Exam 1 CHPT 1, 2, 3, 4, 5, 12, 13, 20, 21

Correct Answer: 3 Rationale 1: Telling the client that insurance covers the drug doesn't answer the client’s question. Rationale 2: Advertising costs are expensive, but this answer implies the drug company is raising costs unnecessarily. Rationale 3: If the cost of developing a new drug is not recouped by the drug company, there is no impetus for the company to continue drug development. Rationale 4: It is non-therapeutic for the nurse to introduce her own beliefs, such as accountability of drug companies, into a conversation with the client. Global Rationale: Telling the client that insurance covers the drug doesn't answer the client’s question. It is non-therapeutic for the nurse to introduce her own beliefs, such as accountability of drug companies, into a conversation with the client. Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Pharmacological and Parenteral Therapies QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes. AACN Essential Competencies: I.7 Integrate the knowledge and methods of a variety of disciplines to inform decision making. NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other disciplines. Nursing/Integrated Concepts: Nursing Process: Implementation

Correct Answer: 3 Rationale 1: Pharmacotherapy is the application of drugs for the purpose of treating diseases and alleviating human suffering. Rationale 2: The client is using medications as well as an alternative therapy. Rationale 3: The client is using a non-conventional type of treatment (therapeutic touch) that is classified as complementary to his conventional pharmacotherapy. Biologic therapy involves the use of naturally produced substances by microorganisms or within the body. The client is using medications as well as an alternative therapy, which is why complementary therapy is the best choice. Rationale 4: Biologic therapy involves the use of naturally produced substances by microorganisms or within the body. Global Rationale: The client is using a non-conventional type of treatment (therapeutic touch) that is classified as complementary to his conventional pharmacotherapy. Pharmacotherapy is the application of drugs for the purpose of treating diseases and alleviating human suffering. Biologic therapy involves the use of naturally produced substances by microorganisms or within the body. The client is using medications as well as an alternative therapy, which is why complementary therapy is the best choice. Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Pharmacological and Parenteral Therapies QSEN Competencies: I.A.1 Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values; coordination and integration of care; information, communication, and education; physical comfort and emotional support; involvement of family and friends; and transition and community. AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. NLN Competencies: Relationship centered care: Respect the patient’s dignity, uniqueness, integrity, and self-determination, and his or her own power and self-healing process. Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: 1-4 Compare and contrast traditional drugs, biologics, and complementary and alternative medicine therapies. MNL Learning Outcome: 1.1.1 Apply basic concepts related to pharmacology.