1. Alldofdthedfollowingdwoulddbedconsidereddsubjectiveddata,dEXCEPT:
a. Patient-reporteddhealthdhistory
b. Patient-reporteddsignsdanddsymptomsdofdtheirdillness
c. Financialdbarriersdreporteddbydthedpatient’sdcaregiver.
d. Vitaldsignsdobtaineddfromdthedmedicaldrecord.
ANS:d D.
Subjectiveddatadisdbaseddondwhatdpatientsdordfamilydmembersdcommunicatedtodthednurse.d
Patient-
reporteddhealthdhistory,dsignsdanddsymptoms,danddcaregiverdreporteddfinancialdbarriersdwo
ulddbedconsidereddsubjectiveddata.dVitaldsignsdobtaineddfromdthedmedicaldrecorddwoulddbed
considereddobjectiveddata.
2. Thednursedisdusingddatadcollecteddtoddefinedadsetdofdinterventionsdtodachievedthedmostddesir
ableoutcomes.dWhichdofdthedfollowingdstepsdisdthednursedapplying?
a. Recognizingdcuesd(assessment)
b. Analyzedcuesd&dprioritizedhypothesisd(analysis)
c. Generatedsolutionsd(planning)
d. Takedactiond(nursingdinterventions)
ANS:d C
Whendgeneratingdsolutionsd(planning),dthednursedidentifiesdexpecteddoutcomesdanddusesdthedpa
tient’sdproblem(s)dtoddefinedadsetdofdinterventionsdtodachievedthedmostddesirabledoutcomes.dRe
cognizingdcuesd(assessment)dinvolvesdthedgatheringdofdcuesd(information)dfromdthedpatientdabo
utdtheirdhealthdanddlifestyledpractices,dwhichdaredimportantdfactsdthatdaiddthednursedindmakingdc
linicaldcareddecisions.dPrioritizingdhypothesisdisduseddtodorganizedanddrankdthedpatientdproblem(
s)identified.dFinally,dtakingdactiondinvolvesdimplementationdofdnursingdinterventionsdtodaccompl
ishdthedexpecteddoutcomes.
,TESTdBANKdPHARMACOLOGYdAdPATIENT-
CENTEREDdNURSINGdPROCESSdAPPROACH,d11THdEDITION
olddchilddwithdtyped1ddiabetesdmellitusdhasdhaddrepeateddhospitalizationsdfordepisodesdofhype
rglycemia.dThedparentsdtelldthednursedthatdtheydcan’tdkeepdtrackdofdeverythingdthatdhasdtodbed
donedtodcaredfordtheirdchild.dThednursedreviewsdmedications,ddiet,danddsymptomdmanagemen
tdwiththedparentsdandddrawsdupdaddailydchecklistdfordthedfamilydtoduse.dThesedactivitiesdaredco
mpleteddinwhichdstepdofdthednursingdprocess?
a. Recognizingdcuesd(assessment)
b. Analyzedcuesd&dprioritizedhypothesisd(analysis)
, TESTdBANKdPHARMACOLOGYdAdPATIENT-
CENTEREDdNURSINGdPROCESSdAPPROACH,d11THdEDITION
c. Generatedsolutionsd(planning)
d. Takedactiond(nursingdinterventions)
ANS:d D
Takingdactiondthroughdnursingdinterventionsdisdwheredthednursedprovidesdpatientdhealthdteach
ing,drugdadministration,dpatientdcare,danddotherdinterventionsdnecessarydtodassistdthedpatientd
indaccomplishingdexpecteddoutcomes.
4. Thednursedisdpreparingdtodadministerdadmedicationdanddreviewsdthedpatient’sdchartdforddr
ugdallergies,dserumdcreatinine,danddblooddureadnitrogend(BUN)dlevels.dThednurse’sdaction
sdarereflectivedofdwhichdofdthedfollowing?
a. Recognizingdcuesd(assessment)
b. Analyzedcuesd&dprioritizedhypothesisd(analysis)
c. Takedactiond(nursingdinterventions)
d. Generatedsolutionsd(planning)
ANS:d A
Recognizingdcuesd(assessment)dinvolvesdgatheringdsubjectivedanddobjectivedinformationdaboutdt
hepatientdanddthedmedication.dLaboratorydvaluesdfromdthedpatient’sdchartdwoulddbedconsidere
ddcollectiondofdobjectiveddata.
5. Whichdofdthedfollowingdwoulddbedcorrectlydcategorizeddasdobjectiveddata?
a. Adlistdofdherbaldsupplementsdregularlyduseddprovideddbydthedpatient.
b. Labdvaluesdassociateddwithdtheddrugsdthedpatientdisdtaking.
c. Thedagesdanddrelationshipdofdalldhouseholddmembersdtodthedpatient.
d. Usualddietarydpatternsdanddfooddintake.
ANS:d B
Objectiveddatadaredmeasureddandddetecteddbydanotherdpersondanddwoulddincludedlabdvalue
s.dTheotherdexamplesdaredsubjectiveddata.
6. Thednursedreviewsdadpatient’sddatabasedanddlearnsdthatdthedpatientdlivesdalone,disdforgetful,da
ndddoesdnotdhavedandestablisheddroutine.dThedpatientdwilldbedsentdhomedwithdthreednewdmedi
cationsdtodbedtakendatddifferentdtimesdofdthedday.dThednurseddevelopsdaddailydmedicationdchar
tdanddenlistsadfamilydmemberdtodputdthedpatient’sdpillsdindadpilldorganizer.dThisdisdandexampled
ofdwhichdelementdofdthednursingdprocess?
a. Recognizingdcuesd(assessment)
b. Analyzedcuesd&dprioritizedhypothesisd(analysis)
c. Takedactiond(nursingdinterventions)
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