Chapter 06: Patient Education and Drug Therapy

Chapter 06: Patient Education and Drug Therapy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which nursing diagnosis is appropriate for the patient who has just received a prescription for a new medication?

a.	Noncompliance related to new drug therapy
b.	Impaired memory related to new drug therapy
c.	Lack of knowledge regarding newly prescribed drug therapy
d.	Deficient knowledge related to newly prescribed drug therapy

 

 

ANS:  D

A patient who has a limited understanding of newly prescribed drug therapy may have the nursing diagnosis of deficient knowledge. Noncompliance is incorrect because that term implies that the patient does not follow a recommended regimen, which is not the case with a newly prescribed drug. Impaired memory is not appropriate in this situation. “Lack of knowledge” is not a nursing diagnosis.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 77

TOP:   NURSING PROCESS: Nursing Diagnosis

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

 

2. The nurse is developing a care plan for a patient who will be self-administering insulin injections. Which statement reflects a measurable outcome?

a.	The patient will know about self-administration of insulin injections.
b.	The patient will understand the principles of self-administration of insulin injections.
c.	The patient will demonstrate the proper technique of self-administering insulin injections.
d.	The patient will comprehend the proper technique of self-administering insulin injections.

 

 

ANS:  C

The word demonstrate is a measurable verb, and measurable terms should be used when developing goals and outcome criteria statements. The other options are incorrect because the terms know, understand, and comprehend are not measurable terms.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 77

TOP:   NURSING PROCESS: Planning

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

 

3. During a nursing assessment, which question by the nurse allows for greater clarification and additional discussion with the patient?

a.	“Are you allergic to penicillin?”
b.	“What medications do you take?”
c.	“Have you had a reaction to this drug?”
d.	“Are you taking this medication with meals?”

 

 

ANS:  B

Asking “What medications do you take?” is an open-ended question that will encourage greater clarification and additional discussion with the patient. The other options are examples of closed-ended questions, which prompt only a “yes” or “no” answer and provide limited information.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 77

TOP:   NURSING PROCESS: Assessment

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

 

4. The nurse is setting up a teaching session with an 85-year-old patient who will be going home on anticoagulant therapy. Which educational strategy would reflect consideration of the age-related changes that may exist with this patient?

a.	Show a video about anticoagulation therapy.
b.	Present all the information in one session just before discharge.
c.	Give the patient pamphlets about the medications to read at home.
d.	Develop large-print handouts that reflect the verbal information presented.

 

 

ANS:  D

Developing large-print handouts addresses altered perception in two ways. First, by using visual aids to reinforce verbal instructions, one addresses the possibility of decreased ability to hear high-frequency sounds. By developing the handouts in large print, one addresses the possibility of decreased visual acuity. Showing a video does not allow discussion of the information; furthermore, the text and print may be small and difficult to read and understand. Presenting all the information in one session before discharge also does not allow for discussion, and the patient may not be able to hear or see the information sufficiently. Because of the possibility of decreased short-term memory and slowed cognitive function, giving pamphlets to read may not be appropriate.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 79

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Health Promotion and Maintenance