Question 1

Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with type 1 diabetes mellitus?

Accepted Answer

Education is an intervention that occurs during the implementation phase.Setting goals and outcome criteria reflects the planning phase.Recording a drug history reflects the assessment phase.Formulating nursing diagnoses regarding a knowledge deficit reflects analysis of data as part of the planning phase.

Question 2

What correctly describes the nursing process?

Accepted Answer

The nursing process is an ongoing,flexible,adaptable,and adjustable five-step process that begins with assessing and continues through diagnosing,planning,implementing,and finally evaluating,which may then lead back to any of the other phases.

Question 3

When the nurse is considering the timing of a drug dose,which is most important to assess?

Accepted Answer

The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug-food interactions or compatibility issues.The patient's identification,weight,and drug or food allergies are not affected by the drug's timing.

Question 4

Which is a judgement about a particular patient's potential need or problem?

Accepted Answer

Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds to heath conditions and life processes or vulnerability for that response.

Question 5

The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.Which statement best illustrates an outcome criterion for this patient?

Accepted Answer

Having the patient demonstrate safe insulin self-administration technique is a specific and measurable outcome criterion.Following instructions and avoiding complications are not specific criteria.Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.

Question 6

Place the phases of the nursing process in the correct order,starting with the first phase.
A)Planning
B)Evaluation
C)Assessment
D)Implementation
E)Diagnosing

Accepted Answer

The answer of Place the phases of the nursing process...

Question 7

The nurse is working during a very busy night shift,and the health care provider has just given the nurse a medication order over the telephone,but the nurse does not recall the route.What is the best way for the nurse to avoid medication errors?

Accepted Answer

If a medication order does not include the route,the nurse must ask the health care provider to clarify it.Never assume the route of administration.

Question 8

The patient is to receive oral furosemide (Lasix)every day; however,because the patient is unable to swallow,he cannot take medication orally,as ordered.The nurse needs to contact the physician.What type of problem is this?

Accepted Answer

This is a "right route" problem: the nurse cannot assume the route and must clarify the route with the prescriber.This is not a "right time" problem because the ordered frequency has not changed.This is not a "right dose" problem because the dose is not related to an inability to swallow.This is not a "right medication" problem because the medication ordered will not change,just the route.

Question 9

Which constitutes the traditional Five Rights of medication administration?

Accepted Answer

The traditional Five Rights of medication administration were considered to be Right drug,Right route,Right dose,Right time,and Right patient.Right effect,right strength,and right diagnosis are not part of the traditional Five Rights.

Question 10

The nurse has been monitoring the patient's progress on his new drug regimen since the first dose and has been documenting signs of possible adverse effects.What nursing process phase is the nurse practising?

Accepted Answer

Monitoring the patient's progress is part of the evaluation phase.Planning,implementation,and nursing diagnosis are not illustrated by this example.

Question 11

The nurse is writing nursing diagnoses for a plan of care.Which reflects the correct format for her nursing diagnosis?

Accepted Answer

Formulation of nursing diagnoses is usually a three-step process.The only complete answer is "Anxiety related to new drug therapy,as evidenced by statements such as 'I'm upset about having to give myself shots.'" The answer "Anxiety" is missing the "related to" and "as evidenced by" portions.The answer "Anxiety related to new drug therapy" is missing the "as evidenced by" portion of defining characteristics.The "related to" section in "Anxiety related to anxious feelings about drug therapy,as evidenced by statements such as 'I'm upset about having to give myself shots'" is simply a restatement of the problem "anxiety," not a separate factor related to the response.

Quiz 1: Nursing Practice in Canada and Drug Therapy