_PHYSICAL_EXAMINATION_AN_INTERPROFESSIONAL_APPROACH_10TH_EDITION_BY_JChapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology:
... [Show More] A Patient-Centered Nursing Process Approach, 11th
Edition [GUARANTEED A]
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. Vital signs 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 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: 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 uses
the 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
episodes ofhyperglycemia. 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 withthe parents and draws up a daily checklist for the
family to use. These activities are completed inwhich step of the nursing process? a.
Recognizing cues (assessment) [Show Less]