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Exam (elaborations)

Lilley Pharmacology And The Nursing Process 7th Edition Test Bank 2021

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Lilley Pharmacology And The Nursing Process 7th Edition Test Bank 1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley Pharmacology and the Nursing Process 7th Ed The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing diagnosis? A. Anxiety B. Anxiety related to new drug therapy C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as “I’m upset about having to test my blood sugars.” * D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about having to test my blood sugars.” Correct Answer: D Explanation/Rationale: ANS: D Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the “related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to new drug therapy” is missing the “as evidenced by” portion of defining characteristics. The statement beginning “Anxiety related to anxious feelings” is incorrect because the “related to” section is simply a restatement of the problem “anxiety,” not a separate factor related to the response. DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 9 TOP: NURSING PROCESS: Nursing Diagnosis MSC: NCLEX: Safe and Effective Care Environment: Management of Care Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) 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 Item Bank: Lilley Pharmacology and the Nursing Process 7th Ed The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave the medication 2 hours after the scheduled dose was due. What type of problem does this represent? * A. “Right time” problem B. “Right dose” problem C. “Right route” problem D. “Right medication” problem Correct Answer: A Explanation/Rationale: ANS: A “Right time” is correct because the medication was given more than 30 minutes after the scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the medication administration is scheduled. “Route” is incorrect because the route is not affected. “Medication” is incorrect because the medication ordered will not change. DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 13 TOP: NURSING PROCESS: Implementation MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00

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LilleyPharmacologyandtheNursingProcess7thEditionAllChapersIncluded
Objective:Ch01:TheNursingProcessandDrugTherapy
1.QuestionName:0001Type:MCObjective:Ch01:TheNursingProcessandDrugTherapyItemBank:Lilley
PharmacologyandtheNursingProcess7thEd
Thenurseiswritinganursingdiagnosisforaplanofcareforapatientwhohasbeennewly
diagnosedwithtype2diabetes.Whichstatementreflectsthecorrectformatforanursing
diagnosis?
A.Anxiety
B.Anxietyrelatedtonewdrugtherapy
C.Anxietyrelatedtoanxiousfeelingsaboutdrugtherapy,asevidencedbystatementssuchas
“I’mupsetabouthavingtotestmybloodsugars.”
*D.Anxietyrelatedtonewdrugtherapy,asevidencedbystatementssuchas“I’mupsetabout
havingtotestmybloodsugars.”
CorrectAnswer:D
Explanation/Rationale:
ANS:D
Formulationofnursingdiagnosesisusuallyathree-stepprocess.“Anxiety”ismissingthe
“relatedto”and“asevidencedby”portionsofdefiningcharacteristics.“Anxietyrelatedtonew
drugtherapy”ismissingthe“asevidencedby”portionofdefiningcharacteristics.Thestatement
beginning“Anxietyrelatedtoanxiousfeelings”isincorrectbecausethe“relatedto”sectionis
simplyarestatementoftheproblem“anxiety,”notaseparatefactorrelatedtotheresponse.
DIF:COGNITIVELEVEL:Understanding(Comprehension)REF:p.9
TOP:NURSINGPROCESS:NursingDiagnosis
MSC:NCLEX:SafeandEffectiveCareEnvironment:ManagementofCare
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 ScoreMode:Active
DateCreated:01/31/1314:18:01DateModified:01/31/1314:18:01DateUsed:
Difficulty:Easy Discrimination:Low
ItemAnalysis:Last ItemAnalysis:Cumulative
No.ofStudentsResponded:0 No.ofStudentsResponded:0
CorrectResponses(%): CorrectResponses(%):
TotalGroup: 0.00 TotalGroup: 0.00
Upper27%ofGroup: 0.00 Upper27%ofGroup: 0.00
Lower27%ofGroup: 0.00 Lower27%ofGroup: 0.00
PointBiserial: 0.00 PointBiserial: 0.00
ResponseFrequencies(%) A B C D
Last: 0.000.000.000.00
Cumulative:0.000.000.000.00
2.QuestionName:0002Type:MCObjective:Ch01:TheNursingProcessandDrugTherapyItemBank:Lilley
PharmacologyandtheNursingProcess7thEd
Thepatientistoreceiveoralguaifenesin(Mucinex)twiceaday.Today,thenursewasbusyand
gavethemedication2hoursafterthescheduleddosewasdue.Whattypeofproblemdoesthis
represent?
*A.“Righttime”problem
B.“Rightdose”problem
C.“Rightroute”problem
D.“Rightmedication”problem
CorrectAnswer:A
Explanation/Rationale:
ANS:A
“Righttime”iscorrectbecausethemedicationwasgivenmorethan30minutesafterthe
scheduleddosewasdue.“Dose”isincorrectbecausethedoseisnotrelatedtothetimethe
medicationadministrationisscheduled.“Route”isincorrectbecausetherouteisnotaffected.
“Medication”isincorrectbecausethemedicationorderedwillnotchange.
DIF:COGNITIVELEVEL:Applying(Application)REF:p.13
TOP:NURSINGPROCESS:Implementation
MSC:NCLEX:SafeandEffectiveCareEnvironment:SafetyandInfectionControl
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 ScoreMode:Active
DateCreated:01/31/1314:18:01DateModified:01/31/1314:18:01DateUsed:
Difficulty:Easy Discrimination:Low
ItemAnalysis:Last ItemAnalysis:Cumulative
No.ofStudentsResponded:0 No.ofStudentsResponded:0
CorrectResponses(%): CorrectResponses(%):
TotalGroup: 0.00 TotalGroup: 0.00
Upper27%ofGroup: 0.00 Upper27%ofGroup: 0.00
Lower27%ofGroup: 0.00 Lower27%ofGroup: 0.00
PointBiserial: 0.00 PointBiserial: 0.00
ResponseFrequencies(%)
A B C D
Last: 0.000.000.000.00
Cumulative:0.000.000.000.00 3.QuestionName:0003Type:MCObjective:Ch01:TheNursingProcessandDrugTherapyItemBank:Lilley
PharmacologyandtheNursingProcess7thEd
Thenursehasbeenmonitoringthepatient’sprogressonanewdrugregimensincethefirstdose
anddocumentingthepatient’stherapeuticresponsetothemedication.Whichphaseofthenursing
processdotheseactionsillustrate?
A.Nursingdiagnosis
B.Planning
C.Implementation
*D.Evaluation
CorrectAnswer:D
Explanation/Rationale:
ANS:D
Monitoringthepatient’sprogress,includingthepatient’sresponsetothemedication,ispartof
theevaluationphase.Planning,implementation,andnursingdiagnosisarenotillustratedbythis
example.
DIF:COGNITIVELEVEL:Understanding(Comprehension)REF:p.15
TOP:NURSINGPROCESS:Evaluation
MSC:NCLEX:SafeandEffectiveCareEnvironment:ManagementofCare
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 ScoreMode:Active
DateCreated:01/31/1314:18:01DateModified:01/31/1314:18:01DateUsed:
Difficulty:Easy Discrimination:Low
ItemAnalysis:Last ItemAnalysis:Cumulative
No.ofStudentsResponded:0 No.ofStudentsResponded:0
CorrectResponses(%): CorrectResponses(%):
TotalGroup: 0.00 TotalGroup: 0.00
Upper27%ofGroup: 0.00 Upper27%ofGroup: 0.00
Lower27%ofGroup: 0.00 Lower27%ofGroup: 0.00
PointBiserial: 0.00 PointBiserial: 0.00
ResponseFrequencies(%)
A B C D
Last: 0.000.000.000.00
Cumulative:0.000.000.000.00
4.QuestionName:0004Type:MCObjective:Ch01:TheNursingProcessandDrugTherapyItemBank:Lilley PharmacologyandtheNursingProcess7thEd
Thenurseisassignedtoapatientwhoisnewlydiagnosedwithtype1diabetesmellitus.Which
statementbestillustratesanoutcomecriterionforthispatient?
A.Thepatientwillfollowinstructions.
B.Thepatientwillnotexperiencecomplications.
C.Thepatientwilladheretothenewinsulintreatmentregimen.
*D.Thepatientwilldemonstratecorrectbloodglucosetestingtechnique.
CorrectAnswer:D
Explanation/Rationale:
ANS:D
“Demonstratingcorrectbloodglucosetestingtechnique”isaspecificandmeasurableoutcome
criterion.“Followinginstructions”and“notexperiencingcomplications”arenotspecificcriteria.
“Adheringtonewregimen”wouldbedifficulttomeasure.
DIF:COGNITIVELEVEL:Applying(Application)REF:p.11
TOP:NURSINGPROCESS:Planning
MSC:NCLEX:SafeandEffectiveCareEnvironment:ManagementofCare
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 ScoreMode:Active
DateCreated:01/31/1314:18:01DateModified:01/31/1314:18:01DateUsed:
Difficulty:Easy Discrimination:Low
ItemAnalysis:Last ItemAnalysis:Cumulative
No.ofStudentsResponded:0 No.ofStudentsResponded:0
CorrectResponses(%): CorrectResponses(%):
TotalGroup: 0.00 TotalGroup: 0.00
Upper27%ofGroup: 0.00 Upper27%ofGroup: 0.00
Lower27%ofGroup: 0.00 Lower27%ofGroup: 0.00
PointBiserial: 0.00 PointBiserial: 0.00
ResponseFrequencies(%)
A B C D
Last: 0.000.000.000.00
Cumulative:0.000.000.000.00
5.QuestionName:0005Type:MCObjective:Ch01:TheNursingProcessandDrugTherapyItemBank:Lilley
PharmacologyandtheNursingProcess7thEd
Whichactivitybestreflectstheimplementationphaseofthenursingprocessforthepatientwhois
newlydiagnosedwithhypertension?
*A.Providingeducationonkeepingajournalofbloodpressurereadings
B.Settinggoalsandoutcomecriteriawiththepatient’sinput
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