Lehne's Pharmacology for Nursing
Care
12th Edition
• Author(s)Jacqueline Rosenjack
Burchum; Laura D. Rosenthal
,TEST BANK
Question 1 (MCQ)
Clinical Scenario
A nursing student is reviewing pharmacology terminology
before beginning a medical-surgical clinical rotation. The
student asks the instructor to explain the difference between a
medication's therapeutic effect and its adverse effects.
Question Stem
Which statement best describes the therapeutic effect of a
drug?
Answer Options
A. Any harmful or unintended response to a medication
B. The primary intended physiological response for which the
drug is prescribed
C. A patient's psychological expectation of improvement after
taking a drug
D. The amount of medication required to produce toxicity
Correct Answer
B. The primary intended physiological response for which the
drug is prescribed
,Detailed Rationale
A therapeutic effect is the desired, beneficial response that
motivates drug therapy. Nurses must understand intended
outcomes to evaluate medication effectiveness, educate
patients, and monitor treatment goals. For example, lowering
blood pressure is the therapeutic effect of many
antihypertensive medications.
Recognizing therapeutic goals supports safe medication
administration, evaluation of treatment success, and timely
identification of ineffective therapy or adverse reactions.
Incorrect Option Analysis
A. Any harmful or unintended response to a medication
Why Incorrect: This defines an adverse effect.
Common Clinical Misconception: Students may confuse any
drug response with therapeutic action.
Potential Medication Safety Risk: Failure to recognize harmful
effects promptly.
Appropriate Nursing Consideration: Differentiate expected
benefits from undesirable reactions.
C. A patient's psychological expectation of improvement after
taking a drug
, Why Incorrect: This describes a placebo effect.
Common Clinical Misconception: Assuming all perceived
improvements result directly from pharmacologic mechanisms.
Potential Medication Safety Risk: Misinterpreting treatment
efficacy.
Appropriate Nursing Consideration: Use objective and
subjective data when evaluating outcomes.
D. The amount of medication required to produce toxicity
Why Incorrect: This relates to toxic dose concepts.
Common Clinical Misconception: Equating drug strength with
therapeutic action.
Potential Medication Safety Risk: Inadequate monitoring for
overdose symptoms.
Appropriate Nursing Consideration: Understand therapeutic
ranges and toxicity thresholds.
Nursing Process Linkage
Evaluation
NCJMM Competencies
• Recognize Cues
Care
12th Edition
• Author(s)Jacqueline Rosenjack
Burchum; Laura D. Rosenthal
,TEST BANK
Question 1 (MCQ)
Clinical Scenario
A nursing student is reviewing pharmacology terminology
before beginning a medical-surgical clinical rotation. The
student asks the instructor to explain the difference between a
medication's therapeutic effect and its adverse effects.
Question Stem
Which statement best describes the therapeutic effect of a
drug?
Answer Options
A. Any harmful or unintended response to a medication
B. The primary intended physiological response for which the
drug is prescribed
C. A patient's psychological expectation of improvement after
taking a drug
D. The amount of medication required to produce toxicity
Correct Answer
B. The primary intended physiological response for which the
drug is prescribed
,Detailed Rationale
A therapeutic effect is the desired, beneficial response that
motivates drug therapy. Nurses must understand intended
outcomes to evaluate medication effectiveness, educate
patients, and monitor treatment goals. For example, lowering
blood pressure is the therapeutic effect of many
antihypertensive medications.
Recognizing therapeutic goals supports safe medication
administration, evaluation of treatment success, and timely
identification of ineffective therapy or adverse reactions.
Incorrect Option Analysis
A. Any harmful or unintended response to a medication
Why Incorrect: This defines an adverse effect.
Common Clinical Misconception: Students may confuse any
drug response with therapeutic action.
Potential Medication Safety Risk: Failure to recognize harmful
effects promptly.
Appropriate Nursing Consideration: Differentiate expected
benefits from undesirable reactions.
C. A patient's psychological expectation of improvement after
taking a drug
, Why Incorrect: This describes a placebo effect.
Common Clinical Misconception: Assuming all perceived
improvements result directly from pharmacologic mechanisms.
Potential Medication Safety Risk: Misinterpreting treatment
efficacy.
Appropriate Nursing Consideration: Use objective and
subjective data when evaluating outcomes.
D. The amount of medication required to produce toxicity
Why Incorrect: This relates to toxic dose concepts.
Common Clinical Misconception: Equating drug strength with
therapeutic action.
Potential Medication Safety Risk: Inadequate monitoring for
overdose symptoms.
Appropriate Nursing Consideration: Understand therapeutic
ranges and toxicity thresholds.
Nursing Process Linkage
Evaluation
NCJMM Competencies
• Recognize Cues
