TEST BANK Pharmacology and the Nursing Process 9th Ed
x x x x x x x x
ition Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
x x x x x x x x x
Chapter 01: The Nursing Process and Drug Therapy
x x x x x x x
MULTIPLE CHOICE x
1. The nurse is writing a nursing diagnosis for a plan of care for a patient who has b
x x x x x x x x x x x x x x x x x
een newlydiagnosed with type 2 diabetes. Which statement reflects the correct f
x x x x x x x x x x x x
ormat for a nursing diagnosis?
x x x x
a. Anxiety
b. Anxiety related to new drug therapy x x x x x
c. Anxiety related to anxious feelings about drug therapy, as evidenced by st
x x x x x x x x x x x
atements
such as “I’m upset about having to test my blood sugars.”
x x x x x x x x x x
d. Anxiety related to new drug therapy, as evidenced by statements such as “I
x x x x x x x x x x x x
’m
upset about having to test my blood sugars.”
x x x x x x x
ANS: D x
Formulation of nursing diagnoses is usually a three- x x x x x x x
step process. “Anxiety” is missing the
x x x x x
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety rela
x x x x x x x x x x x
ted to new drug therapy” is missing the “as evidenced by” portion of defining charact
x x x x x x x x x x x x x x
eristics. The statementbeginning “Anxiety related to anxious feelings” is incorrect b
x x x x x x x x x x x
ecause the “related to” section is simply a restatement of the problem “anxiety,” not a
x x x x x x x x x x x x x x
x separate factor related to the response.
x x x x x
DIF:
COGNITIVE LEVEL: Understanding (Com x x x
,TEST BANK Pharmacology and the Nursing Process 9th Ed
x x x x x x x x
ition Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
x x x x x x x x x
prehension)TOP: NURSING PROCESS: Nursing x x x x
Diagnosis
x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse w
x x x x x x x x x x x x x x
as busy andgave the medication 2 hours after the scheduled dose was due. What typ
x x x x x x x x x x x x x x x
e of problem does this represent?
x x x x x
a. “Right time” x
b. “Right dose” x
c. “Right route” x
d. “Right medication x
”
ANS: A x
“Right time” is correct because the medication was given more than 30 minute
x x x x x x x x x x x x
s after the scheduled dose was due. “Dose” is incorrect because the dose is not r
x x x x x x x x x x x x x x x
elated to the time the x x x x
medication administration is scheduled. “Route” is incorrect because the route is
x x x x x x x x x x x
not affected.“Medication” is incorrect because the medication ordered will not ch
x x x x x x x x x x x
ange.
DIF:
COGNITIVE LEVEL: Applying (Ap x x x
plication)TOP: NURSING PROCESS: Im x x x x
plementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
x x x x x x x x x x
3. The nurse has been monitoring the patient’s progress on a new drug regimen since t
x x x x x x x x x x x x x x
he first doseand documenting the patient’s therapeutic response to the medication.
x x x x x x x x x x x x
,TEST BANK Pharmacology and the Nursing Process 9th Ed
x x x x x x x x
ition Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
x x x x x x x x x
Which phase of the nursing process do these actions illustrate?
x x x x x x x x x
a. Nursing diagnosi x
s
b. Planning
c. Implementatio
n
d. Evaluation
ANS: D x
Monitoring the patient’s progress, including the patient’s response to the medicatio
x x x x x x x x x x
n, is part of the evaluation phase. Planning, implementation, and nursing diagnosis a
x x x x x x x x x x x x
re not illustrated by thisexample.
x x x x x
DIF:
COGNITIVE LEVEL: Understanding (Com x x x
prehension)TOP: NURSING PROCESS: Evaluat x x x x
ion
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mell
x x x x x x x x x x x x x x x
itus. Whichstatement best illustrates an outcome criterion for this patient?
x x x x x x x x x x
a. The patient will follow instructions.
x x x x
b. The patient will not experience complications.
x x x x x
c. The patient will adhere to the new insulin treatment regimen.
x x x x x x x x x
d. The patient will demonstrate correct blood glucose testing tec
x x x x x x x x
hnique.
ANS: D x
, TEST BANK Pharmacology and the Nursing Process 9th Ed
x x x x x x x x
ition 58 CHAPTERS Linda Lane Lilley, Shelly Rainforth Collins, J
x x x x x x x x x
ulie S. Snyder
x x
“Demonstrating correct blood glucose testing technique” is a specific and measurabl
x x x x x x x x x x
e outcome criterion. “Following instructions” and “not experiencing complications”
x x x x x x x x x
are not specific criteria.“Adhering to new regimen” would be difficult to measure.
x x x x x x x x x x x x
TEST BANK Pharmacology and the Nursing Process 9th Ed
x x x x x x x x
ition 58 CHAPTERS Linda Lane Lilley, Shelly Rainforth Collins, J
x x x x x x x x x
ulie S. Snyder
x x
x x x x x x x x
ition Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
x x x x x x x x x
Chapter 01: The Nursing Process and Drug Therapy
x x x x x x x
MULTIPLE CHOICE x
1. The nurse is writing a nursing diagnosis for a plan of care for a patient who has b
x x x x x x x x x x x x x x x x x
een newlydiagnosed with type 2 diabetes. Which statement reflects the correct f
x x x x x x x x x x x x
ormat for a nursing diagnosis?
x x x x
a. Anxiety
b. Anxiety related to new drug therapy x x x x x
c. Anxiety related to anxious feelings about drug therapy, as evidenced by st
x x x x x x x x x x x
atements
such as “I’m upset about having to test my blood sugars.”
x x x x x x x x x x
d. Anxiety related to new drug therapy, as evidenced by statements such as “I
x x x x x x x x x x x x
’m
upset about having to test my blood sugars.”
x x x x x x x
ANS: D x
Formulation of nursing diagnoses is usually a three- x x x x x x x
step process. “Anxiety” is missing the
x x x x x
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety rela
x x x x x x x x x x x
ted to new drug therapy” is missing the “as evidenced by” portion of defining charact
x x x x x x x x x x x x x x
eristics. The statementbeginning “Anxiety related to anxious feelings” is incorrect b
x x x x x x x x x x x
ecause the “related to” section is simply a restatement of the problem “anxiety,” not a
x x x x x x x x x x x x x x
x separate factor related to the response.
x x x x x
DIF:
COGNITIVE LEVEL: Understanding (Com x x x
,TEST BANK Pharmacology and the Nursing Process 9th Ed
x x x x x x x x
ition Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
x x x x x x x x x
prehension)TOP: NURSING PROCESS: Nursing x x x x
Diagnosis
x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse w
x x x x x x x x x x x x x x
as busy andgave the medication 2 hours after the scheduled dose was due. What typ
x x x x x x x x x x x x x x x
e of problem does this represent?
x x x x x
a. “Right time” x
b. “Right dose” x
c. “Right route” x
d. “Right medication x
”
ANS: A x
“Right time” is correct because the medication was given more than 30 minute
x x x x x x x x x x x x
s after the scheduled dose was due. “Dose” is incorrect because the dose is not r
x x x x x x x x x x x x x x x
elated to the time the x x x x
medication administration is scheduled. “Route” is incorrect because the route is
x x x x x x x x x x x
not affected.“Medication” is incorrect because the medication ordered will not ch
x x x x x x x x x x x
ange.
DIF:
COGNITIVE LEVEL: Applying (Ap x x x
plication)TOP: NURSING PROCESS: Im x x x x
plementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
x x x x x x x x x x
3. The nurse has been monitoring the patient’s progress on a new drug regimen since t
x x x x x x x x x x x x x x
he first doseand documenting the patient’s therapeutic response to the medication.
x x x x x x x x x x x x
,TEST BANK Pharmacology and the Nursing Process 9th Ed
x x x x x x x x
ition Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
x x x x x x x x x
Which phase of the nursing process do these actions illustrate?
x x x x x x x x x
a. Nursing diagnosi x
s
b. Planning
c. Implementatio
n
d. Evaluation
ANS: D x
Monitoring the patient’s progress, including the patient’s response to the medicatio
x x x x x x x x x x
n, is part of the evaluation phase. Planning, implementation, and nursing diagnosis a
x x x x x x x x x x x x
re not illustrated by thisexample.
x x x x x
DIF:
COGNITIVE LEVEL: Understanding (Com x x x
prehension)TOP: NURSING PROCESS: Evaluat x x x x
ion
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mell
x x x x x x x x x x x x x x x
itus. Whichstatement best illustrates an outcome criterion for this patient?
x x x x x x x x x x
a. The patient will follow instructions.
x x x x
b. The patient will not experience complications.
x x x x x
c. The patient will adhere to the new insulin treatment regimen.
x x x x x x x x x
d. The patient will demonstrate correct blood glucose testing tec
x x x x x x x x
hnique.
ANS: D x
, TEST BANK Pharmacology and the Nursing Process 9th Ed
x x x x x x x x
ition 58 CHAPTERS Linda Lane Lilley, Shelly Rainforth Collins, J
x x x x x x x x x
ulie S. Snyder
x x
“Demonstrating correct blood glucose testing technique” is a specific and measurabl
x x x x x x x x x x
e outcome criterion. “Following instructions” and “not experiencing complications”
x x x x x x x x x
are not specific criteria.“Adhering to new regimen” would be difficult to measure.
x x x x x x x x x x x x
TEST BANK Pharmacology and the Nursing Process 9th Ed
x x x x x x x x
ition 58 CHAPTERS Linda Lane Lilley, Shelly Rainforth Collins, J
x x x x x x x x x
ulie S. Snyder
x x
