Process Approach 12th Edition Author: Linda E.
McCuistion, Kathleen V. DiMaggio & Mary B. Winton
Expert Approved| Complete Chapters 1-55 A+ Graded
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, MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the followingsteps, EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS: 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 the“Six Rights” of medication administration.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: PlanningMSC:
NCLEX: Management of Care
2. The nurse is using data collected to set goals or expected outcomes and interventions thataddress the patient’s
problems. Which step of the nursing process is the nurse applying?
a. Assessment
b. Patient problem
c. Planning N
d. Evaluation
ANS: C
During the planning phase, the nurse uses the data collected to set goals or expected outcomesand 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
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodesof 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
ANS: C
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, 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 thepatient 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
creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions arereflective of which phase of the
nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A
Assessment involves gathering information about the patient and the drug, including anyprevious 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 fNood intake
ANS: 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, anddoes 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
ANS: C
The implementation phase involves education and patient care in order to assist the patient to
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, accomplish the goals of treatment.
DIF: Cognitive Level: Applying (Application)TOP:
Nursing Process: Nursing Intervention
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