TEST BANK Pharmacology and the Nursing Process 9th Edi
f f f f f f f f
tion Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
f f f f f f f f f
Chapter 01: The Nursing Process and Drug Therapy
f f f f f f f
MULTIPLE CHOICE f
1. The nurse is writing a nursing diagnosis for a plan of care for a patient who has bee
f f f f f f f f f f f f f f f f f
n newlydiagnosed with type 2 diabetes. Which statement reflects the correct form
f f f f f f f f f f f f
at for a nursing diagnosis?
f f f f
a. Anxiety
b. Anxiety related to new drug therapy f f f f f
c. Anxiety related to anxious feelings about drug therapy, as evidenced by stat
f f f f f f f f f f f
ements
such as “I’m upset about having to test my blood sugars.”
f f f f f f f f f f
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’
f f f f f f f f f f f f
m
upset about having to test my blood sugars.”
f f f f f f f
ANS: D f
Formulation of nursing diagnoses is usually a three- f f f f f f f
step process. “Anxiety” is missing the
f f f f f
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety relat
f f f f f f f f f f f
ed to new drug therapy” is missing the “as evidenced by” portion of defining characteri
f f f f f f f f f f f f f f
stics. The statementbeginning “Anxiety related to anxious feelings” is incorrect becau
f f f f f f f f f f f
se the “related to” section is simply a restatement of the problem “anxiety,” not a separa
f f f f f f f f f f f f f f f
te factor related to the response.
f f f f f
DIF:
COGNITIVE LEVEL: Understanding (Com f f f
,TEST BANK Pharmacology and the Nursing Process 9th Edi
f f f f f f f f
tion Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
f f f f f f f f f
prehension)TOP: NURSING PROCESS: Nursing f f f f f
Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
f f f f f f f f f
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was
f f f f f f f f f f f f f f f
busy andgave the medication 2 hours after the scheduled dose was due. What type of p
f f f f f f f f f f f f f f f f
roblem does this represent? f f f
a. “Right time” f
b. “Right dose” f
c. “Right route” f
d. “Right medication f
”
ANS: A f
“Right time” is correct because the medication was given more than 30 minutes a
f f f f f f f f f f f f f
fter the scheduled dose was due. “Dose” is incorrect because the dose is not relate
f f f f f f f f f f f f f f
d to the time the
f f f f
medication administration is scheduled. “Route” is incorrect because the route is no
f f f f f f f f f f f
t affected.“Medication” is incorrect because the medication ordered will not change
f f f f f f f f f f f
.
DIF:
COGNITIVE LEVEL: Applying (Ap f f f
plication)TOP: NURSING PROCESS: Im f f f f
plementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
f f f f f f f f f f
3. The nurse has been monitoring the patient’s progress on a new drug regimen since the
f f f f f f f f f f f f f f f
first doseand documenting the patient’s therapeutic response to the medication. Whic
f f f f f f f f f f f
,TEST BANK Pharmacology and the Nursing Process 9th Edi
f f f f f f f f
tion Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
f f f f f f f f f
h phase of the nursing process do these actions illustrate?
f f f f f f f f f
a. Nursing diagnosi f
s
b. Planning
c. Implementatio
n
d. Evaluation
ANS: D f
Monitoring the patient’s progress, including the patient’s response to the medication,
f f f f f f f f f f f
is part of the evaluation phase. Planning, implementation, and nursing diagnosis are n
f f f f f f f f f f f f
ot illustrated by thisexample.
f f f f
DIF:
COGNITIVE LEVEL: Understanding (Com f f f
prehension)TOP: NURSING PROCESS: Evaluati f f f f
on
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
f f f f f f f f f
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitu
f f f f f f f f f f f f f f f
s. Whichstatement best illustrates an outcome criterion for this patient?
f f f f f f f f f f
a. The patient will follow instructions.
f f f f
b. The patient will not experience complications.
f f f f f
c. The patient will adhere to the new insulin treatment regimen.
f f f f f f f f f
d. The patient will demonstrate correct blood glucose testing tech
f f f f f f f f
nique.
ANS: D f
, TEST BANK Pharmacology and the Nursing Process 9th Edi
f f f f f f f f
tion 58 CHAPTERS Linda Lane Lilley, Shelly Rainforth Collins, Ju
f f f f f f f f f
lie S. Snyder
f f
“Demonstrating correct blood glucose testing technique” is a specific and measurable
f f f f f f f f f f f
outcome criterion. “Following instructions” and “not experiencing complications” are
f f f f f f f f
not specific criteria.“Adhering to new regimen” would be difficult to measure.
f f f f f f f f f f f f
TEST BANK Pharmacology and the Nursing Process 9th Edi
f f f f f f f f
tion 58 CHAPTERS Linda Lane Lilley, Shelly Rainforth Collins, Ju
f f f f f f f f f
lie S. Snyder
f f
f f f f f f f f
tion Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
f f f f f f f f f
Chapter 01: The Nursing Process and Drug Therapy
f f f f f f f
MULTIPLE CHOICE f
1. The nurse is writing a nursing diagnosis for a plan of care for a patient who has bee
f f f f f f f f f f f f f f f f f
n newlydiagnosed with type 2 diabetes. Which statement reflects the correct form
f f f f f f f f f f f f
at for a nursing diagnosis?
f f f f
a. Anxiety
b. Anxiety related to new drug therapy f f f f f
c. Anxiety related to anxious feelings about drug therapy, as evidenced by stat
f f f f f f f f f f f
ements
such as “I’m upset about having to test my blood sugars.”
f f f f f f f f f f
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’
f f f f f f f f f f f f
m
upset about having to test my blood sugars.”
f f f f f f f
ANS: D f
Formulation of nursing diagnoses is usually a three- f f f f f f f
step process. “Anxiety” is missing the
f f f f f
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety relat
f f f f f f f f f f f
ed to new drug therapy” is missing the “as evidenced by” portion of defining characteri
f f f f f f f f f f f f f f
stics. The statementbeginning “Anxiety related to anxious feelings” is incorrect becau
f f f f f f f f f f f
se the “related to” section is simply a restatement of the problem “anxiety,” not a separa
f f f f f f f f f f f f f f f
te factor related to the response.
f f f f f
DIF:
COGNITIVE LEVEL: Understanding (Com f f f
,TEST BANK Pharmacology and the Nursing Process 9th Edi
f f f f f f f f
tion Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
f f f f f f f f f
prehension)TOP: NURSING PROCESS: Nursing f f f f f
Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
f f f f f f f f f
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was
f f f f f f f f f f f f f f f
busy andgave the medication 2 hours after the scheduled dose was due. What type of p
f f f f f f f f f f f f f f f f
roblem does this represent? f f f
a. “Right time” f
b. “Right dose” f
c. “Right route” f
d. “Right medication f
”
ANS: A f
“Right time” is correct because the medication was given more than 30 minutes a
f f f f f f f f f f f f f
fter the scheduled dose was due. “Dose” is incorrect because the dose is not relate
f f f f f f f f f f f f f f
d to the time the
f f f f
medication administration is scheduled. “Route” is incorrect because the route is no
f f f f f f f f f f f
t affected.“Medication” is incorrect because the medication ordered will not change
f f f f f f f f f f f
.
DIF:
COGNITIVE LEVEL: Applying (Ap f f f
plication)TOP: NURSING PROCESS: Im f f f f
plementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
f f f f f f f f f f
3. The nurse has been monitoring the patient’s progress on a new drug regimen since the
f f f f f f f f f f f f f f f
first doseand documenting the patient’s therapeutic response to the medication. Whic
f f f f f f f f f f f
,TEST BANK Pharmacology and the Nursing Process 9th Edi
f f f f f f f f
tion Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
f f f f f f f f f
h phase of the nursing process do these actions illustrate?
f f f f f f f f f
a. Nursing diagnosi f
s
b. Planning
c. Implementatio
n
d. Evaluation
ANS: D f
Monitoring the patient’s progress, including the patient’s response to the medication,
f f f f f f f f f f f
is part of the evaluation phase. Planning, implementation, and nursing diagnosis are n
f f f f f f f f f f f f
ot illustrated by thisexample.
f f f f
DIF:
COGNITIVE LEVEL: Understanding (Com f f f
prehension)TOP: NURSING PROCESS: Evaluati f f f f
on
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
f f f f f f f f f
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitu
f f f f f f f f f f f f f f f
s. Whichstatement best illustrates an outcome criterion for this patient?
f f f f f f f f f f
a. The patient will follow instructions.
f f f f
b. The patient will not experience complications.
f f f f f
c. The patient will adhere to the new insulin treatment regimen.
f f f f f f f f f
d. The patient will demonstrate correct blood glucose testing tech
f f f f f f f f
nique.
ANS: D f
, TEST BANK Pharmacology and the Nursing Process 9th Edi
f f f f f f f f
tion 58 CHAPTERS Linda Lane Lilley, Shelly Rainforth Collins, Ju
f f f f f f f f f
lie S. Snyder
f f
“Demonstrating correct blood glucose testing technique” is a specific and measurable
f f f f f f f f f f f
outcome criterion. “Following instructions” and “not experiencing complications” are
f f f f f f f f
not specific criteria.“Adhering to new regimen” would be difficult to measure.
f f f f f f f f f f f f
TEST BANK Pharmacology and the Nursing Process 9th Edi
f f f f f f f f
tion 58 CHAPTERS Linda Lane Lilley, Shelly Rainforth Collins, Ju
f f f f f f f f f
lie S. Snyder
f f
