Chapter 3. Rational Drug Selection
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. An NP would prescribe the liquid form of ibuprofen for a 6-year-old child because:
1. Drugs given in liquid form are less irritating to the stomach.
2. A 6-year-old child may have problems swallowing a pill.
3. Liquid forms of medication eliminate the concern for first-pass effect.
4. Liquid ibuprofen does not have to be dosed as often as the tablet form.
2. In deciding which of multiple drugs used to use to treat a condition, the NP chooses Drug A because
it:
1. Has serious side effects and it is not being used for a life-threatening condition
2. Will be taken twice daily and will be taken at home
3. Is expensive, but covered by health insurance
4. None of these are important in choosing a drug
3. A client asks the NP about the differences in drug effects between men and women. What is known
about the differences between the pharmacokinetics of men and women?
1. Body temperature varies between men and women.
2. Muscle mass is greater in women.
3. Percentage of fat differs between genders.
4. Proven subjective factors exist between the genders.
4. The first step in the prescribing process according to the World Health Organization is:
, 1. Choosing the treatment
2. Educating the patient about the medication
3. Diagnosing the patient’s problem
4. Starting the treatment
5. Treatment goals in prescribing should:
1. Always be curative
2. Be patient-centered
3. Be convenient for the provider
4. Focus on the cost of therapy
6. The therapeutic goals when prescribing include(s):
1. Curative
2. Palliative
3. Preventive
4. All of the above
7. When determining drug treatment the NP prescriber should:
1. Always use evidence-based guidelines
2. Individualize the drug choice for the specific patient
3. Rely on his or her experience when prescribing for complex patients
4. Use the newest drug on the market for the condition being treated
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. An NP would prescribe the liquid form of ibuprofen for a 6-year-old child because:
1. Drugs given in liquid form are less irritating to the stomach.
2. A 6-year-old child may have problems swallowing a pill.
3. Liquid forms of medication eliminate the concern for first-pass effect.
4. Liquid ibuprofen does not have to be dosed as often as the tablet form.
2. In deciding which of multiple drugs used to use to treat a condition, the NP chooses Drug A because
it:
1. Has serious side effects and it is not being used for a life-threatening condition
2. Will be taken twice daily and will be taken at home
3. Is expensive, but covered by health insurance
4. None of these are important in choosing a drug
3. A client asks the NP about the differences in drug effects between men and women. What is known
about the differences between the pharmacokinetics of men and women?
1. Body temperature varies between men and women.
2. Muscle mass is greater in women.
3. Percentage of fat differs between genders.
4. Proven subjective factors exist between the genders.
4. The first step in the prescribing process according to the World Health Organization is:
, 1. Choosing the treatment
2. Educating the patient about the medication
3. Diagnosing the patient’s problem
4. Starting the treatment
5. Treatment goals in prescribing should:
1. Always be curative
2. Be patient-centered
3. Be convenient for the provider
4. Focus on the cost of therapy
6. The therapeutic goals when prescribing include(s):
1. Curative
2. Palliative
3. Preventive
4. All of the above
7. When determining drug treatment the NP prescriber should:
1. Always use evidence-based guidelines
2. Individualize the drug choice for the specific patient
3. Rely on his or her experience when prescribing for complex patients
4. Use the newest drug on the market for the condition being treated
