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Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion Chapter 1-58
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Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion Chapter 1-58

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  • October 16, 2024
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,Chapter 01: The Nursing Process and Patient-Centered Care
v v v v v v v


McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
v v v v v v v v




MULTIPLE CHOICE v




1. All of the following would be considered subjective data, EXCEPT:
v v v v v v v v v


a. Patient-reported health history v v


b. Patient-reported signs and symptoms of their illness v v v v v v


c. Financial barriers reported by the patient’s caregiver v v v v v v


d. Vital signs obtained from the medical record
v v v v v v




ANS: v D
Subjective data is based on what patients or family members communicate to the
v v v v v v v v v v v v


vnurse. Patient- reported health history, signs and symptoms, and caregiver reported
v v v v v v v v v v


vfinancial barriers would be considered subjective data. Vital signs obtained from the
v v v v v v v v v v v


vmedical record would be considered objective data.
v v v v v v




DIF: Cognitive Level: Understanding (Comprehension) v v v TOP: Nursing v


vProcess: Planning MSC: v v NCLEX: Management v


vof Client Care
v v




2. The nurse is using data collected to define a set of interventions to achieve the
v v v v v v v v v v v v v v


v most desirable outcomes. Which of the following steps is the nurse applying?
v v v v v v v v v v v


a. Recognizing cues (assessment) v v


b. Analyze cues & prioritize hypothesis (analysis) v v v v v


c. Generate solutions (planning) v v


d. Take action (nursing interventions) v v v




ANS: v C
When generating solutions (planning), the nurse identifies expected outcomes
v v v v v v v v


v and uses the patient’s problem(s) to define a set of interventions to achieve the
v v v v v v v v v v v v v


vmost desirable outcomes. Recognizing cues (assessment) involves the gathering of
v v v v v v v v v


vcues (information) from the patient about their health and lifestyle practices, which
v v v v v v v v v v v


vare important facts that aid the nurse in making clinical care decisions.
v v v v v v v v v v v


vPrioritizing hypothesis is used to organize and rank the patient problem(s) identified.
v v v v v v v v v v v


vFinally, taking action involves implementation of nursing interventions to accomplish
v v v v v v v v v


vthe expected outcomes.
v v




DIF: Cognitive Level: Understanding v v


(Comprehension) TOP: Nursing Process:
v v v v


vNursing Intervention v


MSC: NCLEX: Management of Client Care
v v v v v v




3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for
v v v v v v v v v v v v


vepisodes of hyperglycemia. The parents tell the nurse that they can’t keep track of
v v v v v v v v v v v v v


v everything that has to be done to care for their child. The nurse reviews
v v v v v v v v v v v v v


v medications, diet, and symptom management with the parents and draws up a daily
v v v v v v v v v v v v


v checklist for the family to use. These activities are completed in which step of
v v v v v v v v v v v v v


v the nursing process?
v v


a. Recognizing cues (assessment) v v


b. Analyze cues & prioritize hypothesis (analysis) v v v v v

, c. Generate solutions (planning) v v


d. Take action (nursing interventions)
v v v




ANS: v D
Taking action through nursing interventions is where the nurse provides patient health
v v v v v v v v v v v


vteaching, drug administration, patient care, and other interventions necessary to assist
v v v v v v v v v v


v the patient in accomplishing expected outcomes.
v v v v v




DIF: Cognitive Level: Understanding v v


v(Comprehension) TOP: Nursing Process: v v v


v Nursing Intervention v


MSC: NCLEX: Management of Client Care
v v v v v v




4. The nurse is preparing to administer a medication and reviews the patient’s
v v v v v v v v v v v


v chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN)
v v v v v v v v v v


v levels. The nurse’s actions are reflective of which of the following?
v v v v v v v v v v


a. Recognizing cues (assessment) v v


b. Analyze cues & prioritize hypothesis (analysis) v v v v v


c. Take action (nursing interventions)
v v v


d. Generate solutions (planning) v v




ANS: v A
Recognizing cues (assessment) involves gathering subjective and objective information
v v v v v v v v


vabout the patient and the medication. Laboratory values from the patient’s chart
v v v v v v v v v v v


vwould be considered collection of objective data.
v v v v v v




DIF: Cognitive Level: Understanding (Comprehension) v v v


TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care v v v v v v v v




5. Which of the following would be correctly categorized as objective data?
v v v v v v v v v v


a. A list of herbal supplements regularly used provided by the patient.
v v v v v v v v v v


b. Lab values associated with the drugs the patient is taking.
v v v v v v v v v


c. The ages and relationship of all household members to the patient.
v v v v v v v v v v


d. Usual dietary patterns and food intake.
v v v v v




ANS: v B
Objective data are measured and detected by another person and would include lab
v v v v v v v v v v v v


vvalues. The other examples are subjective data.
v v v v v v




DIF: Cognitive Level: Understanding (Comprehension) v v v


TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care v v v v v v v v




6. The nurse reviews a patient’s database and learns that the patient lives alone,
v v v v v v v v v v v v


v is forgetful, and does not have an established routine. The patient will be sent
v v v v v v v v v v v v v


v home with three new medications to be taken at different times of the day. The
v v v v v v v v v v v v v v


v nurse develops a daily medication chart and enlists a family member to put the
v v v v v v v v v v v v v


v patient’s pills in a pill organizer. This is an example of which element of the
v v v v v v v v v v v v v v


v nursing process? v


a. Recognizing cues (assessment) v v


b. Analyze cues & prioritize hypothesis (analysis) v v v v v


c. Take action (nursing interventions)
v v v

, d. Generate solutions (planning) v v




ANS: v C
Taking action (nursing interventions) involves education and patient care in order to
v v v v v v v v v v v


assist the patient to accomplish the goals of treatment.
v v v v v v v v v




DIF: Cognitive Level: Applying v v


(Application) TOP: Nursing
v v v


Process:
v


Nursing Intervention MSC: NCLEX: v v


Management of Client Care v v v




7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD)
v v v v v v v v v v


wants to go home. The nurse and the patient discuss the patient’s situation and
v v v v v v v v v v v v v v


decide that the patient may go home when able to perform self-care without dyspnea
v v v v v v v v v v v v v v


and hypoxia. This is an example of which phase of the nursing process?
v v v v v v v v v v v v v


a. Recognizing cues (assessment) v v


b. Analyze cues & prioritize hypothesis (analysis) v v v v v


c. Take action (nursing interventions) v v v


d. Generate solutions (planning) v v




ANS: v D
Generating solutions (planning) involves defining a set of interventions to
v v v v v v v v v


achieve the most desirable outcomes, which, for this patient, means being able
v v v v v v v v v v v v


to perform self-care activities without dyspnea and hypoxia.
v v v v v v v v




DIF: Cognitive Level: Understanding (Comprehension)
v v v v TOP: v Nursing v Process:
Planning MSC: NCLEX: Management of Client Care
v v v v v v v




8. A patient will be sent home with a metered-dose inhaler, and the nurse is
v v v v v v v v v v v v v


providing teaching. Which is a correctly written expected outcome for this
v v v v v v v v v v v


process?
v


a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
v v v v v v v v v v v v v


b. The nurse will teach the patient how to administer medication
v v v v v v v v v


with a metered-dose inhaler.
v v v v


c. The patient will know how to self-administer the medication using
v v v v v v v v v


the metered- dose inhaler.
v v v v


d. The patient will independently administer the medication using the
v v v v v v v v


metered- dose inhaler at the end of the session.
v v v v v v v v v




ANS: v D
Expected outcomes must be patient-centered and clearly state the outcome with a
v v v v v v v v v v v


reasonable deadline and should identify components for evaluation.
v v v v v v v v




DIF: Cognitive Level: Applying (Application)
v v v v TOP: v Nursing v Process:
Planning MSC: NCLEX: Management of Client Care
v v v v v v v




9. The nurse is generating solutions (planning) for a patient who has chronic lung
v v v v v v v v v v v v


disease and hypoxia. The patient has been admitted for increased oxygen needs
v v v v v v v v v v v v


above a baseline of 2 L/min. The nurse generates an expected outcomes stating,
v v v v v v v v v v v v v


“The patient will have oxygen saturations of
v v v v v v v


>95% on room air at the time of discharge from the hospital.” What is wrong with this
v v v v v v v v v v v v v v v v


vgoal?
a. It cannot be evaluated.
v v v

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