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Objective: Ch 01: The Nursing Process and Drug Therapy
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1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
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Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
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The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newl
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ydiagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
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diagnosis?
A. Anxiety
B. Anxiety related to new drug therapy hi hi hi hi hi
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as
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“I’m upset about having to test my blood sugars.”
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* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about
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having to test my blood sugars.” hi hi hi hi hi
Correct Answer: D Explanation/Rat
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ionale:
ANS: D h i
Formulation of nursing diagnoses is usually a three- hi hi hi hi hi hi hi
step process. “Anxiety” is missing the “related to” and “as evidenced by” portions of defining c
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haracteristics. “Anxiety related to new drug therapy” is missing the “as evidenced by” portion of
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defining characteristics. The statementbeginning “Anxiety related to anxious feelings” is incorre
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ct because the “related to” section is simply a restatement of the problem “anxiety,” not a separat
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e factor related to the response.
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DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: hi hi hi
p. 9TOP: hi hi
NURSING PROCESS: Nursing Diagnosis hi hi hi
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: hi h i hi hi hi hi
01/31/13 14:18:01 Date Used: Difficulty: Easy hi hi hi
Discrimination: Low
Item Analysis: Last hi Item Analysis: Cumulative
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No. of Students Responded: 0
hi hi No. of Students Responded: 0
hi hi hi hi
Correct Responses (%): hi Correct Responses (%): hi hi hi
Total Group: 0.00 hi Total Group: 0.00 hi
Upper 27% of Group: 0.00 hi Upper 27% of Group:
hi 0.00 hi hi hi hi
Lower 27% of Group: 0.00 hi Lower 27% of Group:
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Point Biserial: hi 0.00 Point Biserial: 0.00 hi
Response Frequencies (%) hi hi
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
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Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
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The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy andgav
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e the medication 2 hours after the scheduled dose was due. What type of problem does this represe
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nt?
* A. “Right time” problem
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B. “Right dose” problem hi hi
C. “Right route” problem hi hi
D. “Right medication” problem hi hi
Correct Answer: A Explanation/Rat
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ionale:
ANS: A h i
“Right time” is correct because the medication was given more than 30 minutes after the schedu
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led dose was due. “Dose” is incorrect because the dose is not related to the time the medication
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administration is scheduled. “Route” is incorrect because the route is not affected.“Medication” i
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h hi
s incorrect because the medication ordered will not change.
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DIF: COGNITIVE LEVEL: Applying (Application) REF: hi hi hi
p. 13TOP: hi hi
NURSING PROCESS: Implementation hi hi
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: hi h i hi hi hi hi
01/31/13 14:18:01 Date Used: Difficulty: Easy hi hi hi
Discrimination: Low
Item Analysis: Last
hi Item Analysis: Cumulative
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No. of Students Responded: 0
hi hi No. of Students Responded:
hi 0 hi hi hi
Correct Responses (%): hi Correct Responses (%): hi hi hi
Total Group: 0.00
hi Total Group: 0.00 hi
Upper 27% of Group: 0.00 hi Upper 27% of Group:
hi hi 0.00 hi hi hi
Lower 27% of Group: 0.00 hi Lower 27% of Group:
hi hi 0.00 hi hi hi
Point Biserial: hi 0.00 Point Biserial: 0.00 hi
Response Frequencies (%) hi hi
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
, 3. Question Name: 0003 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
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Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
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The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose a
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nd documenting the patient’s therapeutic response to the medication. Which phase of the nursingpr
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ocess do these actions illustrate?
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A. Nursing diagnosis hi
B. Planning
C. Implementation
* D. Evaluation
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Correct Answer: D Explanation/Rat
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ionale:
ANS: D h i
Monitoring the patient’s progress, including the patient’s response to the medication, is part of t
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he evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by thise
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xample.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: hi hi hi
p. 15TOP: hi hi
NURSING PROCESS: Evaluation hi hi
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: hi h i hi hi hi hi
01/31/13 14:18:01 Date Used: Difficulty: Easy hi hi hi
Discrimination: Low
Item Analysis: Last
hi Item Analysis: Cumulative
hi hi hi
No. of Students Responded: 0
hi hi No. of Students Responded:
hi 0 hi hi hi
Correct Responses (%): hi Correct Responses (%): hi hi hi
Total Group: hi0.00 Total Group: 0.00 hi
Upper 27% of Group: 0.00
hi Upper 27% of Group:
hi hi 0.00 hi hi hi
Lower 27% of Group: 0.00
hi Lower 27% of Group:
hi hi 0.00 hi hi hi
Point Biserial: hi 0.00 Point Biserial: 0.00 hi
Response Frequencies (%) hi hi
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004
hi hi Type: MC hi Objective: Ch 01: The Nursing Process and Drug Therapy
hi hi hi hi hi hi hi hi Item Bank: Lilley
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