Pharmacology and the Nursing Process 6th Edition by Lilley test bank

Pharmacology and the Nursing Process 6th Edition by Lilley test bank

Lilley: Pharmacology and the Nursing Process, 6th EditionTest BankChapter 01: The Nursing Process and Drug TherapyMULTIPLE CHOICE1.The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing diagnosis?A.AnxietyB.Anxiety related to new drug therapyC.Anxiety related to feelings about drug therapy as evidenced by statements such as “I’m upset about having to give myself shots”D.Anxiety related to new drug therapy as evidenced by statements such as “I’m upset about having to give myself shots”ANS: DFormulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the “related to” and “as evidenced by” portions. “Anxiety related to new drug therapy” is missing the “as evidenced by” portion of defining characteristics. The statement beginning “Anxiety related to anxious feelings” is not correct because the “related to” section is simply a restatement of the problem “anxiety,” not a separate factor related to the response.DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 9TOP:NURSING PROCESS: Nursing DiagnosisMSC: NCLEX: Safe and Effective Care Environment: Management of Care2.A patient is to receive oral digoxin (Lanoxin) daily; however, because he is unable to swallow, he cannot take it orally, as ordered. What type of problem does this represent?A.“Right time” problemB.“Right dose” problemC.“Right route” problemD.“Right medication” problemANS: CBecause the patient cannot swallow, the prescriber must adjust the ordered route. “Time” is not correct because the ordered frequency has not changed. “Dose” is not correct because the dose is not related to inability to swallow. “Medication” is not correct because the medication ordered will not change, just the route.DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 13TOP:NURSING PROCESS: ImplementationMSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control3.The nurse has been monitoring a patient’s progress on a new drug regimen since the first dose and documenting signs of possible adverse effects. This example illustrates which phase of the nursing process?A.PlanningB.EvaluationC.ImplementationD.Nursing diagnosisANS: BMonitoring the patient’s progress is part of the evaluation phase. Planning, Implementation, and Nursing Diagnosis are not illustrated by this example.DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 14TOP:NURSING PROCESS: EvaluationMSC: NCLEX: Safe and Effective Care Environment: Management of Care4.The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus. Which statement best illustrates an outcome criterion for this patient?A.The patient will follow instructions.B.The patient will not experience complications.C.The patient will adhere to the new insulin treatment regimen.D.The patient will demonstrate safe insulin self-administration technique.ANS: D“Demonstrating safe insulin self-administration technique” is a specific and measurable outcome criterion. “Following instructions” and “not experiencing complications” are not specific criteria. “Adhering to new regimen” would be difficult to measure.DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 10TOP:NURSING PROCESS: PlanningMSC: NCLEX: Safe and Effective Care Environment: Management of Care5.Which activity best reflects the implementation phase of the nursing process for a patient who is newly diagnosed with type 1 diabetes mellitus?A.Providing education regarding self-injection techniqueB.Setting goals and outcome criteria with the patient’s inputC.Recording a drug history regarding over-the-counter medications used at homeD.Formulating nursing diagnoses regarding knowledge deficit related to new treatment regimenANS: AEducation is an intervention that occurs during the implementation phase. Setting goals and outcomes reflects the Planning phase. Recording a drug history reflects the Assessment phase. Formulating nursing diagnoses reflects analysis of data as part of Planning.DIF: COGNITIVE LEVEL: Applying (Application) REF: Pages 10-11TOP:NURSING PROCESS: ImplementationMSC: NCLEX: Safe and Effective Care Environment: Management of Care