Ford Roach’s Introductory Clinical Pharmacology 9th Edition by Susan M. Ford – Test Bank

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Sample Questions Posted Below

 

1. Which of the following results occur when nurses teach clients effectively? Select all that apply.
A) Improved client outcomes.
B) Decreased adherence with drug regimen.
C) Increased ability of client to manage drug therapy.
D) Worsened client outcomes.
E) Decreased ability of client to manage drug therapy.
2. Which of the following can the nurse do to improve a client’s motivation to learn? Select all that apply.
A) Educate the client about their disease process.
B) Do not include caregivers in the education process as it is a HIPAA violation.
C) Create an accepting and positive atmosphere.
D) Ignore client’s questions until you are finished teaching.
E) Encourage client participation in goal planning.
3. Which of the following are domains of the learning process?
A) Cognitive domain
B) Affective domain
C) Physical domain
D) Psychological domain
E) Psycomotor domain
4. Which of the following are included in the cognitive domain? Select all that apply.
A) Thought
B) Feelings
C) Beliefs
D) Recall
E) Decision making
5. Which of the following are included in the affective domain? Select all that apply.
A) Thought
B) Feelings
C) Beliefs
D) Recall
E) Decision making
6. The client uses the cognitive domain to do which of the tasks? Select all that apply.
A) Form new beliefs.
B) Process new information.
C) Make a decision.
D) Ask questions.
E) Demonstrate a physical skill.
7. The nurse makes use of the cognitive domain when information is given to the client of caregiver about which or the following? Select all that apply.
A) Instruction on the correct administration of insulin.
B) Review of complications associated with diabetes.
C) Review of adverse reactions associated with insulin.
D) Review of how frequently to administer insulin.
E) Instruction on how to use a glucometer.
8. The nurse makes use of the psychomotor domain when information is given to the client or caregiver about which of the following? Select all that apply.
A) Instruction on the correct administration of insulin.
B) Review of complications associated with diabetes.
C) Review of adverse reactions associated with insulin.
D) Review of how frequently to administer insulin.
E) Instruction on how to use a glucometer.
9. The nursing process is a systematic method that includes which of the following steps? 

Select all that apply.

A) Identifying client health needs.
B) Reviewing client medications.
C) Devising a plan of care.
D) Initiating a nursing plan.
E) Evaluating the effectiveness of a plan.
10. To develop an effective teaching plan, the nurse must first determine a client’s needs which can include which of the following? Select all that apply.
A) Information the client needs to know about a particular medication.
B) Client’s ability to read.
C) Client’s ability to learn the information presented.
D) Client’s ability to use the information presented.
E) Client’s ability to accept the information presented.
11. Which of the following represent inappropriate times for client teaching? Select all that apply.
A) When there are visitors.
B) Immediately prior to discharge.
C) The day of admission.
D) While the client is sedated.
E) While the client is in pain.
12. The nurse can use which of the following to evaluate a client’s knowledge of the material presented? Select all that apply.
A) Client recitation of information
B) Client return demonstration
C) Open-ended questions
D) Closed-ended questions
E) Nurse review of information
13. Which of the following is true of adult learning? Select all that apply.
A) Adults prefer a formal learning environment.
B) Adults draw on past experiences to facilitate learning.
C) Adults learn best by listening.
D) Adults learn best by active learning.
E) Adults are most often visual learners.
14. Which of the following are ways the nurse can help the client adapt drug administration in the home? Select all that apply.
A) Prepare a daily calendar
B) Prepare a pill box
C) Provide written instructions
D) Place all medication in one bottle
E) Develop a clear, easy-to-read dosing schedule
15. A nurse is formulating a teaching plan for a client receiving a new drug. Which of the following information should be included in the teaching plan? Select all that apply.
A) Adverse reaction to expect from the drug.
B) Adverse reactions to report to the physician.
C) Therapeutic response to expect from the drug.
D) The route of administration.
E) The dose of drug to administer.
16. Development of a therapeutic relationship with a client is based on which of the following? Select all that apply.
A) Trust
B) Education
C) Commitment
D) Dedication
E) Caring
17. Which of the following dosage forms would require relatively little client teaching? Select all that apply.
A) Injectables
B) Inhalers
C) Tablets
D) Capsules
E) Transdermal patches
18. When a nurse assesses a client’s ability to learn, what should the nurse take into consideration? Select all that apply.
A) Literacy level
B) Language
C) Presence of a learning impairment
D) Visual impairment
E) Hearing impairment
19. Client goals are set during the planning stage of the client’s teaching plan. When the nurse is developing client-specific goals, which of the following should the nurse keep in mind? Select all that apply.
A) Goals should be measurable.
B) Goals should be attainable.
C) Goals should be set by the client only.
D) Goals should be set by the physician only.
E) Goals should be set by the nurse only.
20. Which of the following would be considered appropriate client goals for the nurse to set when teaching a client how to use a glucometer? Select all that apply.
A) Demonstration of appropriate testing procedure.
B) Understanding of steps to take in the case of low blood glucose.
C) Understanding of blood glucose goals.
D) Understanding of the pathophysiology of diabetes.
E) Understanding of frequency of blood glucose testing.
21. A nurse is caring for a patient with high blood pressure. The patient has a sphygmomanometer at home. A family member wishes to learn how to measure blood pressure. The nurse demonstrates to the patient and the family member how to take blood pressure measurements using the sphygmomanometer. What kind of learning domain does this learning belong to?
A) Psychomotor domain C) Cognitive domain
B) Affective domain D) Intellectual domain
22. A patient with seasonal allergies has been prescribed a nasal spray, which will be administered at home. The patient wants to know about the addictive nature of the nasal spray, the adverse reactions, and the harmful effects involved. Which of the following nursing diagnoses from the patient’s care plan should the nurse address while educating the patient?
A) Ineffective therapeutic regimen management
B) Discharge teaching for the patient
C) Deficient knowledge nursing diagnosis
D) Effective individual therapeutic regimen management
23. A patient is to be discharged from a nursing home. The nurse caring for the patient has to educate the patient regarding the appropriate use of prescribed drugs. Which of the following factors is most important in helping the patient to learn faster?
A)  Attitude    B)  Motivation    C)  Interest    D)  Grasping power
24. A cancer patient needs supplemental oxygen at home through an oxygen cylinder. The nurse assigned to the patient teaches the patient’s brother to administer oxygen from the cylinder at home. Which of the following is the most effective for the nurse to evaluate the patient’s brother understanding?
A) Ask questions such as “Do you understand?”
B) Ask the patient’s brother to demonstrate the procedure.
C) Ask the patient’s brother to document the technique.
D) Asking questions related to the procedure.
25. A patient in a local health care center is presented information on drug administration by the nurse. All of the following affects the patient’s interpretation of the information except:
A) Patient’s financial status C) Prior perceptions
B) Prior knowledge D) Previous experiences
26. A patient admitted to a hospital is not good at information recalling, decision making, and conclusion-drawing skills. The patient also lacks proper psychomotor knowledge. Which of the following types of nursing diagnosis should the nurse use for such a patient?
A) Knowledge deficit
B) Ineffective therapeutic regimen management
C) Effective individual therapeutic regimen management
D) Discharge teaching for the patient
27. A nurse is caring for a patient with liver cirrhosis. The nurse has to collaborate on an individualized teaching plan to help the client administer the post-discharge medication. What factors should be kept in mind by the nurse when implementing such a plan? Select all that apply.
A) The nurse’s teaching ability
B) The prescribed drug
C) The patient’s learning skills
D) The patient’s need to know the drugs
E) The health care provider’s preference
28. A diabetes patient is awaiting discharge from a nursing care unit. The nurse presents information to the patient regarding injections to be administered at home. Which intellectual activities does the patient involve when interpreting this information using the cognitive domain of learning? Select all that apply.
A) Recall
B) Opinions
C) Thought
D) Attitude
E) Decision making
29. A patient with viral flu is prescribed drugs to be administered at home. The nurse prepares a teaching plan to help the patient learn the administration of the prescribed drugs at home. Which of the following factors could pose obstacles in the patient’s learning process?
A) Varied or different literacy levels C) Previous experience
B) Lack of high grasping skills D) Prior knowledge
30. A nurse is caring for a 70-year-old patient diagnosed with diabetes. The patient is to be discharged soon, and the nurse needs to teach him about the administration of the oral medications. Which of the following will most likely help the nurse learn about the patient’s affective behavior? Select all that apply.
A) Developing a therapeutic relationship with the patient.
B) Overlooking the concern of the patient’s family.
C) Approaching the patient with respect.
D) Nurturing a relationship based on trust and caring.
E) Avoiding patient’s queries on sensitive issues.

Answer Key

1. A, C
2. A, C, E
3. A, B, E
4. A, D, E
5. B, C
6. B, C, D
7. A, E
8. B, C, D
9. A, C, D, E
10. A, B, C, D, E
11. A, B, D, E
12. A, B, C
13. B, D, E
14. A, B, C, E
15. A, B, C, D, E
16. A, E
17. C, D
18. A, B, C, D, E
19. A, B
20. A, B, C, E
21. A
22. D
23. B
24. B
25. A
26. A
27. B, D, E
28. A, C, E
29. A
30. A, C, D

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