1
Chapter 01: The Nursing Process and Patient-Centered Care McCuistion:
i i i i i i i
i Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
i i i i i i i
MULTIPLE iCHOICE
1. The inursing iprocess iis ia ifive-step idecision-making iapproach ithat iincludes iall iof ithe ifollowing
steps,i iEXCEPT: a. Assessment
b. Patient iproblem
c. Planning
d. Right iDrug
ANS: i D
The inursing iprocess iis ia ifive-step idecision-making iapproach ithat iincludes: i1) iassessment, i2)
ipatient iproblem, i3) iplanning, i4) iimplementation, iand i5) ievaluation. i“Right idrug” iis ione iof ithe
“Sixi iRights” iof imedication iadministration.
DIF: Cognitive iLevel: iUnderstanding i(Comprehension) TOP: i Nursing iProcess: iPlanning
MSC:i i NCLEX: iManagement iof iCare
2. The inurse iis iusing idata icollected ito iset igoals ior iexpected ioutcomes iand iinterventions ithat
addressi ithe ipatient’s iproblems. iWhich istep iof ithe inursing iprocess iis ithe inurse
iapplying? a. Assessment
b. Patient iproblem
c. Planning N
d. Evaluation
ANS: i C
During ithe iplanning iphase, ithe inurse iuses ithe idata icollected ito iset igoals ior iexpected ioutcomes
andi iinterventions iwhich iaddress ithe ipatient’s iproblems. iThe idata iwas icollected iduring ithe
i“Assessment” iand i“Patient iproblem” isteps. iDuring ithe i“Evaluation” iphase ithe inurse iwould
idetermine iwhether ithe igoals iand iobjectives iset iduring ithe iplanning iphase iwere imet.
DIF: Cognitive iLevel: iUnderstanding i(Comprehension)
TOP:i i Nursing iProcess: iNursing iIntervention
MSC: i NCLEX: iManagement iof iCare
3. A i5-year-old ichild iwith itype i1 idiabetes imellitus ihas ihad irepeated ihospitalizations ifor
iepisodes ofi ihyperglycemia. iThe iparents itell ithe inurse ithat ithey ican’t ikeep itrack iof
ieverything ithat ihas ito ibe idone ito icare ifor itheir ichild. iThe inurse ireviews imedications, idiet,
iand isymptom imanagement iwith ithe iparents iand idraws iup ia idaily ichecklist ifor ithe ifamily ito
iuse. iThese iactivities iare icompleted iin iwhich istep iof ithe inursing iprocess?
Page 1 of 342
,2
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: i C
The iimplementation iphase iis ithe ipart iof ithe inursing iprocess iin iwhich ithe inurse iprovides
ieducation, idrug iadministration, ipatient icare, iand iother iinterventions inecessary ito iassist ithe
patienti iin iaccomplishing iestablished imedication igoals.
DIF: Cognitive iLevel: iUnderstanding i(Comprehension)
TOP:i i Nursing iProcess: iNursing iIntervention
MSC: i NCLEX: iManagement iof iCare
4. The inurse iis ipreparing ito iadminister ia imedication iand ireviews ithe ipatient’s ichart ifor idrug
allergies,i iserum icreatinine, iand iblood iurea initrogen i(BUN) ilevels. iThe inurse’s iactions iare
reflectivei iof iwhich iphase iof ithe inursing iprocess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: i A
Assessment iinvolves igathering iinformation iabout ithe ipatient iand ithe idrug, iincluding iany
previousi iuse iof ithe idrug.
DIF: Cognitive iLevel: iUnderstanding i(Comprehension)
TOP: i Nursing iProcess: iAssessment MSC: i NCLEX: iManagement iof iCare
5. Which iassessment iis icategorized ias iobjective idata?
a. A ilist iof iherbal isupplements iregularly iused
b. Lab ivalues iassociated iwith ithe idrugs ithe ipatient iis itaking
c. The iages iand irelationship ito ithe ipatient iof iall ihousehold imembers
d. Usual idietary ipatterns iand ifNood iintake
ANS: i B
Objective idata iare imeasured iand idetected iby ianother iperson iand iwould iinclude ilab ivalues.
Thei iother iexamples iare isubjective idata.
DIF: Cognitive iLevel: iUnderstanding i(Comprehension)
TOP: i Nursing iProcess: iAssessment MSC: i NCLEX: iManagement iof iCare
6. The inurse ireviews ia ipatient’s idatabase iand ilearns ithat ithe ipatient ilives ialone, iis iforgetful, iand
doesi inot ihave ian iestablished iroutine. iThe ipatient iwill ibe isent ihome iwith ithree inew
imedications ito ibe itaken iat idifferent itimes iof ithe iday. iThe inurse idevelops ia idaily imedication
ichart iand ienlists ia ifamily imember ito iput ithe ipatient’s ipills iin ia ipill iorganizer. iThis iis ian
iexample iof iwhich iphase iof ithe inursing iprocess? a. Assessment
Page 2 of 342
,3
b. Evaluation
c. Implementation
d. Planning
ANS: i C
The iimplementation iphase iinvolves ieducation iand ipatient icare iin iorder ito iassist ithe ipatient ito
accomplishi ithe igoals iof itreatment.
DIF: Cognitive iLevel: iApplying i(Application)
TOP:i i Nursing iProcess: iNursing iIntervention
MSC: i NCLEX: iManagement iof iCare
7. A ipatient iwho iis ihospitalized ifor ichronic iobstructive ipulmonary idisease i(COPD) iwants ito igo
ihome. iThe inurse iand ithe ipatient idiscuss ithe ipatient’s isituation iand idecide ithat ithe ipatient
imay goi ihome iwhen iable ito iperform iself-care iwithout idyspnea iand ihypoxia. iThis iis ian
iexample iof iwhich iphase iof ithe inursing iprocess? a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: i D
Planning iinvolves igoal isetting, iwhich, ifor ithis ipatient, imeans ibeing iable ito iperform iself-care
activitiesi iwithout idyspnea iand ihypoxia.
DIF: Cognitive iLevel: iUnderstanding i(Comprehension) TOP: i Nursing iProcess: iPlanning MSC:i i
NCLEX: iManagement iof iCare
8. A ipatient iwill ibe isent ihome iwith ia imetered-dose iinhaler, iand ithe inurse iis iproviding iteaching.
Whichi iis ia icorrectly iwritten igoal ifor ithis iprocess?
a. The inurse iwill idemonstrate ithe icorrect iuse iof ia imetered-dose iinhaler ito ithe ipatient.
b. The inurse iwill iteach ithe ipatient ihow ito iadminister imedication iwith ia imetered-dose
inhaler.i
c. The ipatient iwill iknow ihow ito iself-administer ithe imedication iusing ithe meteredi -dose
iinhaler.
d. The ipatient iwill iindependently iadminister ithe imedication iusing ithe imetered-dose inhaleri
iat ithe iend iof ithe isession.
N
ANS: i D
Goals imust ibe ipatient-centered iand iclearly istate ithe ioutcome iwith ia ireasonable ideadline iand
shouldi iidentify icomponents ifor ievaluation.
DIF: Cognitive iLevel: iApplying i(Application) TOP: i Nursing iProcess: iPlanning MSC:i i NCLEX:
i Management iof iCare
9. The inurse iis ideveloping ia iplan iof icare ifor ia ipatient iwho ihas ichronic ilung idisease iand
i hypoxia. Thei ipatient ihas ibeen iadmitted ifor iincreased ioxygen ineeds iabove ia ibaseline iof i2
iL/min. iThe inurse idevelops ia igoal istating, i“The ipatient iwill ihave ioxygen isaturations iof i>95%
ion iroom iair iat ithe itime iof idischarge ifrom ithe ihospital.” iWhat iis iwrong iwith ithis igoal? a. It
icannot ibe ievaluated.
b. It iis inot imeasurable.
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, 4
c. It iis inot ipatient-centered.
d. It iis inot irealistic.
ANS: i D
This igoal iis inot irealistic ibecause ithe ipatient iis inot iusually ion iroom iair iand ishould inot ibe
expectedi ito iattain ithat igoal iby idischarge ifrom ithis ihospitalization.
DIF: Cognitive iLevel: iApplying i(Application) TOP: i Nursing iProcess: iPlanning
MSC:i i NCLEX: iManagement iof iCare
10. The inurse iis ideveloping ia iteaching iplan ifor ian ielderly ipatient iwho iwill ibegin itaking ian
antihypertensivei idrug ithat icauses idizziness iand iorthostatic ihypotension. iWhich ipatient
problemi idocumented iby ithe inurse iis iappropriate ifor ithis ipatient?
a. Deficient iknowledge irelated ito idrug iside ieffects
b. Ineffective ihealth imaintenance irelated ito iage
c. Readiness ifor ienhanced iknowledge irelated ito imedication iside ieffects
d. Risk ifor iinjury irelated ito iside ieffects iof ithe imedication
ANS: i D
This ipatient ihas ian iincreased irisk ifor iinjury ibecause iof idrug iside ieffects, iso ithis iis ian
iappropriate ipatient iproblem ito idirect ithe itype iof icare iand ifollow-up ithe ipatient iwill ireceive.
DIF: Cognitive iLevel: iApplying i(Application)
TOP:i iNursing iProcess: iNursing iDiagnosis
iMSC: i NCLEX: iManagement iof iCare
11. An iolder ipatient imust ilearn ito iadminister ia imedication iusing ia idevice ithat irequires imanual
dexterity. iThe ipatient ibecomes ifrustrated iand iexpresses ilack iof iself-confidence iin iperforming
i
thisi itask. iWhich iaction iwill ithe inurse iperform inext?
a. Ask ithe ipatient ito ikeep itrying iuntil ithe iskill iis ilearned.
b. Provide iwritten iinstructions iwith iillustrations ishowing ieach istep iof ithe iskill.
c. Schedule imultiple isessions iand ipractice ieach istep iseparately.
d. Teach ithe iprocedure ito ifamily imembers iwho ican iadminister ithe imedication ifor ithe patient.i
ANS: i C
Nurses ishould ibe isensitive ito ipatient’s ilevel iof ifrustration iwhen iteaching iskills. iIn ithis icase,
bri eaking ithe isteps idown iinto iinNdividual iparts iwill ihelp iwith ithis ipatient’s ifrustration ilevel.
DIF: Cognitive iLevel: iApplying i(Application) TOP: i Nursing iProcess: iPlanning MSC:i i NCLEX:
i Management iof iCare
12. A ischool-age ichild iwill ibegin itaking ia imedication ito ibe iadministered iat i5 imL ithree itimes
daily.i iThe ichild’s iparent itells ithe inurse ithat, iwith ia iprevious iuse iof ithe idrug, ithe ichild
irepeatedly iforgot ito ibring ithe imedication ihome ifrom ischool, iresulting iin imissed ievening
doses.i iWhat iwill ithe inurse irecommend?
a. Asking ithe iprovider iif ithe imedication imay ibe itaken ibefore ischool, iafter ischool, andi iat
ibedtime
b. Putting ia inote ion ithe ichild’s ilocker ito iencourage ithe ichild ito itake iresponsibility ifor
medicationi iadministration
Page 4 of 342
Chapter 01: The Nursing Process and Patient-Centered Care McCuistion:
i i i i i i i
i Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
i i i i i i i
MULTIPLE iCHOICE
1. The inursing iprocess iis ia ifive-step idecision-making iapproach ithat iincludes iall iof ithe ifollowing
steps,i iEXCEPT: a. Assessment
b. Patient iproblem
c. Planning
d. Right iDrug
ANS: i D
The inursing iprocess iis ia ifive-step idecision-making iapproach ithat iincludes: i1) iassessment, i2)
ipatient iproblem, i3) iplanning, i4) iimplementation, iand i5) ievaluation. i“Right idrug” iis ione iof ithe
“Sixi iRights” iof imedication iadministration.
DIF: Cognitive iLevel: iUnderstanding i(Comprehension) TOP: i Nursing iProcess: iPlanning
MSC:i i NCLEX: iManagement iof iCare
2. The inurse iis iusing idata icollected ito iset igoals ior iexpected ioutcomes iand iinterventions ithat
addressi ithe ipatient’s iproblems. iWhich istep iof ithe inursing iprocess iis ithe inurse
iapplying? a. Assessment
b. Patient iproblem
c. Planning N
d. Evaluation
ANS: i C
During ithe iplanning iphase, ithe inurse iuses ithe idata icollected ito iset igoals ior iexpected ioutcomes
andi iinterventions iwhich iaddress ithe ipatient’s iproblems. iThe idata iwas icollected iduring ithe
i“Assessment” iand i“Patient iproblem” isteps. iDuring ithe i“Evaluation” iphase ithe inurse iwould
idetermine iwhether ithe igoals iand iobjectives iset iduring ithe iplanning iphase iwere imet.
DIF: Cognitive iLevel: iUnderstanding i(Comprehension)
TOP:i i Nursing iProcess: iNursing iIntervention
MSC: i NCLEX: iManagement iof iCare
3. A i5-year-old ichild iwith itype i1 idiabetes imellitus ihas ihad irepeated ihospitalizations ifor
iepisodes ofi ihyperglycemia. iThe iparents itell ithe inurse ithat ithey ican’t ikeep itrack iof
ieverything ithat ihas ito ibe idone ito icare ifor itheir ichild. iThe inurse ireviews imedications, idiet,
iand isymptom imanagement iwith ithe iparents iand idraws iup ia idaily ichecklist ifor ithe ifamily ito
iuse. iThese iactivities iare icompleted iin iwhich istep iof ithe inursing iprocess?
Page 1 of 342
,2
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: i C
The iimplementation iphase iis ithe ipart iof ithe inursing iprocess iin iwhich ithe inurse iprovides
ieducation, idrug iadministration, ipatient icare, iand iother iinterventions inecessary ito iassist ithe
patienti iin iaccomplishing iestablished imedication igoals.
DIF: Cognitive iLevel: iUnderstanding i(Comprehension)
TOP:i i Nursing iProcess: iNursing iIntervention
MSC: i NCLEX: iManagement iof iCare
4. The inurse iis ipreparing ito iadminister ia imedication iand ireviews ithe ipatient’s ichart ifor idrug
allergies,i iserum icreatinine, iand iblood iurea initrogen i(BUN) ilevels. iThe inurse’s iactions iare
reflectivei iof iwhich iphase iof ithe inursing iprocess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: i A
Assessment iinvolves igathering iinformation iabout ithe ipatient iand ithe idrug, iincluding iany
previousi iuse iof ithe idrug.
DIF: Cognitive iLevel: iUnderstanding i(Comprehension)
TOP: i Nursing iProcess: iAssessment MSC: i NCLEX: iManagement iof iCare
5. Which iassessment iis icategorized ias iobjective idata?
a. A ilist iof iherbal isupplements iregularly iused
b. Lab ivalues iassociated iwith ithe idrugs ithe ipatient iis itaking
c. The iages iand irelationship ito ithe ipatient iof iall ihousehold imembers
d. Usual idietary ipatterns iand ifNood iintake
ANS: i B
Objective idata iare imeasured iand idetected iby ianother iperson iand iwould iinclude ilab ivalues.
Thei iother iexamples iare isubjective idata.
DIF: Cognitive iLevel: iUnderstanding i(Comprehension)
TOP: i Nursing iProcess: iAssessment MSC: i NCLEX: iManagement iof iCare
6. The inurse ireviews ia ipatient’s idatabase iand ilearns ithat ithe ipatient ilives ialone, iis iforgetful, iand
doesi inot ihave ian iestablished iroutine. iThe ipatient iwill ibe isent ihome iwith ithree inew
imedications ito ibe itaken iat idifferent itimes iof ithe iday. iThe inurse idevelops ia idaily imedication
ichart iand ienlists ia ifamily imember ito iput ithe ipatient’s ipills iin ia ipill iorganizer. iThis iis ian
iexample iof iwhich iphase iof ithe inursing iprocess? a. Assessment
Page 2 of 342
,3
b. Evaluation
c. Implementation
d. Planning
ANS: i C
The iimplementation iphase iinvolves ieducation iand ipatient icare iin iorder ito iassist ithe ipatient ito
accomplishi ithe igoals iof itreatment.
DIF: Cognitive iLevel: iApplying i(Application)
TOP:i i Nursing iProcess: iNursing iIntervention
MSC: i NCLEX: iManagement iof iCare
7. A ipatient iwho iis ihospitalized ifor ichronic iobstructive ipulmonary idisease i(COPD) iwants ito igo
ihome. iThe inurse iand ithe ipatient idiscuss ithe ipatient’s isituation iand idecide ithat ithe ipatient
imay goi ihome iwhen iable ito iperform iself-care iwithout idyspnea iand ihypoxia. iThis iis ian
iexample iof iwhich iphase iof ithe inursing iprocess? a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: i D
Planning iinvolves igoal isetting, iwhich, ifor ithis ipatient, imeans ibeing iable ito iperform iself-care
activitiesi iwithout idyspnea iand ihypoxia.
DIF: Cognitive iLevel: iUnderstanding i(Comprehension) TOP: i Nursing iProcess: iPlanning MSC:i i
NCLEX: iManagement iof iCare
8. A ipatient iwill ibe isent ihome iwith ia imetered-dose iinhaler, iand ithe inurse iis iproviding iteaching.
Whichi iis ia icorrectly iwritten igoal ifor ithis iprocess?
a. The inurse iwill idemonstrate ithe icorrect iuse iof ia imetered-dose iinhaler ito ithe ipatient.
b. The inurse iwill iteach ithe ipatient ihow ito iadminister imedication iwith ia imetered-dose
inhaler.i
c. The ipatient iwill iknow ihow ito iself-administer ithe imedication iusing ithe meteredi -dose
iinhaler.
d. The ipatient iwill iindependently iadminister ithe imedication iusing ithe imetered-dose inhaleri
iat ithe iend iof ithe isession.
N
ANS: i D
Goals imust ibe ipatient-centered iand iclearly istate ithe ioutcome iwith ia ireasonable ideadline iand
shouldi iidentify icomponents ifor ievaluation.
DIF: Cognitive iLevel: iApplying i(Application) TOP: i Nursing iProcess: iPlanning MSC:i i NCLEX:
i Management iof iCare
9. The inurse iis ideveloping ia iplan iof icare ifor ia ipatient iwho ihas ichronic ilung idisease iand
i hypoxia. Thei ipatient ihas ibeen iadmitted ifor iincreased ioxygen ineeds iabove ia ibaseline iof i2
iL/min. iThe inurse idevelops ia igoal istating, i“The ipatient iwill ihave ioxygen isaturations iof i>95%
ion iroom iair iat ithe itime iof idischarge ifrom ithe ihospital.” iWhat iis iwrong iwith ithis igoal? a. It
icannot ibe ievaluated.
b. It iis inot imeasurable.
Page 3 of 342
, 4
c. It iis inot ipatient-centered.
d. It iis inot irealistic.
ANS: i D
This igoal iis inot irealistic ibecause ithe ipatient iis inot iusually ion iroom iair iand ishould inot ibe
expectedi ito iattain ithat igoal iby idischarge ifrom ithis ihospitalization.
DIF: Cognitive iLevel: iApplying i(Application) TOP: i Nursing iProcess: iPlanning
MSC:i i NCLEX: iManagement iof iCare
10. The inurse iis ideveloping ia iteaching iplan ifor ian ielderly ipatient iwho iwill ibegin itaking ian
antihypertensivei idrug ithat icauses idizziness iand iorthostatic ihypotension. iWhich ipatient
problemi idocumented iby ithe inurse iis iappropriate ifor ithis ipatient?
a. Deficient iknowledge irelated ito idrug iside ieffects
b. Ineffective ihealth imaintenance irelated ito iage
c. Readiness ifor ienhanced iknowledge irelated ito imedication iside ieffects
d. Risk ifor iinjury irelated ito iside ieffects iof ithe imedication
ANS: i D
This ipatient ihas ian iincreased irisk ifor iinjury ibecause iof idrug iside ieffects, iso ithis iis ian
iappropriate ipatient iproblem ito idirect ithe itype iof icare iand ifollow-up ithe ipatient iwill ireceive.
DIF: Cognitive iLevel: iApplying i(Application)
TOP:i iNursing iProcess: iNursing iDiagnosis
iMSC: i NCLEX: iManagement iof iCare
11. An iolder ipatient imust ilearn ito iadminister ia imedication iusing ia idevice ithat irequires imanual
dexterity. iThe ipatient ibecomes ifrustrated iand iexpresses ilack iof iself-confidence iin iperforming
i
thisi itask. iWhich iaction iwill ithe inurse iperform inext?
a. Ask ithe ipatient ito ikeep itrying iuntil ithe iskill iis ilearned.
b. Provide iwritten iinstructions iwith iillustrations ishowing ieach istep iof ithe iskill.
c. Schedule imultiple isessions iand ipractice ieach istep iseparately.
d. Teach ithe iprocedure ito ifamily imembers iwho ican iadminister ithe imedication ifor ithe patient.i
ANS: i C
Nurses ishould ibe isensitive ito ipatient’s ilevel iof ifrustration iwhen iteaching iskills. iIn ithis icase,
bri eaking ithe isteps idown iinto iinNdividual iparts iwill ihelp iwith ithis ipatient’s ifrustration ilevel.
DIF: Cognitive iLevel: iApplying i(Application) TOP: i Nursing iProcess: iPlanning MSC:i i NCLEX:
i Management iof iCare
12. A ischool-age ichild iwill ibegin itaking ia imedication ito ibe iadministered iat i5 imL ithree itimes
daily.i iThe ichild’s iparent itells ithe inurse ithat, iwith ia iprevious iuse iof ithe idrug, ithe ichild
irepeatedly iforgot ito ibring ithe imedication ihome ifrom ischool, iresulting iin imissed ievening
doses.i iWhat iwill ithe inurse irecommend?
a. Asking ithe iprovider iif ithe imedication imay ibe itaken ibefore ischool, iafter ischool, andi iat
ibedtime
b. Putting ia inote ion ithe ichild’s ilocker ito iencourage ithe ichild ito itake iresponsibility ifor
medicationi iadministration
Page 4 of 342
