Flashcards
Exam 1 CHPT 1, 2, 3, 4, 5, 12, 13, 20, 21
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The nurse is providing medication education to a client with hypertension. The nurse teaches the
a client that the physician ordered a diuretic to decrease the amount of fluid in the client’s body.
Which statement best describes the nurse's instruction?
1. The nurse provided appropriate medication education.
2. The nurse explained the drug's mechanism of action.
3. The nurse taught the client about a prototype drug.
4. The nurse explained the consequences of not using the drug
The nurse is providing medication education to a client with hypertension. The nurse teaches the
a c...
Correct Answer: 2
Rationale 1: The education was most likely appropriate, but this response is too vague.
Rationale 2: A drug's mechanism of action explains how a drug produces its effect in the body.
Rationale 3: There is no drug name present, so it is not known whether this is a prototype drug.
Rationale 4: The nurse did not explain the consequences of not using the drug.
Global Rationale: A drug's mechanism of action explains how a drug produces its effect in the
body. The nurse did not explain the consequences of not using the drug. There is no drug name
present, so it is not known whether this is a prototype drug. The education was most likely
appropriate, but this response is too vague.
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and
processes.
AACN Essential Competencies: I.7 Integrate the knowledge and methods of a variety of
disciplines to inform decision-making.
NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other
disciplines.
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-7 Describe what is meant by a drug’s mechanism of action.
MNL Learning Outcome: 1.1.1 Apply basic concepts related to pharmacology.
Page Number: 5
The client is receiving a very expensive medication. The client asks the nurse why the medicine
is so expensive. What is the best response by the nurse?
1. "It is expensive, but your insurance covers it and you have a low co-pay."
2. "Drug companies are allowed to advertise medications and this adds to the cost."
3. "Drug companies must recoup the cost of developing and producing the drug."
4. "I think the drug companies should be more accountable for lowering costs."
The client is receiving a very expensive medication. The client asks the nurse why the medicine
is s...
Correct Answer: 3
Rationale 1: Telling the client that insurance covers the drug doesn't answer the client’s question.
Rationale 2: Advertising costs are expensive, but this answer implies the drug company is
raising costs unnecessarily.
Rationale 3: If the cost of developing a new drug is not recouped by the drug company, there is
no impetus for the company to continue drug development.
Rationale 4: It is non-therapeutic for the nurse to introduce her own beliefs, such as
accountability of drug companies, into a conversation with the client.
Global Rationale: Telling the client that insurance covers the drug doesn't answer the client’s
question. It is non-therapeutic for the nurse to introduce her own beliefs, such as accountability
of drug companies, into a conversation with the client.
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and
processes.
AACN Essential Competencies: I.7 Integrate the knowledge and methods of a variety of
disciplines to inform decision making.
NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other
disciplines.
Nursing/Integrated Concepts: Nursing Process: Implementation
A client with chronic back pain informs the nurse he has been receiving therapeutic touch in
addition to his medications. What is the nurse’s best classification of this client’s treatment?
1. pharmacotherapy.
2. drug-absence therapy
3. complementary therapy
4. biologic therapy
A client with chronic back pain informs the nurse he has been receiving therapeutic touch in
additio...
Correct Answer: 3
Rationale 1: Pharmacotherapy is the application of drugs for the purpose of treating diseases and
alleviating human suffering.
Rationale 2: The client is using medications as well as an alternative therapy.
Rationale 3: The client is using a non-conventional type of treatment (therapeutic touch) that is
classified as complementary to his conventional pharmacotherapy. Biologic therapy involves the
use of naturally produced substances by microorganisms or within the body. The client is using
medications as well as an alternative therapy, which is why complementary therapy is the best
choice.
Rationale 4: Biologic therapy involves the use of naturally produced substances by
microorganisms or within the body.
Global Rationale: The client is using a non-conventional type of treatment (therapeutic touch)
that is classified as complementary to his conventional pharmacotherapy. Pharmacotherapy is the application of drugs for the purpose of treating diseases and alleviating human suffering.
Biologic therapy involves the use of naturally produced substances by microorganisms or within
the body. The client is using medications as well as an alternative therapy, which is why
complementary therapy is the best choice.
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of patient centered
care: patient/family/community preferences, values; coordination and integration of care;
information, communication, and education; physical comfort and emotional support;
involvement of family and friends; and transition and community.
AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an
understanding of human growth and development, pathophysiology, pharmacology, medical
management and nursing management across the health-illness continuum, across lifespan, and
in all healthcare settings.
NLN Competencies: Relationship centered care: Respect the patient’s dignity, uniqueness,
integrity, and self-determination, and his or her own power and self-healing process.
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 1-4 Compare and contrast traditional drugs, biologics, and complementary
and alternative medicine therapies.
MNL Learning Outcome: 1.1.1 Apply basic concepts related to pharmacology.
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