Chapter 01: The Nursing Process and Drug Therapy Lilley:

Pharmacology and the Nursing Process, 9th Edition

MULTIPLE CHOICE

1. The nurse is developing a human needs statement for a patient who has a new diagnosis of

heart failure. Identification of human needs statements occur with which of these

activities?

a. Collection of patient data

b. Administering interventions

c. Deciding on patient outcomes

d. Documenting the patient’s behavior

ANS: A

Identification of human needs occurs with the collection of patient data.

DIF: Cognitive Level: Understanding (Comprehension)

TOP: Nursing Process: Human Needs Statement

MSC: NCLEX: Safe and Effective Care Environment: Management of Care

2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was

busy and gave the medication 2 hours after the scheduled dose was due. What type of

problem does this represent?

a. “Right time”

b. “Right dose”

c. “Right route”

d. “Right medication”

ANS: A

“Right time” is correct because the medication was given more than 30 minutes after the

scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the

medication administration is scheduled. “Route” is incorrect because the route is not

affected. “Medication” is incorrect because the medication ordered will not change.

DIF: Cognitive Level: Applying (Application)

TOP: Nursing Process: Implementation

MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control

3. The nurse has been monitoring the patient’s progress on a new drug regimen since the first

dose and documenting the patient’s therapeutic response to the medication. Which phase

of the nursing process do these actions illustrate?

a. Human needs statement

b. Planning

c. Implementation

d. Evaluation

ANS: D

Monitoring the patient’s progress, including the patient’s response to the medication, is

part of the evaluation phase. Planning, implementation, and human needs statement are not

illustrated by this example.

4

DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:

Evaluation

MSC: NCLEX: Safe and Effective Care Environment: Management of Care

4. 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 correct blood glucose testing technique.

ANS: D

“Demonstrating correct blood glucose testing 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) TOP: Nursing Process:

Planning

MSC: NCLEX: Safe and Effective Care Environment: Management of Care