Chapterg01:gNursinggPracticegingCanadagandgDruggTherapy
Lilley:gPharmacologygforgCanadiangHealthgCaregPractice,g3rdgCanadiangEdition
MULTIPLEgCHOICE
1. Whichgisgagjudgementgaboutgagparticulargpatient‘sgpotentialgneedgo
rgproblem?
a. Aggoal
b. Angassessment
c. Subjectivegdata
d. Agnursinggdiagnosis
ANS:g D
Nursinggdiagnosisgisgthegphasegofgthegnursinggprocessgduringgwhich
agclinicalgjudgementgisgmadegaboutghowgagpatientgrespondsgtogheathgconditionsgandglifegproce
ssesgorgvulnerabilitygforthatgresponse.
DIF: CognitivegLevel:gKnowledge REF:gp.g11
2. Thegpatientgisgtogreceivegoralgfurosemideg(Lasix)geverygday;ghowever,gbecausegthegpatientgi
sgunablegtogswallow,ghegcannotgtakegmedicationgorally,gasgordered.gThegnursegneedsgtogcont
actgthegphysician.gWhatgtypegofgproblemgisgthis?
a. Ag―rightgtime‖gproblem
b. Ag―rightgdose‖gproblem
c. Ag―rightgroute‖gproblem
d. Ag―rightgmedication‖gproblem
ANS:g C
Thisgisgag―rightgroute‖gproblem:gthegnursegcannotgassumegthegroutegandgmustgclarifygthegroute
withgthegprescriber.gThisgisgnotgag―rightgtime‖gproblemgbecausegthegorderedgfrequencyghasgno
tgchanged.gThisgisgnotgag―rightgdose‖gproblemgbecausegthegdosegisgnotgrelatedgtoganginabilityg
togswallow.gThisgisgnotgag―rightgmedication‖gproblemgbecausegthegmedicationgorderedgwillg
notgchange,gjustgthegroute.
DIF: CognitivegLevel:gApplication REF:g p.g14
3. Thegnurseghasgbeengmonitoringgthegpatient‘sgprogressgonghisgnewgdruggregimengsincegthegfirs
tgdosegandghasgbeengdocumentinggsignsgofgpossiblegadversegeffects.gWhatgnursinggprocessgph
asegisgthegnursegpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursinggdiagnosis
ANS:g B
Monitoringgthegpatient‘sgprogressgisgpartgofgthegevaluationgphase.gPlanning,gimplementation,g
andgnursinggdiagnosisgaregnotgillustratedgbygthisgexample.
DIF: CognitivegLevel:gApplication REF:gp.g19
,4. Thegnursegisgcaringgforgagpatientgwhoghasgbeengnewlygdiagnosedgwithgtypeg1gdiabetesgmellitu
s.gWhichgstatementgbestgillustratesgangoutcomegcriteriongforgthisgpatient?
a. Thegpatientgwillgfollowginstructions.
b. Thegpatientgwillgnotgexperiencegcomplications.
c. Thegpatientgadheresgtogthegnewginsulingtreatmentgregimen.
d. Thegpatientgdemonstratesgsafeginsulingself-administrationgtechnique.
ANS:g D
Havinggthegpatientgdemonstrategsafeginsulingself-
administrationgtechniquegisgagspecificgandgmeasurablegoutcomegcriterion.gFollowingginstructi
onsgandgavoidinggcomplicationsgaregnotgspecificgcriteria.gAdherencegtogthegnewginsulingtreat
mentgregimengisgnotgobjectivegandgwouldgbegdifficultgtogmeasure.
DIF: CognitivegLevel:gApplication REF:gp.g13
5. Whichgactivitygbestgreflectsgthegimplementationgphasegofgthegnursinggprocessgforgthegpatie
ntgwhogisgnewlygdiagnosedgwithgtypeg1gdiabetesgmellitus?
a. Providinggeducationgregardinggself-injectiongtechnique
b. Settingggoalsgandgoutcomegcriteriagwithgthegpatient‘sginput
c. Recordinggaghistorygofgover-the-countergmedicationsgusedgatghome
d. Formulatinggnursinggdiagnosesgregardinggknowledgegdeficitsgrelatedgtogthegne
wgtreatmentgregimen
ANS:g A
Educationgisganginterventiongthatgoccursgduringgthegimplementationgphase.gSettingggoalsgandg
outcomegcriteriagreflectsgthegplanninggphase.gRecordinggagdrugghistorygreflectsgthegassessmen
tgphase.gFormulatinggnursinggdiagnosesgregardinggagknowledgegdeficitgreflectsganalysisgofgda
tagasgpartgofgthegplanninggphase.N
DIF: CognitivegLevel:gAnalysis REF:gp.g8g|gp.g13
6. Thegnursegisgworkinggduringgagverygbusygnightgshift,gandgtheghealthgcaregproviderghasgjustggi
vengthegnursegagmedicationgordergovergthegtelephone,gbutgthegnursegdoesgnotgrecallgthegroute.g
Whatgisgthegbestgwaygforgthegnursegtogavoidgmedicationgerrors?
a. Recopygthegordergneatlygongthegordergsheet,gwithgthegmostgcommongroutegindicated
b. Consultgwithgthegpharmacistgforgclarificationgaboutgthegmostgcommongroute
c. Callgtheghealthgcaregprovidergtogclarifygthegroutegofgadministration
d. Withholdgthegdrugguntilgtheghealthgcaregprovidergvisitsgthegpatient
ANS:g C
Ifgagmedicationgordergdoesgnotgincludegthegroute,gthegnursegmustgaskgtheghealthgcaregprovidergt
ogclarifygit.gNevergassumegthegroutegofgadministration.
DIF: CognitivegLevel:gApplicationg|gCognitivegLevel:gAnalysisg REF:g p.g17
7. WhichgconstitutesgthegtraditionalgFivegRightsgofgmedicationgadministration?
a. Rightgdrug,grightgroute,grightgdose,grightgtime,gandgrightgpatient
b. Rightgdrug,gthegrightgeffect,gthegrightgroute,gthegrightgtime,gandgthegrightgpatient
c. Rightgpatient,grightgstrength,grightgdiagnosis,grightgdrug,gandgrightgroute
d. Rightgpatient,grightgdiagnosis,grightgdrug,grightgroute,gandgrightgtime
ANS:g A
, ThegtraditionalgFivegRightsgofgmedicationgadministrationgweregconsideredgtogbegRightgdrug
,gRightgroute,gRightgdose,gRightgtime,gandgRightgpatient.gRightgeffect,grightgstrength,gandgri
ghtgdiagnosisgaregnotgpartgofgthegtraditionalgFivegRights.
DIF:g g CognitivegLevel:gComprehensiong g g REF:g p.g13
8. Whatgcorrectlygdescribesgthegnursinggprocess?
a. Diagnosing,gplanning,gassessing,gimplementing,gandgfinallygevaluating
b. Assessing,gthengdiagnosing,gimplementing,gandgendinggwithgevaluating
c. Aglineargdirectiongthatgbeginsgwithgassessinggandgcontinuesgthroughgdiagnosing
,gplanning,gandgfinallygimplementing
d. Angongoinggprocessgthatgbeginsgwithgassessinggandgcontinuesgwithgdiagnosing
,gplanning,gimplementing,gandgevaluating
ANS:g D
Thegnursinggprocessgisgangongoing,gflexible,gadaptable,gandgadjustablegfive-
stepgprocessgthatgbeginsgwithgassessinggandgcontinuesgthroughgdiagnosing,gplanning,gimplem
enting,gandgfinallygevaluating,gwhichgmaygthengleadgbackgtoganygofgthegothergphases.
DIF: CognitivegLevel:gApplication REF:gp.g8
9. Whengthegnursegisgconsideringgthegtiminggofgagdruggdose,gwhichgisgmostgimportantgtogassess?
a. Thegpatient‘sgidentification
b. Thegpatient‘sgweight
c. Thegpatient‘sglastgmeal
d. Anygdruggorgfoodgallergies
ANS:g C
Thegpharmacokineticgandgpharmacodynamicgpropertiesgofgthegdruggneedgtogbegassessedgwith
regardgtoganygdrug–
foodginteractionsgorgcompatibilitygissues.gThegpatient‘sgidentification,gweight,gandgdruggorgfo
odgallergiesgaregnotgaffectedgbygthegdrug‘sgtiming.
DIF: CognitivegLevel:gApplication REF:gp.g17
10. Thegnursegisgwritinggnursinggdiagnosesgforgagplangofgcare.gWhichgreflectsgthegcorrectgformatgf
orghergnursinggdiagnosis?
a. Anxiety
b. Anxietygrelatedgtognewgdruggtherapy
c. Anxietygrelatedgtoganxiousgfeelingsgaboutgdruggtherapy,gasgevidencedgbygstatement
sgsuchgasg―I‘mgupsetgaboutghavinggtoggivegmyselfgshots‖
d. Anxietygrelatedgtognewgdruggtherapy,gasgevidencedgbygstatementsgsuchgasg―I‘
mgupsetgaboutghavinggtoggivegmyselfgshots‖
ANS:g D
, Formulationgofgnursinggdiagnosesgisgusuallygagthree-stepgprocess.gThegonlygcompleteganswergis
―Anxietygrelatedgtognewgdruggtherapy,gasgevidencedgbygstatementsgsuchgasg‗I‘mgupsetgabout
ghavinggtoggivegmyselfgshots.‘‖gTheganswerg―Anxiety‖gisgmissinggtheg―relatedgto‖gandg―asge
videncedgby‖gportions.gTheganswerg―Anxietygrelatedgtognewgdruggtherapy‖gisgmissinggtheg―as
gevidencedgby‖gportiongofgdefininggcharacteristics.gTheg―relatedgto‖gsectionging―Anxietygrelat
edgtoganxiousgfeelingsgaboutgdruggtherapy,gasgevidencedgbygstatementsgsuchgasg‗I‘mgupsetgab
outghavinggtoggivegmyselfgshots‘‖gisgsimplygagrestatementgofgthegproblemg―anxiety,‖gnotgagse
parategfactorgrelatedgtogthegresponse.
DIF: CognitivegLevel:gAnalysis REF:gp.g9
OTHER
1. Placegthegphasesgofgthegnursinggprocessgingthegcorrectgorder,gstartinggwithgthegfirstgphase.
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C,gE,gA,gD,gB
DIF: CognitivegLevel:gAnalysis REF:gp.g9
Lilley:gPharmacologygforgCanadiangHealthgCaregPractice,g3rdgCanadiangEdition
MULTIPLEgCHOICE
1. Whichgisgagjudgementgaboutgagparticulargpatient‘sgpotentialgneedgo
rgproblem?
a. Aggoal
b. Angassessment
c. Subjectivegdata
d. Agnursinggdiagnosis
ANS:g D
Nursinggdiagnosisgisgthegphasegofgthegnursinggprocessgduringgwhich
agclinicalgjudgementgisgmadegaboutghowgagpatientgrespondsgtogheathgconditionsgandglifegproce
ssesgorgvulnerabilitygforthatgresponse.
DIF: CognitivegLevel:gKnowledge REF:gp.g11
2. Thegpatientgisgtogreceivegoralgfurosemideg(Lasix)geverygday;ghowever,gbecausegthegpatientgi
sgunablegtogswallow,ghegcannotgtakegmedicationgorally,gasgordered.gThegnursegneedsgtogcont
actgthegphysician.gWhatgtypegofgproblemgisgthis?
a. Ag―rightgtime‖gproblem
b. Ag―rightgdose‖gproblem
c. Ag―rightgroute‖gproblem
d. Ag―rightgmedication‖gproblem
ANS:g C
Thisgisgag―rightgroute‖gproblem:gthegnursegcannotgassumegthegroutegandgmustgclarifygthegroute
withgthegprescriber.gThisgisgnotgag―rightgtime‖gproblemgbecausegthegorderedgfrequencyghasgno
tgchanged.gThisgisgnotgag―rightgdose‖gproblemgbecausegthegdosegisgnotgrelatedgtoganginabilityg
togswallow.gThisgisgnotgag―rightgmedication‖gproblemgbecausegthegmedicationgorderedgwillg
notgchange,gjustgthegroute.
DIF: CognitivegLevel:gApplication REF:g p.g14
3. Thegnurseghasgbeengmonitoringgthegpatient‘sgprogressgonghisgnewgdruggregimengsincegthegfirs
tgdosegandghasgbeengdocumentinggsignsgofgpossiblegadversegeffects.gWhatgnursinggprocessgph
asegisgthegnursegpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursinggdiagnosis
ANS:g B
Monitoringgthegpatient‘sgprogressgisgpartgofgthegevaluationgphase.gPlanning,gimplementation,g
andgnursinggdiagnosisgaregnotgillustratedgbygthisgexample.
DIF: CognitivegLevel:gApplication REF:gp.g19
,4. Thegnursegisgcaringgforgagpatientgwhoghasgbeengnewlygdiagnosedgwithgtypeg1gdiabetesgmellitu
s.gWhichgstatementgbestgillustratesgangoutcomegcriteriongforgthisgpatient?
a. Thegpatientgwillgfollowginstructions.
b. Thegpatientgwillgnotgexperiencegcomplications.
c. Thegpatientgadheresgtogthegnewginsulingtreatmentgregimen.
d. Thegpatientgdemonstratesgsafeginsulingself-administrationgtechnique.
ANS:g D
Havinggthegpatientgdemonstrategsafeginsulingself-
administrationgtechniquegisgagspecificgandgmeasurablegoutcomegcriterion.gFollowingginstructi
onsgandgavoidinggcomplicationsgaregnotgspecificgcriteria.gAdherencegtogthegnewginsulingtreat
mentgregimengisgnotgobjectivegandgwouldgbegdifficultgtogmeasure.
DIF: CognitivegLevel:gApplication REF:gp.g13
5. Whichgactivitygbestgreflectsgthegimplementationgphasegofgthegnursinggprocessgforgthegpatie
ntgwhogisgnewlygdiagnosedgwithgtypeg1gdiabetesgmellitus?
a. Providinggeducationgregardinggself-injectiongtechnique
b. Settingggoalsgandgoutcomegcriteriagwithgthegpatient‘sginput
c. Recordinggaghistorygofgover-the-countergmedicationsgusedgatghome
d. Formulatinggnursinggdiagnosesgregardinggknowledgegdeficitsgrelatedgtogthegne
wgtreatmentgregimen
ANS:g A
Educationgisganginterventiongthatgoccursgduringgthegimplementationgphase.gSettingggoalsgandg
outcomegcriteriagreflectsgthegplanninggphase.gRecordinggagdrugghistorygreflectsgthegassessmen
tgphase.gFormulatinggnursinggdiagnosesgregardinggagknowledgegdeficitgreflectsganalysisgofgda
tagasgpartgofgthegplanninggphase.N
DIF: CognitivegLevel:gAnalysis REF:gp.g8g|gp.g13
6. Thegnursegisgworkinggduringgagverygbusygnightgshift,gandgtheghealthgcaregproviderghasgjustggi
vengthegnursegagmedicationgordergovergthegtelephone,gbutgthegnursegdoesgnotgrecallgthegroute.g
Whatgisgthegbestgwaygforgthegnursegtogavoidgmedicationgerrors?
a. Recopygthegordergneatlygongthegordergsheet,gwithgthegmostgcommongroutegindicated
b. Consultgwithgthegpharmacistgforgclarificationgaboutgthegmostgcommongroute
c. Callgtheghealthgcaregprovidergtogclarifygthegroutegofgadministration
d. Withholdgthegdrugguntilgtheghealthgcaregprovidergvisitsgthegpatient
ANS:g C
Ifgagmedicationgordergdoesgnotgincludegthegroute,gthegnursegmustgaskgtheghealthgcaregprovidergt
ogclarifygit.gNevergassumegthegroutegofgadministration.
DIF: CognitivegLevel:gApplicationg|gCognitivegLevel:gAnalysisg REF:g p.g17
7. WhichgconstitutesgthegtraditionalgFivegRightsgofgmedicationgadministration?
a. Rightgdrug,grightgroute,grightgdose,grightgtime,gandgrightgpatient
b. Rightgdrug,gthegrightgeffect,gthegrightgroute,gthegrightgtime,gandgthegrightgpatient
c. Rightgpatient,grightgstrength,grightgdiagnosis,grightgdrug,gandgrightgroute
d. Rightgpatient,grightgdiagnosis,grightgdrug,grightgroute,gandgrightgtime
ANS:g A
, ThegtraditionalgFivegRightsgofgmedicationgadministrationgweregconsideredgtogbegRightgdrug
,gRightgroute,gRightgdose,gRightgtime,gandgRightgpatient.gRightgeffect,grightgstrength,gandgri
ghtgdiagnosisgaregnotgpartgofgthegtraditionalgFivegRights.
DIF:g g CognitivegLevel:gComprehensiong g g REF:g p.g13
8. Whatgcorrectlygdescribesgthegnursinggprocess?
a. Diagnosing,gplanning,gassessing,gimplementing,gandgfinallygevaluating
b. Assessing,gthengdiagnosing,gimplementing,gandgendinggwithgevaluating
c. Aglineargdirectiongthatgbeginsgwithgassessinggandgcontinuesgthroughgdiagnosing
,gplanning,gandgfinallygimplementing
d. Angongoinggprocessgthatgbeginsgwithgassessinggandgcontinuesgwithgdiagnosing
,gplanning,gimplementing,gandgevaluating
ANS:g D
Thegnursinggprocessgisgangongoing,gflexible,gadaptable,gandgadjustablegfive-
stepgprocessgthatgbeginsgwithgassessinggandgcontinuesgthroughgdiagnosing,gplanning,gimplem
enting,gandgfinallygevaluating,gwhichgmaygthengleadgbackgtoganygofgthegothergphases.
DIF: CognitivegLevel:gApplication REF:gp.g8
9. Whengthegnursegisgconsideringgthegtiminggofgagdruggdose,gwhichgisgmostgimportantgtogassess?
a. Thegpatient‘sgidentification
b. Thegpatient‘sgweight
c. Thegpatient‘sglastgmeal
d. Anygdruggorgfoodgallergies
ANS:g C
Thegpharmacokineticgandgpharmacodynamicgpropertiesgofgthegdruggneedgtogbegassessedgwith
regardgtoganygdrug–
foodginteractionsgorgcompatibilitygissues.gThegpatient‘sgidentification,gweight,gandgdruggorgfo
odgallergiesgaregnotgaffectedgbygthegdrug‘sgtiming.
DIF: CognitivegLevel:gApplication REF:gp.g17
10. Thegnursegisgwritinggnursinggdiagnosesgforgagplangofgcare.gWhichgreflectsgthegcorrectgformatgf
orghergnursinggdiagnosis?
a. Anxiety
b. Anxietygrelatedgtognewgdruggtherapy
c. Anxietygrelatedgtoganxiousgfeelingsgaboutgdruggtherapy,gasgevidencedgbygstatement
sgsuchgasg―I‘mgupsetgaboutghavinggtoggivegmyselfgshots‖
d. Anxietygrelatedgtognewgdruggtherapy,gasgevidencedgbygstatementsgsuchgasg―I‘
mgupsetgaboutghavinggtoggivegmyselfgshots‖
ANS:g D
, Formulationgofgnursinggdiagnosesgisgusuallygagthree-stepgprocess.gThegonlygcompleteganswergis
―Anxietygrelatedgtognewgdruggtherapy,gasgevidencedgbygstatementsgsuchgasg‗I‘mgupsetgabout
ghavinggtoggivegmyselfgshots.‘‖gTheganswerg―Anxiety‖gisgmissinggtheg―relatedgto‖gandg―asge
videncedgby‖gportions.gTheganswerg―Anxietygrelatedgtognewgdruggtherapy‖gisgmissinggtheg―as
gevidencedgby‖gportiongofgdefininggcharacteristics.gTheg―relatedgto‖gsectionging―Anxietygrelat
edgtoganxiousgfeelingsgaboutgdruggtherapy,gasgevidencedgbygstatementsgsuchgasg‗I‘mgupsetgab
outghavinggtoggivegmyselfgshots‘‖gisgsimplygagrestatementgofgthegproblemg―anxiety,‖gnotgagse
parategfactorgrelatedgtogthegresponse.
DIF: CognitivegLevel:gAnalysis REF:gp.g9
OTHER
1. Placegthegphasesgofgthegnursinggprocessgingthegcorrectgorder,gstartinggwithgthegfirstgphase.
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C,gE,gA,gD,gB
DIF: CognitivegLevel:gAnalysis REF:gp.g9
