fThese principles often help people determine what is "right" or "wrong" in different situations. Law, on the other hand, is a system of rules that are created and enforced by institutions to regulate behavior, ensure
order, and resolve disputes.Ethical dilemmas often arise when an individual or organization faces a situation in which different moral principles conflict, or where there is no clear "right" answer. Legal issues, Full
Test Bank For
Test Bank for Pharmacology and the Nursing Process 10th Edition By Linda Lilley, Shelly Collins, Julie Snyder
Chapter 1-58 Complete Guide A+
Chapter 1-58
meanwhile, come into play when actions conflict with established laws or legal norms. The challenge arises in balancing both ethical and legal considerations when making decisions.### 2. **Ethical Issues in
Healthcare**Healthcare is one of the sectors where ethical and legal issues are particularly pronounced. Medical professionals regularly face situations that require them to make complex decisions that not only have
life-altering consequences for patients but also raise profound moral questions. These issues include:#### 2.1 **Patient Autonomy and Informed Consent**One of the fundamental ethical principles in healthcare is
respect for patient autonomy—the right of patients to make decisions about their own bodies and medical treatments. This principle is enshrined in the legal concept of informed consent. Informed consent requires
healthcare providers to disclose all relevant information about the risks, benefits, and alternatives to a medical treatment or procedure, allowing patients to make informed decisions.However, challenges arise when
patients are not fully capable of making informed decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas can arise regarding whether a third party (e.g., a parent or guardian)
should make the decision on the patient’s behalf, and whether the legal framework supports such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-life care, particularly decisions regarding
euthanasia, brings about significant ethical and legal debates. While some argue that individuals should have the right to choose a dignified death through euthanasia or assisted suicide, others believe that these
practices undermine the sanctity of life. Legal systems across the world differ on the matter, with some countries or states permitting euthanasia, while others forbid it entirely.#### 2.3 **Confidentiality and
Privacy**Medical professionals are ethically and legally bound to maintain patient confidentiality. The principle of confidentiality is critical for building trust between patients and healthcare providers. However,
breaches in confidentiality can occur when healthcare providers are forced to share patient information due to legal requirements, such as in cases of child abuse or public health emergencies. The balance between
maintaining confidentiality and ensuring public safety often creates a complex ethical and legal dilemma.### 3. **Ethical Issues in Business**In the world of business, ethical and legal issues are common and wide-
ranging. Companies are often faced with difficult decisions about how to balance profit motives with moral responsibility. These ethical issues often extend into areas like corporate governance, consumer protection,
employee rights, and environmental responsibility.#### 3.1 **Corporate Social Responsibility (CSR)**Corporate emerge
Chapter 01: The Nursing Process and Drug Therapy
Lilley: Pharmacology and the Nursing Process, 10th 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 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.
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
5. Which activity best reflects the implementation phase of the nursing process for the patient who is
newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the patient‘s input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating human needs statements regarding deficient knowledge related to the
new treatment regimen
ANS: A
Education is an intervention that occurs during the implementation phase. Setting goals and outcomes
reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating human
needs statements reflects analysis of data as part of planning.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning chemotherapy
to prevent nausea.‖ The nurse notes that the route is missing from the order. What is the nurse‘s best
action?
a. Give the medication intravenously because the patient might vomit.
b. Give the medication orally because the tablets are available in 4-mg doses.
c. Contact the prescriber to clarify the route of the medication ordered.
d. Hold the medication until the prescriber returns to make rounds.
ANS: C These principles often help people determine what is "right" or "wrong" in different situations. Law, on the other hand, is a system of rules that are created and enforced by institutions to regulate
behavior, ensure order, and resolve disputes.Ethical dilemmas often arise when an individual or organization faces a situation in which different moral principles conflict, or where there is no clear "right" answer.
Legal issues, meanwhile, come into play when actions conflict with established laws or legal norms. The challenge arises in balancing both ethical and legal considerations when making decisions.### 2. **Ethical
Issues in Healthcare**Healthcare is one of the sectors where ethical and legal issues are particularly pronounced. Medical professionals regularly face situations that require them to make complex decisions that not
only have life-altering consequences for patients but also raise profound moral questions. These issues include:#### 2.1 **Patient Autonomy and Informed Consent**One of the fundamental ethical principles in
healthcare is respect for patient autonomy—the right of patients to make decisions about their own bodies and medical treatments. This principle is enshrined in the legal concept of informed consent. Informed consent
, requires healthcare providers to disclose all relevant information about the risks, benefits, and alternatives to a medical treatment or procedure, allowing patients to make informed decisions.However, challenges arise
when patients are not fully capable of making informed decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas can arise regarding whether a third party (e.g., a parent or
guardian) should make the decision on the patient’s behalf, and whether the legal framework supports such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-life care, particularly decisions
regarding euthanasia, brings about significant ethical and legal debates. While some argue that individuals should have the right to choose a dignified death through euthanasia or assisted suicide, others believe that
these practices undermine the sanctity of life. Legal systems across the world differ on the matter, with some countries or states permitting euthanasia, while others forbid it entirely.#### 2.3 **Confidentiality and
Privacy**Medical professionals are ethically and legally bound to maintain patient confidentiality. The principle of confidentiality is critical for building trust between patients and healthcare providers. However,
breaches in confidentiality can occur when healthcare providers are forced to share patient information due to legal requirements, such as in cases of child abuse or public health emergencies. The balance between
maintaining confidentiality and ensuring public safety often creates a complex ethical and legal dilemma.### 3. **Ethical Issues in Business**In the world of business, ethical and legal issues are common and wide-
ranging. Companies are often faced with difficult decisions about how to balance profit motives with
A complete medication order includes the route of administration. If a medication order does not include
the route, the nurse must ask the prescriber to clarify it. The intravenous and oral routes are not
interchangeable. Holding the medication until the prescriber returns would mean that the patient would
not receive a needed medication.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
7. When the nurse considers the timing of a drug dose, which factor is appropriate to consider when
deciding when to give a drug?
a. The patient‘s ability to swallow
b. The patient‘s height
c. The patient‘s last meal
d. The patient‘s allergies
ANS: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that may be
affected by the timing of the last meal. The patient‘s ability to swallow, height, and allergies are not
factors to consider regarding the timing of the drug‘s administration.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. The nurse is performing an assessment of a newly admitted patient. Which is an example of subjective
data?
a. Weight 155 pounds
b. Pulse 72 beats/minute
c. The patient reports that he uses the herbal product ginkgo
d. The patient‘s complete blood count results
ANS: C
Subjective data include information shared through the spoken word by any reliable source, such as the
patient. Objective data may be defined as any information gathered through the senses or that which is
seen, heard, felt, or smelled. A patient‘s pulse, weight, and laboratory tests are all examples of objective
data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
1. When giving medications, the nurse will follow the rights of medication administration. The rights
include the right documentation, the right reason, the right response, and the patient‘s right to refuse.
Which of these are additional rights? (Select all that apply.) These principles often help people determine what is "right" or "wrong" in different
situations. Law, on the other hand, is a system of rules that are created and enforced by institutions to regulate behavior, ensure order, and resolve disputes.Ethical dilemmas often arise when an individual
or organization faces a situation in which different moral principles conflict, or where there is no clear "right" answer. Legal issues, meanwhile, come into play when actions conflict with established laws
, or legal norms. The challenge arises in balancing both ethical and legal considerations when making decisions.### 2. **Ethical Issues in Healthcare**Healthcare is one of the sectors where ethical and
legal issues are particularly pronounced. Medical professionals regularly face situations that require them to make complex decisions that not only have life-altering consequences for patients but also raise
profound moral questions. These issues include:#### 2.1 **Patient Autonomy and Informed Consent**One of the fundamental ethical principles in healthcare is respect for patient autonomy—the right of
patients to make decisions about their own bodies and medical treatments. This principle is enshrined in the legal concept of informed consent. Informed consent requires healthcare providers to disclose all
relevant information about the risks, benefits, and alternatives to a medical treatment or procedure, allowing patients to make informed decisions.However, challenges arise when patients are not fully
capable of making informed decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas can arise regarding whether a third party (e.g., a parent or guardian) should
make the decision on the patient’s behalf, and whether the legal framework supports such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-life care, particularly decisions regarding
euthanasia, brings about significant ethical and legal debates. While some argue that individuals should have the right to choose a dignified death through euthanasia or assisted suicide, others believe that
these practices undermine the sanctity of life. Legal systems across the world differ on the matter, with some countries or states permitting euthanasia, while others forbid it entirely.#### 2.3
**Confidentiality and Privacy**Medical professionals are ethically and legally bound to maintain patient confidentiality. The principle of confidentiality is critical for building trust between patients and
healthcare providers. However, breaches in confidentiality can occur when healthcare providers are forced to share patient information due to legal requirements, such as in cases of child abuse or public
health emergencies. The balance between maintaining confidentiality and ensuring public safety often creates a complex ethical and legal dilemma.### 3. **Ethical Issues in Business**In the world of
business, ethical and legal issues are common and wide-ranging. Companies are often faced with difficult decisions about how to balance profit motives with moral responsibility. These ethical issues often
extend into areas like corporate governance, consumer protection, employee rights, and environmental responsibility.#### 3.1 **Corporate Social Responsibility (CSR)**Corporate
a. Right drug
b. Right route
c. Right dose
d. Right diagnosis
e. Right time
f. Right patient
ANS: A, B, C, E, F
Additional rights of medication administration must always include the right drug, right dose, right time,
right route, and right patient. The right diagnosis is incorrect.
DIF: Cognitive Level: Remembering (Knowledge)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
OTHER
1. Place the phases of the nursing process in the correct order, with 1 as the first phase and 5 as the last
phase.
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Human needs statement
ANS:
C, E, A, D, B
The nursing process is an ongoing process that begins with assessing and continues with human needs
statement, planning, implementing, and evaluating.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: General
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
These principles often help people determine what is "right" or "wrong" in different situations. Law, on the other hand, is a system of rules that are created and enforced by institutions to regulate
behavior, ensure order, and resolve disputes.Ethical dilemmas often arise when an individual or organization faces a situation in which different moral principles conflict, or where there is no clear "right"
answer. Legal issues, meanwhile, come into play when actions conflict with established laws or legal norms. The challenge arises in balancing both ethical and legal considerations when making
decisions.### 2. **Ethical Issues in Healthcare**Healthcare is one of the sectors where ethical and legal issues are particularly pronounced. Medical professionals regularly face situations that require
them to make complex decisions that not only have life-altering consequences for patients but also raise profound moral questions. These issues include:#### 2.1 **Patient Autonomy and Informed
Consent**One of the fundamental ethical principles in healthcare is respect for patient autonomy—the right of patients to make decisions about their own bodies and medical treatments. This principle is
enshrined in the legal concept of informed consent. Informed consent requires healthcare providers to disclose all relevant information about the risks, benefits, and alternatives to a medical treatment or
procedure, allowing patients to make informed decisions.However, challenges arise when patients are not fully capable of making informed decisions (e.g., due to age, mental illness, or language
barriers). In such cases, ethical dilemmas can arise regarding whether a third party (e.g., a parent or guardian) should make the decision on the patient’s behalf, and whether the legal framework supports
such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-life care, particularly decisions regarding euthanasia, brings about significant ethical and legal debates. While some argue that
Chapter 02: Pharmacologic Principles
Lilley: Pharmacology and the Nursing Process, 10th Edition
These principles often help people determine what is "right" or "wrong" in different situations. Law, on the other hand, is a system of rules that are created and enforced by institutions to regulate behavior, ensure
order, and resolve disputes.Ethical dilemmas often arise when an individual or organization faces a situation in which different moral principles conflict, or where there is no clear "right" answer. Legal issues,
meanwhile, come into play when actions conflict with established laws or legal norms. The challenge arises in balancing both ethical and legal considerations when making decisions.### 2. **Ethical Issues in
Healthcare**Healthcare is one of the sectors where ethical and legal issues are particularly pronounced. Medical professionals regularly face situations that require them to make complex decisions that not only have
life-altering consequences for patients but also raise profound moral questions. These issues include:#### 2.1 **Patient Autonomy and Informed Consent**One of the fundamental ethical principles in healthcare is
respect for patient autonomy—the right of patients to make decisions about their own bodies and medical treatments. This principle is enshrined in the legal concept of informed consent. Informed consent requires
healthcare providers to disclose all relevant information about the risks, benefits, and alternatives to a medical treatment or procedure, allowing patients to make informed decisions.However, challenges arise when
patients are not fully capable of making informed decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas can arise regarding whether a third party (e.g., a parent or guardian)
should make the decision on the patient’s behalf, and whether the legal framework supports such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-life care, particularly decisions regarding
