Deck 11: The Nursing Process in Patient-Centered Pharmacotherapy

Question 1

The nurse reviews a patient's database and learns that the patient lives alone,is forgetful,and does not have an established routine.The patient will be sent home with three new medications to be taken at different times of day.The nurse develops a daily medication chart and enlists a family member to put the patient's pills in a pill organizer.This is an example of which phase of the nursing process?

A)Assessment
B)Evaluation
C)Implementation
D)Planning

Answer 1

Implementation

Question 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

Answer 2

Collaboration and teamwork

Question 3

A patient who is hospitalized for chronic obstructive pulmonary disease wants to go home.The nurse and the patient discuss the patient's situation and decide that the patient may go home when able to perform self-care without dyspnea and hypoxia.This is an example of which phase of the nursing process?

A)Assessment
B)Evaluation
C)Implementation
D)Planning

Answer 3

Planning

Question 4

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

Question 5

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.

Question 6

A high-school student regularly forgets to use a twice-daily inhaled corticosteroid to prevent asthma flares and is repeatedly admitted to the hospital.The child's parent tells the nurse that the child has been told that forgetting to take the medication causes frequent hospitalizations.The nurse will

A)encourage the child to take responsibility for taking the medication.
B)reinforce the need to take prescribed medications to avoid hospitalizations.
C)suggest putting the inhaler with the child's toothbrush to use before brushing teeth.
D)suggest that the child's parents administer the medication to increase compliance.

Question 7

A patient will be sent home with a metered-dose inhaler,and the nurse is providing teaching.Which is a correctly written goal for this process?

A)The nurse will demonstrate correct use of a metered-dose inhaler to the patient.
B)The nurse will teach the patient how to administer medication with a metered-dose inhaler.
C)The patient will know how to self-administer the medication using the metered-dose inhaler.
D)The patient will independently administer the medication using the metered-dose inhaler at the end of the session.

Question 8

A school-age child will begin taking a medication to be administered 5 mL three times daily.The child's parent tells the nurse that,with a previous use of the drug,the child repeatedly forgot to bring the medication home from school,resulting in missed evening doses.What will the nurse recommend?

A)Asking the provider if the medication may be taken before school,after school,and at bedtime
B)Putting a note on the child's locker to encourage the child to take responsibility for medication administration
C)Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL may be taken in the evening so that the correct amount is given daily
D)Taking the noon dose to school every day and giving it to the school nurse to administer

Question 9

The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia.The patient has been admitted for increased oxygen needs above a baseline of 2 L/min.The nurse develops a goal stating,"The patient will have oxygen saturations of > 95% on room air at the time of discharge from the hospital." What is wrong with this goal?

A)It cannot be evaluated.
B)It is not measurable.
C)It is not patient-centered.
D)It is not realistic.

Question 10

An adolescent patient who has acne is given a regimen of topical medications and an oral antibiotic that generally clears up lesions to fewer than 10 within 6 to 8 weeks.At a 2-month follow-up,the patient continues to have more than 25 lesions.The child's parent affirms that the child is using the medications as prescribed.Which evaluation statement is correct for this patient?

A)"Goal of fewer than 10 lesions in 6 to 8 weeks is not met."
B)"Goal that the medication will be effective is not met."
C)"Goal that the patient will take medications as prescribed is not met."
D)"Goal that the patient understands the medication regimen is not met."

Question 11

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

Question 12

An older patient must learn to administer a medication using a device that requires manual dexterity.The patient becomes frustrated and expresses lack of self-confidence in performing this task.Which action will the nurse perform next?

A)Ask the patient to keep trying until the skill is learned.
B)Provide written instructions with illustrations showing each step of the skill.
C)Schedule multiple sessions and practice each step separately.
D)Teach the procedure to family members who can administer the medication for the patient.

Question 13

The nurse is developing a teaching plan for an elderly patient who will begin taking an antihypertensive drug that causes dizziness and orthostatic hypotension.Which nursing diagnosis is appropriate for this patient?

A)Deficient knowledge related to drug side effects
B)Ineffective health maintenance related to age
C)Readiness for enhanced knowledge related to medication side effects
D)Risk for injury related to side effects of the medication

Question 14

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