TEST BANK FOR Pharmacology for Nurses A Pathophysi
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ologic Approach, 7th Edition by Michael P. Adams Norm
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an Holland Shanti Chang
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, Chapter 1 gv Introduction to Pharmacology gv gv g v
The nurse is reviewing key events in the history of pharmacology with a student nurse. Whic
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h student comment indicates an understanding?
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"Early researchers used themselves as test subjects."
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"A primary goal of pharmacology is to prevent disease."
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"Penicillin is one of the initial drugs isolated from a natural source."
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"Pharmacologists began synthesizing drugs in the laboratory in the nineteenth century." Ans
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wer: 1 g v
Explanation:
Some early researchers, like Friedrich Serturner, used themselves as test subjects.
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An early goal of pharmacology was to relieve human suffering.
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Initial drugs isolated from complex mixtures included morphine, colchicine, curare, and cocai
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ne, but not penicillin.
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By the twentieth century, pharmacologists could synthesize drugs in the laborator
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y. Page Ref: 3
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Cognitive Level: Analyzing gv gv g v
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Stand
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ards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of
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patient-
centered care: patient/family/community preferences, values; coordination and integration of car
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e; information, communication, and education; physical comfort and emotional support; involv
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ement of family and friends; and transition and continuity. | AACN Domains and Competenci
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es: 1.1 Demonstrate an understanding of the discipline of nursing's distinct perspective and wher
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e shared perspectives exist with other disciplines. | NLN Competencies: Knowledge and Scienc
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e: Integration of knowledge from nursing and other disciplines. | Nursing/Integrated Concepts:
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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: Examine the relationship between medicine and pharmacology.
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The nursing student asks why anatomy and physiology as well as microbiology are required
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courses when learning about pharmacology. Which response will the instructor make? "Bec
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ause pharmacology is an outgrowth of those subjects."
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"You must learn all, since all of those subjects are part of the curriculum."
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"Knowledge of all those subjects will prepare you to administer medication
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." "An understanding of those subjects is essential to understand pharmacolo
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gy." Answer: 4 gv g v
Explanation:
Pharmacology is an outgrowth of anatomy, physiology, and microbiology, but this is not the
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most essential reason for the nurse to learn them.
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The nurse must learn anatomy, physiology, and microbiology to understand pharmacology, not beca
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use they are part of the curriculum.
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Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
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,pharmacology, not to provide care such as administration of medications. gv gv gv gv gv gv gv gv gv
It is essential for the nurse to have a broad knowledge base of many sciences in order to learn
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pharmacology.
Page Ref: 4 gv gv
Cognitive Level: Applying gv gv g v
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Stand
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ards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of
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patient-
centered care: patient/family/community preferences, values; coordination and integration of car
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e; information, communication, and education; physical comfort and emotional support; involv
gv gv gv gv gv gv gv gv gv gv
ement of family and friends; and transition and continuity. | AACN Domains and Competenci
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es: 1.1 Demonstrate an understanding of the discipline of nursing's distinct perspective and wher
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e shared perspectives exist with other disciplines. | NLN Competencies: Knowledge and Scienc
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e: Integration of knowledge from nursing and other disciplines. | Nursing/Integrated Concepts:
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Nursing Process: Implementation
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Learning Outcome: 1- gv g v
2 Explain the interdisciplinary nature of pharmacology, giving an example of how knowledge fr
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om different sciences impacts the nurse's role in drug administration.
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MNL Learning Outcome: Identify how drugs are named and classified.
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The nurse is teaching about the differences between pharmacology and therapeutics. Which s
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tatement indicates that teaching was effective?
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Note: Credit will be given only if all correct choices and no incorrect choices are selected. Sele
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ct all that apply.
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"Pharmacology is the development of medicines." gv gv gv gv gv g
v"Pharmacology is the study of medicines." "Thera gv gv gv gv gv gv
peutics relates to drug use to treat suffering." "Ther
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apeutics is the study of drug interactions."
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"Pharmacology is the study of drugs to prevent disease and alleviate suffering." A
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nswer: 2, 3, 5 g v gv gv
Explanation:
Pharmacology is not the development of medicines. gv gv gv gv gv gv
Pharmacology is the study of medicines.
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Therapeutics is the use of drugs in the treatment of suffering. Therape
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utics is not related to the study of drug interactions.
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Pharmacology is the study of drugs for the purpose of disease prevention and to alleviate suf
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fering.
Page Ref: 4 gv gv
Cognitive Level: Analyzing gv gv g v
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Stand
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ards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of
g v gv gv gv gv gv gv gv gv
patient-
centered care: patient/family/community preferences, values; coordination and integration of car
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e; information, communication, and education; physical comfort and emotional support; involv
gv gv gv gv gv gv gv gv gv gv
ement of family and friends; and transition and continuity. | AACN Domains and Competenci
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es: 1.1 Demonstrate an understanding of the discipline of nursing's distinct perspective and wher
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e shared perspectives exist with other disciplines. | NLN Competencies: Knowledge and Scienc
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e: Integration of knowledge from nursing and other disciplines. | Nursing/Integrated Concepts:
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Nursing Process: Evaluation
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Learning Outcome: 1- gv g v
3 Compare and contrast therapeutics and pharmacology. MNL Learning Outcome
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: Identify how drugs are named and classified.
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, The nurse is preparing to administer a vaccine to a client. Which information about th
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e manufacture of vaccines should the nurse recall when administering this medicatio
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n? The vaccine is produced by natural plant extracts in the laboratory.
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The vaccine is naturally produced in animal cells or microorganisms.
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The vaccine is produced by a combination of animal and plant product
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s. The vaccine is most commonly synthesized in a laboratory.
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Answer: 2 Explanati g v gv
on:
Vaccines are not produced by natural plant extracts.
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Vaccines are naturally produced in animal cells, microorganisms, or by the body itself. Vacci
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nes are not produced by a combination of animal and plant products.
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Vaccines are not synthesized in a laboratory. gv gv gv gv gv gv
Page Ref: 4
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Cognitive Level: Applying gv gv g v
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
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Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods an
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d processes. | AACN Domains and Competencies: 5.2 Contribute to a culture of patient safety
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. | NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and o
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ther disciplines. | Nursing/Integrated Concepts: Nursing Process: Evaluation
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Learning Outcome: 1- gv g v
4 Compare and contrast traditional drugs, biologics including biosimilars, and complementary a
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nd alternative medicine therapies.
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MNL Learning Outcome: Identify how drugs are named and classified.
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An older client with gastrointestinal bleeding asks why the condition developed when only i
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buprofen was used to self-treat arthritis. Which response should the nurse make?
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"There are nonpharmacologic methods to relieve joint pain."
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"Maybe you should take acetaminophen because it is safer."
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"Ask your healthcare provider before taking over-the-
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counter medications." "I'm going to review the side effects of ibuprofen wit
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h you."
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Answer: 4 Explanati g v gv
on:
Reviewing nonpharmacologic methods to relieve joint pain is appropriate for this client, but i
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t's not the highest priority. It doesn't address the client's current concern about how ibuprofen
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may have increased the risk of having a GI bleed.
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Substitution of other drugs may be beneficial; however, it is beyond the nurse's scope of practice to su
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ggest or prescribe medications.
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It is not a realistic plan to expect clients to contact the healthcare provider prior to taking any
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vover-the-
counter medication. In addition, it doesn't address the client's current concern about how ibupro
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fen may have increased the risk of having a GI bleed.
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It is essential for the nurse to teach clients about the advantages, and the disadvantages (inclu
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ding side effects), of all medications and supplements the client is taking.
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Page Ref: 6 gv gv
Cognitive Level: Applying gv gv g v
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
gv gvgv gv gv gv gv gv
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods an
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d processes. | AACN Domains and Competencies: 2.2 Communicate effectively with individu
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als. | NLN Competencies: Context and Environment: Health promotion/disease prevention. |
gv gv gv gv gv gv gv gv gv gv
gv gv gv gv gv gv gvgv
ologic Approach, 7th Edition by Michael P. Adams Norm
gv gv gv gv gv gv gvgv gv
an Holland Shanti Chang
gv gv gv
, Chapter 1 gv Introduction to Pharmacology gv gv g v
The nurse is reviewing key events in the history of pharmacology with a student nurse. Whic
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
h student comment indicates an understanding?
gv gv gv gv gv
"Early researchers used themselves as test subjects."
gv gv gv gv gv gv
"A primary goal of pharmacology is to prevent disease."
gv gv gv gv gv gv gv gv
"Penicillin is one of the initial drugs isolated from a natural source."
gv gv gv gv gv gv gv gv gv gv gv
"Pharmacologists began synthesizing drugs in the laboratory in the nineteenth century." Ans
gv gv gv gv gv gv gv gv gv gv gv
wer: 1 g v
Explanation:
Some early researchers, like Friedrich Serturner, used themselves as test subjects.
gv gv gv gv gv gv gv gv gv gv gv
An early goal of pharmacology was to relieve human suffering.
gv gv gv gv gv gv gv gv gv
Initial drugs isolated from complex mixtures included morphine, colchicine, curare, and cocai
gv gv gv gv gv gv gv gv gv gv gv
ne, but not penicillin.
gv gv gv
By the twentieth century, pharmacologists could synthesize drugs in the laborator
gv gv gv gv gv gv gv gv gv gv
y. Page Ref: 3
gv gv gv
Cognitive Level: Analyzing gv gv g v
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Stand
gv g v gv gv gv gv gv gv
ards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of
g v gv gv gv gv gv gv gv gv
patient-
centered care: patient/family/community preferences, values; coordination and integration of car
gv gv gv gv gv gv gv gv gv
e; information, communication, and education; physical comfort and emotional support; involv
gv gv gv gv gv gv gv gv gv gv
ement of family and friends; and transition and continuity. | AACN Domains and Competenci
gv gv gv gv gv gv gv gv gv gv gv gv gv
es: 1.1 Demonstrate an understanding of the discipline of nursing's distinct perspective and wher
gv gv gv gv gv gv gv gv gv gv gv gv gv
e shared perspectives exist with other disciplines. | NLN Competencies: Knowledge and Scienc
gv gv gv gv gv gv gv gv gv gv gv gv
e: Integration of knowledge from nursing and other disciplines. | Nursing/Integrated Concepts:
gv gv gv gv gv gv gv gv gv gv gv
Nursing Process: Evaluation
gv gv gv
Learning Outcome: 1-1 Identify key events in the history of pharmacology.
gv g v g v gv gv gv gv gv gv gv gv
MNL Learning Outcome: Examine the relationship between medicine and pharmacology.
gv gv g v gv gv gv gv gv gv gv
The nursing student asks why anatomy and physiology as well as microbiology are required
gv gv gv gv gv gv gv gv gv gv gv gv gv gv
courses when learning about pharmacology. Which response will the instructor make? "Bec
gv gv gv gv gv gv gv gv gv gv gv
ause pharmacology is an outgrowth of those subjects."
gv gv gv gv gv gv gv
"You must learn all, since all of those subjects are part of the curriculum."
gv gv gv gv gv gv gv gv gv gv gv gv gv gv
"Knowledge of all those subjects will prepare you to administer medication
gv gv gv gv gv gv gv gv gv gv
." "An understanding of those subjects is essential to understand pharmacolo
gv gv gv gv gv gv gv gv gv gv
gy." Answer: 4 gv g v
Explanation:
Pharmacology is an outgrowth of anatomy, physiology, and microbiology, but this is not the
gv gv gv gv gv gv gv gv gv gv gv gv gv gv
most essential reason for the nurse to learn them.
gv gv gv gv gv gv gv gv
The nurse must learn anatomy, physiology, and microbiology to understand pharmacology, not beca
gv gv gv gv gv gv gv gv gv gv gv gv
use they are part of the curriculum.
gv gv gv gv gv gv
Knowledge of anatomy, physiology, and microbiology prepares the nurse to understand
gv gv gv gv gv gv gv gv gv gv
,pharmacology, not to provide care such as administration of medications. gv gv gv gv gv gv gv gv gv
It is essential for the nurse to have a broad knowledge base of many sciences in order to learn
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
pharmacology.
Page Ref: 4 gv gv
Cognitive Level: Applying gv gv g v
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Stand
gv g v gv gv gv gv gv gv
ards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of
g v gv gv gv gv gv gv gv gv
patient-
centered care: patient/family/community preferences, values; coordination and integration of car
gv gv gv gv gv gv gv gv gv
e; information, communication, and education; physical comfort and emotional support; involv
gv gv gv gv gv gv gv gv gv gv
ement of family and friends; and transition and continuity. | AACN Domains and Competenci
gv gv gv gv gv gv gv gv gv gv gv gv gv
es: 1.1 Demonstrate an understanding of the discipline of nursing's distinct perspective and wher
gv gv gv gv gv gv gv gv gv gv gv gv gv
e shared perspectives exist with other disciplines. | NLN Competencies: Knowledge and Scienc
gv gv gv gv gv gv gv gv gv gv gv gv
e: Integration of knowledge from nursing and other disciplines. | Nursing/Integrated Concepts:
gv gv gv gv gv gv gv gv gv gv gv
Nursing Process: Implementation
gv gv gv
Learning Outcome: 1- gv g v
2 Explain the interdisciplinary nature of pharmacology, giving an example of how knowledge fr
gv gv gv gv gv gv gv gv gv gv gv gv gv
om different sciences impacts the nurse's role in drug administration.
gv gv gv gv gv gv gv gv gv
MNL Learning Outcome: Identify how drugs are named and classified.
gv gv g v g v gv gv gv gv gv gv
The nurse is teaching about the differences between pharmacology and therapeutics. Which s
gv gv gv gv gv gv gv gv gv gv gv gv
tatement indicates that teaching was effective?
gv gv gv gv gv
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Sele
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
ct all that apply.
gv gv gv
"Pharmacology is the development of medicines." gv gv gv gv gv g
v"Pharmacology is the study of medicines." "Thera gv gv gv gv gv gv
peutics relates to drug use to treat suffering." "Ther
gv gv gv gv gv gv gv gv
apeutics is the study of drug interactions."
gv gv gv gv gv gv
"Pharmacology is the study of drugs to prevent disease and alleviate suffering." A
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nswer: 2, 3, 5 g v gv gv
Explanation:
Pharmacology is not the development of medicines. gv gv gv gv gv gv
Pharmacology is the study of medicines.
gv gv gv gv gv gv
Therapeutics is the use of drugs in the treatment of suffering. Therape
gv gv gv gv gv gv gv gv gv gv gv
utics is not related to the study of drug interactions.
gv gv gv gv gv gv gv gv gv
Pharmacology is the study of drugs for the purpose of disease prevention and to alleviate suf
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
fering.
Page Ref: 4 gv gv
Cognitive Level: Analyzing gv gv g v
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Stand
gv g v gv gv gv gv gv gv
ards: QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of
g v gv gv gv gv gv gv gv gv
patient-
centered care: patient/family/community preferences, values; coordination and integration of car
gv gv gv gv gv gv gv gv gv
e; information, communication, and education; physical comfort and emotional support; involv
gv gv gv gv gv gv gv gv gv gv
ement of family and friends; and transition and continuity. | AACN Domains and Competenci
gv gv gv gv gv gv gv gv gv gv gv gv gv
es: 1.1 Demonstrate an understanding of the discipline of nursing's distinct perspective and wher
gv gv gv gv gv gv gv gv gv gv gv gv gv
e shared perspectives exist with other disciplines. | NLN Competencies: Knowledge and Scienc
gv gv gv gv gv gv gv gv gv gv gv gv
e: Integration of knowledge from nursing and other disciplines. | Nursing/Integrated Concepts:
gv gv gv gv gv gv gv gv gv gv gv
Nursing Process: Evaluation
gv gv gv
Learning Outcome: 1- gv g v
3 Compare and contrast therapeutics and pharmacology. MNL Learning Outcome
gv gv gv gv gv gv gv gv gv
: Identify how drugs are named and classified.
g v gv gv gv gv gv gv
, The nurse is preparing to administer a vaccine to a client. Which information about th
gv gv gv gv gv gv gv gv gv gv gv gv gv gv
e manufacture of vaccines should the nurse recall when administering this medicatio
gv gv gv gv gv gv gv gv gv gv gv
n? The vaccine is produced by natural plant extracts in the laboratory.
gv gv gv gv gv gv gv gv gv gv gv
The vaccine is naturally produced in animal cells or microorganisms.
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The vaccine is produced by a combination of animal and plant product
gv gv gv gv gv gv gv gv gv gv gv
s. The vaccine is most commonly synthesized in a laboratory.
gv gv gv gv gv gv gv gv gv
Answer: 2 Explanati g v gv
on:
Vaccines are not produced by natural plant extracts.
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Vaccines are naturally produced in animal cells, microorganisms, or by the body itself. Vacci
gv gv gv gv gv gv gv gv gv gv gv gv gv
nes are not produced by a combination of animal and plant products.
gv gv gv gv gv gv gv gv gv gv gv
Vaccines are not synthesized in a laboratory. gv gv gv gv gv gv
Page Ref: 4
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Cognitive Level: Applying gv gv g v
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
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Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods an
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d processes. | AACN Domains and Competencies: 5.2 Contribute to a culture of patient safety
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. | NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and o
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ther disciplines. | Nursing/Integrated Concepts: Nursing Process: Evaluation
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Learning Outcome: 1- gv g v
4 Compare and contrast traditional drugs, biologics including biosimilars, and complementary a
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nd alternative medicine therapies.
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MNL Learning Outcome: Identify how drugs are named and classified.
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An older client with gastrointestinal bleeding asks why the condition developed when only i
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buprofen was used to self-treat arthritis. Which response should the nurse make?
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"There are nonpharmacologic methods to relieve joint pain."
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"Maybe you should take acetaminophen because it is safer."
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"Ask your healthcare provider before taking over-the-
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counter medications." "I'm going to review the side effects of ibuprofen wit
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h you."
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Answer: 4 Explanati g v gv
on:
Reviewing nonpharmacologic methods to relieve joint pain is appropriate for this client, but i
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t's not the highest priority. It doesn't address the client's current concern about how ibuprofen
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may have increased the risk of having a GI bleed.
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Substitution of other drugs may be beneficial; however, it is beyond the nurse's scope of practice to su
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ggest or prescribe medications.
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It is not a realistic plan to expect clients to contact the healthcare provider prior to taking any
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vover-the-
counter medication. In addition, it doesn't address the client's current concern about how ibupro
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fen may have increased the risk of having a GI bleed.
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It is essential for the nurse to teach clients about the advantages, and the disadvantages (inclu
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ding side effects), of all medications and supplements the client is taking.
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Page Ref: 6 gv gv
Cognitive Level: Applying gv gv g v
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
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Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods an
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d processes. | AACN Domains and Competencies: 2.2 Communicate effectively with individu
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als. | NLN Competencies: Context and Environment: Health promotion/disease prevention. |
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