Edition Linda Lane Lilley, Shelly Rainforth Collins, Julie S.
Snyder
Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
1. 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.”
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
,TEST BANK Pharmacology and the Nursing Process 9th
Edition Linda Lane Lilley, Shelly Rainforth Collins, Julie S.
Snyder
(Comprehension) TOP: NURSING PROCESS:
Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. 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”
b. “Right dose”
c. “Right route”
d. “Right
medication”
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) TOP: NURSING
PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
3. The nurse has been monitoring the patient’s progress on a new drug regimen
since the first dose and documenting the patient’s therapeutic response to the
,TEST BANK Pharmacology and the Nursing Process 9th
Edition Linda Lane Lilley, Shelly Rainforth Collins, Julie S.
Snyder
medication. Which phase of the nursing process do these actions illustrate?
a. Nursing
diagnosis
b. Planning
c. Implementatio
n
d. Evaluation
ANS: D
Monitoring the patient’s progress, including the patient’s response to the
medication, is part of the evaluation phase. Planning, implementation, and
nursing diagnosis are not illustrated by this example.
DIF: COGNITIVE LEVEL: Understanding
(Comprehension) TOP: NURSING PROCESS:
Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes
mellitus. Which statement best illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment
regimen.
d. The patient will demonstrate correct blood glucose testing
technique.
, TEST BANK Pharmacology and the Nursing Process 9th
Edition Linda Lane Lilley, Shelly Rainforth Collins, Julie S.
Snyder
ANS: D
“Demonstrating correct blood glucose testing technique” is a specific and
measurable outcome criterion. “Following instructions” and “not experiencing
complications” are not specific criteria. “Adhering to new regimen” would be
difficult to measure.