Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion Chapter 1-58 A+ Guide revised

Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E. McCuistion Chapter 1-58 A+ Guide revised
Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11thEditionMULTIPLE CHOICE
1. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodesofhyperglycemia. The parents tell the nurse that they can’t keep track of everything that has tobedone to care for their child. The nurse reviews medications, diet, and symptommanagement withthe parents and draws up a daily checklist for the family to use. These activities are completedinwhich step of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
ANS: D
Taking action through nursing interventions is where the nurse provides patient healthteaching, drug administration, patient care, and other interventions necessary to assist the patient inaccomplishing expected outcomes. DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Client Care
2. 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. Patientreported health history, signs and symptoms, and caregiver reported financial barriers wouldbeconsidered subjective data. Vital signs obtained from the medical record would be consideredobjective data. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: PlanningMSC: NCLEX: Management of Client Care
3. The nurse is using data collected to define a set of interventions to achieve the most desirableoutcomes. 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 thepatient’s problem(s) to define a set of interventions to achieve the most desirable outcomes. Recognizing cues (assessment) involves the gathering of cues (information) fromthe patient
about their health and lifestyle practices, which are important facts that aid the nurse inmakingclinical care decisions. Prioritizing hypothesis is used to organize and rank the patient problem(s)identified. Finally, taking action involves implementation of nursing interventions to accomplishthe 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 drugallergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions arereflective 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 informationabout thepatient and the medication. Laboratory values from the patient’s chart would be consideredcollection 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. Theother 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, anddoes not have an established routine. The patient will be sent home with three newmedicationsto be taken at different times of the day. The nurse develops a daily medication chart andenlistsa family member to put the patient’s pills in a pill organizer. This is an example of whichelement of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)

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