PHARMACOLOGY CONNECTIONS TO
NURSING PRACTICE 5TH EDITION BY
MICHAEL ADAMS COMPLETE
QUESTIONS AND ANSWERS GRADED A+
◉ During pharmacology class, the student nurse asks the nursing
instructor how students will ever learn about the individual
antibiotic drugs since there are so many. What is the best
response by the nursing instructor?
1. "You will learn a little trick called mnemonics."
2. "You will learn how to do a flow chart to enhance memory."
3. "You will learn how to categorize the individual drugs."
4. "You will learn a representative drug from each class."
Answer: Correct Answer: 4
A prototype, or representative, drug is the well-understood drug
model from which other drugs in a pharmacological class are
compared. Categorizing individual drugs is not the best way to
learn about drugs. Using mnemonics is not the best way to learn
about drugs. Flow charts are not the best way to learn about
drugs.
◉ The physician ordered a brand name drug for the client,
paroxetine (Paxil). After taking this medication for a year, the
,client tells the nurse that it is no longer working. What is the best
assessment of the nurse at this time?
1. "This sounds like your medication needs changing."
2. "Let's look for interactions with other medications you are
taking."
3. "Are you taking Paxil or paroxetine?"
4. "It is time for us to do the Beck Depression assessment again."
Answer: Correct Answer: 3
The bioavailability of a generic drug may not be the same as the
bioavailability of a brand name drug. Assessing for worsening of
depression is appropriate, but the nurse should first assess if the
patient has changed to a generic form of the drug.
◉ The physician has prescribed a brand name drug for the client.
The client tells the nurse that the medication is too expensive.
What is the best plan by the nurse?
1. Help the client receive free medicine through a "patient
assistance" program.
2. Ask the physician if a cheaper brand name drug may be
substituted.
3. Ask the physician if a generic drug may be substituted.
4. Maintain the client on samples of the brand name drug from the
physician's office.
,Answer: Correct Answer: 3
Generic drugs are much less costly than brand name drugs. A
patient assistance program is a good idea, but since the client may
not qualify for this it is not the best plan. Another brand name
drug may not be what the client needs for the illness. Providing
samples is an option, but the office may temporarily run out of
samples and the client will not receive the medication.
◉ The nurse is teaching a medication class for parents of children
with attention-deficit hyperactivity disorder who are receiving
stimulant medications. The nurse has reviewed reasons why the
medications are restricted. The nurse determines that learning
has occurred when the parents make which response(s)?
Select all that apply.
1. "The use of these medications is restricted so that the
pharmacies can track the rate of drug abuse in our city."
2. "The use of these medications is restricted because the
physician needs to evaluate our child more often."
3. "The use of these medications is restricted because they have
the potential for abuse."
4. "The use of these medications is restricted so that the drug
companies can make a bigger profit."
5. "The use of these medications is restricted because this is the
current law."
Answer: Correct Answer: 3, 5
, The Controlled Substance Act is the law under which medications
with abuse potential are restricted. Stimulant medications are
considered controlled substances. More frequent evaluations are
a good plan, but this is not the reason for restricted use of
stimulant medications. Drug companies do not make a bigger
profit when medications are listed as restricted. Pharmacies do
not track the rate of drug abuse in cities.
◉ The client says to the nurse, "My doctor said my drug is a
controlled substance; am I considered an addict?" What is the best
response by the nurse?
1. "Are you concerned about becoming an addict? We can discuss
this in more detail it you would like to."
2. "You are not an addict; the Drug Enforcement Administration
(DEA) restricts the use of drugs with a high potential for abuse."
3. "Why do you ask about becoming an addict? Not many of our
clients have asked this question."
4. "You are not an addict, but the Drug Enforcement
Administration (DEA) will monitor you for this."
Answer: Correct Answer: 2
Drugs that have a high potential for addiction are considered
controlled substances. The Drug Enforcement Administration
(DEA) does not monitor clients for addiction when they receive
controlled substances. It is premature at this time to ask the client
if he is concerned about addiction; there is no information to
NURSING PRACTICE 5TH EDITION BY
MICHAEL ADAMS COMPLETE
QUESTIONS AND ANSWERS GRADED A+
◉ During pharmacology class, the student nurse asks the nursing
instructor how students will ever learn about the individual
antibiotic drugs since there are so many. What is the best
response by the nursing instructor?
1. "You will learn a little trick called mnemonics."
2. "You will learn how to do a flow chart to enhance memory."
3. "You will learn how to categorize the individual drugs."
4. "You will learn a representative drug from each class."
Answer: Correct Answer: 4
A prototype, or representative, drug is the well-understood drug
model from which other drugs in a pharmacological class are
compared. Categorizing individual drugs is not the best way to
learn about drugs. Using mnemonics is not the best way to learn
about drugs. Flow charts are not the best way to learn about
drugs.
◉ The physician ordered a brand name drug for the client,
paroxetine (Paxil). After taking this medication for a year, the
,client tells the nurse that it is no longer working. What is the best
assessment of the nurse at this time?
1. "This sounds like your medication needs changing."
2. "Let's look for interactions with other medications you are
taking."
3. "Are you taking Paxil or paroxetine?"
4. "It is time for us to do the Beck Depression assessment again."
Answer: Correct Answer: 3
The bioavailability of a generic drug may not be the same as the
bioavailability of a brand name drug. Assessing for worsening of
depression is appropriate, but the nurse should first assess if the
patient has changed to a generic form of the drug.
◉ The physician has prescribed a brand name drug for the client.
The client tells the nurse that the medication is too expensive.
What is the best plan by the nurse?
1. Help the client receive free medicine through a "patient
assistance" program.
2. Ask the physician if a cheaper brand name drug may be
substituted.
3. Ask the physician if a generic drug may be substituted.
4. Maintain the client on samples of the brand name drug from the
physician's office.
,Answer: Correct Answer: 3
Generic drugs are much less costly than brand name drugs. A
patient assistance program is a good idea, but since the client may
not qualify for this it is not the best plan. Another brand name
drug may not be what the client needs for the illness. Providing
samples is an option, but the office may temporarily run out of
samples and the client will not receive the medication.
◉ The nurse is teaching a medication class for parents of children
with attention-deficit hyperactivity disorder who are receiving
stimulant medications. The nurse has reviewed reasons why the
medications are restricted. The nurse determines that learning
has occurred when the parents make which response(s)?
Select all that apply.
1. "The use of these medications is restricted so that the
pharmacies can track the rate of drug abuse in our city."
2. "The use of these medications is restricted because the
physician needs to evaluate our child more often."
3. "The use of these medications is restricted because they have
the potential for abuse."
4. "The use of these medications is restricted so that the drug
companies can make a bigger profit."
5. "The use of these medications is restricted because this is the
current law."
Answer: Correct Answer: 3, 5
, The Controlled Substance Act is the law under which medications
with abuse potential are restricted. Stimulant medications are
considered controlled substances. More frequent evaluations are
a good plan, but this is not the reason for restricted use of
stimulant medications. Drug companies do not make a bigger
profit when medications are listed as restricted. Pharmacies do
not track the rate of drug abuse in cities.
◉ The client says to the nurse, "My doctor said my drug is a
controlled substance; am I considered an addict?" What is the best
response by the nurse?
1. "Are you concerned about becoming an addict? We can discuss
this in more detail it you would like to."
2. "You are not an addict; the Drug Enforcement Administration
(DEA) restricts the use of drugs with a high potential for abuse."
3. "Why do you ask about becoming an addict? Not many of our
clients have asked this question."
4. "You are not an addict, but the Drug Enforcement
Administration (DEA) will monitor you for this."
Answer: Correct Answer: 2
Drugs that have a high potential for addiction are considered
controlled substances. The Drug Enforcement Administration
(DEA) does not monitor clients for addiction when they receive
controlled substances. It is premature at this time to ask the client
if he is concerned about addiction; there is no information to
