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Test Bank | Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition by McCuistion | Chapters 1–58
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Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
MULTIPLE CHOICE
1. All of the following would be considered subjective data, EXCEPT: a. Patient-
reported health history
b. Patient-reported signs and symptoms of their illness c.
Financial barriers reported by the patient’s caregiver d. Vital
signs obtained from the medical record
ANS: D
Subjective data is based on what patients or family members communicate to the nurse. Patient-reported health
history, signs and symptoms, and caregiver reported financial barriers would be considered subjective data. Vital
signs obtained from the medical record would be considered objective data.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Management of Client Care
2. The nurse is using data collected to define a set of interventions to achieve the most desirable outcomes. Which
of the following steps is the nurse applying?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis) c.
Generate solutions (planning)
d. Take action (nursing interventions)
ANS: C
When generating solutions (planning), the nurse identifies expected outcomes and uses the patient’s problem(s) to
define a set of interventions to achieve the most desirable outcomes. Recognizing cues (assessment) involves the
gathering of cues (information) from the patient about their health and lifestyle practices, which are important facts
that aid the nurse in making clinical care decisions. Prioritizing hypothesis is used to organize and rank the patient
problem(s) identified. Finally, taking action involves implementation of nursing interventions to accomplish the
expected outcomes.
DIF: Cognitive Level: Understanding (Comprehension)
, TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Client 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?
Page | a. Recognizing cues (assessment)
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, b. Analyze cues & prioritize hypothesis (analysis)
Page |
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, c. Generate solutions (planning)
d. Take action (nursing interventions)
Page |
4 ANS: D
Taking action through nursing interventions is where the nurse provides patient health teaching, drug
administration, patient care, and other interventions necessary to assist the patient in accomplishing expected
outcomes.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Client 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 of the
following?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis) c. Take
action (nursing interventions)
d. Generate solutions (planning)
ANS: A
Recognizing cues (assessment) involves gathering subjective and objective information about the patient and the
medication. Laboratory values from the patient’s chart would be considered collection of objective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
5. Which of the following would be correctly categorized as objective data? a. A list of
herbal supplements regularly used provided by the patient. b. Lab values associated
with the drugs the patient is taking.
c. The ages and relationship of all household members to the patient. d. Usual
dietary patterns and food 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 Client 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 element of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis) c. Take
action (nursing interventions)