7. A Ppatient Pwho Pis Phospitalized Pfor Pchronic Pobstructive Ppulmonary Pdisease P(COPD) Pwants Pto Pgo
Phome. PThe Pnurse Pand Pthe Ppatient Pdiscuss Pthe Ppatient’s Psituation Pand Pdecide Pthat Pthe Ppatient Pmay
PgoP
home Pwhen Pable Pto Pperform Pself-care Pwithout Pdyspnea Pand Phypoxia. PThis Pis Pan Pexample Pof
PwhichP
phase Pof Pthe Pnursing Pprocess?
a. Recognizing Pcues P(assessment)
b. Analyze Pcues P& Pprioritize Phypothesis P(analysis)
c. Take Paction P(nursing Pinterventions)
d. Generate Psolutions P(planning)
ANS: P D
Generating Psolutions P(planning) Pinvolves Pdefining Pa Pset Pof Pinterventions Pto Pachieve Pthe
Pmost P
desirable Poutcomes, Pwhich, Pfor Pthis Ppatient, Pmeans Pbeing Pable Pto Pperform Pself-care
PactivitiesP
without Pdyspnea Pand Phypoxia.
DIF: P Cognitive PLevel: PUnderstanding P(Comprehension) TOP: P Nursing P Process:
P PlanningP
MSC: P NCLEX: PManagement Pof PClient PCare
8. A Ppatient Pwill Pbe Psent Phome Pwith Pa Pmetered-dose Pinhaler, Pand Pthe Pnurse Pis Pproviding
teaching.PWhich Pis Pa Pcorrectly Pwritten Pexpected Poutcome Pfor Pthis Pprocess?
P
a. The Pnurse Pwill Pdemonstrate Pthe Pcorrect Puse Pof Pa Pmetered-dose Pinhaler Pto Pthe Ppatient.
b. The Pnurse Pwill Pteach Pthe Ppatient Phow Pto Padminister Pmedication Pwith Pa Pmetered-
dosePinhaler.
c. The Ppatient Pwill Pknow Phow Pto Pself-administer Pthe Pmedication Pusing Pthe
Pmetered-Pdose Pinhaler.
d. The Ppatient Pwill Pindependently Padminister Pthe Pmedication Pusing Pthe Pmetered-
dosePinhaler Pat Pthe Pend Pof Pthe Psession.
ANS: P D
Expected Poutcomes Pmust Pbe Ppatient-centered Pand Pclearly Pstate Pthe Poutcome Pwith Pa
PreasonableP
deadline Pand Pshould Pidentify Pcomponents Pfor Pevaluation.
DIF: P Cognitive PLevel: PApplying P(Application) TOP: P Nursing P Process:
P PlanningP
MSC: P NCLEX: PManagement Pof PClient PCare
9. The Pnurse Pis Pgenerating Psolutions P(planning) Pfor Pa Ppatient Pwho Phas Pchronic Plung Pdisease Pand
Phypoxia. PThe Ppatient Phas Pbeen Padmitted Pfor Pincreased Poxygen Pneeds Pabove Pa Pbaseline Pof P2
PL/min.PThe Pnurse Pgenerates Pan Pexpected Poutcomes Pstating, P“The Ppatient Pwill Phave Poxygen
Psaturations Pof
>95% Pon Proom Pair Pat Pthe Ptime Pof Pdischarge Pfrom Pthe Phospital.” PWhat Pis Pwrong Pwith Pthis Pgoal?
a. It Pcannot Pbe Pevaluated.
, Test Bank ( Pharmacology) 11th Edition by
P P P PP P P
Linda E. McCuistion Chapter 1-58
P P P P P
b. It Pis Pnot Pmeasurable.
c. It Pis Pnot Ppatient-centered.
d. It Pis Pnot Prealistic.
ANS: P D
The Pexpected Poutcome Pis Pnot Prealistic Pbecause Pthe Ppatient Pis Pnot Pusually Pon Proom Pair Pand
PshouldP
not Pbe Pexpected Pto Pattain Pthat Pexpected Poutcome Pby Pdischarge Pfrom Pthis
Phospitalization.
DIF: Cognitive PLevel: PApplying P(Application) TOP: P Nursing PProcess:
PPlanningP
MSC: P NCLEX: PManagement Pof PClient PCare
10. The Pnurse Pis Pdeveloping Pa Pteaching Pplan Pfor Pan Pelderly Ppatient Pwho Pwill Pbegin Ptaking Pan
Pantihypertensive Pdrug Pthat Pcauses Pdizziness Pand Porthostatic Phypotension. PWhich
PhypothesisP
(problem) Pdocumented Pby Pthe Pnurse Pis Pappropriate Pfor Pthis Ppatient?
a. Deficient Pknowledge Prelated Pto Pdrug Pside Peffects.
b. Ineffective Phealth Pmaintenance Prelated Pto Page.
c. Readiness Pfor Penhanced Pknowledge Prelated Pto Pmedication Pside Peffects.
d. Risk Pfor Pinjury Prelated Pto Pside Peffects Pof Pthe Pmedication.
ANS: P D
This Ppatient Phas Pan Pincreased Prisk Pfor Pinjury Pbecause Pof Pdrug Pside Peffects, Pso Pthis Pis Pan
PappropriatePhypothesis P(problem) Pto Pdirect Pthe Ptype Pof Pcare Pand Pfollow-up Pthe Ppatient Pwill
Preceive.
a. Encourage Pthe Pchild Pto Pbe Pmore Presponsible Pand Pthat Pit Pis Pimportant Pto Ptake
PthePmedication Pas Pprescribed.
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