he Nursing Process and Drug Therapy,

TheNursingProcessandDrug Therapy
z z z z z




Chapterz01:zThezNursingzProcesszandzDrugzTherapyz T


estzBank


MULTIPLEz CHOICE


1. Theznurseziszwritingzaznursingzdiagnosiszforzazplanzofzcarezforzazpatientzwhozhaszbeenznewlyzdiagnosedzwi

thztypez2zdiabetes.zWhichzstatementzreflectszthezcorrectzformatzforzaznursingzdiagnosis?


a. Anxiety



b. Anxietyzrelatedztoznewzdrugztherapy


c. Anxietyzrelatedztozanxiouszfeelingszaboutzdrugztherapy,zaszevidencedzbyzstatementszsuchzasz“I’mzupsetz a
boutzhavingztoztestzmyzbloodzsugars.”



d. Anxietyzrelatedztoznewzdrugztherapy,zaszevidencedzbyzstatementszsuchzasz“I’mzupsetzaboutzhavingztoz te
stzmyzbloodzsugars.”



ANS:z D


Formulationzofznursingzdiagnosesziszusuallyzazthree-stepzprocess.z“Anxiety”ziszmissingzthez“relatedzto”zandz“asz
evidencedzby”zportionszofzdefiningzcharacteristics.z“Anxietyzrelatedztoznewzdrugztherapy”ziszmissingzthez“aszev
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,idencedzby”zportionzofzdefiningzcharacteristics.zThezstatementzbeginningz“Anxietyzrelatedztozanxious




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,feelings”ziszincorrectzbecausezthez“relatedzto”zsectionziszsimplyzazrestatementzofzthezproblemz“anxiety,”znotzaz se
paratezfactorzrelatedztozthezresponse.


DIF:z COGNITIVEz LEVEL:z Understandingz (Comprehension)z REF:z p.z 9


TOP:z NURSINGz PROCESS:z Nursingz Diagnosis


MSC:z NCLEX:z Safez andz Effectivez Carez Environment:z Managementz ofz Care


2. Thezpatientzisztozreceivezoralzguaifenesinz(Mucinex)ztwicezazday.zToday,ztheznursezwaszbusyzandzgavezthez m

edicationz2zhourszafterzthezscheduledzdosezwaszdue.zWhatztypezofzproblemzdoeszthiszrepresent?


a. “Rightztime”zproblem




b. “Rightzdose”zproblem




c. “Rightzroute”zproblem




d. “Rightzmedication”zproblem




ANS:zA


“Rightztime”ziszcorrectzbecausezthezmedicationzwaszgivenzmorezthanz30zminuteszafterzthezscheduledzdosez wasz

due.z“Dose”ziszincorrectzbecausezthezdosezisznotzrelatedztoztheztimezthezmedicationzadministrationziszscheduled
.z“Route”ziszincorrectzbecausezthezroutezisznotzaffected.z“Medication”ziszincorrectzbecausezthez medicationzord
eredzwillznotzchange.

DIF:z COGNITIVEz LEVEL:zApplyingz (Application)z REF:z p.z 13


TOP:z NURSINGz PROCESS:z Implementation


MSC:z NCLEX:z Safez andz Effectivez Carez Environment:z Safetyz andz Infectionz Control


3. Theznursezhaszbeenzmonitoringzthezpatient’szprogresszonzaznewzdrugzregimenzsincezthezfirstzdosezandzdocu-z m

entingzthezpatient’sztherapeuticzresponseztozthezmedication.zWhichzphasezofztheznursingzprocesszdozthese

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actionszillustrate?


a. Nursingzdiagnosis



b. Planning



c. Implementation



d. Evaluation



ANS:z D


Monitoringzthezpatient’szprogress,zincludingzthezpatient’szresponseztozthezmedication,ziszpartzofzthezevalua-z tionz
phase.zPlanning,zimplementation,zandznursingzdiagnosiszareznotzillustratedzbyzthiszexample.


DIF:z COGNITIVEz LEVEL:z Understandingz (Comprehension)z REF:z p.z 15


TOP:z NURSINGz PROCESS:z Evaluation


MSC:z NCLEX:z Safez andz Effectivez Carez Environment:z Managementz ofz Care


4. Theznurseziszassignedztozazpatientzwhozisznewlyzdiagnosedzwithztypez1zdiabeteszmellitus.zWhichzstatementzbe

stzillustrateszanzoutcomezcriterionzforzthiszpatient?


a. Thezpatientzwillzfollowzinstructions.



b. Thezpatientzwillznotzexperiencezcomplications.



c. Thezpatientzwillzadhereztoztheznewzinsulinztreatmentzregimen.


d. Thezpatientzwillzdemonstratezcorrectzbloodzglucoseztestingztechnique.



ANS:z D
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