TEST BANK COMPLETE PHARMACOLOGY A PATIENT -
CENTERED NURSING PROCESS APPROACH. COMPLETE
TEST BANK. 11TH EDITION 1-58 CHAPTERS
,Chapter 01: The Nursing Process and patient -Centered Care
McCuistion: Pharmacology: A patient -Centered Nursing Process Approach, 11th Edition
MULTIPLE CHOICE
1. All of the following would be considered subjective data, EXCEPT:
a. Hospital patient -reported health history
b. Hospital patient -reported signs and symptoms of their illness
c. Financial barriers reported by the hospital patient ’s caregiver
d. Vital signs obtained from the medical record
ACCURATE CHOICE:-D
Reasoning:->>>Subjective data is based on what hospital patient s or family members
communicate to the nurse practitioner. Hospital patient - reported health history, signs and
symptoms, and caregiver reported financial barriers would be considered subjective data. Vital
signs obtained from the medical record would be considered objective data.
DIFFICULTY: Cognitive Level: Understanding
(Comprehension) TOPIC: Nursing Process:
Planning MSC: NCLEX: Management of Hospital patient Care
2. The medical caretaker is using data collected to define a set of interventions to achieve the
most desirable results. Which of the following steps is the medical caretaker applying?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
ACCURATE CHOICE:-C
Reasoning:->>>When generating solutions (planning), the medical caretaker identifies
expected results and uses the hospital patient ’s problem(s) to define a set of interventions to
achieve the most desirable results. Recognizing cues (assessment) involves the gathering of cues
(information) from the hospital patient about their health and lifestyle practices, which are
important facts that aid the medical caretaker in making clinical care decisions. Prioritizing
hypothesis is used to organize and rank the hospital patient problem(s) identified. Finally, taking
action involves implementation of nursing interventions to accomplish the expected results.
DIFFICULTY: Cognitive Level: Understanding
(Comprehension) TOPIC: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Hospital patient Care
3. A 5-year-old toddler with type 1 diabetes mellitus has had repeated hospitalizations for episodes
of hyperglycemia. The parents tell the medical caretaker that they can’t keep track of everything
that has to be done to care for their toddler. The medical caretaker 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. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
, c. Generate solutions (planning)
d. Take action (nursing interventions)
ACCURATE CHOICE:-D
Reasoning:->>>Taking action through nursing interventions is where the medical caretaker
provides hospital patient health teaching, medication administration, hospital patient care, and
other interventions necessary to assist the hospital patient in accomplishing expected results.
DIFFICULTY: Cognitive Level: Understanding
(Comprehension) TOPIC: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Hospital patient Care
4. The medical caretaker is preparing to administer a medication and reviews the hospital
patient ’s chart for medication allergies, serum creatinine, and blood urea nitrogen
(BUN) levels. The nurse practitioner’s actions are reflective of which of the following?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
ACCURATE CHOICE:-A
Reasoning:->>>Recognizing cues (assessment) involves gathering subjective and objective
information about the hospital patient and the medication. Laboratory values from the hospital
patient ’s chart would be considered collection of objective data.
DIFFICULTY: Cognitive Level: Understanding (Comprehension)
TOPIC: Nursing Process: Assessment MSC: NCLEX: Management of Hospital patient Care
5. Which of the following would be correctly categorized as objective data?
a. A list of herbal supplements regularly used provided by the hospital patient .
b. Lab values associated with the medication s the hospital patient is taking.
c. The ages and relationship of all household members to the hospital patient .
d. Usual dietary patterns and food intake.
ACCURATE CHOICE:-B
Reasoning:->>>Objective data are measured and detected by another person and would include
lab values. The other examples are subjective data.
DIFFICULTY: Cognitive Level: Understanding (Comprehension)
TOPIC: Nursing Process: Assessment MSC: NCLEX: Management of Hospital patient Care
6. The medical caretaker reviews a hospital patient ’s database and learns that the hospital patient
lives alone, is forgetful, and does not have an established routine. The hospital patient will be
sent home with three new medications to be taken at different times of the day. The medical
caretaker develops a daily medication chart and enlists a family member to put the hospital
patient ’s pills in a pill organizer. This is an example of which element of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
, d. Generate solutions (planning)
ACCURATE CHOICE:-C
Reasoning:->>>Taking action (nursing interventions) involves education and hospital patient
care in order to assist the hospital patient to accomplish the goals of treatment.
DIFFICULTY: Cognitive Level:
Applying (Application) TOPIC: Nursing
Process: Nursing Intervention MSC: NCLEX:
Management of Hospital patient Care
7. A hospital patient who is hospitalized for chronic obstructive pulmonary disease (COPD)
wants to go home. The medical caretaker and the hospital patient discuss the hospital patient ’s
situation and decide that the hospital patient may go home when able to perform self-care
without dyspnea and hypoxia. This is an example of which phase of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
ACCURATE CHOICE:-D
Reasoning:->>>Generating solutions (planning) involves defining a set of interventions to
achieve the most desirable results, which, for this hospital patient , means being able to
perform self-care activities without dyspnea and hypoxia.
DIFFICULTY: Cognitive Level: Understanding (Comprehension) TOPIC: Nursing Process:
Planning MSC: NCLEX: Management of Hospital patient Care
8. A hospital patient will be sent home with a metered-dose inhaler, and the medical caretaker
is providing teaching. Which is a correctly written expected outcome for this process?
a. The medical caretaker will demonstrate the correct use of a metered-dose inhaler to the hospital patient .
b. The medical caretaker will teach the hospital patient how to administer
medication with a metered-dose inhaler.
c. The hospital patient will know how to self-administer the medication using the
metered- dose inhaler.
d. The hospital patient will independently administer the medication using the
metered-dose inhaler at the end of the session.
ACCURATE CHOICE:-D
Reasoning:->>>Expected results must be patient -Centered and clearly state the outcome
with a reasonable deadline and should identify components for evaluation.
DIFFICULTY: Cognitive Level: Applying (Application) TOPIC: Nursing Process:
Planning MSC: NCLEX: Management of Hospital patient Care
9. The medical caretaker is generating solutions (planning) for a hospital patient who has chronic
lung disease and hypoxia. The hospital patient has been admitted for increased oxygen needs
above a baseline of 2 L/min. The medical caretaker generates an expected results stating, “The
hospital patient will have oxygen saturations of
>95% on room air at the time of discharge from the hospital.” What is wrong with this goal?
a. It cannot be evaluated.
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