C HAPTER 06: P ATIENT E DUCATION AND
D RUG T HERAPY
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient with a new prescription for a diuretic has just reviewed with the
nurse how to include more potassium in her diet. This reflects learning in
which domain?
a. Cognitive
b. Affective
c. Physical
d. Psychomotor
ANS: A
The cognitive domain refers to problem -solving abilities and may
involve recall and knowledge of facts. The affective domain refers to
values and beliefs. The term physical does not refer to one of the
learning domains. The psychomotor domain involves behaviors such as
learning how to perform a procedure.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Safe and Effective Care Environment:
Management of Care
2. During an admission assessment, the nurse discovers that the patient does
not speak English. Which is considered the ideal resource for translation?
, a. A famil y member of the patient
b. A close famil y friend of the patient
c. A translator who does not know the patient
d. Prewritten note cards with both English and the patient ’s language
ANS: C
The nurse should communicate with the patient in the patient ’s native
language if at all possible. If the nurse is not able to speak the
patient’s native language, a translator should b e made available so as
to prevent communication problems, minimize errors, and help boost
the patient ’s level of trust and understanding of the nurse. In practice,
this translator may be another nurse or health care professional, a
nonprofessional member o f the health care team, or a layperson, famil y
member, adult friend, or religious leader or associate. However, it is
best to avoid famil y members as translators, if possible, because of
issues with bias, misinterpretation, and potential confidentiality is sues.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Safe and Effective Care Environment:
Management of Care
3. A 60-year-old patient is on several new medications and expresses worry
that she will forget to tak e her pills. Which action by the nurse would be
most helpful in this situation?
a. Teaching effective coping strategies
b. Asking the patient ’s prescriber to reduce the number of drugs
prescribed
c. Assuring the patient that she will not forget once she is accustom ed
to the routine
d. Assisting the patient with obtaining and learning to use a calendar
or pill container
D RUG T HERAPY
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient with a new prescription for a diuretic has just reviewed with the
nurse how to include more potassium in her diet. This reflects learning in
which domain?
a. Cognitive
b. Affective
c. Physical
d. Psychomotor
ANS: A
The cognitive domain refers to problem -solving abilities and may
involve recall and knowledge of facts. The affective domain refers to
values and beliefs. The term physical does not refer to one of the
learning domains. The psychomotor domain involves behaviors such as
learning how to perform a procedure.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Safe and Effective Care Environment:
Management of Care
2. During an admission assessment, the nurse discovers that the patient does
not speak English. Which is considered the ideal resource for translation?
, a. A famil y member of the patient
b. A close famil y friend of the patient
c. A translator who does not know the patient
d. Prewritten note cards with both English and the patient ’s language
ANS: C
The nurse should communicate with the patient in the patient ’s native
language if at all possible. If the nurse is not able to speak the
patient’s native language, a translator should b e made available so as
to prevent communication problems, minimize errors, and help boost
the patient ’s level of trust and understanding of the nurse. In practice,
this translator may be another nurse or health care professional, a
nonprofessional member o f the health care team, or a layperson, famil y
member, adult friend, or religious leader or associate. However, it is
best to avoid famil y members as translators, if possible, because of
issues with bias, misinterpretation, and potential confidentiality is sues.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Safe and Effective Care Environment:
Management of Care
3. A 60-year-old patient is on several new medications and expresses worry
that she will forget to tak e her pills. Which action by the nurse would be
most helpful in this situation?
a. Teaching effective coping strategies
b. Asking the patient ’s prescriber to reduce the number of drugs
prescribed
c. Assuring the patient that she will not forget once she is accustom ed
to the routine
d. Assisting the patient with obtaining and learning to use a calendar
or pill container
