1
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.
PR
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
O
b. Patient problem
c. Planning
FD
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
O
“Evaluation” phase the nurse would determine whether the goals and objectives set
during the planning phase were met.
C
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
pg. 1
, 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.
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.
PR
Which assessment is
categorized as objective data?
e. A list of herbal supplements regularly used
O
f. Lab values associated with the drugs the patient is taking
g. The ages and relationship to the patient of all household members
h. Usual dietary patterns and food intake
FD
ANS: B
Objective data are measured and detected by another person and would include lab
values.
The other examples are subjective data.
O
The nurse reviews a
patient’s database and learns that the patient
C
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.
pg. 2
,3
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
PR
selfcare activities without dyspnea and hypoxia.
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
O
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.
FD
b. The nurse will teach the patient how to administer medication with a metered-dose
inhaler.
c. The patient will know how to self-administer the medication using the metereddose
inhaler.
O
d. The patient will independently administer the medication using the metered-dose
inhaler at the end of the session.
C
ANS: D
Goals must be patient-centered and clearly state the outcome with a reasonable deadline
and should identify components for evaluation.
pg. 3
, 9. The nurse is developing a plan of care for a patient who has chronic lung disease and
hypoxia. The patient has been admitted for increased oxygen needs above a baseline
of 2 L/min. The nurse develops a goal stating, “The patient will have oxygen
saturations of >95% on room air at the time of discharge from the hospital.” What is
wrong with this goal? a. It cannot be evaluated. b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
ANS: D
This goal is not realistic because the patient is not usually on room air and should not be
expected to attain that goal by discharge from this hospitalization.
PR
O
FD
O
C
pg. 4
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.
PR
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
O
b. Patient problem
c. Planning
FD
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
O
“Evaluation” phase the nurse would determine whether the goals and objectives set
during the planning phase were met.
C
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
pg. 1
, 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.
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.
PR
Which assessment is
categorized as objective data?
e. A list of herbal supplements regularly used
O
f. Lab values associated with the drugs the patient is taking
g. The ages and relationship to the patient of all household members
h. Usual dietary patterns and food intake
FD
ANS: B
Objective data are measured and detected by another person and would include lab
values.
The other examples are subjective data.
O
The nurse reviews a
patient’s database and learns that the patient
C
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.
pg. 2
,3
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
PR
selfcare activities without dyspnea and hypoxia.
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
O
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.
FD
b. The nurse will teach the patient how to administer medication with a metered-dose
inhaler.
c. The patient will know how to self-administer the medication using the metereddose
inhaler.
O
d. The patient will independently administer the medication using the metered-dose
inhaler at the end of the session.
C
ANS: D
Goals must be patient-centered and clearly state the outcome with a reasonable deadline
and should identify components for evaluation.
pg. 3
, 9. The nurse is developing a plan of care for a patient who has chronic lung disease and
hypoxia. The patient has been admitted for increased oxygen needs above a baseline
of 2 L/min. The nurse develops a goal stating, “The patient will have oxygen
saturations of >95% on room air at the time of discharge from the hospital.” What is
wrong with this goal? a. It cannot be evaluated. b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
ANS: D
This goal is not realistic because the patient is not usually on room air and should not be
expected to attain that goal by discharge from this hospitalization.
PR
O
FD
O
C
pg. 4
