Edition Linda Lane Lilley, Shelly Rainforth Collins, Julie S.
Snyder
Chapter0101:01The01Nursing01Process01and01Drug01Therapy
MULTIPLE01CHOICE
1. The01nurse01is01writing01a01nursing01diagnosis01for01a01plan01of01care01for01a01pat
ient01who01has01been01newly01diagnosed01with01type01201diabetes.01Which01state
ment01reflects01the01correct01format01for01a01nursing01diagnosis?
a. Anxiety
b. Anxiety01related01to01new01drug01therapy
c. Anxiety01related01to01anxious01feelings01about01drug01therapy,01as01eviden
ced01by01statements
such01as01“I’m01upset01about01having01to01test01my01blood01sugars.”
d. Anxiety01related01to01new01drug01therapy,01as01evidenced01by01statements0
1such01as01“I’m
upset01about01having01to01test01my01blood01sugars.”
ANS:0 1 D
Formulation01of01nursing01diagnoses01is01usually01a01three-
step01process.01“Anxiety”01is01missing01the
“related01to”01and01“as01evidenced01by”01portions01of01defining01characteristics.01“A
nxiety01related01to01new01drug01therapy”01is01missing01the01“as01evidenced01by”01port
ion01of01defining01characteristics.01The01statement01beginning01“Anxiety01related01to0
1 anxious01feelings”01is01incorrect01because01the01“related01to”01section01is01simply01a0
1restatement01of01the01problem01“anxiety,”01not01a01separate01factor01related01to01the01
response.
, DIF:
COGNITIVE01LEVEL:01Understanding01(C
omprehension)01TOP:0 1 NURSING01PROCESS:01
Nursing01Diagnosis
MSC:0 1 NCLEX:01Safe01and01Effective01Care01Environment:01Management01of01Care
2. The01patient01is01to01receive01oral01guaifenesin01(Mucinex)01twice01a01day.01Today,01
the01nurse01was01busy01and01gave01the01medication01201hours01after01the01scheduled01
dose01was01due.01What01type01of01problem01does01this01represent?
a. “Right01time”
b. “Right01dose”
c. “Right01route”
d. “Right01medicatio
n”
ANS:0 1 A
“Right01time”01is01correct01because01the01medication01was01given01more01than0
1 3001minutes01after01the01scheduled01dose01was01due.01“Dose”01is01incorrect01be
cause01the01dose01is01not01related01to01the01time01the
medication01administration01is01scheduled.01“Route”01is01incorrect01because01the01
route01is01not01affected.01“Medication”01is01incorrect01because01the01medication01or
dered01will01not01change.
DIF:
COGNITIVE01LEVEL:01Applying01(
Application)01TOP:0 1 NURSING01PROCE
SS:01Implementation
MSC:0 1 NCLEX:01Safe01and01Effective01Care01Environment:01Safety01and01Infection01
Control
,3. The01nurse01has01been01monitoring01the01patient’s01progress01on01a01new01drug01regi
men01since01the01first01dose01and01documenting01the01patient’s01therapeutic01respons
e01to01the01medication.01Which01phase01of01the01nursing01process01do01these01actions
01 illustrate?
a. Nursing01diagnos
is
b. Planning
c. Implementatio
n
d. Evaluation
ANS:0 1 D
Monitoring01the01patient’s01progress,01including01the01patient’s01response01to01the01
medication,01is01part01of01the01evaluation01phase.01Planning,01implementation,01and0
1nursing01diagnosis01are01not01illustrated01by01this01example.
DIF:
COGNITIVE01LEVEL:01Understanding01(C
omprehension)01TOP:0 1 NURSING01PROCESS:01
Evaluation
MSC:0 1 NCLEX:01Safe01and01Effective01Care01Environment:01Management01of01Care
4. The01nurse01is01assigned01to01a01patient01who01is01newly01diagnosed01with01type0110
1 diabetes01mellitus.01Which01statement01best01illustrates01an01outcome01criterion01fo
r01this01patient?
a. The01patient01will01follow01instructions.
b. The01patient01will01not01experience01complications.
, TEST BANK Pharmacology and the Nursing Process 9
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th01Edition015801CHAPTERS01Linda01Lane01Lilley,01Shelly01Rainfort
h01Collins,01Julie01S.01Snyder
c. The01patient01will01adhere01to01the01new01insulin01treatment01r
egimen.
d. The01patient01will01demonstrate01correct01blood01glucose01test
ing01technique.
ANS:0 1 D
“Demonstrating01correct01blood01glucose01testing01technique”01is01a01specific01and01
measurable01outcome01criterion.01“Following01instructions”01and01“not01experiencin
g01complications”01are01not01specific01criteria.01“Adhering01to01new01regimen”01would
be01difficult01to01measure.
01
TEST BANK Pharmacology and the Nursing Process 9
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th01Edition015801CHAPTERS01Linda01Lane01Lilley,01Shelly01Rainfort
h01Collins,01Julie01S.01Snyder