Pharmacology for Nurses:
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Pharmacology for Nurses, 6e (Adams)
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,u Chapter 1 Introduction to Pharmacology
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1) A nurse is reviewing key events in the history of pharmacology with a student nurse.
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Which student comment indicates an understanding?
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1. "Early researchers used themselves as test subjects."u u u u u u
2. "A primary goal of pharmacology is to prevent disease."
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3. "Penicillin is one of the initial drugs isolated from a natural source." u u u u u u u u u u u
4. "Pharmacologists began synthesizing drugs in the laboratory in the nineteenth u u u u u u u u u
century." u
Answer: 1 u
Explanation:
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1. Some early researchers, like Friedrich Serturner, used themselves as test
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subjects. u
2. An early goal of pharmacology was to relieve human suffering.
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3. Initial drugs isolated from complex mixtures included morphine, colchicine,
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curare, and cocaine, but not penicillin.
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4. By the twentieth century, pharmacologists could synthesize drugs in the
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laboratory. u
Page Ref: 3 u u
Cognitive Level: Applying u u
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
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Standards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions
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uof patient-centered care: patient/family/community preferences, values; coordination
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and integration of care; information, communication, and education; physical comfort
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and emotional support; involvement of family and friends; and transition and
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continuity.
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| AACN Essential Competencies: I.7 Integrate the knowledge and methods of a variety of
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disciplines to inform decision making. | NLN Competencies: Knowledge and Science:
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Integration of knowledge from nursing and other disciplines. | Nursing/Integrated
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Concepts: Nursing Process: Evaluation
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Learning Outcome: 1-1 Identify key events in the history of pharmacology.
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MNL Learning Outcome: 1.1 Examine the relationship between medicine and
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pharmacology.
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2) A student nurse asks a nursing instructor why anatomy and physiology as well as
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microbiology are required courses when the student only wants to learn about
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pharmacology. What is the best response by the instructor?
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1. "Because pharmacology is an outgrowth of those subjects." u u u u u u u
2. "You must learn all, since all of those subjects are part of the curriculum."
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3. "Knowledge of all those subjects will prepare you to administer medication." u u u u u u u u u u
4. "An understanding of those subjects is essential to understand pharmacology."
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Answer: 4
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Explanation:
1. Pharmacology is an outgrowth of anatomy, physiology, and microbiology, but u u u u u u u u u
this is not the most essential reason for the nurse to learn them.
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2. The nurse must learn anatomy, physiology, and microbiology to understand
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pharmacology, not because they are part of the curriculum.
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, 3. Knowledge of anatomy, physiology, and microbiology prepares the nurse to u u u u u u u u u
understand pharmacology, not to provide care such as administration of
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medications. u
4. It is essential for the nurse to have a broad knowledge base of many sciences in
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order to learn pharmacology.
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Page Ref: 3 u u
Cognitive Level: Applying u u
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
u u u u u u u
Standards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions
u u u u u u u u u
uof patient-centered care: patient/family/community preferences, values; coordination
u u u u u u
and integration of care; information, communication, and education; physical comfort
u u u u u u u u u u
and emotional support; involvement of family and friends; and transition and
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continuity.
u
| AACN Essential Competencies: I.7 Integrate the knowledge and methods of a variety of
u u u u u u u u u u u u u
disciplines to inform decision making. | NLN Competencies: Knowledge and Science:
u u u u u u u u u u u
Integration of knowledge from nursing and other disciplines. | Nursing/Integrated
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Concepts: Nursing Process: Implementation
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Learning Outcome: 1-2 Explain the interdisciplinary nature of pharmacology, giving an
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example of how knowledge from different sciences impacts the nurse's role in drug
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administration.
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MNL Learning Outcome: 1.1 Examine the relationship between medicine and
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pharmacology.
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3) A nurse is teaching a group of nurses about the differences between pharmacology
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and therapeutics. The nurse determines that learning has occurred when which
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statements are made?
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Note: Credit will be given only if all correct choices and no incorrect choices are selected.
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Select all that apply. u u u
1. "Pharmacology is the development of medicines." u u u u u
2. "Pharmacology is the study of medicines." u u u u u
3. "Therapeutics relates to drug use to treat suffering." u u u u u u u
4. "Therapeutics is the study of drug interactions." u u u u u u
5. "Pharmacology is the study of drugs to prevent disease." u u u u u u u u
Answer: 2, 3, 5
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Explanation:
1. Pharmacology is not the development of medicines. u u u u u u
2. Pharmacology is the study of medicines. u u u u u
3. Therapeutics is the use of drugs in the treatment of suffering. u u u u u u u u u u
4. Therapeutics is not related to study of drug interactions. u u u u u u u u
5. Pharmacotherapy is the application of drugs for the purpose of disease u u u u u u u u u u
prevention. u
Page Ref: 4 u u
Cognitive Level: Applying u u
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
u u u u u u u
Standards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions
u u u u u u u u u
uof patient-centered care: patient/family/community preferences, values; coordination
u u u u u u
and integration of care; information, communication, and education; physical comfort
u u u u u u u u u u
and emotional support; involvement of family and friends; and transition and
u u u u u u u u u u u
continuity.
u
, | AACN Essential Competencies: I.7 Integrate the knowledge and methods of a variety of
u u u u u u u u u u u u u
disciplines to inform decision making. | NLN Competencies: Knowledge and Science:
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Integration of knowledge from nursing and other disciplines. | Nursing/Integrated
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Concepts: Nursing Process: Evaluation
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Learning Outcome: 1-3 Compare and contrast therapeutics and pharmacology.
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MNL Learning Outcome: 1.1 Examine the relationship between medicine and
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pharmacology.
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4) A nurse administers a vaccine to a client. What is the nurse's best understanding as
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it relates to the manufacture of a vaccine?
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1. The vaccine is produced by natural plant extracts in the laboratory.
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2. The vaccine is naturally produced in animal cells or microorganisms.
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3. The vaccine is produced by a combination of animal and plant products.
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4. The vaccine is most commonly synthesized in a laboratory.
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Answer: 2
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Explanation:
1. Vaccines are not produced by natural plant extracts. u u u u u u u
2. Vaccines are naturally produced in animal cells, microorganisms, or by the body
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itself. u
3. Vaccines are not produced by a combination of animal and plant products.
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4. Vaccines are not synthesized in a laboratory. u u u u u u
Page Ref: 4
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Cognitive Level: Applying u u
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
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Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific
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methods and processes. | AACN Essential Competencies: IX.3 Implement holistic,
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patient-centered care that reflects an understanding of human growth and
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development, pathophysiology, pharmacology, medical management, and nursing
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management across the health-illness continuum, across lifespan, and in all
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healthcare settings. | NLN Competencies: Knowledge and Science: Integration of
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knowledge from nursing and other disciplines. | Nursing/Integrated Concepts:
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Nursing Process: Evaluation
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Learning Outcome: 1-4 Compare and contrast traditional drugs, biologics, and
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complementary and alternative medicine therapies.
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MNL Learning Outcome: 1.1 Examine the relationship between medicine and
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pharmacology.
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5) An older client is admitted with gastrointestinal bleeding. The client says to the
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nurse, "I don't understand this. All I did was take ibuprofen (Advil) for my
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arthritis." What is the nurse's best response?
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1. Review nonpharmacologic methods to relieve joint pain. u u u u u u
2. Encourage the client to substitute safer drugs, such as acetaminophen (Tylenol). u u u u u u u u u u
3. Remind the client to contact their healthcare provider before taking any over-
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the-counter (OTC) medications.
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4. Teach the client about the side effects of ibuprofen (Advil).
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Answer: 4
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Explanation:
