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Test Bank For Pharmacology A Patient-Centered Nursing Process Approach 11th Edition by Linda E. McCuistion, Kathleen Vuljoin DiMaggio, Mary B. Winton, Jennifer J. Yeager |All Chapters, Year- ||Complete A+ Guide$16.49
Test Bank For Pharmacology A Patient-Centered Nursing Process Approach 11th Edition by Linda E. McCuistion, Kathleen Vuljoin DiMaggio, Mary B. Winton, Jennifer J. Yeager |All Chapters, Year- ||Complete A+ Guide
Test Bank For Pharmacology A Patient-Centered Nursing Process Approach 11th Edition by Linda E. McCuistion, Kathleen Vuljoin DiMaggio, Mary B. Winton, Jennifer J. Yeager |All Chapters, Year- ||Complete A+ Guide
TEST BANK FOR PHARMACOLOGY 11TH EDITION BY MCCUISTION
u u u u u u u
TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
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Chapter 01: The Nursing Process and Patient-Centered Care
/ McCuistion: Pharmacology:
Pharmacology: AAPatient-Centered
Patient-CenteredNursing Nursing Process
u u u u u u u
u
McCuistion: u
u Process Approach, 10th u
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u
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u
u u
u
u
Approach, 11th Edition; All Chapters
u Edition
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MULTIPLE CHOICE u
1. The nursing process is a five-step decision-making approach that includes all of the following
u u u u u u u u u u u u u
steps, EXCEPT:
u u
a. Assessment
b. Patient problem u
c. Planning
d. Right Drug u
ANS: D u
The nursing process is a five-step decision-making approach that includes: 1) assessment, 2)
u u u u u u u u u u u u
patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one of
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the“Six Rights” of medication administration.
u u u u u u
DIF: Cognitive Level: Understanding (Comprehension) u u u TOP: Nursing Process: Planning
u u u
MSC: NCLEX: Management of Care
u u u u u
2. The nurse is using data collected to set goals or expected outcomes and interventions that
u u u u u u u u u u u u u u
address the patient’s problems. Which step of the nursing process is the nurse applying?
u u u u u u u u u u u u u u
a. Assessment
b. Patient problem u
c. Planning N
d. Evaluation
ANS: C u
During the planning phase, the nurse uses the data collected to set goals or expected outcomes
u u u u u u u u u u u u u u u
and interventions which address the patient’s problems. The data was collected during the
u u u u u u u u u u u u u
“Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse would
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determine whether the goals and objectives set during the planning phase were met.
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DIF: Cognitive Level: Understanding (Comprehension) u u u
TOP: Nursing Process: Nursing Intervention
u u u u u
MSC: NCLEX: Management of Care u u u u
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes
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of hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has
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to be done to care for their child. The nurse reviews medications, diet, and symptom
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management with the parents and draws up a daily checklist for the family to use. These
u u u u u u u u u u u u u u u u
activities are completed in which step of the nursing process?
u u u u u u u u u u
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C u
, TEST BANK FOR PHARMACOLOGY 11TH EDITION BY MCCUISTION
u u u u u u u
The implementation phase is the part of the nursing process in which the nurse provides
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education, drug administration, patient care, and other interventions necessary to assist
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thepatient in accomplishing established medication goals.
u u u u u u u
DIF: Cognitive Level: Understanding (Comprehension) u u u
TOP: Nursing Process: Nursing Intervention
u u u u u
MSC: NCLEX: Management of Care
u u u u
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
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allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
u u u u u u u u u u u u u
reflective of which phase of the nursing process?
u u u u u u u u
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A u
Assessment involves gathering information about the patient and the drug, including any
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previous use of the drug.
u u u u u
DIF: Cognitive Level: Understanding (Comprehension) u u u
TOP: Nursing Process: Assessment
u MSC: NCLEX: Management of Care u u u u u u
5. Which assessment is categorized as objective data?
u u u u u u
a. A list of herbal supplements regularly used
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b. Lab values associated with the drugs the patient is taking
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c. The ages and relationship to the patient of all household members
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d. Usual dietary patterns and fNood intake
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ANS: B u
Objective data are measured and detected by another person and would include lab values.
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The other examples are subjective data.
u u u u u u
DIF: Cognitive Level: Understanding (Comprehension) u u u
TOP: Nursing Process: Assessment
u MSC: NCLEX: Management of Care u u u u u u
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and
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does not have an established routine. The patient will be sent home with three new
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medications to be taken at different times of the day. The nurse develops a daily medication
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chart and enlists a family member to put the patient’s pills in a pill organizer. This is an
u u u u u u u u u u u u u u u u u u
example of which phase of the nursing process?
u u u u u u u u
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C u
The implementation phase involves education and patient care in order to assist the patient to
u u u u u u u u u u u u u u
accomplish the goals of treatment.
u u u u u
DIF: Cognitive Level: Applying u u
(Application)TOP: Nursing Process: Nursing
u u u u u
Intervention
u
, TEST BANK FOR PHARMACOLOGY 11TH EDITION BY MCCUISTION
u u u u u u u
MSC: NCLEX: Management of Care
u u u u
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
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home. The nurse and the patient discuss the patient’s situation and decide that the patient
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maygo home when able to perform self-care without dyspnea and hypoxia. This is an
u u u u u u u u u u u u u u u
example of which phase of the nursing process?
u u u u u u u u
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D u
Planning involves goal setting, which, for this patient, means being able to perform self-care
u u u u u u u u u u u u u
activities without dyspnea and hypoxia.
u u u u u
DIF: Cognitive Level: Understanding (Comprehension) u u u TOP: Nursing Process: Planning u u u
MSC: NCLEX: Management of Care
u u u u u
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching.
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Which is a correctly written goal for this process?
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a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
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b. The nurse will teach the patient how to administer medication with a metered-dose
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inhaler. u
c. The patient will know how to self-administer the medication using the
u u u u u u u u u u
metered-dose inhaler.
u u
d. The patient will independently administer the medication using the metered-dose
u u u u u u u u u
inhaler at the end of the session.
u u u u u u u
N
ANS: D u
Goals must be patient-centered and clearly state the outcome with a reasonable deadline and
u u u u u u u u u u u u u
should identify components for evaluation.
u u u u u
DIF: Cognitive Level: Applying (Application) u u u TOP: Nursing Process: Planning u u u
MSC: NCLEX: Management of Care
u u u u u
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia.
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The patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The
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nurse develops a goal stating, “The patient will have oxygen saturations of >95% on room air
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at the time of discharge from the hospital.” What is wrong with this goal?
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a. It cannot be evaluated.
u u u
b. It is not measurable.
u u u
c. It is not patient-centered.
u u u
d. It is not realistic.
u u u
ANS: D u
This goal is not realistic because the patient is not usually on room air and should not be
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expected to attain that goal by discharge from this hospitalization.
u u u u u u u u u u
DIF: Cognitive Level: Applying (Application) u u u TOP: Nursing Process: Planning u u u
MSC: NCLEX: Management of Care
u u u u u
, TEST BANK FOR PHARMACOLOGY 11TH EDITION BY MCCUISTION
u u u u u u u
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an
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antihypertensive drug that causes dizziness and orthostatic hypotension. Which patient
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problem documented by the nurse is appropriate for this patient?
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a. Deficient knowledge related to drug side effects u u u u u u
b. Ineffective health maintenance related to age u u u u u
c. Readiness for enhanced knowledge related to medication side effects u u u u u u u u
d. Risk for injury related to side effects of the medication
u u u u u u u u u
ANS: D u
This patient has an increased risk for injury because of drug side effects, so this is an
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appropriate patient problem to direct the type of care and follow-up the patient will
u u u u u u u u u u u u u u
receive.
u
DIF: Cognitive Level: Applying u u
(Application)TOP: Nursing Process: Nursing
u u u u u
Diagnosis MSC: NCLEX: Management of
u u u u u
Care
u
11. An older patient must learn to administer a medication using a device that requires manual
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dexterity. The patient becomes frustrated and expresses lack of self-confidence in
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performingthis task. Which action will the nurse perform next?
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a. Ask the patient to keep trying until the skill is learned.
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b. Provide written instructions with illustrations showing each step of the skill.
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c. Schedule multiple sessions and practice each step separately. u u u u u u u
d. Teach the procedure to family members who can administer the medication for the
u u u u u u u u u u u u
patient. u
ANS: C u
Nurses should be sensitive to patient’s level of frustration when teaching skills. In this case,
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breaking the steps down into inNdividual parts will help with this patient’s frustration level.
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DIF: Cognitive Level: Applying (Application) u u u TOP: Nursing Process: u u
PlanningMSC: NCLEX: Management of Care
u u u u u u
12. A school-age child will begin taking a medication to be administered at 5 mL three times
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daily. The child’s parent tells the nurse that, with a previous use of the drug, the child
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repeatedly forgot to bring the medication home from school, resulting in missed evening
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doses. What will the nurse recommend?
u u u u u u
a. Asking the provider if the medication may be taken before school, after school,
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and at bedtime
u u u
b. Putting a note on the child’s locker to encourage the child to take responsibility for
u u u u u u u u u u u u u u
medication administration
u u
c. Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL may be
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taken in the evening so that the correct amount is given daily
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d. Taking the noon dose to school every day and giving it to the school nurse to
u u u u u u u u u u u u u u u
administer
u
ANS: C u
For busy families with school-age children, it may be necessary to adjust the medication
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uschedule to one that fits their schedule. The nurse should ask the provider if a revised schedule
u u u u u u u u u u u u u u u u
is possible. In this case, the most effective revised schedule would involve not taking the
u u u u u u u u u u u u u u u
umedication while at school. Putting a note on the locker is not likely to be effective. It is not
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ucorrect to adjust the dose. u u u u
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