Chapter 04: The Nursing Process Test Bank Introductory Clinical Pharmacology 12th Edition by Susan M Ford

Chapter 04: The Nursing Process Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A nurse concludes a nursing diagnosis of Altered Health Management is appropriate for a client who has stopped taking prescribed medications. Which factor would be most important for the nurse to determine? a. When the client stopped taking the drug b. What adverse reactions the client experienced c. What was the exact reason for stopping the drug d. Whether the client's symptoms were relieved with the drug Answer: C Rationale: Lack of adherence with drugs can occur for numerous reasons. Therefore, it is most important for the nurse to determine the exact reason that the client stopped the therapy. Additional information can then be obtained, such as when the client stopped, if and what adverse reactions the client experienced, and if relief was obtained. Question Format: Multiple Choice Chapter: 4 Learning Objective: 4 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) BLM: Cognitive Level: Apply Reference: p. 51, Altered Health Management 2. A nurse has collected all the relevant data and is now clustering the information to determine the client's needs. The nurse is involved in which phase of the nursing process? a. Assessment b. Analysis c. Planning d. Implementation Answer: B Rationale: Analysis is the way nurses cluster data into similar groupings to determine client needs. Assessment is the collection of data that is used for analysis. Planning involves the development of client-oriented goals and expected outcomes and identifying actions to achieve these outcomes. Implementation is carrying out the plan of action. Question Format: Multiple Choice Chapter: 4 Learning Objective: 2 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 50, Analysis 3. A nurse caring for a client is articulating the steps for carrying out nursing activities that will assist in achieving client goals. The nurse is in which phase of the nursing process? a. Assessment b. Planning c. Implementation d. Evaluation Answer: B Rationale: The planning phase of the nursing process involves describing steps for carrying out nursing activities that will assist in achieving client goals or expected outcomes. The assessment phase involves collecting facts by means of a physical examination and through information supplied by the client or the client's family. During the implementation phase, the nurse carries out a defined plan of action. Evaluation is a decision-making process that involves determining the effectiveness of the nursing interventions in meeting the expected outcomes. Question Format: Multiple Choice Chapter: 4 Learning Objective: 1 Cognitive Level: Apply Client Needs: Safe and Effective Care Environment: Coordinated Care Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 50, Planning 4. After teaching a group of nursing students about nursing diagnoses, the instructor determines that the teaching was successful when the students correctly point out which item as the most useful related to the nursing diagnoses developed by the North American Nursing Diagnosis Association-International (NANDA-I)? a. Identifying client problems related to drug therapy b. Classifying the clients according to their age groups c. Categorizing the drugs based on their therapeutic actions d. Identifying the expected outcomes of treatments given Answer: A Rationale: Some of the nursing diagnoses developed by NANDA-I are useful in identifying client problems related to drug therapy and are more commonly used when administering drugs. The nursing diagnoses developed by NANDA-I do not classify the clients according to their age groups or the drugs based on their actions. NANDA-I nursing diagnoses do not identify the expected outcome of treatments given. An expected outcome will be specifically related to the kind of drug treatment given to the client. After the nursing diagnoses are formulated, the nurse develops expected outcomes, which are client oriented. The expected outcomes will be generated through efficient planning and implementation of the care plan. NANDA-I nursing diagnoses are not used to identify expected outcomes for clients. Question Format: Multiple Choice Chapter: 4 Learning Objective: 1 Cognitive Level: Analyze Client Needs: Safe and Effective Care Environment: Coordinated Care Integrated Process: Teaching/Learning Reference: p. 50, Nursing Diagnosis 5. A nurse is caring for a client diagnosed with a respiratory condition for which drug therapy has been prescribed. What would the nurse need to address when developing appropriate expected outcomes related to the drug therapy?