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Centered Nursing Process Approach, 11th Edition by Linda E. M
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cCuistion Chapter 1-58 NEW UPDATE 2023
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Chapter 01: The Nursing Process and Patient-Centered Care
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McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11thEdition
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MULTIPLEnCHOICE
1. Allnofnthenfollowingnwouldnbenconsiderednsubjectivendata,nEXCEPT:
a. Patient-reportednhealthnhistory
b. Patient-reportednsignsnandnsymptomsnofntheirnillness
c. Financialnbarriersnreportednbynthenpatient’sncaregiver.
d. Vitalnsignsnobtainednfromnthenmedicalnrecord.
ANS:n D.
Subjectivendatanisnbasednonnwhatnpatientsnornfamilynmembersncommunicatentonthennurse.nP
atient-
reportednhealthnhistory,nsignsnandnsymptoms,nandncaregivernreportednfinancialnbarriersnwoul
dnbenconsiderednsubjectivendata.nVitalnsignsnobtainednfromnthenmedicalnrecordnwouldnbencon
siderednobjectivendata.
DIF: CognitivenLevel:nUnderstandingn(Comprehension)
TOP:n NursingnProcess:nPlanningMSC:n NCLEX:nManagementnofnClientnCare
2. Thennursenisnusingndatancollectedntondefinenansetnofninterventionsntonachieventhenmostndesirab
leoutcomes.nWhichnofnthenfollowingnstepsnisnthennursenapplying?
a. Recognizingncuesn(assessment)
b. Analyzencuesn&nprioritizenhypothesisn(analysis)
c. Generatensolutionsn(planning)
d. Takenactionn(nursingninterventions)
ANS:n C
Whenngeneratingnsolutionsn(planning),nthennursenidentifiesnexpectednoutcomesnandnusesnthenpati
ent’snproblem(s)ntondefinenansetnofninterventionsntonachieventhenmostndesirablenoutcomes.nRecog
nizingncuesn(assessment)ninvolvesnthengatheringnofncuesn(information)nfromnthenpatientnaboutnth
eirnhealthnandnlifestylenpractices,nwhichnarenimportantnfactsnthatnaidnthennurseninnmakingnclinicaln
carendecisions.nPrioritizingnhypothesisnisnusedntonorganizenandnranknthenpatientnproblem(s)identif
ied.nFinally,ntakingnactionninvolvesnimplementationnofnnursingninterventionsntonaccomplishnthenex
pectednoutcomes.
DIF:
CognitivenLevel:nUnderstandingn(Comprehensi
on)TOP:nNursingnProcess:nNursingnIntervention
MSC:n NCLEX:nManagementnofnClientnCare
3. An5-year-
oldnchildnwithntypen1ndiabetesnmellitusnhasnhadnrepeatednhospitalizationsnfornepisodesnofhyper
glycemia.nThenparentsntellnthennursenthatntheyncan’tnkeepntracknofneverythingnthatnhasntonbendo
nentoncarenforntheirnchild.nThennursenreviewsnmedications,ndiet,nandnsymptomnmanagementnwit
hthenparentsnandndrawsnupnandailynchecklistnfornthenfamilyntonuse.nThesenactivitiesnarencomplete
dninwhichnstepnofnthennursingnprocess?
a. Recognizingncuesn(assessment)
b. Analyzencuesn&nprioritizenhypothesisn(analysis)
,Test Bank Pharmacology A Patient-
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Centered Nursing Process Approach, 11th Edition by Linda E. M
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cCuistion Chapter 1-58 NEW UPDATE 2023
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c. Generatensolutionsn(planning)
d. Takenactionn(nursingninterventions)
ANS:n D
Takingnactionnthroughnnursingninterventionsnisnwherenthennursenprovidesnpatientnhealthnteachi
ng,drugnadministration,npatientncare,nandnotherninterventionsnnecessaryntonassistnthenpatientni
nnaccomplishingnexpectednoutcomes.
DIF:
CognitivenLevel:nUnderstandingn(Comprehensi
on)TOP:nNursingnProcess:nNursingnIntervention
MSC:n NCLEX:nManagementnofnClientnCare
4. Thennursenisnpreparingntonadministernanmedicationnandnreviewsnthenpatient’snchartnforndru
gnallergies,nserumncreatinine,nandnbloodnureannitrogenn(BUN)nlevels.nThennurse’snactionsna
rereflectivenofnwhichnofnthenfollowing?
a. Recognizingncuesn(assessment)
b. Analyzencuesn&nprioritizenhypothesisn(analysis)
c. Takenactionn(nursingninterventions)
d. Generatensolutionsn(planning)
ANS:n A
Recognizingncuesn(assessment)ninvolvesngatheringnsubjectivenandnobjectiveninformationnaboutnth
epatientnandnthenmedication.nLaboratorynvaluesnfromnthenpatient’snchartnwouldnbenconsiderednc
ollectionnofnobjectivendata.
DIF: CognitivenLevel:nUnderstandingn(Comprehension)
TOP:n NursingnProcess:nAssessment MSC:n NCLEX:nManagementnofnClientnCare
5. Whichnofnthenfollowingnwouldnbencorrectlyncategorizednasnobjectivendata?
a. Anlistnofnherbalnsupplementsnregularlynusednprovidednbynthenpatient.
b. Labnvaluesnassociatednwithnthendrugsnthenpatientnisntaking.
c. Thenagesnandnrelationshipnofnallnhouseholdnmembersntonthenpatient.
d. Usualndietarynpatternsnandnfoodnintake.
ANS:n B
Objectivendatanarenmeasurednandndetectednbynanothernpersonnandnwouldnincludenlabnvalues.n
Theothernexamplesnarensubjectivendata.
DIF: CognitivenLevel:nUnderstandingn(Comprehension)
TOP:n NursingnProcess:nAssessment MSC:n NCLEX:nManagementnofnClientnCare
6. Thennursenreviewsnanpatient’sndatabasenandnlearnsnthatnthenpatientnlivesnalone,nisnforgetful,nan
dndoesnnotnhavenannestablishednroutine.nThenpatientnwillnbensentnhomenwithnthreennewnmedicat
ionsntonbentakennatndifferentntimesnofnthenday.nThennursendevelopsnandailynmedicationnchartnan
dnenlistsanfamilynmemberntonputnthenpatient’snpillsninnanpillnorganizer.nThisnisnannexamplenofnwhi
chnelementnofnthennursingnprocess?
a. Recognizingncuesn(assessment)
b. Analyzencuesn&nprioritizenhypothesisn(analysis)
c. Takenactionn(nursingninterventions)
,Test Bank Pharmacology A Patient-
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Centered Nursing Process Approach, 11th Edition by Linda E. M
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cCuistion Chapter 1-58 NEW UPDATE 2023
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d. Generatensolutionsn(planning)
ANS:n C
Takingnactionn(nursingninterventions)ninvolvesneducationnandnpatientncareninnorderntonassistnt
hepatientntonaccomplishnthengoalsnofntreatment.
DIF:
CognitivenLevel:nApplyingn(Appli
cation)TOP:nNursingnProcess:
NursingnInterventionnMSC:n NCLEX:
ManagementnofnClientnCare
7. Anpatientnwhonisnhospitalizednfornchronicnobstructivenpulmonaryndiseasen(COPD)nwantsntongonh
ome.nThennursenandnthenpatientndiscussnthenpatient’snsituationnandndecidenthatnthenpatientnma
yngohomenwhennablentonperformnself-
carenwithoutndyspneanandnhypoxia.nThisnisnannexamplenofnwhichnphasenofnthennursingnprocess?
a. Recognizingncuesn(assessment)
b. Analyzencuesn&nprioritizenhypothesisn(analysis)
c. Takenactionn(nursingninterventions)
d. Generatensolutionsn(planning)
ANS:n D
Generatingnsolutionsn(planning)ninvolvesndefiningnansetnofninterventionsntonachieventhenmos
tndesirablenoutcomes,nwhich,nfornthisnpatient,nmeansnbeingnablentonperformnself-
carenactivitieswithoutndyspneanandnhypoxia.
DIF:nCognitivenLevel:nUnderstandingn(Comprehension)nTOP:nNursingnProcess:nPlanningMSC:n NCLEX:
nManagementnofnClientnCare
8. Anpatientnwillnbensentnhomenwithnanmetered-
doseninhaler,nandnthennursenisnprovidingnteaching.Whichnisnancorrectlynwrittennexpectednout
comenfornthisnprocess?
a. Thennursenwillndemonstratenthencorrectnusenofnanmetered-doseninhalerntonthenpatient.
b. Thennursenwillnteachnthenpatientnhowntonadministernmedicationnwithnanmet
ered-doseinhaler.
c. Thenpatientnwillnknownhowntonself-
administernthenmedicationnusingnthenmetered-doseninhaler.
d. Thenpatientnwillnindependentlynadministernthenmedicationnusingnthenmet
ered-doseinhalernatnthenendnofnthensession.
ANS:n D
Expectednoutcomesnmustnbenpatient-
centerednandnclearlynstatenthenoutcomenwithnanreasonabledeadlinenandnshouldnidentifyncom
ponentsnfornevaluation.
DIF:nnn CognitivenLevel:nApplyingn(Application)
TOP:nNursingnProcess:nPlanningM
SC:n NCLEX:nManagementnofnClientnCare
9. Thennursenisngeneratingnsolutionsn(planning)nfornanpatientnwhonhasnchronicnlungndiseasenandnhyp
oxia.nThenpatientnhasnbeennadmittednfornincreasednoxygennneedsnabovenanbaselinenofn2nL/min.T
hennursengeneratesnannexpectednoutcomesnstating,n“Thenpatientnwillnhavenoxygennsaturationsno
, Test Bank Pharmacology A Patient-
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Centered Nursing Process Approach, 11th Edition by Linda E. M
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cCuistion Chapter 1-58 NEW UPDATE 2023
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f
>95%nonnroomnairnatnthentimenofndischargenfromnthenhospital.”nWhatnisnwrongnwithnthisngoal?
a. Itncannotnbenevaluated.