Chapter 11: The Nursing Process in Patient-Centered Pharmacotherapy

Chapter 11: The Nursing Process in Patient-Centered Pharmacotherapy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse provides teaching about the sedative side effects of a medication ordered to be given at 8:00 PM daily. The patient works a 7:00 PM to 7:00 AM shift. The nurse explores options including taking the medication at 8:00 AM instead of in the evening. Which QSEN competency do the nurse’s actions best demonstrate?

a.	Collaboration and teamwork
b.	Evidence-based practice
c.	Patient-centered care
d.	Patient safety

 

 

ANS:  C

Patient-centered care recognizes the patient as the source of control and provides care based on respect for the patient’s preferences, values, and needs.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 113

TOP:   NURSING PROCESS: Planning      MSC:  NCLEX: Management of Care

 

2. The nurse learns that a patient cannot afford a prescribed medication and enlists the assistance of the social worker and an outside agency to provide medications at a lower cost. Which QSEN competency do the nurse’s actions best demonstrate?

a.	Collaboration and teamwork
b.	Evidence-based practice
c.	Patient-centered care
d.	Quality improvement

 

 

ANS:  A

Collaboration and teamwork involve interprofessional communication and shared decision-making to provide patient care.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 114

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Management of Care

 

3. A 5-year-old child with type 1 diabetes mellitus has repeated hospitalizations for episodes of hyperglycemia related to poor control. 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. This is an example of the principles outlined in

a.	Guiding Principles of Patient Engagement.
b.	National Alliance for Quality Care.
c.	Nursing Process.
d.	Quality and Safety Education for Nurses.

 

 

ANS:  A

Guiding Principles of Patient Engagement address the dynamic partnership among patients, families, and health care providers.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 114

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Management of 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 phase of the nursing process?

a.	Assessment
b.	Evaluation
c.	Implementation
d.	Planning

 

 

ANS:  A

Assessment involves gathering information about the patient and the drug, including any previous use of the drug.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Pages 114-115

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Management of Care

 

5. Which assessment is categorized as objective data?

a.	A list of herbal supplements regularly used
b.	Lab values associated with drugs the patient is taking
c.	The ages and relationship to the patient of all household members
d.	Usual dietary patterns and 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)    REF:   Page 115

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Management of Care