TEST BANK FOR PHARMACOLOGY
10TH EDITION BY MCCUISTION /
McCuistion: Pharmacology: A PatientCentered Nursing Process Approach, 10th
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Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process
Approach, 10thEdition
MULTIPLE CHOICE
- The nursing process is a five-step decision-making approach that includes all of
the followingsteps, EXCEPT: - Assessment
- Patient problem
- Planning
- 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.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: PlanningMSC: NCLEX: Management of Care - The nurse is using data collected to set goals or expected outcomes and
interventions thataddress the patient’s problems. Which step of the nursing
process is the nurse applying? - Assessment
- Patient problem
•
Planning N - Evaluation
ANS: C
During the planning phase, the nurse uses the data collected to set goals or
expected outcomesand interventions which address the patient’s problems. The
data was collected during the “Assessment” and “Patient problem” steps. During
the “Evaluation” phase the nurse would determine whether the goals and
objectives set during the planning phase were met.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Management of Care - A 5-year-old child with type 1 diabetes mellitus has had repeated
hospitalizations for episodesof hyperglycemia. The parents tell the nurse that
they can’t keep track of everything that has to be done to care for their child.
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Distribution of this document is illegal - 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?
- Assessment
- Planning
- Implementation
- Evaluation
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 thepatient in accomplishing established
medication goals.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Management of Care - 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? - Assessment
- Evaluation
- Implementation
- Planning
ANS: A
Assessment involves gathering information about the patient and the drug,
including anyprevious use of the drug.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care - Which assessment is categorized as objective data?
- A list of herbal supplements regularly used
- Lab values associated with the drugs the patient is taking
- The ages and relationship to the patient of all household members
- Usual dietary patterns and fNood intake
ANS: B
Objective data are measured and detected by another person and would
include lab values.The other examples are subjective data.
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DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
- The nurse reviews a patient’s database and learns that the patient lives alone, is
forgetful, anddoes 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? - Assessment
- Evaluation
- Implementation
- Planning
ANS: C
The implementation phase involves education and patient care in order to assist
the patient toaccomplish the goals of treatment.
DIF: Cognitive Level:
Applying (Application)TOP:
Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Care - 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 maygo home when able to perform self-care
without dyspnea and hypoxia. This is an example of which phase of the nursing
process? - Assessment
- Evaluation
- Implementation
- Planning
ANS: D
Planning involves goal setting, which, for this patient, means being able to
perform self-careactivities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: PlanningMSC: NCLEX: Management of Care - A patient will be sent home with a metered-dose inhaler, and the nurse is
providing teaching.Which is a correctly written goal for this process?