CHPT 1, 2, 3, 4, 5, 12, 13, 20, 21
Adams, Pharmacology for Nurses: A Pathophysiologic Approach, 5/E
Chapter 1
Question 1
Type: MCMA
The nurse is teaching a pharmacology class to student nurses. What does the nurse include as key
events in the history of pharmacology?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Initial drugs included morphine, cocaine, and penicillin.
2. Early researchers used themselves as test subjects.
3. The initial intention of pharmacology was to relieve human suffering.
4. Modern pharmacology began in the early 1600s.
5. Pharmacologists synthesized drugs in the laboratory in the twentieth century.
Correct Answer: 2,3,5
Rationale 1: Initial drugs isolated from complex mixtures included morphine, colchicines,
curare, and cocaine, but not penicillin.
Rationale 2: Some early researchers, such as Friedrich Serturner, used themselves as test
subjects.
Rationale 3: The early roots of pharmacology included the application of products to relieve
TEST BANK FORADAMS,
human suffering.
Rationale 4: Modern pharmacology began in the early 1800s, not the 1600s.
PHARMACOLOGY FOR Rationale 5: By the twentieth century, pharmacologists could synthesize drugs in the laboratory.
NURSES: A Global Rationale: The early roots of pharmacology included the application of products to
relieve human suffering, and early researchers used themselves as test subjects. Initial drugs
included morphine, colchicines, curare, and cocaine, but not penicillin. Modern pharmacology
PATHOPHYSIOLOGIC began in the early 1800s, not the 1600s. By the twentieth century, pharmacologists could
synthesize drugs in the laboratory.
APPROACH, 5TH EDITION Cognitive Level: Applying
[Document subtitle]
PATRICKS PHAMACOLOGY
,https://www.stuvia.com/ https://www.stuvia.com/
Exam 1 Exam 1
CHPT 1, 2, 3, 4, 5, 12, 13, 20, 21 CHPT 1, 2, 3, 4, 5, 12, 13, 20, 21
Client Need: Physiological Integrity Rationale 4: It is essential for the nurse to have a broad knowledge base of many sciences in
Client Need Sub: Pharmacological and Parenteral Therapies order to learn pharmacology.
QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of patient centered
care: patient/family/community preferences, values; coordination and integration of care; Global Rationale: It is essential for the nurse to have a broad knowledge base of many sciences
information, communication, and education; physical comfort and emotional support; in order to learn pharmacology. The nurse must learn anatomy, physiology, and microbiology to
involvement of family and friends; and transition and community. understand pharmacology, not because they are part of the curriculum. Pharmacology is an
AACN Essential Competencies: I.7 Integrate the knowledge and methods of a variety of outgrowth of anatomy, physiology, and microbiology, but this is not the reason for the nurse to
disciplines to inform decision making. learn them. Knowledge of anatomy, physiology, and microbiology prepares the nurse to
NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other understand pharmacology, not to provide care such as administration of medications.
disciplines.
Nursing/Integrated Concepts: Nursing Process: Implementation Cognitive Level: Applying
Learning Outcome: 1-1 Identify key events in the history of pharmacology. Client Need: Physiological Integrity
MNL Learning Outcome: 1.1.1 Apply basic concepts related to pharmacology. Client Need Sub: Pharmacological and Parenteral Therapies
Page Number: 3 QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of patient centered
2 Type: MCSA care: patient/family/community preferences, values; coordination and integration of care;
information, communication, and education; physical comfort and emotional support;
The student nurse asks the nursing instructor why he needs to take anatomy and physiology, as involvement of family and friends; and transition and community.
well as microbiology, when he only wants to learn about pharmacology. What is the best AACN Essential Competencies: I.7 Integrate the knowledge and methods of a variety of
response by the instructor? disciplines to inform decision making.
NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other
disciplines.
1. "Because pharmacology is an outgrowth of those subjects."
Nursing/Integrated Concepts: Nursing Process: Implementation
2. "You must learn all, since those subjects, as well as pharmacology, are part of the curriculum." Learning Outcome: 1-2 Explain the interdisciplinary nature of pharmacology, giving an
example of how knowledge from different sciences impacts the nurse’s role in drug
3. "Knowledge of all those subjects will prepare you to provide the best patient care, including administration.
the administration of medications." MNL Learning Outcome: 1.1.1 Apply basic concepts related to pharmacology.
Page Number: 3
4. "Because an understanding of those subjects is essential to understanding pharmacology."
Correct Answer: 4
Question 3
Rationale 1: Pharmacology is an outgrowth of anatomy, physiology, and microbiology, but this Type: MCMA
is not the most complete reason for the nurse to learn them.
The nursing instructor is teaching a pharmacology class to student nurses. The current focus is
Rationale 2: The nurse must learn anatomy, physiology, and microbiology to understand pharmacology and therapeutics. The nursing instructor determines that learning has occurred
pharmacology, not because they are part of the curriculum. when the students make which comments?
Rationale 3: Knowledge of anatomy, physiology, and microbiology prepares the nurse to
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
understand pharmacology, not to provide care such as administration of medications.
Standard Text: Select all that apply.
1. "Pharmacology is the development of medicines."
2. "Pharmacology is the study of medicines."
,https://www.stuvia.com/ https://www.stuvia.com/
Exam 1 Exam 1
CHPT 1, 2, 3, 4, 5, 12, 13, 20, 21 CHPT 1, 2, 3, 4, 5, 12, 13, 20, 21
3. "Therapeutics relates to drug use to treat suffering." 1. The vaccine is produced by natural plant extracts in the laboratory.
4. "Therapeutics is the study of drug interactions." 2. The vaccine is naturally produced in animal cells or microorganisms.
5. "Pharmacology is the study of drugs to prevent disease." 3. The vaccine is produced by a combination of animal and plant products.
Correct Answer: 2,3,5 4. The vaccine is most commonly synthesized in a laboratory.
Rationale 1: Pharmacology is not the development of medicines Correct Answer: 2
Rationale 2: Pharmacology is the study of medicines. Rationale 1: Vaccines are not produced by natural plant extracts.
Rationale 3: Therapeutics is the use of drugs in the treatment of suffering. Rationale 2: Vaccines are naturally produced in animal cells, microorganisms, or by the body
itself.
Rationale 4: Therapeutics is not related to study of drug interactions.
Rationale 3: Vaccines are not produced by a combination of animal and plant products.
Rationale 5: Pharmacotherapy is the application of drugs for the purpose of disease prevention.
Rationale 4: Vaccines are not synthesized in a laboratory.
Global Rationale: Pharmacology is the study of medicines and the use of drugs to relieve
suffering. Therapeutics is the study of disease prevention and treatment of suffering. Global Rationale: Vaccines are naturally produced in animal cells, microorganisms, or by the
Pharmacotherapy is the application of drugs for the purpose of disease prevention. body itself. Vaccines are not synthesized in a laboratory. Vaccines are not produced by natural
plant extracts. Vaccines are not produced by a combination of animal and plant products.
Cognitive Level: Applying
Client Need: Physiological Integrity Cognitive Level: Applying
Client Need Sub: Pharmacological and Parenteral Therapies Client Need: Physiological Integrity
QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of patient centered Client Need Sub: Pharmacological and Parenteral Therapies
care: patient/family/community preferences, values; coordination and integration of care; QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and
information, communication, and education; physical comfort and emotional support; processes.
involvement of family and friends; and transition and community. AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an
AACN Essential Competencies: I.7 Integrate the knowledge and methods of a variety of understanding of human growth and development, pathophysiology, pharmacology, medical
disciplines to inform decision making. management and nursing management across the health-illness continuum, across lifespan, and
NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other in all healthcare settings.
disciplines. NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other
Nursing/Integrated Concepts: Nursing Process: Evaluation disciplines.
Learning Outcome: 1-3 Compare and contrast therapeutics and pharmacology. Nursing/Integrated Concepts: Nursing Process: Evaluation
MNL Learning Outcome: 1.1.1 Apply basic concepts related to pharmacology. Learning Outcome: 1-4 Compare and contrast traditional drugs, biologics, and complementary
Page Number: 4 and alternative medicine therapies.
MNL Learning Outcome: 1.1.1 Apply basic concepts related to pharmacology.
Page Number: 4
Question 4 Question 5
Type: MCSA Type: MCSA
The nurse administers a vaccine to a child. What is the best understanding of the nurse as it
relates to the manufacture of this vaccine?
,https://www.stuvia.com/ https://www.stuvia.com/
Exam 1 Exam 1
CHPT 1, 2, 3, 4, 5, 12, 13, 20, 21 CHPT 1, 2, 3, 4, 5, 12, 13, 20, 21
The older adult client has gastrointestinal bleeding. The client says to the nurse, "I don't MNL Learning Outcome: 1.1.1 Apply basic concepts related to pharmacology.
understand this. All I did was take ibuprofen (Advil) for my arthritis." Which plan would be best Page Number: 6
as it relates to the nurse's education of this client?
Question 6
1. A plan to teach the client to use drugs that bypass the gastrointestinal system, like topical Type: MCSA
drugs
The nursing instructor teaches the student nurses about the pharmacological classification of
2. A plan to teach the client to substitute safer drugs like acetaminophen (Tylenol) drugs. The instructor evaluates that learning has occurred when the students make which
response?
3. A plan to teach the client to obtain physician approval prior to the use of over-the-counter
(OTC) medications
1. "An anti-anginal treats angina."
4. A plan to teach the advantages and disadvantages of ibuprofen (Advil)
2. "A calcium channel blocker blocks heart calcium channels."
Correct Answer: 4
3. "An antihypertensive lowers blood pressure."
Rationale 1: The use of topical drugs may be an option, but the drug a client needs may not be
4. "An anticoagulant influences blood clotting."
available in this form.
Correct Answer: 2
Rationale 2: Substitution of other drugs may be beneficial, but this cannot be done in all
situations.
Rationale 1: To say that a drug treats angina addresses the therapeutic usefulness of the drug, not
Rationale 3: It is not a realistic plan to expect clients to contact their physician prior to taking the pharmacological classification.
any over-the-counter (OTC) medication.
Rationale 2: The pharmacological classification addresses a drug's mechanism of action, or how
a drug produces its effect in the body.
Rationale 4: Since elderly clients account for the use of about 40% of all over-the-counter
(OTC) medications, it is essential for the nurse to teach clients about the advantages, and the
disadvantages, of these medications. Rationale 3: To say that a drug lowers blood pressure addresses the therapeutic usefulness of the
drug, not the pharmacological classification.
Global Rationale: Since older adult clients account for the use of about 40% of all over-the-
counter (OTC) medications, it is essential for the nurse to teach clients about the advantages, and Rationale 4: To say that a drug influences blood clotting addresses the therapeutic usefulness of
the disadvantages, of these medications. Substitution of other drugs may be beneficial, but this the drug, not the pharmacological classification.
cannot be done in all situations. The use of topical drugs may be an option, but the drug a client
needs may not be available in this form. It is not a realistic plan to expect clients to contact their Global Rationale: The pharmacological classification addresses a drug's mechanism of action,
physician prior to taking any over-the-counter (OTC) medication. or how a drug produces its effect in the body. To say that a drug influences blood clotting
addresses the therapeutic usefulness of the drug, not the pharmacological classification. To say
that a drug treats angina addresses the therapeutic usefulness of the drug, not the
Cognitive Level: Applying
pharmacological classification. To say that a drug lowers blood pressure addresses the
Client Need: Physiological Integrity
therapeutic usefulness of the drug, not the pharmacological classification.
Client Need Sub: Pharmacological and Parenteral Therapies
QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and
Cognitive Level: Applying
processes.
AACN Essential Competencies: II.7 Promote factors that create a culture of safety and caring. Client Need: Physiological Integrity
NLN Competencies: Context and Environment: Health promotion/disease prevention. Client Need Sub: Pharmacological and Parenteral Therapies
QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and
Nursing/Integrated Concepts: Nursing Process: Planning
processes.
Learning Outcome: 1-9 Outline the major differences between prescription and over-the-
counter drugs.