Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the
following steps, EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS: D
The nursing process is a five-step decision-making approach that includes: 1) assessment, 2)
patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one of the “Six
Rights” of medication administration.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
2. The nurse is using data collected to set goals or expected outcomes and interventions that
address the patient’s problems. Which step of the nursing process is the nurse applying?
a. Assessment
b. Patient problem
c. Planning N
d. Evaluation
ANS: C
During the planning phase, the nurse uses the data collected to set goals or expected outcomes and
interventions which address the patient’s problems. The data was collected during the
,“Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse would
determine whether the goals and objectives set during the planning phase were met.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for
episodes of hyperglycemia. The parents tell the nurse that they can’t keep track of everything that
has to be done to care for their child. The nurse 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. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C
The implementation phase is the part of the nursing process in which the nurse provides education,
drug administration, patient care, and other interventions necessary to assist the patient in
accomplishing established medication goals.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Care
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are reflective
of which phase of the nursing process?
a. Assessment
b. Evaluation
,c. Implementation
d. Planning
ANS: A
Assessment involves gathering information about the patient and the drug, including any previous
use of the drug.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
5. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and fNood intake
ANS: B
Objective data are measured and detected by another person and would include lab values. The
other examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful,
and does not have an established routine. The patient will be sent home with three new
medications to be taken at different times of the day. The nurse develops a daily medication chart
and enlists a family member to put the patient’s pills in a pill organizer. This is an example of which
phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
, d. Planning
ANS: C
The implementation phase involves education and patient care in order to assist the patient to
accomplish the goals of treatment.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Care
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
home. The nurse and the patient discuss the patient’s situation and decide that the 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. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D
Planning involves goal setting, which, for this patient, means being able to perform self-care
activities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
teaching. Which is a correctly written goal for this process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a metered-dose inhaler.
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the
following steps, EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS: D
The nursing process is a five-step decision-making approach that includes: 1) assessment, 2)
patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one of the “Six
Rights” of medication administration.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
2. The nurse is using data collected to set goals or expected outcomes and interventions that
address the patient’s problems. Which step of the nursing process is the nurse applying?
a. Assessment
b. Patient problem
c. Planning N
d. Evaluation
ANS: C
During the planning phase, the nurse uses the data collected to set goals or expected outcomes and
interventions which address the patient’s problems. The data was collected during the
,“Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse would
determine whether the goals and objectives set during the planning phase were met.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for
episodes of hyperglycemia. The parents tell the nurse that they can’t keep track of everything that
has to be done to care for their child. The nurse 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. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C
The implementation phase is the part of the nursing process in which the nurse provides education,
drug administration, patient care, and other interventions necessary to assist the patient in
accomplishing established medication goals.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Care
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are reflective
of which phase of the nursing process?
a. Assessment
b. Evaluation
,c. Implementation
d. Planning
ANS: A
Assessment involves gathering information about the patient and the drug, including any previous
use of the drug.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
5. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and fNood intake
ANS: B
Objective data are measured and detected by another person and would include lab values. The
other examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful,
and does not have an established routine. The patient will be sent home with three new
medications to be taken at different times of the day. The nurse develops a daily medication chart
and enlists a family member to put the patient’s pills in a pill organizer. This is an example of which
phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
, d. Planning
ANS: C
The implementation phase involves education and patient care in order to assist the patient to
accomplish the goals of treatment.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Care
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
home. The nurse and the patient discuss the patient’s situation and decide that the 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. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D
Planning involves goal setting, which, for this patient, means being able to perform self-care
activities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
teaching. Which is a correctly written goal for this process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a metered-dose inhaler.
