Chapter 4 The Nursing Process and Pharmacology

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Chapter 4  The Nursing Process and Pharmacology

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. What is the primary purpose of the nursing assessment?
A.
Identifying underlying pathologic conditions
B.
Assisting the physician in identifying medical conditions
C.
Determining the patient’s mental status
D.
Exploring patient responses to health problems

ANS: D

Feedback
A
Identifying underlying pathologic conditions is not part of the nursing process.
B
Assisting the physician in identifying medical conditions is not part of the nursing process.
C
Determining the patient’s mental status is one part of the nursing assessment, but it is not the primary purpose.
D
A nursing assessment is done to identify the patient’s response to health problems. During the nursing assessment phase, a comprehensive information base is developed through a physical examination, nursing history, medication history, and professional observation.

DIF: Cognitive Level: Comprehension REF: 39-40
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance

2. What is the basis of the NANDA-I taxonomy?
A.
Functional health patterns
B.
Human response patterns
C.
Basic human needs
D.
Pathophysiologic needs

ANS: B

Feedback
A
Functional components of health patterns are limited to activity, fluid volume, nutrition, self-care, and sensory perception.
B
The NANDA-I taxonomy identifies human response patterns.
C
Basic human needs comprise less than merely health patterns.
D
Pathophysiologic needs are not part of the scope of NANDA-I.

DIF: Cognitive Level: Knowledge REF: 40
TOP: Nursing Process Step: Diagnosis
MSC: NCLEX Client Needs Category: Physiological Integrity

3. Which task is included in the assessment step of the nursing process?
A.
Establishing patient goals/outcomes
B.
Implementation of the nursing care plan
C.
Measuring goal/outcome achievement
D.
Collecting and communicating data

ANS: D

Feedback
A
Establishing goals is the function of planning.
B
Implementing the NCP is the function of implementation.
C
Measuring outcome achievement is the function of evaluation.
D
Data are collected and communicated in the assessment phase of the nursing process.

DIF: Cognitive Level: Comprehension REF: 40
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance

4. Which statement regarding nursing diagnoses is accurate?
A.
Nursing diagnoses remain the same for as long as the disease is present.
B.
Nursing diagnoses are written to identify disease states.
C.
Nursing diagnoses describe patient problems that nurses treat.
D.
Nursing diagnoses identify causes related to illness.

ANS: C

Feedback
A
Nursing diagnoses vary with the changing condition of the patient.
B
The response patterns are unique to the patient and are not disease specific.
C
Diagnostic statements identify problems a nurse is independently able to treat within the scope of professional practice.
D
Nursing diagnoses describe the patient’s human response pattern.

DIF: Cognitive Level: Comprehension REF: 40-41
TOP: Nursing Process Step: Diagnosis
MSC: NCLEX Client Needs Category: Physiological Integrity

 

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