V
gy and the
V V
Nursing Process 7t
V V
h Edition
V
Latest Guide 2022
V V
CopyrightV©V2022VMedVCV
File
, LilleyVPharmacologyVandVtheVNursingVProcessV7thVEdition
ChapterV01:VTheVNursingVProcessVandVDrugVTherapy
1. QuestionVName:V0001 Type:VMC Objective:VChV01:VTheVNursingVProcessVandVDrugVTherapy
ItemVBank:VLilleyVPharmacologyVandVtheVNursingVProcessV7thVEd
TheVnurseVisVwritingVaVnursingVdiagnosisVforVaVplanVofVcareVforVaVpatientVwhoVhasVbe
enVnewlyVdiagnosedVwithVtypeV2Vdiabetes.VWhichVstatementVreflectsVtheVcorrectVformat
VforVaVnursingVdiagnosis?
A. Anxiety
B. AnxietyVrelatedVtoVnewVdrugVtherapy
C. AnxietyVrelatedVtoVanxiousVfeelingsVaboutVdrugVtherapy,VasVevidencedVbyVstatementsV
suchVasV“I’mVupsetVaboutVhavingVtoVtestVmyVbloodVsugars.”
*
D.VAnxietyVrelatedVtoVnewVdrugVtherapy,VasVevidencedVbyVstatementsVsuchVas
CorrectVAnswer:V
D
V“I’mVupsetVaboutVhavingVtoVtestVmyVbloodVsugars.”
Explanation/Rationale:
ANS:V D
FormulationVofVnursingVdiagnosesVisVusuallyVaVthree-stepVprocess.V“Anxiety”VisVmissingVthe
“relatedVto”VandV“asVevidencedVby”VportionsVofVdefiningVcharacteristics.V“AnxietyVrelatedVto
VnewVdrugVtherapy”VisVmissingVtheV“asVevidencedVby”VportionVofVdefiningVcharacteristics.VT
heVstatementVbeginningV“AnxietyVrelatedVtoVanxiousVfeelings”VisVincorrectVbecauseVtheV“rela
tedVto”VsectionVisVsimplyVaVrestatementVofVtheVproblemV“anxiety,”VnotVaVseparateVfactorVrel
atedVtoVtheVresponse.
DIF: COGNITIVEVLEVEL:VUnderstandingV(Comprehension) REF:
p.V9VTOP:VNURSINGVPROCESS:VNursingVDiagnosis
MSC:V NCLEX:VSafeVandVEffectiveVCareVEnvironment:VManagementVofVCare
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
ScoreVMode:VActiveVDateVCreated: 01/31/13V14:18:01 DateVModified:
01/31/13V14:18:01 DateVUsed:VDifficulty: Easy
Discrimination: Low
ItemVAnalysis:VLast ItemVAnalysis:VCumulative
No.VofVStudentsVResponded: 0 No.VofVStudentsVResponded: 0
CorrectVResponsesV(%): CorrectV ResponsesV(%):
TotalVGroup: 0.00 TotalVGroup: 0.00
UpperV27%VofVGroup: 0.00 UpperV27%VofVGroup: 0.00
LowerV27%VofVGroup: 0.00 LowerV27%VofVGroup: 0.00
PointVBiserial: 0.00 PointVBiserial: 0.00
ResponseVFrequenciesV (%)
CopyrightV©V2022VMedVCV
File
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. QuestionVName:V0002 Type:VMC Objective:VChV01:VTheVNursingVProcessVandVDrugVTherapy
ItemVBank:VLilleyVPharmacologyVandVtheVNursingVProcessV7thVEd
TheVpatientVisVtoVreceiveVoralVguaifenesinV(Mucinex)VtwiceVaVday.VToday,VtheVnurseVwasV
busyVandVgaveVtheVmedicationV2VhoursVafterVtheVscheduledVdoseVwasVdue.VWhatVtypeVof
VproblemVdoesVthisVrepresent?
*V V V A.V “RightVtime”Vproblem
B.V “RightVdose”Vproblem
C.V “RightVroute”Vproblem
D.V “RightVmedication”Vproblem
CorrectVAnswer:VAVExpl
anation/Rationale:
ANS:V A
“RightVtime”VisVcorrectVbecauseVtheVmedicationVwasVgivenVmoreVthanV30VminutesVafterVthe
scheduledVdoseVwasVdue.V“Dose”VisVincorrectVbecauseVtheVdoseVisVnotVrelatedVtoVtheVtimeVt
heVmedicationVadministrationVisVscheduled.V“Route”VisVincorrectVbecauseVtheVrouteVisVnotVaff
ected.V“Medication”VisVincorrectVbecauseVtheVmedicationVorderedVwillVnotVchange.
DIF: COGNITIVEVLEVEL:VApplyingV(Application) REF:
p.V13VTOP:VNURSINGVPROCESS:VImplementation
MSC:V NCLEX:VSafeVandVEffectiveVCareVEnvironment:VSafetyVandVInfectionVControl
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
ScoreVMode:VActiveVDateVCreated: 01/31/13V14:18:01 DateVModified:
01/31/13V14:18:01 DateVUsed:VDifficulty: Easy
Discrimination: Low
ItemVAnalysis:VLast ItemVAnalysis:VCumulative
No.VofVStudentsVResponded: 0 No.VofVStudentsVResponded: 0
CorrectVResponsesV(%): CorrectV ResponsesV(%):
TotalVGroup: 0.00 TotalVGroup: 0.00
UpperV27%VofVGroup: 0.00 UpperV27%VofVGroup: 0.00
LowerV27%VofVGroup: 0.00 LowerV27%VofVGroup: 0.00
PointVBiserial: 0.00 PointVBiserial: 0.00
ResponseVFrequenciesV (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
CopyrightV©V2022VMedVCV
File
, 3. QuestionVName:V0003 Type:VMC Objective:VChV01:VTheVNursingVProcessVandVDrugVTherapy
ItemVBank:VLilleyVPharmacologyVandVtheVNursingVProcessV7thVEd
TheVnurseVhasVbeenVmonitoringVtheVpatient’sVprogressVonVaVnewVdrugVregimenVsinceVtheVfirs
tVdoseVandVdocumentingVtheVpatient’sVtherapeuticVresponseVtoVtheVmedication.VWhichVphaseVo
fVtheVnursingVprocessVdoVtheseVactionsVillustrate?
A. NursingVdiagnosis
B. Planning
C. Implementation
* D.VEvaluation
CorrectVAnswer:VDVExpl
anation/Rationale:
ANS:V D
MonitoringVtheVpatient’sVprogress,VincludingVtheVpatient’sVresponseVtoVtheVmedication,VisVp
artVofVtheVevaluationVphase.VPlanning,Vimplementation,VandVnursingVdiagnosisVareVnotVillustr
atedVbyVthisVexample.
DIF: COGNITIVEVLEVEL:VUnderstandingV(Comprehension) REF:
p.V15VTOP:VNURSINGVPROCESS:VEvaluation
MSC:V NCLEX:VSafeVandVEffectiveVCareVEnvironment:VManagementVofVCare
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
ScoreVMode:VActiveVDateVCreated: 01/31/13V14:18:01 DateVModified:
01/31/13V14:18:01 DateVUsed:VDifficulty: Easy
Discrimination: Low
ItemVAnalysis:VLast ItemVAnalysis:VCumulative
No.VofVStudentsVResponded: 0 No.VofVStudentsVResponded: 0
CorrectVResponsesV(%): CorrectV ResponsesV(%):
TotalVGroup: 0.00 TotalVGroup: 0.00
UpperV27%VofVGroup: 0.00 UpperV27%VofVGroup: 0.00
LowerV27%VofVGroup: 0.00 LowerV27%VofVGroup: 0.00
PointVBiserial: 0.00 PointVBiserial: 0.00
ResponseVFrequenciesV (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. QuestionVName:V0004 Type:VMC Objective:VChV01:VTheVNursingVProcessVandVDrugVTherapy
ItemVBank:VLilley
CopyrightV©V2022VMedVCV
File