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Test Bank For Biological Psychology, 14th Edition, James W. Kalat || Complete Guide A+||Latest Update 2024 Test Bank For Biological Psychology, 14th Edition, James W. Kalat || Complete Guide A+||Latest Update 2024 Test Bank For Biological Psychology, 14th Edition, James W. Kalat || Complete Guide...

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Test Bank For Pharmacotherapeutics for Advanced Practice
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Nurse Prescribers 5th Edition Woo Robinson
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Chapter 1. The Role of the Nurse
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PractitionerMultiple Choice
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Identify the choice that best completes the statement or answers the question.
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jhh jhh jhh j hh 1. Nurse practitioner prescriptive authority is regulated by:
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1. The National Council of State Boards of Nursing jhh jhh jhh jhh jhh jhh jhh




2. The U.S. Drug Enforcement Administration jhh jhh jhh jhh




3. The State Board of Nursing for each state jhh jhh jhh jhh jhh jhh jhh




4. The State Board of Pharmacy jhh jhh jhh jhh




jhh jhh jhh j hh 2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN)
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prescriberinclude:
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1. Nurses know more about Pharmacology than other prescribers because they take
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itboth in their basic nursing program and in their APRN program.
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2. Nurses care for the patient from a holistic approach and include the patient
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indecision making regarding their care.
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3. APRNs are less likely to prescribe narcotics and other controlled substances. jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh




4. APRNs are able to prescribe independently in all states, whereas a jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh




physician’sassistant needs to have a physician supervising their practice.
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jhh jhh jhh j hh 3. Clinical judgment in prescribing includes:
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1. Factoring in the cost to the patient of the medication prescribed jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh




2. Always prescribing the newest medication available for the disease process jhh jhh jhh jhh jhh jhh jhh jhh jhh




3. Handing out drug samples to poor patients jhh jhh jhh jhh jhh jhh




4. Prescribing all generic medications to cut costs jhh jhh jhh jhh jhh jhh




jhh jhh jhh j hh 4. Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug they think would work best for them jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh




2. Consulting nationally recognized guidelines for disease management jhh jhh jhh jhh jhh jhh




3. Prescribing medications that are available as samples before writing a prescription jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh




4. Following U.S. Drug Enforcement Administration guidelines for prescribing jhh jhh jhh jhh jhh jhh jhh




jhh jhh jhh j hh 5. Nurse practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of nurse practitioners to control costs and improve
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patientoutcomes jhh j
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2. The fact that nurse practitioners will be able to practice independently
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3. The fact that nurse practitioners will have full reimbursement under health-
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carereform j
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4. The ability to shift accountability for Medicaid to the state level
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,chapter 1. The Role of the Nurse
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PractitionerAnswer Section
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MULTIPLE CHOICE jhh




1. ANS: jhh jhh j h h 3 PTS: j h h 1
2. ANS: jhh jhh j h h 2 PTS: j h h 1
3. ANS: jhh jhh j h h 1 PTS: j h h 1
4. ANS: jhh jhh j h h 2 PTS: j h h 1
5. ANS: jhh jhh j h h 1 PTS: j h h 1

Chapter 2. Review of Basic Principles of
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PharmacologyMultiple Choice
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Identify the choice that best completes the statement or answers the question.
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jhh jhh jhh j hh 1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical
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toprescribing because:
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1. Distribution of drugs to target tissue may be affected. jhh jhh jhh jhh jhh jhh jhh jhh




2. The solubility of the drug will not match the site of absorption. jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh




3. There will be less free drug available to generate an effect. jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh




4. Drugs bound to albumin are readily excreted by the kidneys. jhh jhh jhh jhh jhh jhh jhh jhh jhh




jhh jhh jhh j hh 2. Drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only jhh jhh jhh jhh jhh jhh jhh jhh




2. Bypass the hepatic circulation jhh jhh jhh




3. Are rapidly metabolized by the liver and may have little if any desired action
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4. Are converted by the liver to more active and fat-soluble forms jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh




jhh jhh jhh j hh 3. The route of excretion of a volatile drug will likely be the:
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1. Kidneys
2. Lungs
3. Bile and feces jhh jhh




4. Skin

jhh jhh jhh j hh 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
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storagereservoir of the drug. Storage reservoirs:
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1. Assure that the drug will reach its intended target tissue jhh jhh jhh jhh jhh jhh jhh jhh jhh




2. Are the reason for giving loading doses jhh jhh jhh jhh j hh jhh




3. Increase the length of time a drug is available and active jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh




4. Are most common in collagen tissues jhh jhh jhh jhh jhh




jhh jhh jhh j hh 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
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1. Propensity to go to the target receptor jhh jhh jhh jhh jhh jhh




2. Biological half-life jhh




3. Pharmacodynamics
4. Safety and side effects jhh jhh jhh

,jhh jhh jhh j hh 6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of
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theprescription. This is considered a loading dose. A loading dose:
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1. Rapidly achieves drug levels in the therapeutic range
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2. Requires four- to five-half-lives to attainjhh jhh jhh jhh jhh




3. Is influenced by renal function
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4. Is directly related to the drug circulating to the target tissues
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jhh jhh jhh j hh 7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic
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effectis the:
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1. Minimum adverse effect level jhh jhh jhh




2. Peak of action jhh jhh

, 3. Onset of action jhh jhh




4. Therapeutic range jhh




jhh jhh jhh j hh 8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
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1. When the drug has a wide therapeutic range jhh jhh jhh jhh jhh jhh jhh




2. When the drug will be administered for a short time only jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh




3. When there is a high correlation between the dose and saturation of receptor sites
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4. To determine if a drug is in the therapeutic range
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jhh jhh jhh j hh 9. A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration.
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This means that the: jhh jhh jhh




1. Concentration will produce therapeutic effects jhh jhh jhh jhh




2. Concentration will produce an adverse response jhh jhh jhh jhh jhh




3. Time between doses must be shortened jhh jhh jhh jhh jhh




4. Duration of action of the drug is too long jhh jhh jhh jhh jhh jhh jhh jhh




jhh j h h 10. Drugs that are receptor agonists may demonstrate what property?
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1. Irreversible binding to the drug receptor site jhh jhh jhh jhh jhh jhh




2. Upregulation with chronic use jhh jhh jhh




3. Desensitization or downregulation with continuous use jhh jhh jhh jhh jhh




4. Inverse relationship between drug concentration and drug action jhh jhh jhh jhh jhh jhh jhh




jhh j h h 11. Drugs that are receptor antagonists, such as beta blockers, may cause:
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1. Downregulation of the drug receptor jhh jhh jhh jhh




2. An exaggerated response if abruptly discontinued
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3. Partial blockade of the effects of agonist drugs jhh jhh jhh jhh jhh jhh jhh




4. An exaggerated response to competitive drug agonists
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jhh j h h 12. Factors that affect gastric drug absorption include:
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1. Liver enzyme activity jhh jhh




2. Protein-binding properties of the drug molecule jhh jhh jhh jhh jhh




3. Lipid solubility of the drug jhh jhh jhh jhh




4. Ability to chew and swallow jhh jhh jhh jhh




jhh j h h 13. Drugs administered via IV:
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1. Need to be lipid soluble in order to be easily absorbedjhh jhh jhh jhh jhh jhh jhh jhh jhh jhh




2. Begin distribution into the body immediately jhh jhh jhh jhh jhh




3. Are easily absorbed if they are nonionized
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4. May use pinocytosis to be absorbed jhh jhh jhh jhh jhh




jhh j h h 14. When a medication is added to a regimen for a synergistic effect, the combined effect of the drugs is:
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1. The sum of the effects of each drug individually
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2. Greater than the sum of the effects of each drug individually jhh jhh jhh jhh jhh jhh jhh jhh jhh jhh




3. Less than the effect of each drug individually jhh jhh jhh jhh jhh jhh jhh




4. Not predictable, as it varies with each individual
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jhh j h h 15. Which of the following statements about bioavailability is true?
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1. Bioavailability issues are especially important for drugs with narrow jhh jhh jhh jhh jhh jhh jhh jhh




therapeuticranges or sustained-release mechanisms.
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h jhh jhh jhh

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