2-1
Test Bank
Kee: Pharmacology, 6th Edition
Test Bank
Chapter 2: Nursing Process and Client Teaching
MULTIPLE CHOICE
1.Which of the following is the sequence of steps in the nursing process?
1. / implementation, evaluation, planning, assessment2. / planning, assessment, implementation, evaluation
3. / assessment, planning, implementation, evaluation
4. / evaluation, implementation, assessment, planning
ANS:3
These are the steps of the nursing process. In this text, analysis is considered part of assessment
DIF:Cognitive Level: ComprehensionREF:13TOP:Nursing Process: All
MSC:CONTENT CATEGORY: Management of Care
2.The client’s knowledge base about drugs used is part of which of the following?
1. / plan2. / analysis
3. / subjective database
4. / objective database
ANS:3
Data received in the subjective realm are based on client statements. The data would reflect the client’s knowledge.
DIF:Cognitive Level: ComprehensionREF:14
TOP:Nursing Process: Assessment
MSC:CONTENT CATEGORY: Health Promotion and Maintenance
3.Effectiveness of health teaching and drug therapy is associated with which of the following phases of the nursing process?
1. / implementation2. / planning
3. / assessment
4. / evaluation
ANS:4
The nurse would assess the effectiveness of a medication during the evaluation phase.
DIF:Cognitive Level: ComprehensionREF:21TOP:Nursing Process: Evaluation
4.During which phase of the nursing process would the nurse identify client perceptions and expectations of the drug’s effectiveness?
1. / planning2. / assessment
3. / evaluation
4. / implementation
ANS:2
This information is solicited during the assessment phase.
DIF:Cognitive Level: ComprehensionREF:14
TOP:Nursing Process: AssessmentMSC:CONTENT CATEGORY: Management of Care
5.The nurse is establishing goals for a client related to medication administration. Which of the phases of the nursing process is characterized by goal setting?
1. / planning2. / evaluation
3. / implementation
4. / assessment
ANS:1
It is during planning that nursing diagnoses are prioritized and client goals and nursing strategies are developed.
DIF:Cognitive Level: ComprehensionREF:17TOP:Nursing Process: Planning
MSC:CONTENT CATEGORY: Management of Care
6.During the implementation phase of the nursing process, which of the following is the most important nursing function?
1. / client education and teaching2. / identification of financial resources
3. / monitoring goal attainment
4. / analysis of assessment data
ANS:1
This is the phase for teaching; the other answers are in other steps of the nursing process.
DIF:Cognitive Level: ComprehensionREF:17
TOP:Nursing Process: Intervention/Teaching
MSC:CONTENT CATEGORY: Management of Care
7.Which of the following is a correctly written goal?
1. / The client will independently administer a prescribed dose of antibiotic by the end of the first teaching session.2. / The client will learn to take an antibiotic correctly.
3. / The client will administer a prescribed dose.
4. / The client will know how to administer antibiotics.
ANS:1
Client goals should include a subject, action verb, measurable and observable behaviors, and a target date.
DIF:Cognitive Level: ApplicationREF:17TOP:Nursing Process: Planning
MSC:CONTENT CATEGORY: Management of Care
8.Upon physical assessment, a nurse notes that a client has visual impairment. The nurse is concerned that the client’s visual changes may affect his ability to self-administer medications. Select the nursing diagnosis below that best describes this situation.
1. / risk for ineffective therapeutic regimen management related to medication secondary to visual impairment2. / deficient knowledge related to medication administration
3. / ineffective family therapeutic regimen management related to visual impairment
4. / ineffective coping related to lack of ability to self-administer medications
ANS:1
The nurse would need more information to determine if an actual nursing diagnosis exists. This diagnosis would best represent this problem.
DIF:Cognitive Level: AnalysisREF:16TOP:Nursing Process: Analysis
MSC:CONTENT CATEGORY: Management of Care
9.In your assessment, a client tells you that he or she has had a reaction to a medication. Your next nursing intervention is to:
1. / let the physician know that the client cannot receive the medication2. / ask the client the type of reaction experienced
3. / reassure the client that the reaction will not occur again
4. / note the comment in the client’s chart and give the medication
ANS:2
It is important for the nurse to know what type of reaction occurred in order to plan action.
DIF:Cognitive Level: ApplicationREF:14-15
TOP:Nursing Process: AssessmentMSC:CONTENT CATEGORY: Management of Care
10.A nurse is caring for a client who takes a chewable medication. The client does not take the medication because his teeth and gums have pain when chewing. The nurse establishes the following nursing diagnosis for the client: impaired dentition related to chronic gum inflammation secondary to poor dental hygiene. Which of the following nursing goals is most appropriate for the client?
1. / The client will verbalize the pathophysiology of gum disease.2. / The client will demonstrate the procedure for brushing teeth.
3. / The client will understand the need for dental hygiene.
4. / The client will discuss the reasons dental hygiene is important.
ANS:2
An important intervention would be to teach the client how to take care of his teeth, which would alleviate the pain and allow for greater adherence to the medication regimen.
DIF:Cognitive Level: ApplicationREF:17TOP:Nursing Process: Planning
MSC:CONTENT CATEGORY: Management of Care
11.A nurse is teaching a client about a medication that is scheduled to be administered qid. The client states that she does not use a watch or clock and lives without a daily routine. Which of the following would be most helpful for the client?
1. / Instruct the client to take the medication each morning and evening when brushing her teeth.2. / Instruct the client to take the medication at lunch every day.
3. / Provide the client with a watch to ensure she takes the medication at correct times.
4. / Teach the client to take the medication with meals and at bedtime each day.
ANS:4
For a client who is not time oriented and needs to take the medication 4 times a day, this is the only answer that is feasible.
DIF:Cognitive Level: ApplicationREF:19
TOP:Nursing Process: Intervention/Teaching
MSC:CONTENT CATEGORY: Health Promotion and Maintenance
12.You are teaching a client about his medications. In his care plan, a previous nurse indicated that the client was a visual learner. Which of the following teaching strategies would be indicated for this client?
1. / pamphlets or videos about the medication2. / opportunities for practicing the administration of medication
3. / a discussion about the medication
4. / an audiotape describing the medication and its actions
ANS:1
A visual learner would respond best to teaching strategies that can be seen (e.g., pamphlets or videos).
DIF:Cognitive Level: ApplicationREF:18 | 20TOP:Nursing Process: Planning
MSC:CONTENT CATEGORY: Health Promotion and Maintenance
13.A nurse is establishing a plan of care for a client ordered to receive antibiotic therapy. The client does not read English but is able to understand spoken English. He is of a lower income socioeconomic group. Which of the following strategies would be most appropriate to teach this client?
1. / Provide a videotape going over the information.2. / Give the client several pamphlets and ask him to go over them with his family.
3. / Provide a teaching sheet with simple words and pictures.
4. / Arrange a quiet time to discuss the medication regimen with the client.
ANS:4
This strategy takes both the client’s strengths and economics into account.
DIF:Cognitive Level: ApplicationREF:19TOP:Nursing Process: Planning
MSC:CONTENT CATEGORY: Management of Care
14.A client with AIDS-defined disease is ordered to receive two different medications. The primary care nurse notes that he has not been taking his medications as ordered. He states that he “doesn’t like the side effects of the drugs.” Which of the following is an appropriate nursing diagnosis?
1. / knowledge deficit related to progression of the AIDS disease2. / grieving related to diagnosis of terminal disease
3. / risk for infection related to impaired immune function
4. / noncompliance related to medication side effects and lack of knowledge
ANS:4
This nursing diagnosis reflects analysis of the client data.
DIF:Cognitive Level: AnalysisREF:15-16TOP:Nursing Process: Analysis
MSC:CONTENT CATEGORY: Management of Care
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