NURS125: Pharmacology in Nursing Practice I - Exam 2
Pharmacology in Nursing Practice I Chapters 4, 5, 6
Questions With Complete Solutions
Conversions to know for med math Correct Answer 1 mg =
1000 mcg
1 mcg = 0.001 mg
1 g = 1000 mg
1 mg = 0.001 g
Drug Legislation History Correct Answer 1906: Pure Food &
Drug Act
Prohibits manufacture/sale of misbranded drugs, foods, &
medications
1912: Sherley Amendment
Prohibits sale of drugs labeled with false therapeutic claims
1914: Harrison Narcotic Act
Requires prescription for narcotics; mandates health care
providers & pharmacists keep narcotic records
1938: Food, Drug, & Cosmetic Act
Prevents sale of drugs not thoroughly tested for safety
1970: Controlled Substance Act
Regulates manufacture, distribution, & dispensation of drugs
that have abuse potential
1994: Dietary Supplement Health & Education Act
,Requires clear labeling of dietary supplements; gives FDA
power to remove supplements that cause significant public risk
How and why do you obtain a psychosocial history? Correct
Answer Ask about alcohol, tobacco, & nonprescription drug use
Display extreme sensitivity & establish trusting relationship -
Patient might not share information which affects nursing care
How are medication errors tracked? Correct Answer Several
agencies track medication errors as well as provide databases for
health care professionals & consumers
FDA (i.e. MedWatch)
Institute for Safe Medication Practices
U.S. Pharmacopeia - official public standards-setting authority,
for prescription and OTC agents manufactured and sold in the
US
How do you as the nurse have a strong psychosocial impact on
your patient's drug compliance? Correct Answer Patient
convinced treatment is beneficial = better drug compliance
Drugs unacceptable for patient's social environment
Patient's positive expectations about pharmacotherapy
influenced by nurse
Need upfront explanations of drug actions & adverse effects
How do you assess learning needs? Correct Answer Gather
subjective (patient statements) & objective (you observed) data
, Age - what info is appropriate for each age?
Barriers to learning
Cultural background
Education, including literacy level
Health beliefs
Language - translators, layman's terms
Motivation
Psychosocial growth & development - allow adolescents to be
independent
-> Erickson = 12-18 year adolescents identity vs. role confusion
Readiness to learn
Use open-ended questions - get more than a yes or no answer
Stimulate more discussion & greater clarification
How long can the drug approval process take? Correct Answer
Up to 20 years
Nurse Practice Acts & Standards of Care Correct Answer Each
state has legislation to define professional nursing
Frequently amended so keep current
Includes safe delivery of medications
Safeguard patient's life & welfare
Carry out actions that any reasonable & prudent nurse would
perform under similar circumstances
Failure to act in this manner is negligence
Pharmacology in Nursing Practice I Chapters 4, 5, 6
Questions With Complete Solutions
Conversions to know for med math Correct Answer 1 mg =
1000 mcg
1 mcg = 0.001 mg
1 g = 1000 mg
1 mg = 0.001 g
Drug Legislation History Correct Answer 1906: Pure Food &
Drug Act
Prohibits manufacture/sale of misbranded drugs, foods, &
medications
1912: Sherley Amendment
Prohibits sale of drugs labeled with false therapeutic claims
1914: Harrison Narcotic Act
Requires prescription for narcotics; mandates health care
providers & pharmacists keep narcotic records
1938: Food, Drug, & Cosmetic Act
Prevents sale of drugs not thoroughly tested for safety
1970: Controlled Substance Act
Regulates manufacture, distribution, & dispensation of drugs
that have abuse potential
1994: Dietary Supplement Health & Education Act
,Requires clear labeling of dietary supplements; gives FDA
power to remove supplements that cause significant public risk
How and why do you obtain a psychosocial history? Correct
Answer Ask about alcohol, tobacco, & nonprescription drug use
Display extreme sensitivity & establish trusting relationship -
Patient might not share information which affects nursing care
How are medication errors tracked? Correct Answer Several
agencies track medication errors as well as provide databases for
health care professionals & consumers
FDA (i.e. MedWatch)
Institute for Safe Medication Practices
U.S. Pharmacopeia - official public standards-setting authority,
for prescription and OTC agents manufactured and sold in the
US
How do you as the nurse have a strong psychosocial impact on
your patient's drug compliance? Correct Answer Patient
convinced treatment is beneficial = better drug compliance
Drugs unacceptable for patient's social environment
Patient's positive expectations about pharmacotherapy
influenced by nurse
Need upfront explanations of drug actions & adverse effects
How do you assess learning needs? Correct Answer Gather
subjective (patient statements) & objective (you observed) data
, Age - what info is appropriate for each age?
Barriers to learning
Cultural background
Education, including literacy level
Health beliefs
Language - translators, layman's terms
Motivation
Psychosocial growth & development - allow adolescents to be
independent
-> Erickson = 12-18 year adolescents identity vs. role confusion
Readiness to learn
Use open-ended questions - get more than a yes or no answer
Stimulate more discussion & greater clarification
How long can the drug approval process take? Correct Answer
Up to 20 years
Nurse Practice Acts & Standards of Care Correct Answer Each
state has legislation to define professional nursing
Frequently amended so keep current
Includes safe delivery of medications
Safeguard patient's life & welfare
Carry out actions that any reasonable & prudent nurse would
perform under similar circumstances
Failure to act in this manner is negligence
