TEST BANK m
PHARMACOLOGYmFORmCANADIANmHEALTHmCAREmPRACTICE
LINDAmLANEmLILLEY,mJULIEmS.mSNYDERmANDmSHELLYmRAINFORTHmCOLLINS
3rd Edition
m
TEST BANK m
,Chapter 01: Nursing Practice in Canada and Drug Therapy
m m m m m m m m
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
m m m m m m m m m
MULTIPLEmCHOICE
1. Whichmismamjudgementmaboutmamparticularmpatient‘smpotentialmneedm
ormproblem?
a. Amgoal
b. Anmassessment
c. Subjectivemdata
d. Amnursingmdiagnosis
ANS:m D
Nursingmdiagnosismismthemphasemofmthemnursingmprocessmduringmwhich
amclinicalmjudgementmismmademaboutmhowmampatientmrespondsmtomheathmconditionsmandmlifemproc
essesmormvulnerabilitymforthatmresponse.
DIF: CognitivemLevel:mKnowledge REF:mp.m11
2. Thempatientmismtomreceivemoralmfurosemidem(Lasix)meverymday;mhowever,mbecausemthempatient
mismunablemtomswallow,mhemcannotmtakemmedicationmorally,masmordered.mThemnursemneedsmtomc
ontactmthemphysician.mWhatmtypemofmproblemmismthis?
a. Am―rightmtime‖mproblem
b. Am―rightm dose‖mproblem
c. Am―rightmroute‖mproblem
d. Am―rightmmedication‖mproblem
ANS:m C
Thismismam―rightmroute‖mproblem:mthemnursemcannotmassumemthemroutemandmmustmclarifymthemroute
withmthemprescriber.mThismismnotmam―rightmtime‖mproblemmbecausemthemorderedmfrequencymhasmn
otmchanged.mThismismnotmam―rightmdose‖mproblemmbecausemthemdosemismnotmrelatedmtomanminabili
tymtomswallow.mThismismnotmam―rightmmedication‖mproblemmbecausemthemmedicationmorderedmw
illmnotmchange,mjustmthemroute.
DIF: CognitivemLevel:mApplication REF:m p.m14
3. Themnursemhasmbeenmmonitoringmthempatient‘smprogressmonmhismnewmdrugmregimenmsincemthemfir
stmdosemandmhasmbeenmdocumentingmsignsmofmpossiblemadversemeffects.mWhatmnursingmprocessm
phasemismthemnursempractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingmdiagnosis
ANS:m B
Monitoringmthempatient‘smprogressmismpartmofmthemevaluationmphase.mPlanning,mimplementation,
mandmnursingmdiagnosismaremnotmillustratedmbymthismexample.
DIF: CognitivemLevel:mApplication REF:mp.m19
,4. Themnursemismcaringmformampatientmwhomhasmbeenmnewlymdiagnosedmwithmtypem1mdiabetesmmellit
us.mWhichmstatementmbestmillustratesmanmoutcomemcriterionmformthismpatient?
a. Thempatientmwillmfollowminstructions.
b. Thempatientmwillmnotmexperiencemcomplications.
c. Thempatientmadheresmtomthemnewminsulinmtreatmentmregimen.
d. Thempatientmdemonstratesmsafeminsulinmself-administrationmtechnique.
ANS:m D
Havingmthempatientmdemonstratemsafeminsulinmself-
administrationmtechniquemismamspecificmandmmeasurablemoutcomemcriterion.mFollowingminstruct
ionsmandmavoidingmcomplicationsmaremnotmspecificmcriteria.mAdherencemtomthemnewminsulinmtrea
tmentmregimenmismnotmobjectivemandmwouldmbemdifficultmtommeasure.
DIF: CognitivemLevel:mApplication REF:mp.m13
5. Whichmactivitymbestmreflectsmthemimplementationmphasemofmthemnursingmprocessmformthempatie
ntmwhomismnewlymdiagnosedmwithmtypem1mdiabetesmmellitus?
a. Providingmeducationmregardingmself-injectionmtechnique
b. Settingmgoalsmandmoutcomemcriteriamwithmthempatient‘sminput
c. Recordingmamhistorymofmover-the-countermmedicationsmusedmatmhome
d. Formulatingmnursingmdiagnosesmregardingmknowledgemdeficitsmrelatedmtomthemne
wmtreatmentmregimen
ANS:m A
Educationmismanminterventionmthatmoccursmduringmthemimplementationmphase.mSettingmgoalsman
dmoutcomemcriteriamreflectsmthemplanningmphase.mRecordingmamdrugmhistorymreflectsmthemassess
mentmphase.mFormulatingmnursingmdiagnosesmregardingmamknowledgemdeficitmreflectsmanalysism
ofmdatamasmpartmofmthemplanningmphase.N
DIF: CognitivemLevel:mAnalysis REF:m p.m8m|mp.m13
6. Themnursemismworkingmduringmamverymbusymnightmshift,mandmthemhealthmcaremprovidermhasmjustm
givenmthemnursemammedicationmordermovermthemtelephone,mbutmthemnursemdoesmnotmrecallmthemro
ute.mWhatmismthembestmwaymformthemnursemtomavoidmmedicationmerrors?
a. Recopymthemordermneatlymonmthemordermsheet,mwithmthemmostmcommonmroutemindicated
b. Consultmwithmthempharmacistmformclarificationmaboutmthemmostmcommonmroute
c. Callmthemhealthmcaremprovidermtomclarifymthemroutemofmadministration
d. Withholdmthemdrugmuntilmthemhealthmcaremprovidermvisitsmthempatient
ANS:m C
Ifmammedicationmordermdoesmnotmincludemthemroute,mthemnursemmustmaskmthemhealthmcaremprovider
mtomclarifymit.mNevermassumemthemroutemofmadministration.
DIF: CognitivemLevel:mApplicationm|mCognitivemLevel:mAnalysism REF:m p.m17
7. WhichmconstitutesmthemtraditionalmFivemRightsmofmmedicationmadministration?
a. Rightmdrug,mrightmroute,mrightmdose,mrightmtime,mandmrightmpatient
b. Rightmdrug,mthemrightmeffect,mthemrightmroute,mthemrightmtime,mandmthemrightmpatient
c. Rightmpatient,mrightmstrength,mrightmdiagnosis,mrightmdrug,mandmrightmroute
d. Rightmpatient,mrightmdiagnosis,mrightmdrug,mrightmroute,mandmrightmtime
ANS:m A
, ThemtraditionalmFivemRightsmofmmedicationmadministrationmweremconsideredmtombemRightmdru
g,mRightmroute,mRightmdose,mRightmtime,mandmRightmpatient.mRightmeffect,mrightmstrength,mand
mrightmdiagnosismaremnotmpartmofmthemtraditionalmFivemRights.
DIF:m m CognitivemLevel:mComprehensionm m m REF:m p.m13
8. Whatmcorrectlymdescribesm themnursingmprocess?
a. Diagnosing,mplanning,massessing,mimplementing,mandmfinallymevaluating
b. Assessing,mthenmdiagnosing,mimplementing,mandmendingmwithmevaluating
c. Amlinearmdirectionmthatmbeginsmwithmassessingmandmcontinuesmthroughmdiagnosin
g,mplanning,mandmfinallymimplementing
d. Anmongoingmprocessmthatmbeginsmwithmassessingmandmcontinuesmwithmdiagnosin
g,mplanning,mimplementing,mandmevaluating
ANS:m D
Themnursingmprocessmismanmongoing,mflexible,madaptable,mandmadjustablemfive-
stepmprocessmthatmbeginsmwithmassessingmandmcontinuesmthroughmdiagnosing,mplanning,mimplem
enting,mandmfinallymevaluating,mwhichmmaymthenmleadmbackmtomanymofmthemothermphases.
DIF: CognitivemLevel:mApplication REF:mp.m8
9. Whenmthemnursemismconsideringmthemtimingmofmamdrugmdose,mwhichmismmostmimportantmtomassess?
a. Thempatient‘smidentification
b. Thempatient‘smweight
c. Thempatient‘smlastmmeal
d. Anymdrugmormfoodmallergies
ANS:m C
Thempharmacokineticmandmpharmacodynamicmpropertiesmofmthemdrugmneedmtombemassessedmwith
regardmtomanymdrug–
foodminteractionsmormcompatibilitymissues.mThempatient‘smidentification,mweight,mandmdrugmormf
oodmallergiesmaremnotmaffectedmbymthemdrug‘smtiming.
DIF: CognitivemLevel:mApplication REF:mp.m17
10. Themnursemismwritingmnursingmdiagnosesmformamplanmofmcare.mWhichmreflectsmthemcorrectmformatm
formhermnursingmdiagnosis?
a. Anxiety
b. Anxietymrelatedmtomnewmdrugmtherapy
c. Anxietymrelatedmtomanxiousmfeelingsmaboutmdrugmtherapy,masmevidencedmbymstatemen
tsmsuchmasm―I‘mmupsetmaboutmhavingmtomgivemmyselfmshots‖
d. Anxietymrelatedmtomnewmdrugmtherapy,masmevidencedmbymstatementsmsuchmasm―I‘
mmupsetmaboutmhavingmtomgivemmyselfmshots‖
ANS:m D
PHARMACOLOGYmFORmCANADIANmHEALTHmCAREmPRACTICE
LINDAmLANEmLILLEY,mJULIEmS.mSNYDERmANDmSHELLYmRAINFORTHmCOLLINS
3rd Edition
m
TEST BANK m
,Chapter 01: Nursing Practice in Canada and Drug Therapy
m m m m m m m m
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
m m m m m m m m m
MULTIPLEmCHOICE
1. Whichmismamjudgementmaboutmamparticularmpatient‘smpotentialmneedm
ormproblem?
a. Amgoal
b. Anmassessment
c. Subjectivemdata
d. Amnursingmdiagnosis
ANS:m D
Nursingmdiagnosismismthemphasemofmthemnursingmprocessmduringmwhich
amclinicalmjudgementmismmademaboutmhowmampatientmrespondsmtomheathmconditionsmandmlifemproc
essesmormvulnerabilitymforthatmresponse.
DIF: CognitivemLevel:mKnowledge REF:mp.m11
2. Thempatientmismtomreceivemoralmfurosemidem(Lasix)meverymday;mhowever,mbecausemthempatient
mismunablemtomswallow,mhemcannotmtakemmedicationmorally,masmordered.mThemnursemneedsmtomc
ontactmthemphysician.mWhatmtypemofmproblemmismthis?
a. Am―rightmtime‖mproblem
b. Am―rightm dose‖mproblem
c. Am―rightmroute‖mproblem
d. Am―rightmmedication‖mproblem
ANS:m C
Thismismam―rightmroute‖mproblem:mthemnursemcannotmassumemthemroutemandmmustmclarifymthemroute
withmthemprescriber.mThismismnotmam―rightmtime‖mproblemmbecausemthemorderedmfrequencymhasmn
otmchanged.mThismismnotmam―rightmdose‖mproblemmbecausemthemdosemismnotmrelatedmtomanminabili
tymtomswallow.mThismismnotmam―rightmmedication‖mproblemmbecausemthemmedicationmorderedmw
illmnotmchange,mjustmthemroute.
DIF: CognitivemLevel:mApplication REF:m p.m14
3. Themnursemhasmbeenmmonitoringmthempatient‘smprogressmonmhismnewmdrugmregimenmsincemthemfir
stmdosemandmhasmbeenmdocumentingmsignsmofmpossiblemadversemeffects.mWhatmnursingmprocessm
phasemismthemnursempractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingmdiagnosis
ANS:m B
Monitoringmthempatient‘smprogressmismpartmofmthemevaluationmphase.mPlanning,mimplementation,
mandmnursingmdiagnosismaremnotmillustratedmbymthismexample.
DIF: CognitivemLevel:mApplication REF:mp.m19
,4. Themnursemismcaringmformampatientmwhomhasmbeenmnewlymdiagnosedmwithmtypem1mdiabetesmmellit
us.mWhichmstatementmbestmillustratesmanmoutcomemcriterionmformthismpatient?
a. Thempatientmwillmfollowminstructions.
b. Thempatientmwillmnotmexperiencemcomplications.
c. Thempatientmadheresmtomthemnewminsulinmtreatmentmregimen.
d. Thempatientmdemonstratesmsafeminsulinmself-administrationmtechnique.
ANS:m D
Havingmthempatientmdemonstratemsafeminsulinmself-
administrationmtechniquemismamspecificmandmmeasurablemoutcomemcriterion.mFollowingminstruct
ionsmandmavoidingmcomplicationsmaremnotmspecificmcriteria.mAdherencemtomthemnewminsulinmtrea
tmentmregimenmismnotmobjectivemandmwouldmbemdifficultmtommeasure.
DIF: CognitivemLevel:mApplication REF:mp.m13
5. Whichmactivitymbestmreflectsmthemimplementationmphasemofmthemnursingmprocessmformthempatie
ntmwhomismnewlymdiagnosedmwithmtypem1mdiabetesmmellitus?
a. Providingmeducationmregardingmself-injectionmtechnique
b. Settingmgoalsmandmoutcomemcriteriamwithmthempatient‘sminput
c. Recordingmamhistorymofmover-the-countermmedicationsmusedmatmhome
d. Formulatingmnursingmdiagnosesmregardingmknowledgemdeficitsmrelatedmtomthemne
wmtreatmentmregimen
ANS:m A
Educationmismanminterventionmthatmoccursmduringmthemimplementationmphase.mSettingmgoalsman
dmoutcomemcriteriamreflectsmthemplanningmphase.mRecordingmamdrugmhistorymreflectsmthemassess
mentmphase.mFormulatingmnursingmdiagnosesmregardingmamknowledgemdeficitmreflectsmanalysism
ofmdatamasmpartmofmthemplanningmphase.N
DIF: CognitivemLevel:mAnalysis REF:m p.m8m|mp.m13
6. Themnursemismworkingmduringmamverymbusymnightmshift,mandmthemhealthmcaremprovidermhasmjustm
givenmthemnursemammedicationmordermovermthemtelephone,mbutmthemnursemdoesmnotmrecallmthemro
ute.mWhatmismthembestmwaymformthemnursemtomavoidmmedicationmerrors?
a. Recopymthemordermneatlymonmthemordermsheet,mwithmthemmostmcommonmroutemindicated
b. Consultmwithmthempharmacistmformclarificationmaboutmthemmostmcommonmroute
c. Callmthemhealthmcaremprovidermtomclarifymthemroutemofmadministration
d. Withholdmthemdrugmuntilmthemhealthmcaremprovidermvisitsmthempatient
ANS:m C
Ifmammedicationmordermdoesmnotmincludemthemroute,mthemnursemmustmaskmthemhealthmcaremprovider
mtomclarifymit.mNevermassumemthemroutemofmadministration.
DIF: CognitivemLevel:mApplicationm|mCognitivemLevel:mAnalysism REF:m p.m17
7. WhichmconstitutesmthemtraditionalmFivemRightsmofmmedicationmadministration?
a. Rightmdrug,mrightmroute,mrightmdose,mrightmtime,mandmrightmpatient
b. Rightmdrug,mthemrightmeffect,mthemrightmroute,mthemrightmtime,mandmthemrightmpatient
c. Rightmpatient,mrightmstrength,mrightmdiagnosis,mrightmdrug,mandmrightmroute
d. Rightmpatient,mrightmdiagnosis,mrightmdrug,mrightmroute,mandmrightmtime
ANS:m A
, ThemtraditionalmFivemRightsmofmmedicationmadministrationmweremconsideredmtombemRightmdru
g,mRightmroute,mRightmdose,mRightmtime,mandmRightmpatient.mRightmeffect,mrightmstrength,mand
mrightmdiagnosismaremnotmpartmofmthemtraditionalmFivemRights.
DIF:m m CognitivemLevel:mComprehensionm m m REF:m p.m13
8. Whatmcorrectlymdescribesm themnursingmprocess?
a. Diagnosing,mplanning,massessing,mimplementing,mandmfinallymevaluating
b. Assessing,mthenmdiagnosing,mimplementing,mandmendingmwithmevaluating
c. Amlinearmdirectionmthatmbeginsmwithmassessingmandmcontinuesmthroughmdiagnosin
g,mplanning,mandmfinallymimplementing
d. Anmongoingmprocessmthatmbeginsmwithmassessingmandmcontinuesmwithmdiagnosin
g,mplanning,mimplementing,mandmevaluating
ANS:m D
Themnursingmprocessmismanmongoing,mflexible,madaptable,mandmadjustablemfive-
stepmprocessmthatmbeginsmwithmassessingmandmcontinuesmthroughmdiagnosing,mplanning,mimplem
enting,mandmfinallymevaluating,mwhichmmaymthenmleadmbackmtomanymofmthemothermphases.
DIF: CognitivemLevel:mApplication REF:mp.m8
9. Whenmthemnursemismconsideringmthemtimingmofmamdrugmdose,mwhichmismmostmimportantmtomassess?
a. Thempatient‘smidentification
b. Thempatient‘smweight
c. Thempatient‘smlastmmeal
d. Anymdrugmormfoodmallergies
ANS:m C
Thempharmacokineticmandmpharmacodynamicmpropertiesmofmthemdrugmneedmtombemassessedmwith
regardmtomanymdrug–
foodminteractionsmormcompatibilitymissues.mThempatient‘smidentification,mweight,mandmdrugmormf
oodmallergiesmaremnotmaffectedmbymthemdrug‘smtiming.
DIF: CognitivemLevel:mApplication REF:mp.m17
10. Themnursemismwritingmnursingmdiagnosesmformamplanmofmcare.mWhichmreflectsmthemcorrectmformatm
formhermnursingmdiagnosis?
a. Anxiety
b. Anxietymrelatedmtomnewmdrugmtherapy
c. Anxietymrelatedmtomanxiousmfeelingsmaboutmdrugmtherapy,masmevidencedmbymstatemen
tsmsuchmasm―I‘mmupsetmaboutmhavingmtomgivemmyselfmshots‖
d. Anxietymrelatedmtomnewmdrugmtherapy,masmevidencedmbymstatementsmsuchmasm―I‘
mmupsetmaboutmhavingmtomgivemmyselfmshots‖
ANS:m D
