TEST BANK m
LILLEY'SmPHARMACOLOGYmFORmCANADIANmHEALTHmCAREmPRACTICE
KARAmSEALOCK
4th Edition
m
TEST BANK m
, lOMoAR cPSD| 3013804
m m
lOMoAR cPSD| 3013804
Chapter 01: Nursing Practice in Canada and Drug Therapy
m m m m m m m m
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
m m m m m m m m m
MULTIPLEmCHOICE
1. Whichmismamjudgementmaboutmamparticularmpatient’smpotentialmneedmormproblem?
a. Amgoal
b. Anmassessment
c. Subjectivemdata
d. Amnursingmdiagnosis
ANS:m D
Nursingmdiagnosismismthemphasemofmthemnursingmprocessmduringmwhichmamclinicalmjudgementmismmademaboutmhowmampatientmrespondsmt
omheathmconditionsmandmlifemprocessesmormvulnerabilitymformthatmresponse.
DIF: CognitivemLevel:mKnowledge
2. Thempatientmismtomreceivemoralmfurosemidem(Lasix)meverymday;mhowever,mbecausemthempatientmismunablemtomswallow,mhemcannotmt
akemmedicationmorally,masmordered.mThemnursemneedsmtomcontactmthemphysician.mWhatmtypemofmproblemmismthis?
a. Am“rightmtime”mproblem
b. Am“rightmdose”mproblem
c. Am“rightmroute”mproblem
d. Am“rightmmedication”mproblem
ANS:m C
Thismismam“rightmroute”mproblem:mthemnursemcannotmassumemthemroutemandmmustmclarifymthemroutemwithmthemprescriber.mThismismnotmam“
rightmtime”mproblemmbecausemthemorderedmfrequencymhasmnotmchanged.mThismismnotmam“rightmdose”mproblemmbecausemthemdosemismnotm
relatedmtomanminabilitymtomswallow.mThismismnotmam“rightmmedication”mproblemmbecausemthemmedicationmorderedmwillmnotmchange,mjust
mthemroute.
DIF: CognitivemLevel:mApplication
3. Themnursemhasmbeenmmonitoringmthempatient’smprogressmonmhismnewmdrugmregimenmsincemthemfirstmdosemandmhasmbeenmdocumentingmsi
gnsmofmpossiblemadversemeffects.mWhatmnursingmprocessmphasemismthemnursempractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingmdiagnosis
ANS:m B
Monitoringmthempatient’smprogressmismpartmofmthemevaluationmphase.mPlanning,mimplementation,mandmnursingmdiagnosismaremnotmillustr
atedmbymthismexample.
DIF: CognitivemLevel:mApplication
4. Themnursemismcaringmformampatientmwhomhasmbeenmnewlymdiagnosedmwithmtypem1mdiabetesmmellitus.mWhichmstatementmbestmillustrate
smanmoutcomemcriterionmformthismpatient?
a. Thempatientmwillmfollowminstructions.
b. Thempatientmwillmnotmexperiencemcomplications.
c. Thempatientmadheresmtomthemnewminsulinmtreatmentmregimen.
d. Thempatientmdemonstratesmsafeminsulinmself-administrationmtechnique.
ANS:m D
Havingmthempatientmdemonstratemsafeminsulinmself-
administrationmtechniquemismamspecificmandmmeasurablemoutcomemcriterion.mFollowingminstructionsmandmavoidingmcomplicationsmarem
notmspecificmcriteria.mAdherencemtomthemnewminsulinmtreatmentmregimenmismnotmobjectivemandmwouldmbemdifficultmtommeasure.
DIF: CognitivemLevel:mApplication
5. Whichmactivitymbestmreflectsmthemimplementationmphasemofmthemnursingmprocessmformthempatientmwhomismnewlymdiagnosedmwithmtyp
em1mdiabetesmmellitus?
a. Providingmeducationmregardingmself-injectionmtechnique
b. Settingmgoalsmandmoutcomemcriteriamwithmthempatient’sminput
c. Recordingmamhistorymofmover-the-countermmedicationsmusedmatmhome
d. Formulatingmnursingmdiagnosesmregardingmknowledgemdeficitsmrelatedmtomthemne
wmtreatmentmregimen
ANS:m A
Educationmismanminterventionmthatmoccursmduringmthemimplementationmphase.mSettingmgoalsmandmoutcomemcriteriamreflectsmthemplanni
ngmphase.mRecordingmamdrugmhistorymreflectsmthemassessmentmphase.mFormulatingmnursingmdiagnosesmregardingmamknowledgemdeficit
mreflectsmanalysismofmdatamasmpartmofmthemplanningmphase.
DIF: CognitivemLevel:mAnalysis
Copyright © 2021, Elsevier Inc. All rights reserved. 1
, lOMoAR cPSD| 3013804
6. Themnursemismworkingmduringmamverymbusymnightmshift,mandmthemhealthmcaremprovidermhasmjustmgivenmthemnursemammedicationmorderm
overmthemtelephone,mbutmthemnursemdoesmnotmrecallmthemroute.mWhatmismthembestmwaymformthemnursemtomavoidmmedicationm errors?
a. Recopymthemordermneatlymonmthemordermsheet,mwithmthemmostmcommonmroutemindicated
b. Consultmwithmthempharmacistmformclarificationmaboutmthemmostmcommonmroute
c. Callmthemhealthmcaremprovidermtomclarifymthemroutemofmadministration
d. Withholdmthemdrugmuntilmthemhealthmcaremprovidermvisitsmthempatient
ANS:mC
Ifmammedicationmordermdoesmnotmincludemthemroute,mthemnursemmustmaskmthemhealthmcaremprovidermtomclarifymit.mNevermassumemthemroutemofm
administration.
DIF: CognitivemLevel:mApplicationm|mCognitivemLevel:mAnalysis
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:mA
ThemtraditionalmFivemRightsmofmmedicationmadministrationmweremconsideredmtombemRightmdrug,mRightmroute,mRightmdose,mRightmtime,mandm
Rightmpatient.mRightmeffect,mrightmstrength,mandmrightmdiagnosismaremnotmpartmofmthemtraditionalmFivemRights.
DIF: CognitivemLevel:mComprehension
8. Whatmcorrectlymdescribesmthemnursingmprocess?
a. Diagnosing,mplanning,massessing,mimplementing,mandmfinallymevaluating
b. Assessing,mthenmdiagnosing,mimplementing,mandmendingmwithmevaluating
c. Amlinearmdirectionmthatmbeginsmwithmassessingmandmcontinuesmthroughmdiagnosin
g,mplanning,mandmfinallymimplementing
d. Anmongoingmprocessmthatmbeginsmwithmassessingmandmcontinuesmwithmdiagnosin
g,mplanning,mimplementing,mandmevaluating
ANS:mD
Themnursingmprocessmismanmongoing,mflexible,madaptable,mandmadjustablemfive-
stepmprocessmthatmbeginsmwithmassessingmandmcontinuesmthroughmdiagnosing,mplanning,mimplementing,mandmfinallymevaluating,mwhic
hmmaymthenmleadmbackmtomanymofmthemothermphases.
DIF: CognitivemLevel:mApplication
9. Whenmthemnursemismconsideringmthemtimingmofmamdrugmdose,mwhichmismmostmimportantmtomassess?
a. Thempatient’smidentification
b. Thempatient’smweight
c. Thempatient’smlastmmeal
d. Anymdrugmormfoodmallergies
ANS:mC
Thempharmacokineticmandmpharmacodynamicmpropertiesmofmthemdrugmneedmtombemassessedmwithmregardmtomanymdrug–
foodminteractionsmormcompatibilitymissues.mThempatient’smidentification,mweight,mandmdrugmormfoodmallergiesmaremnotmaffectedmbymthemdrug
’smtiming.
DIF: CognitivemLevel:mApplication
10. Themnursemismwritingmnursingmdiagnosesmformamplanmofmcare.mWhichmreflectsmthemcorrectmformatmformhermnursingmdiagnosis?
a. Anxiety
b. Anxietymrelatedmtomnewmdrugmtherapy
c. Anxietymrelatedmtomanxiousmfeelingsmaboutmdrugmtherapy,masmevidencedm
bymstatementsmsuchmasm“I’mmupsetmaboutmhavingmtomgivemmyselfmshots”
d. Anxietymrelatedmtomnewmdrugmtherapy,masmevidencedmbymstatementsmsuchmasm“I’
mmupsetmaboutmhavingmtomgivemmyselfmshots”
ANS:mD
Formulationmofmnursingmdiagnosesmismusuallymamthree-
stepmprocess.mThemonlymcompletemanswermism“Anxietymrelatedmtomnewmdrugmtherapy,masmevidencedmbymstatementsmsuchmasm‘I’mmupse
tmaboutmhavingmtomgivemmyselfmshots.’”mThemanswerm“Anxiety”mismmissingmthem“relatedmto”mandm“asmevidencedmby”mportions.mThema
nswerm“Anxietymrelatedmtomnewmdrugmtherapy”mismmissingmthem“asmevidencedmby”
portionmofmdefiningmcharacteristics.mThem“relatedmto”msectionminm“Anxietymrelatedmtomanxiousmfeelingsmaboutmdrugmtherapy,masmeviden
cedmbymstatementsmsuchmasm‘I’mmupsetmaboutmhavingmtomgivemmyselfmshots’”mismsimplymamrestatementmofmthemproblemm“anxiety,”mnotm
amseparatemfactormrelatedmtomthemresponse.
DIF: CognitivemLevel:mAnalysis
OTHER
1. Placemthemphasesmofmthemnursingmprocessminmthemcorrectmorder,mstartingmwithmthemfirstmphase.
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C,mE,mA,mD,mB
Copyright © 2021, Elsevier Inc. All rights reserved. 2
, lOMoAR cPSD| 3013804
DIF: CognitivemLevel:mAnalysis
Copyright © 2021, Elsevier Inc. All rights reserved. 2
LILLEY'SmPHARMACOLOGYmFORmCANADIANmHEALTHmCAREmPRACTICE
KARAmSEALOCK
4th Edition
m
TEST BANK m
, lOMoAR cPSD| 3013804
m m
lOMoAR cPSD| 3013804
Chapter 01: Nursing Practice in Canada and Drug Therapy
m m m m m m m m
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
m m m m m m m m m
MULTIPLEmCHOICE
1. Whichmismamjudgementmaboutmamparticularmpatient’smpotentialmneedmormproblem?
a. Amgoal
b. Anmassessment
c. Subjectivemdata
d. Amnursingmdiagnosis
ANS:m D
Nursingmdiagnosismismthemphasemofmthemnursingmprocessmduringmwhichmamclinicalmjudgementmismmademaboutmhowmampatientmrespondsmt
omheathmconditionsmandmlifemprocessesmormvulnerabilitymformthatmresponse.
DIF: CognitivemLevel:mKnowledge
2. Thempatientmismtomreceivemoralmfurosemidem(Lasix)meverymday;mhowever,mbecausemthempatientmismunablemtomswallow,mhemcannotmt
akemmedicationmorally,masmordered.mThemnursemneedsmtomcontactmthemphysician.mWhatmtypemofmproblemmismthis?
a. Am“rightmtime”mproblem
b. Am“rightmdose”mproblem
c. Am“rightmroute”mproblem
d. Am“rightmmedication”mproblem
ANS:m C
Thismismam“rightmroute”mproblem:mthemnursemcannotmassumemthemroutemandmmustmclarifymthemroutemwithmthemprescriber.mThismismnotmam“
rightmtime”mproblemmbecausemthemorderedmfrequencymhasmnotmchanged.mThismismnotmam“rightmdose”mproblemmbecausemthemdosemismnotm
relatedmtomanminabilitymtomswallow.mThismismnotmam“rightmmedication”mproblemmbecausemthemmedicationmorderedmwillmnotmchange,mjust
mthemroute.
DIF: CognitivemLevel:mApplication
3. Themnursemhasmbeenmmonitoringmthempatient’smprogressmonmhismnewmdrugmregimenmsincemthemfirstmdosemandmhasmbeenmdocumentingmsi
gnsmofmpossiblemadversemeffects.mWhatmnursingmprocessmphasemismthemnursempractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingmdiagnosis
ANS:m B
Monitoringmthempatient’smprogressmismpartmofmthemevaluationmphase.mPlanning,mimplementation,mandmnursingmdiagnosismaremnotmillustr
atedmbymthismexample.
DIF: CognitivemLevel:mApplication
4. Themnursemismcaringmformampatientmwhomhasmbeenmnewlymdiagnosedmwithmtypem1mdiabetesmmellitus.mWhichmstatementmbestmillustrate
smanmoutcomemcriterionmformthismpatient?
a. Thempatientmwillmfollowminstructions.
b. Thempatientmwillmnotmexperiencemcomplications.
c. Thempatientmadheresmtomthemnewminsulinmtreatmentmregimen.
d. Thempatientmdemonstratesmsafeminsulinmself-administrationmtechnique.
ANS:m D
Havingmthempatientmdemonstratemsafeminsulinmself-
administrationmtechniquemismamspecificmandmmeasurablemoutcomemcriterion.mFollowingminstructionsmandmavoidingmcomplicationsmarem
notmspecificmcriteria.mAdherencemtomthemnewminsulinmtreatmentmregimenmismnotmobjectivemandmwouldmbemdifficultmtommeasure.
DIF: CognitivemLevel:mApplication
5. Whichmactivitymbestmreflectsmthemimplementationmphasemofmthemnursingmprocessmformthempatientmwhomismnewlymdiagnosedmwithmtyp
em1mdiabetesmmellitus?
a. Providingmeducationmregardingmself-injectionmtechnique
b. Settingmgoalsmandmoutcomemcriteriamwithmthempatient’sminput
c. Recordingmamhistorymofmover-the-countermmedicationsmusedmatmhome
d. Formulatingmnursingmdiagnosesmregardingmknowledgemdeficitsmrelatedmtomthemne
wmtreatmentmregimen
ANS:m A
Educationmismanminterventionmthatmoccursmduringmthemimplementationmphase.mSettingmgoalsmandmoutcomemcriteriamreflectsmthemplanni
ngmphase.mRecordingmamdrugmhistorymreflectsmthemassessmentmphase.mFormulatingmnursingmdiagnosesmregardingmamknowledgemdeficit
mreflectsmanalysismofmdatamasmpartmofmthemplanningmphase.
DIF: CognitivemLevel:mAnalysis
Copyright © 2021, Elsevier Inc. All rights reserved. 1
, lOMoAR cPSD| 3013804
6. Themnursemismworkingmduringmamverymbusymnightmshift,mandmthemhealthmcaremprovidermhasmjustmgivenmthemnursemammedicationmorderm
overmthemtelephone,mbutmthemnursemdoesmnotmrecallmthemroute.mWhatmismthembestmwaymformthemnursemtomavoidmmedicationm errors?
a. Recopymthemordermneatlymonmthemordermsheet,mwithmthemmostmcommonmroutemindicated
b. Consultmwithmthempharmacistmformclarificationmaboutmthemmostmcommonmroute
c. Callmthemhealthmcaremprovidermtomclarifymthemroutemofmadministration
d. Withholdmthemdrugmuntilmthemhealthmcaremprovidermvisitsmthempatient
ANS:mC
Ifmammedicationmordermdoesmnotmincludemthemroute,mthemnursemmustmaskmthemhealthmcaremprovidermtomclarifymit.mNevermassumemthemroutemofm
administration.
DIF: CognitivemLevel:mApplicationm|mCognitivemLevel:mAnalysis
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:mA
ThemtraditionalmFivemRightsmofmmedicationmadministrationmweremconsideredmtombemRightmdrug,mRightmroute,mRightmdose,mRightmtime,mandm
Rightmpatient.mRightmeffect,mrightmstrength,mandmrightmdiagnosismaremnotmpartmofmthemtraditionalmFivemRights.
DIF: CognitivemLevel:mComprehension
8. Whatmcorrectlymdescribesmthemnursingmprocess?
a. Diagnosing,mplanning,massessing,mimplementing,mandmfinallymevaluating
b. Assessing,mthenmdiagnosing,mimplementing,mandmendingmwithmevaluating
c. Amlinearmdirectionmthatmbeginsmwithmassessingmandmcontinuesmthroughmdiagnosin
g,mplanning,mandmfinallymimplementing
d. Anmongoingmprocessmthatmbeginsmwithmassessingmandmcontinuesmwithmdiagnosin
g,mplanning,mimplementing,mandmevaluating
ANS:mD
Themnursingmprocessmismanmongoing,mflexible,madaptable,mandmadjustablemfive-
stepmprocessmthatmbeginsmwithmassessingmandmcontinuesmthroughmdiagnosing,mplanning,mimplementing,mandmfinallymevaluating,mwhic
hmmaymthenmleadmbackmtomanymofmthemothermphases.
DIF: CognitivemLevel:mApplication
9. Whenmthemnursemismconsideringmthemtimingmofmamdrugmdose,mwhichmismmostmimportantmtomassess?
a. Thempatient’smidentification
b. Thempatient’smweight
c. Thempatient’smlastmmeal
d. Anymdrugmormfoodmallergies
ANS:mC
Thempharmacokineticmandmpharmacodynamicmpropertiesmofmthemdrugmneedmtombemassessedmwithmregardmtomanymdrug–
foodminteractionsmormcompatibilitymissues.mThempatient’smidentification,mweight,mandmdrugmormfoodmallergiesmaremnotmaffectedmbymthemdrug
’smtiming.
DIF: CognitivemLevel:mApplication
10. Themnursemismwritingmnursingmdiagnosesmformamplanmofmcare.mWhichmreflectsmthemcorrectmformatmformhermnursingmdiagnosis?
a. Anxiety
b. Anxietymrelatedmtomnewmdrugmtherapy
c. Anxietymrelatedmtomanxiousmfeelingsmaboutmdrugmtherapy,masmevidencedm
bymstatementsmsuchmasm“I’mmupsetmaboutmhavingmtomgivemmyselfmshots”
d. Anxietymrelatedmtomnewmdrugmtherapy,masmevidencedmbymstatementsmsuchmasm“I’
mmupsetmaboutmhavingmtomgivemmyselfmshots”
ANS:mD
Formulationmofmnursingmdiagnosesmismusuallymamthree-
stepmprocess.mThemonlymcompletemanswermism“Anxietymrelatedmtomnewmdrugmtherapy,masmevidencedmbymstatementsmsuchmasm‘I’mmupse
tmaboutmhavingmtomgivemmyselfmshots.’”mThemanswerm“Anxiety”mismmissingmthem“relatedmto”mandm“asmevidencedmby”mportions.mThema
nswerm“Anxietymrelatedmtomnewmdrugmtherapy”mismmissingmthem“asmevidencedmby”
portionmofmdefiningmcharacteristics.mThem“relatedmto”msectionminm“Anxietymrelatedmtomanxiousmfeelingsmaboutmdrugmtherapy,masmeviden
cedmbymstatementsmsuchmasm‘I’mmupsetmaboutmhavingmtomgivemmyselfmshots’”mismsimplymamrestatementmofmthemproblemm“anxiety,”mnotm
amseparatemfactormrelatedmtomthemresponse.
DIF: CognitivemLevel:mAnalysis
OTHER
1. Placemthemphasesmofmthemnursingmprocessminmthemcorrectmorder,mstartingmwithmthemfirstmphase.
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C,mE,mA,mD,mB
Copyright © 2021, Elsevier Inc. All rights reserved. 2
, lOMoAR cPSD| 3013804
DIF: CognitivemLevel:mAnalysis
Copyright © 2021, Elsevier Inc. All rights reserved. 2
