugs01the01patient01is01taking.
c. The01ages01and01relationship01of01all01household01members01to01the01patient.
d. Usual01dietary01patterns01and01food01intake.
ANS:01B
Objective01data01are01measured01and01detected01by01another01person01and01would01include01lab01
values.01The01other01examples01are01subjective01data.
DIF:0 1 Cognitive01Level:01Understanding01(Comprehension)
TOP:01Nursing01Process:01Assessment MSC:01NCLEX:01Management01of01Client01Care