{"id":118696,"date":"2023-09-05T20:16:53","date_gmt":"2023-09-05T20:16:53","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118696"},"modified":"2023-09-05T20:16:55","modified_gmt":"2023-09-05T20:16:55","slug":"test-bank-pharmacology-a-patient-centered-nursing-process-approach-11th-edition-by-linda-e-mccuistion-chapter-1-58","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/05\/test-bank-pharmacology-a-patient-centered-nursing-process-approach-11th-edition-by-linda-e-mccuistion-chapter-1-58\/","title":{"rendered":"Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion Chapter 1-58"},"content":{"rendered":"\n

Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  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\u2019s 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. Patientreported 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<\/li>\n\n\n\n
  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\u2019s 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<\/li>\n\n\n\n
  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\u2019t 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. Recognizing cues (assessment)
    b. Analyze cues & prioritize hypothesis (analysis)<\/li>\n<\/ol>\n\n\n\n

    c. Generate solutions (planning)
    d. Take action (nursing interventions)
    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<\/p>\n\n\n\n

      \n
    1. The nurse is preparing to administer a medication and reviews the patient\u2019s chart for drug
      allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse\u2019s 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\u2019s chart would be considered
      collection of objective data.
      DIF: Cognitive Level: Understanding (Comprehension)
      TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n
    2. 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<\/li>\n\n\n\n
    3. The nurse reviews a patient\u2019s 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\u2019s 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)<\/li>\n<\/ol>\n\n\n\n

      d. Generate solutions (planning)
      ANS: C
      Taking action (nursing interventions) involves education and patient care in order to assist the
      patient to accomplish the goals of treatment.
      DIF: Cognitive Level: Applying (Application)
      TOP: Nursing Process: Nursing Intervention
      MSC: NCLEX: Management of Client Care<\/p>\n\n\n\n

        \n
      1. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
        home. The nurse and the patient discuss the patient\u2019s 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. Recognizing cues (assessment)
        b. Analyze cues & prioritize hypothesis (analysis)
        c. Take action (nursing interventions)
        d. Generate solutions (planning)
        ANS: D
        Generating solutions (planning) involves defining a set of interventions to achieve the most
        desirable outcomes, which, for this patient, means being able to perform self-care activities
        without dyspnea and hypoxia.
        DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning
        MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n
      2. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching.
        Which is a correctly written expected outcome for this process?
        a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
        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.
        d. The patient will independently administer the medication using the metered-dose
        inhaler at the end of the session.
        ANS: D
        Expected outcomes must be patient-centered and clearly state the outcome with a reasonable
        deadline and should identify components for evaluation.
        DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning
        MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n
      3. The nurse is generating solutions (planning) 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 generates an expected outcomes stating, \u201cThe patient will have oxygen saturations of<\/li>\n<\/ol>\n\n\n\n
        \n

        95% on room air at the time of discharge from the hospital.\u201d What is wrong with this goal?
        a. It cannot be evaluated.<\/p>\n<\/blockquote>\n\n\n\n

        b. It is not measurable.
        c. It is not patient-centered.
        d. It is not realistic.
        ANS: D
        The expected outcome is not realistic because the patient is not usually on room air and should
        not be expected to attain that expected outcome by discharge from this hospitalization.
        DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning
        MSC: NCLEX: Management of Client Care<\/p>\n\n\n\n

          \n
        1. The nurse is developing a teaching plan for an elderly patient who will begin taking an
          antihypertensive drug that causes dizziness and orthostatic hypotension. Which hypothesis
          (problem) documented by the nurse is appropriate for this patient?
          a. Deficient knowledge related to drug side effects.
          b. Ineffective health maintenance related to age.
          c. Readiness for enhanced knowledge related to medication side effects.
          d. Risk for injury related to side effects of the medication.
          ANS: D
          This patient has an increased risk for injury because of drug side effects, so this is an appropriate
          hypothesis (problem) to direct the type of care and follow-up the patient will receive.
          DIF: Cognitive Level: Applying (Application)
          TOP: Nursing Process: Nursing Diagnosis
          MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n
        2. An older patient must learn to administer a medication using a device that requires manual
          dexterity. The patient becomes frustrated and expresses lack of self-confidence in performing
          this task. Which action will the nurse perform next?
          a. Ask the patient to keep trying until the skill is learned.
          b. Provide written instructions with illustrations showing each step of the skill.
          c. Schedule multiple sessions and practice each step separately.
          d. Teach the procedure to family members who can administer the medication for the
          patient.
          ANS: C
          Nurses should be sensitive to patient\u2019s level of frustration when teaching skills. In this case,
          breaking the steps down into individual parts will help with this patient\u2019s frustration level.
          DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning
          MSC: NCLEX: Management of Client Care<\/li>\n\n\n\n
        3. A school-age child will begin taking a medication to be administered at 5 mL three times daily.
          The child\u2019s parent tells the nurse that, with a previous use of the drug, the child repeatedly forgot
          to bring the medication home from school, resulting in missed evening doses. What will the
          nurse recommend?
          a. Encourage the child to be more responsible and that it is important to take the
          medication as prescribed.
          <\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          Chapter 01: The Nursing Process and Patient-Centered CareMcCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th EditionMULTIPLE CHOICE c. Generate solutions (planning)d. Take action (nursing interventions)ANS: DTaking action through nursing interventions is where the nurse provides patient health teaching,drug administration, patient care, and other interventions necessary to assist the patient inaccomplishing expected outcomes.DIF: Cognitive Level: Understanding […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118696","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118696","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118696"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118696\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118696"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118696"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118696"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}