TEST BANK
j
Pharmacology A Patient-
j j
CenteredNursing ProcessApproachbyLindaE.
j j j j j j
McCuistion.
11th Edition
j
TEST BANK
j
,Chapterj01:jThejNursingjProcessjandjPatient-CenteredjCare
McCuistion:jPharmacology:jAjPatient-CenteredjNursingjProcessjApproach,j11thjEdition
MULTIPLEjCHOICE
1. Alljofjthejfollowingjwouldjbejconsideredjsubjectivejdata,jEXCEPT:
a. Patient-reportedjhealthjhistory
b. Patient-reportedjsignsjandjsymptomsjofjtheirjillness
c. Financialjbarriersjreportedjbyjthejpatient’sjcaregiver
d. Vitaljsignsjobtainedjfromjthejmedicaljrecord
ANS:j D
Subjectivejdatajisjbasedjonjwhatjpatientsjorjfamilyjmembersjcommunicatejtojthejnurse.jPatient-
jreportedjhealthjhistory,jsignsjandjsymptoms,jandjcaregiverjreportedjfinancialjbarriersjwouldjbejconsi
deredjsubjectivejdata.jVitaljsignsjobtainedjfromjthejmedicaljrecordjwouldjbejconsideredjobjectivejdat
a.
DIF: CognitivejLevel:jUnderstandingj(Comprehension)
TOP:jNursingjProcess:jPlanningjMSC:j NCLEX:jManagementjofjClientjCare
2. Thejnursejisjusingjdatajcollectedjtojdefinejajsetjofjinterventionsjtojachievejthejmostjdesirablejout
comes.jWhichjofjthejfollowingjstepsjisjthejnursejapplying?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
c. Generatejsolutionsj(planning)
d. Takejactionj(nursingjinterventions)
ANS:j C
Whenjgeneratingjsolutionsj(planning),jthejnursejidentifiesjexpectedjoutcomesjandjusesjthejpatient’
sjproblem(s)jtojdefinejajsetjofjinterventionsjtojachievejthejmostjdesirablejoutcomes.jRecognizingjc
uesj(assessment)jinvolvesjthejgatheringjofjcuesj(information)jfromjthejpatientjaboutjtheirjhealthjan
djlifestylejpractices,jwhichjarejimportantjfactsjthatjaidjthejnursejinjmakingjclinicaljcarejdecisions.jP
rioritizingjhypothesisjisjusedjtojorganizejandjrankjthejpatientjproblem(s)jidentified.jFinally,jtakingja
ctionjinvolvesjimplementationjofjnursingjinterventionsjtojaccomplishjthejexpectedjoutcomes.
DIF:
CognitivejLevel:jUnderstandingj(Comprehension)j
TOP:j NursingjProcess:jNursingjIntervention
MSC:j NCLEX:jManagementjofjClientjCare
3. Aj5-year-
oldjchildjwithjtypej1jdiabetesjmellitusjhasjhadjrepeatedjhospitalizationsjforjepisodesjofjhyperglyce
mia.jThejparentsjtelljthejnursejthatjtheyjcan’tjkeepjtrackjofjeverythingjthatjhasjtojbejdonejtojcarejforj
theirjchild.jThejnursejreviewsjmedications,jdiet,jandjsymptomjmanagementjwithjthejparentsjandjdra
wsjupjajdailyjchecklistjforjthejfamilyjtojuse.jThesejactivitiesjarejcompletedjinjwhichjstepjofjthejnursi
ngjprocess?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
, c. Generatejsolutionsj(planning)
d. Takejactionj(nursingjinterventions)
ANS:j D
Takingjactionjthroughjnursingjinterventionsjisjwherejthejnursejprovidesjpatientjhealthjteaching,jdru
gjadministration,jpatientjcare,jandjotherjinterventionsjnecessaryjtojassistjthejpatientjinjaccomplishi
ngjexpectedjoutcomes.
DIF:
CognitivejLevel:jUnderstandingj(Comprehension)j
TOP:j NursingjProcess:jNursingjIntervention
MSC:j NCLEX:jManagementjofjClientjCare
4. Thejnursejisjpreparingjtojadministerjajmedicationjandjreviewsjthejpatient’sjchartjforjdrugjall
ergies,jserumjcreatinine,jandjbloodjureajnitrogenj(BUN)jlevels.jThejnurse’sjactionsjarejrefle
ctivejofjwhichjofjthejfollowing?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
c. Takejactionj(nursingjinterventions)
d. Generatejsolutionsj(planning)
ANS:j A
Recognizingjcuesj(assessment)jinvolvesjgatheringjsubjectivejandjobjectivejinformationjaboutjthejpati
entjandjthejmedication.jLaboratoryjvaluesjfromjthejpatient’sjchartjwouldjbejconsideredjcollectionjofj
objectivejdata.
DIF: CognitivejLevel:jUnderstandingj(Comprehension)
TOP:j NursingjProcess:jAssessment MSC:j NCLEX:jManagementjofjClientjCare
5. Whichjofjthejfollowingjwouldjbejcorrectlyjcategorizedjasjobjectivejdata?
a. Ajlistjofjherbaljsupplementsjregularlyjusedjprovidedjbyjthejpatient.
b. Labjvaluesjassociatedjwithjthejdrugsjthejpatientjisjtaking.
c. Thejagesjandjrelationshipjofjalljhouseholdjmembersjtojthejpatient.
d. Usualjdietaryjpatternsjandjfoodjintake.
ANS:j B
Objectivejdatajarejmeasuredjandjdetectedjbyjanotherjpersonjandjwouldjincludejlabjvalues.jThejotherj
examplesjarejsubjectivejdata.
DIF: CognitivejLevel:jUnderstandingj(Comprehension)
TOP:j NursingjProcess:jAssessment MSC:j NCLEX:jManagementjofjClientjCare
6. Thejnursejreviewsjajpatient’sjdatabasejandjlearnsjthatjthejpatientjlivesjalone,jisjforgetful,jandjdoes
notjhavejanjestablishedjroutine.jThejpatientjwilljbejsentjhomejwithjthreejnewjmedicationsjtojbejtak
j
enjatjdifferentjtimesjofjthejday.jThejnursejdevelopsjajdailyjmedicationjchartjandjenlistsjajfamilyjme
mberjtojputjthejpatient’sjpillsjinjajpilljorganizer.jThisjisjanjexamplejofjwhichjelementjofjthejnursin
gjprocess?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
c. Takejactionj(nursingjinterventions)
, d. Generatejsolutionsj(planning)
ANS:j C
Takingjactionj(nursingjinterventions)jinvolvesjeducationjandjpatientjcarejinjorderjtojassistjthejpatientjt
ojaccomplishjthejgoalsjofjtreatment.
DIF:
CognitivejLevel:jApplyingj(Application)j
TOP:jNursingjProcess:jNursingjInterventionjM
SC:j NCLEX:jManagementjofjClientjCare
7. Ajpatientjwhojisjhospitalizedjforjchronicjobstructivejpulmonaryjdiseasej(COPD)jwantsjtojgojhome
.jThejnursejandjthejpatientjdiscussjthejpatient’sjsituationjandjdecidejthatjthejpatientjmayjgojhomejwh
enjablejtojperformjself-
carejwithoutjdyspneajandjhypoxia.jThisjisjanjexamplejofjwhichjphasejofjthejnursingjprocess?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
c. Takejactionj(nursingjinterventions)
d. Generatejsolutionsj(planning)
ANS:j D
Generatingjsolutionsj(planning)jinvolvesjdefiningjajsetjofjinterventionsjtojachievejthejmostjde
sirablejoutcomes,jwhich,jforjthisjpatient,jmeansjbeingjablejtojperformjself-
carejactivitiesjwithoutjdyspneajandjhypoxia.
DIF:j CognitivejLevel:jUnderstandingj(Comprehension)
TOP:jNursingjProcess:jPlanningj
MSC:j NCLEX:jManagementjofjClientjCare
8. Ajpatientjwilljbejsentjhomejwithjajmetered-
dosejinhaler,jandjthejnursejisjprovidingjteaching.jWhichjisjajcorrectlyjwrittenjexpectedjoutcom
ejforjthisjprocess?
a. Thejnursejwilljdemonstratejthejcorrectjusejofjajmetered-dosejinhalerjtojthejpatient.
b. Thejnursejwilljteachjthejpatientjhowjtojadministerjmedicationjwithjajmetered-
dosejinhaler.
c. Thejpatientjwilljknowjhowjtojself-administerjthejmedicationjusingjthejmetered-
jdosejinhaler.
d. Thejpatientjwilljindependentlyjadministerjthejmedicationjusingjthejmetered-
dosejinhalerjatjthejendjofjthejsession.
ANS:j D
Expectedjoutcomesjmustjbejpatient-
centeredjandjclearlyjstatejthejoutcomejwithjajreasonablejdeadlinejandjshouldjidentifyjcompone
ntsjforjevaluation.
DIF:j CognitivejLevel:jApplyingj(Application)
TOP:jNursingjProcess:jPlanningj
MSC:j NCLEX:jManagementjofjClientjCare
9. Thejnursejisjgeneratingjsolutionsj(planning)jforjajpatientjwhojhasjchronicjlungjdiseasejandjhypoxi
a.jThejpatientjhasjbeenjadmittedjforjincreasedjoxygenjneedsjabovejajbaselinejofj2jL/min.jThejnursej
generatesjanjexpectedjoutcomesjstating,j“Thejpatientjwilljhavejoxygenjsaturationsjof
>95%jonjroomjairjatjthejtimejofjdischargejfromjthejhospital.”jWhatjisjwrongjwithjthisjgoal?
a. Itjcannotjbejevaluated.
j
Pharmacology A Patient-
j j
CenteredNursing ProcessApproachbyLindaE.
j j j j j j
McCuistion.
11th Edition
j
TEST BANK
j
,Chapterj01:jThejNursingjProcessjandjPatient-CenteredjCare
McCuistion:jPharmacology:jAjPatient-CenteredjNursingjProcessjApproach,j11thjEdition
MULTIPLEjCHOICE
1. Alljofjthejfollowingjwouldjbejconsideredjsubjectivejdata,jEXCEPT:
a. Patient-reportedjhealthjhistory
b. Patient-reportedjsignsjandjsymptomsjofjtheirjillness
c. Financialjbarriersjreportedjbyjthejpatient’sjcaregiver
d. Vitaljsignsjobtainedjfromjthejmedicaljrecord
ANS:j D
Subjectivejdatajisjbasedjonjwhatjpatientsjorjfamilyjmembersjcommunicatejtojthejnurse.jPatient-
jreportedjhealthjhistory,jsignsjandjsymptoms,jandjcaregiverjreportedjfinancialjbarriersjwouldjbejconsi
deredjsubjectivejdata.jVitaljsignsjobtainedjfromjthejmedicaljrecordjwouldjbejconsideredjobjectivejdat
a.
DIF: CognitivejLevel:jUnderstandingj(Comprehension)
TOP:jNursingjProcess:jPlanningjMSC:j NCLEX:jManagementjofjClientjCare
2. Thejnursejisjusingjdatajcollectedjtojdefinejajsetjofjinterventionsjtojachievejthejmostjdesirablejout
comes.jWhichjofjthejfollowingjstepsjisjthejnursejapplying?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
c. Generatejsolutionsj(planning)
d. Takejactionj(nursingjinterventions)
ANS:j C
Whenjgeneratingjsolutionsj(planning),jthejnursejidentifiesjexpectedjoutcomesjandjusesjthejpatient’
sjproblem(s)jtojdefinejajsetjofjinterventionsjtojachievejthejmostjdesirablejoutcomes.jRecognizingjc
uesj(assessment)jinvolvesjthejgatheringjofjcuesj(information)jfromjthejpatientjaboutjtheirjhealthjan
djlifestylejpractices,jwhichjarejimportantjfactsjthatjaidjthejnursejinjmakingjclinicaljcarejdecisions.jP
rioritizingjhypothesisjisjusedjtojorganizejandjrankjthejpatientjproblem(s)jidentified.jFinally,jtakingja
ctionjinvolvesjimplementationjofjnursingjinterventionsjtojaccomplishjthejexpectedjoutcomes.
DIF:
CognitivejLevel:jUnderstandingj(Comprehension)j
TOP:j NursingjProcess:jNursingjIntervention
MSC:j NCLEX:jManagementjofjClientjCare
3. Aj5-year-
oldjchildjwithjtypej1jdiabetesjmellitusjhasjhadjrepeatedjhospitalizationsjforjepisodesjofjhyperglyce
mia.jThejparentsjtelljthejnursejthatjtheyjcan’tjkeepjtrackjofjeverythingjthatjhasjtojbejdonejtojcarejforj
theirjchild.jThejnursejreviewsjmedications,jdiet,jandjsymptomjmanagementjwithjthejparentsjandjdra
wsjupjajdailyjchecklistjforjthejfamilyjtojuse.jThesejactivitiesjarejcompletedjinjwhichjstepjofjthejnursi
ngjprocess?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
, c. Generatejsolutionsj(planning)
d. Takejactionj(nursingjinterventions)
ANS:j D
Takingjactionjthroughjnursingjinterventionsjisjwherejthejnursejprovidesjpatientjhealthjteaching,jdru
gjadministration,jpatientjcare,jandjotherjinterventionsjnecessaryjtojassistjthejpatientjinjaccomplishi
ngjexpectedjoutcomes.
DIF:
CognitivejLevel:jUnderstandingj(Comprehension)j
TOP:j NursingjProcess:jNursingjIntervention
MSC:j NCLEX:jManagementjofjClientjCare
4. Thejnursejisjpreparingjtojadministerjajmedicationjandjreviewsjthejpatient’sjchartjforjdrugjall
ergies,jserumjcreatinine,jandjbloodjureajnitrogenj(BUN)jlevels.jThejnurse’sjactionsjarejrefle
ctivejofjwhichjofjthejfollowing?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
c. Takejactionj(nursingjinterventions)
d. Generatejsolutionsj(planning)
ANS:j A
Recognizingjcuesj(assessment)jinvolvesjgatheringjsubjectivejandjobjectivejinformationjaboutjthejpati
entjandjthejmedication.jLaboratoryjvaluesjfromjthejpatient’sjchartjwouldjbejconsideredjcollectionjofj
objectivejdata.
DIF: CognitivejLevel:jUnderstandingj(Comprehension)
TOP:j NursingjProcess:jAssessment MSC:j NCLEX:jManagementjofjClientjCare
5. Whichjofjthejfollowingjwouldjbejcorrectlyjcategorizedjasjobjectivejdata?
a. Ajlistjofjherbaljsupplementsjregularlyjusedjprovidedjbyjthejpatient.
b. Labjvaluesjassociatedjwithjthejdrugsjthejpatientjisjtaking.
c. Thejagesjandjrelationshipjofjalljhouseholdjmembersjtojthejpatient.
d. Usualjdietaryjpatternsjandjfoodjintake.
ANS:j B
Objectivejdatajarejmeasuredjandjdetectedjbyjanotherjpersonjandjwouldjincludejlabjvalues.jThejotherj
examplesjarejsubjectivejdata.
DIF: CognitivejLevel:jUnderstandingj(Comprehension)
TOP:j NursingjProcess:jAssessment MSC:j NCLEX:jManagementjofjClientjCare
6. Thejnursejreviewsjajpatient’sjdatabasejandjlearnsjthatjthejpatientjlivesjalone,jisjforgetful,jandjdoes
notjhavejanjestablishedjroutine.jThejpatientjwilljbejsentjhomejwithjthreejnewjmedicationsjtojbejtak
j
enjatjdifferentjtimesjofjthejday.jThejnursejdevelopsjajdailyjmedicationjchartjandjenlistsjajfamilyjme
mberjtojputjthejpatient’sjpillsjinjajpilljorganizer.jThisjisjanjexamplejofjwhichjelementjofjthejnursin
gjprocess?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
c. Takejactionj(nursingjinterventions)
, d. Generatejsolutionsj(planning)
ANS:j C
Takingjactionj(nursingjinterventions)jinvolvesjeducationjandjpatientjcarejinjorderjtojassistjthejpatientjt
ojaccomplishjthejgoalsjofjtreatment.
DIF:
CognitivejLevel:jApplyingj(Application)j
TOP:jNursingjProcess:jNursingjInterventionjM
SC:j NCLEX:jManagementjofjClientjCare
7. Ajpatientjwhojisjhospitalizedjforjchronicjobstructivejpulmonaryjdiseasej(COPD)jwantsjtojgojhome
.jThejnursejandjthejpatientjdiscussjthejpatient’sjsituationjandjdecidejthatjthejpatientjmayjgojhomejwh
enjablejtojperformjself-
carejwithoutjdyspneajandjhypoxia.jThisjisjanjexamplejofjwhichjphasejofjthejnursingjprocess?
a. Recognizingjcuesj(assessment)
b. Analyzejcuesj&jprioritizejhypothesisj(analysis)
c. Takejactionj(nursingjinterventions)
d. Generatejsolutionsj(planning)
ANS:j D
Generatingjsolutionsj(planning)jinvolvesjdefiningjajsetjofjinterventionsjtojachievejthejmostjde
sirablejoutcomes,jwhich,jforjthisjpatient,jmeansjbeingjablejtojperformjself-
carejactivitiesjwithoutjdyspneajandjhypoxia.
DIF:j CognitivejLevel:jUnderstandingj(Comprehension)
TOP:jNursingjProcess:jPlanningj
MSC:j NCLEX:jManagementjofjClientjCare
8. Ajpatientjwilljbejsentjhomejwithjajmetered-
dosejinhaler,jandjthejnursejisjprovidingjteaching.jWhichjisjajcorrectlyjwrittenjexpectedjoutcom
ejforjthisjprocess?
a. Thejnursejwilljdemonstratejthejcorrectjusejofjajmetered-dosejinhalerjtojthejpatient.
b. Thejnursejwilljteachjthejpatientjhowjtojadministerjmedicationjwithjajmetered-
dosejinhaler.
c. Thejpatientjwilljknowjhowjtojself-administerjthejmedicationjusingjthejmetered-
jdosejinhaler.
d. Thejpatientjwilljindependentlyjadministerjthejmedicationjusingjthejmetered-
dosejinhalerjatjthejendjofjthejsession.
ANS:j D
Expectedjoutcomesjmustjbejpatient-
centeredjandjclearlyjstatejthejoutcomejwithjajreasonablejdeadlinejandjshouldjidentifyjcompone
ntsjforjevaluation.
DIF:j CognitivejLevel:jApplyingj(Application)
TOP:jNursingjProcess:jPlanningj
MSC:j NCLEX:jManagementjofjClientjCare
9. Thejnursejisjgeneratingjsolutionsj(planning)jforjajpatientjwhojhasjchronicjlungjdiseasejandjhypoxi
a.jThejpatientjhasjbeenjadmittedjforjincreasedjoxygenjneedsjabovejajbaselinejofj2jL/min.jThejnursej
generatesjanjexpectedjoutcomesjstating,j“Thejpatientjwilljhavejoxygenjsaturationsjof
>95%jonjroomjairjatjthejtimejofjdischargejfromjthejhospital.”jWhatjisjwrongjwithjthisjgoal?
a. Itjcannotjbejevaluated.
