Chapter 01: The Nursing Process and Patient-Centered Care

McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11thEdition

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. Vitalsigns 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 reportedfinancial

barriers would be considered subjective data. Vital signs obtained from themedical

record would be considered objective data.

DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:

PlanningMSC: NCLEX: Management of Client Care

2. 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 usesthe

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