Pharmacology For Nurses A Pathophysiologic Approach 5th Edition Adams Test Bank 1
Pharmacology For Nurses A Pathophysiologic Approach 5th Edition Adams Test Bank 1
The nurse is doing a holistic assessment on a patient prior to the initiation of antihypertensive medication. What
will the best assessment include?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Blood pressure
3. Mood
4. Level of education
5. Belief in a higher power
Rationale 1: Holistic health care incorporates the whole patient to include the biological (blood pressure)
dimension.
Rationale 2: The biologic cause of the hypertension focuses on a specific disease, its cause, and treatment; this is
a medical model, not a holistic model.
Rationale 3: Holistic health care incorporates the whole patient to include the psychological (mood) dimension.
Rationale 4: Holistic health care incorporates the whole patient to include the sociocultural (level of education)
dimension.
Rationale 5: Holistic health care incorporates the whole patient to include the spiritual (belief in a higher power)
dimension.
Global Rationale: Holistic health care incorporates the whole patient to include the biological (blood pressure),
psychological (mood), sociocultural (level of education), and spiritual (belief in a higher power) dimensions. The
biologic cause of the hypertension focuses on a specific disease, its cause, and treatment; this is a medical model,
not a holistic model.
Question 2
Type: MCSA
The adolescent Hispanic male has been diagnosed with attention-deficit hyperactivity disorder (ADHD), and is
taking methylphenidate (Ritalin). Even though the drug helps with focus and grades, the adolescent will not go to
the school office at noon for his medication. Which statement best describes the result of the nurse's evaluation?
1. The adolescent has developed alternative coping mechanisms to increase his focus during classes.
2. The adolescent is fearful that this drug may be a "gateway drug" and he will abuse other substances.
3. The adolescent really does not need an additional dose of methylphenidate (Ritalin) at school.
4. The adolescent is embarrassed about having to take medicine at school; it is a social stigma.
Correct Answer: 4
Rationale 1: Attention-deficit hyperactivity disorder is a brain-based disorder, and the primary treatment is
medication; alternative coping mechanisms will not usually help to increase focus during classes.
Rationale 2: Appropriate treatment of attention-deficit hyperactivity disorder will result in less addiction to
mood-altering substances, not more addiction.
Rationale 3: Methylphenidate (Ritalin) is a short-acting drug and doses must be administered about 4 hours apart,
so the patient must receive a dose during school hours.
Rationale 4: Some patients believe that having to take drugs in school will cause them to be viewed as weak,
unhealthy, or dependent. Patients can also perceive this as a social stigma.
Global Rationale: Some patients believe that having to take drugs in school will cause them to be viewed as
weak, unhealthy, or dependent. Patients can also perceive this as a social stigma. Methylphenidate (Ritalin) is a
short-acting drug and doses must be administered about 4 hours apart, so the patient must receive a dose during
school hours. Attention-deficit hyperactivity disorder is a brain-based disorder, and the primary treatment is
medication; alternative coping mechanisms will not usually help to increase focus during classes. Appropriate
treatment of attention-deficit hyperactivity disorder will result in less addiction to mood-altering substances, not
more addiction.
Question 3
Type: MCSA
The patient is from an Arab culture and is in labor and delivery. Her husband insists he must stay with her and
will not allow her to receive any analgesia during the experience. What is the best action by the nurse?
1. Inform the husband that it is his wife's choice whether or not to receive analgesia.
2. Inform the husband that he must sign a release of responsibility to avoid future litigation against the hospital.
3. Allow the request but inform the husband that the physician will make the final decision about analgesia.
4. Allow this request and be available in the event the request changes.
Correct Answer: 4
Rationale 1: With some cultures, the husband makes the choices, not the wife.
Rationale 2: When cultural differences are allowed and supported, patients are not as likely to become involved
in litigation.
Rationale 3: With some cultures, the husband makes the choices, not the physician.
Rationale 4: Nurses must allow and support cultural differences. The husband's decisions must be respected as
long as patient safety is not involved, and it is not involved in this situation.
Global Rationale: Nurses must allow and support cultural differences. The husband's decisions must be respected
as long as patient safety is not involved, and it is not involved in this situation. With some cultures, the husband
makes the choices, not the wife or the physician. When cultural differences are allowed and supported, patients
are not as likely to become involved in litigation.
Question 4
Type: MCSA
A patient is diagnosed with cancer. The physician has recommended chemotherapy, which would likely save the
patient's life. The patient tells the nurse, "This is punishment from God for sins I have committed; some women at
my church say so." What will the best plan of the nurse include?
1. With the patient's permission, plan to involve a hospital minister to discuss the patient's perspective about
cancer.
2. With the patient's permission, plan to bring the case before the hospital's board of ethics.
3. With the patient's permission, plan to contact the patient's minister to discuss the patient's perspective about
cancer.
4. With the patient's permission, plan to meet with family members to discuss the patient's perspective about
cancer.
Correct Answer: 3
Rationale 1: Involving a hospital minister may be an option, but it is best to work through the patient's minister
initially.
Rationale 2: Bringing the case before the hospital's board of ethics is premature at this point.
Rationale 3: When patients have strong religious beliefs, these can affect the outcome of the illness. The nurse
should involve the patient's religious leader when possible.
Rationale 4: Meeting with family might help; however, they may have the same perspective as the patient.
Global Rationale: When patients have strong religious beliefs, these can affect the outcome of the illness. The
nurse should involve the patient's religious leader when possible. Meeting with family might help; however, they
may have the same perspective as the patient. Bringing the case before the hospital's board of ethics is premature
at this point. Involving a hospital minister may be an option, but it is best to work through the patient's minister
initially.
(I might add that I have not checked the many references to Whewell’s other related
works. The errors here suggest one might need to take them with a pinch of salt, and help
from the browser’s search function.)
There are some inconsistencies, notably in spelling, which have in general not been
adjusted; nor have Whewell’s unbalanced quotation marks and positioning of footnote
anchors been modernized.
*** END OF THE PROJECT GUTENBERG EBOOK NOVUM
ORGANON RENOVATUM ***
1.D. The copyright laws of the place where you are located also
govern what you can do with this work. Copyright laws in most
countries are in a constant state of change. If you are outside the
United States, check the laws of your country in addition to the
terms of this agreement before downloading, copying, displaying,
performing, distributing or creating derivative works based on this
work or any other Project Gutenberg™ work. The Foundation
makes no representations concerning the copyright status of any
work in any country other than the United States.
1.E.6. You may convert to and distribute this work in any binary,
compressed, marked up, nonproprietary or proprietary form,
including any word processing or hypertext form. However, if you
provide access to or distribute copies of a Project Gutenberg™
work in a format other than “Plain Vanilla ASCII” or other format
used in the official version posted on the official Project
Gutenberg™ website (www.gutenberg.org), you must, at no
additional cost, fee or expense to the user, provide a copy, a means
of exporting a copy, or a means of obtaining a copy upon request, of
the work in its original “Plain Vanilla ASCII” or other form. Any
alternate format must include the full Project Gutenberg™ License
as specified in paragraph 1.E.1.
1.E.7. Do not charge a fee for access to, viewing, displaying,
performing, copying or distributing any Project Gutenberg™ works
unless you comply with paragraph 1.E.8 or 1.E.9.
• You pay a royalty fee of 20% of the gross profits you derive from
the use of Project Gutenberg™ works calculated using the method
you already use to calculate your applicable taxes. The fee is owed
to the owner of the Project Gutenberg™ trademark, but he has
agreed to donate royalties under this paragraph to the Project
Gutenberg Literary Archive Foundation. Royalty payments must be
paid within 60 days following each date on which you prepare (or
are legally required to prepare) your periodic tax returns. Royalty
payments should be clearly marked as such and sent to the Project
Gutenberg Literary Archive Foundation at the address specified in
Section 4, “Information about donations to the Project Gutenberg
Literary Archive Foundation.”
• You provide a full refund of any money paid by a user who notifies
you in writing (or by e-mail) within 30 days of receipt that s/he does
not agree to the terms of the full Project Gutenberg™ License. You
must require such a user to return or destroy all copies of the works
possessed in a physical medium and discontinue all use of and all
access to other copies of Project Gutenberg™ works.
• You comply with all other terms of this agreement for free
distribution of Project Gutenberg™ works.
1.F.
1.F.4. Except for the limited right of replacement or refund set forth
in paragraph 1.F.3, this work is provided to you ‘AS-IS’, WITH NO
OTHER WARRANTIES OF ANY KIND, EXPRESS OR
IMPLIED, INCLUDING BUT NOT LIMITED TO WARRANTIES
OF MERCHANTABILITY OR FITNESS FOR ANY PURPOSE.
Please check the Project Gutenberg web pages for current donation
methods and addresses. Donations are accepted in a number of
other ways including checks, online payments and credit card
donations. To donate, please visit: www.gutenberg.org/donate.
Section 5. General Information About Project Gutenberg™ electronic works
Most people start at our website which has the main PG search
facility: www.gutenberg.org.