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Advanced Pharmacology for Prescribers 1st Edition Luu Kayingo Test Bank
Advanced Pharmacology for Prescribers 1st Edition Luu Kayingo Test Bank GRADE A+++
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KTEST BANK FOR:Advanced
Pharmacology for Prescribers
N
1st Edition Luu Kayingo Test
BA
Bank
ST
TE
,TE
ST
BA
N
K
, Advanced Pharmacology for Prescribers 1st Edition Luu Kayingo Test Bank
Chapter 1: An Introduction to Evidence-Based Clinical Practice Guidelines
MULTIPLE CHOICE
• What is the primary purpose of the nursing assessment?
• Identifying underlying pathologic conditions
• Assisting the physician in identifying medical conditions
• Determining the patients mental status
• Exploring patient responses to health problems
K
ANS: D
N
A nursing assessment is done to identify the patients response to health
problems. During the nursing assessment phase, a comprehensive
information base is developed through a physical examination, nursing
history, medication history, and professional observation. Identifying
BA
underlying pathologic conditions and assisting the physician in identifying
medical conditions is not part of the nursing process. Determining the
patients mental status is one part of the nursing assessment, but it is not the
primary purpose.
DIF: Cognitive Level: Comprehension
REF: dm 36 OBJ: 1 | 3 TOP: Nursing
Process Step: Assessment
ST
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
• What is the basis of the NANDA I taxonomy?
• Functional health patterns
TE
• Human response patterns
• Basic human needs
• Pathophysiologic needs
ANS: B
The NANDA I taxonomy identifies human response patterns. Functional
components of health patterns are limited to activity, fluid volume,
nutrition, self care, and sensory perception. Basic human needs comprise
less than merely health patterns. Pathophysiologic needs are not part of
the scope of NANDA I.
,DIF: Cognitive Level: Knowledge
REF: pp. 37-38 OBJ: 5 TOP:
Nursing Process Step: Diagnosis
MSC: NCLEX Client Needs Category: Physiological Integrity
• Which task is included in the assessment step of the nursing process?
• Establishing patient goals/outcomes
• Implementing the nursing care plan (NCP)
• Measuring goal/outcome achievement
• Collecting and communicating data
K
ANS: D
N
Data are collected and communicated in the assessment phase of the
nursing process. Establishing goals is the function of planning.
Implementing the NCP is the function of implementation. Measuring
BA
outcome achievement is the function of evaluation.
DIF: Cognitive Level: Comprehension
REF: dm 36 OBJ: 2 | 3 TOP: Nursing
Process Step: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
• Which statement regarding nursing diagnoses is accurate?
ST
• Nursing diagnoses remain the same for as long as the disease is present.
• Nursing diagnoses are written to identify disease states.
• Nursing diagnoses describe patient problems that nurses treat.
TE
• Nursing diagnoses identify causes related to illness.
ANS: C
Diagnostic statements identify problems a nurse is independently able to
treat within the scope of professional practice. Nursing diagnoses vary
with the changing condition of the patient. The response patterns are
unique to the patient and are not disease specific. Nursing diagnoses
describe the patients human response pattern.
DIF: Cognitive Level: Comprehension
,REF: pp. 37-38 OBJ: 5 TOP: Nursing
Process Step: Diagnosis
MSC: NCLEX Client Needs Category: Physiological Integrity
• What do the classification systems NIC and NOC provide?
• Individualized data banks of treatments related to disease processes
• Standardized language for reporting and analyzing nursing care delivery
• A measure for cost containment within medical institutions
• Specialized interventions for rare diseases
K
ANS: B
Nursing classification systems such as NIC and NOC are designed to
N
provide a standardized language for reporting and analyzing nursing care
delivery that is individualized for each patient. Standardized terminology
assists practitioners in the implementation of the five phases of the nursing
process. Classification systems are not related to disease process and are
BA
not used for financial purposes. Classification systems include
interventions for all health conditions.
DIF: Cognitive Level: Knowledge
REF: dm 34 OBJ: 11 TOP: Nursing
Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
ST
• Which type of nursing diagnosis will be written when the
patient exhibits factors that makes him or her susceptible to the
development of a problem?
• Actual diagnosis
TE
• Risk diagnosis
• Possible diagnosis
• Wellness diagnosis
ANS: B
When patients have the potential or risk for a problem to develop, a risk
diagnosis is written. These diagnoses are two part statements such as Risk
for falls related to unsteady gait. An actual diagnosis consists of a
NANDA diagnostic label, contributing factor (if known), and defining
characteristics such as signs and symptoms. A possible nursing diagnosis
,identifies a problem that may occur, but the assembled data are
insufficient to confirm it. A wellness diagnosis applies to individuals for
whom an enhanced level of wellness is possible.
DIF: Cognitive Level:
Comprehension REF: dm 38 OBJ: 5
TOP: Nursing Process Step:
Diagnosis
MSC: NCLEX Client Needs Category: Physiological Integrity
• Which outcome statement identified by the nurse is written correctly?
• After surgery, patient will express acceptance of loss of breast.
K
• Patient will die with dignity.
• At the end of the shift, the nurse will
determine whether the patient is more
N
comfortable.
• Within the next 8 hours, urine output will be greater than 30 mL/hr.
ANS: D
BA
The statement, Within the next 8 hours, urine output will be greater than
30 mL/hr is patient oriented, realistic, and measurable, and has an
appropriate time frame.
ST
DIF: Cognitive Level: Application
REF: dm 42 OBJ: 11 TOP: Nursing
Process Step: Evaluation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
• Which is an example of an interdependent nursing action?
TE
• Assess lung sounds every 4 hours.
• Educate the patient about the prescribed medication.
• Administer Demerol 50 mg intramuscularly (IM) every 4 hours PRN.
• Encourage the patient to express feelings.
ANS: C
Administer Demerol 50 mg IM every 4 hours PRN requires the nurse to
follow the parameters of the order, yet use nursing judgment to determine
how often the medication is to be administered; therefore, it is an
, interdependent nursing action. Assessing lung sounds, educating the
patient about medication, and encouraging the patient to express feelings
are independent nursing actions.
DIF: Cognitive Level: Application
REF: dm 45 OBJ: 12 TOP: Nursing
Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
• What is the nurses primary source of information when obtaining a patient history?
• The physician
• The patient record
K
• The family
• The patient ANS: D
N
The focus of the nursing process is the patient. Although family members
contribute to the nursing history, this information is secondhand. It is
BA
important that the nurse continue to assess patient data for validation of
this information. The physician is not to be relied on to provide
information about a complete patient history. The patient record reflects
only recorded past information and not current input that may be relevant.
The family may provide information about a patient history if the patient
is unable to provide it, but the information is subject to interpretation by
someone other than the patient.
ST
DIF: Cognitive Level: Knowledge
REF: dm 43 OBJ: 13 TOP: Nursing
Process Step: Assessment
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
• An obese patient did not meet the goal of by the end of the
TE
second week, is able to follow a 1500 calorie diet. What will the
nurse and the patient reassess?
• Patients weight
• Patients understanding of the 1500 calorie diet
• Nurses feelings about obese patients
• Health care agencys ability to provide the prescribed diet
ANS: B
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