Introduction_Clinical_Pharmacology_8th_Edmunds_Test_Bank

Introduction_Clinical_Pharmacology_8th_Edmunds_Test_Bank 1. A patient comes into the clinic and is started on a new antihypertensive medication. In the past, this patient has not been taking the medication on a daily basis as per the drug treatment plan. Which strategy should the nurse use to get the patient to take the prescribed medication? a. Tell the patient to follow the plan of care. b. Tell the patient he will have a stroke if he does not take his medication. c. Discuss with the patient the reasons that he is not taking his medication. d. Tell the patient he will have to see a doctor to get more medication. ANS: C When the nurse teaches the patient, the nurse should discuss the patient’s reasons for not taking the medication and help the patient set goals so the patient can make informed decisions about taking the medication. DIF: Cognitive Level: Apply REF: p. 11 OBJ: 2 TOP: Compliance, Noncompliance, and Concordance KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 2. A patient is a newly diagnosed diabetic who has been incorrectly taking the medication prescribed. Which is the most likely reason? a. The patient feels the dose of medication is not enough. b. The patient feels the dose of medication is too much. c. The patient does not understand the medication dosage.N MURSINGTB.CO d. The patient cannot swallow the medication. ANS: C There are two basic reasons a patient has difficulty meeting treatment goals: (1) the patient does not understand what to do, or (2) the patient understands what to do but fails to do it. When teaching the patient, discuss both of these reasons with the goal of helping the patient make informed decisions about properly taking medications. DIF: Cognitive Level: Apply REF: p. 11 OBJ: 2 TOP: Compliance KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 3. Poor literacy is a problem that interferes with a patient’s ability to deal with the health care setting. What can contribute to a patient’s literacy problems? a. The patient is hearing-impaired. b. The patient cannot read health content. c. The patient’s family is not involved. d. The patient lives alone. ANS: B Inability to read health content often means that patients cannot read the information nurses or doctors send home with them about their disease, the medications they are taking, and important things they need to know. Recent research suggests that written information given to most patients should be written at a fifth- to seventh-grade level to make it more likely that they will understand. DIF: Cognitive Level: Understand REF: p. 12 OBJ: 2 TOP: Communicating with Patient KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity