Chapter 18 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 18 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCMA

The nurse teaches patients about nonpharmacological techniques for pain management. The nurse determines learning has occurred when the patients make which statement(s)?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. “Nonpharmacological techniques are a good adjunct to pharmacotherapy.”
2. “Nonpharmacological techniques have not reached mainstream yet.”
3. “Nonpharmacological techniques may be used in place of drugs.”
4. “Nonpharmacological techniques include an aerobic exercise.”
5. “Nonpharmacological techniques are not usually valued by nurses.”

Correct Answer: 1,3

Rationale 1: Nonpharmacological techniques may be used as an adjunct to pharmacotherapy.

Rationale 2: Nonpharmacological techniques have reached mainstream and are commonly used.

Rationale 3: Nonpharmacological techniques may be used in place of drugs.

Rationale 4: An aerobic exercise is not considered a nonpharmacological technique for relief of pain.

Rationale 5: Nonpharmacological techniques are valued and used by most nurses.

Global Rationale: Nonpharmacological techniques may be used in place of drugs or as an adjunct to pharmacotherapy. An aerobic exercise is not considered a nonpharmacological technique for relief of pain. Nonpharmacological techniques have reached mainstream and are commonly used. Nonpharmacological techniques are valued and used by most nurses.

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

QSEN Competencies: I.B.7 Initiate effective treatments to relieve pain and suffering in light of patient values, preference and expressed needs.

AACN Essentials Competencies: I.I Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe nursing care.

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 18-4 Describe the role of complementary and alternative therapies in pain management.

MNL Learning Outcome: 3.7.4 Apply the nursing process to pharmacotherapy, safe drug administration, and client education.

Page Number: 240

 

Question 2

Type: MCSA

The nursing instructor teaches the nursing students about neural mechanisms of pain. What does the nursing instructor teach about substance P?

1. Substance P modifies sensory information in the spinal cord.
2. Substance P is also known as an endogenous opioid.
3. Substance P stimulates pain receptors in the spinal cord.
4. Substance P controls which pain signals reach the brain.

Correct Answer: 4

Rationale 1: Endogenous opioids, not substance P, modify sensory information at the level of the spinal cord.

Rationale 2: Substance P is not an endogenous opioid.

Rationale 3: Substance P does not stimulate pain receptors in the spinal cord.

Rationale 4: Spinal substance P is critical because it controls whether pain signals will continue to the brain.

Global Rationale: Spinal substance P is critical because it controls whether pain signals will continue to the brain. Endogenous opioids, not substance P, modify sensory information at the level of the spinal cord. Substance P does not stimulate pain receptors in the spinal cord. Substance P is not an endogenous opioid.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes.

AACN Essentials Competencies: I.I Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other disciplines.

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 18-2 Explain the neural mechanisms at the level of the spinal cord responsible for pain.

MNL Learning Outcome: 3.7.1 Differentiate the types of pain and the effect each can have on a client.

Page Number: 241

 

Question 3

Type: MCSA

A patient, addicted to heroin, is being treated for opioid dependence. He has been prescribed methadone (Dolophine). The patient asks how this will help because methadone (Dolophine) is another opioid. What is the best response by the nurse?

1. “Methadone (Dolophine) will make you really sick if you use heroin.”
2. “Methadone (Dolophine) does not cause euphoria like heroin does.”
3. “Methadone (Dolophine) cures your addiction to heroin.”
4. “Methadone (Dolophine) causes you to have an allergy to heroin.”

Correct Answer: 2

Rationale 1: Methadone (Dolophine) will not cause a person to become sick if they use heroin.

Rationale 2: Methadone (Dolophine) does not cause the euphoria of heroin. It is a substitute drug that allows the patient to be productive.

Rationale 3: Methadone (Dolophine) does not cure heroin addiction.

Rationale 4: Methadone (Dolophine) does not cause an allergy to heroin.

Global Rationale: Methadone (Dolophine) does not cause the euphoria of heroin or cure the dependence. It is a substitute drug that allows the patient to be productive. Methadone (Dolophine) does not cure heroin addiction. Methadone (Dolophine) does not cause an allergy to heroin. Methadone (Dolophine) will not cause a person to become sick if they use heroin.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.B.3 Base individualized care plan on patient values, clinical expertise and evidence.

AACN Essentials Competencies: VII.4 Use behavioral change techniques to promote health and manage illness.

NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe nursing care.

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 18-7 Describe the long-term treatment of opioid dependence.

MNL Learning Outcome: 3.7.4 Apply the nursing process to pharmacotherapy, safe drug administration, and client education.

Page Number: 246

 

 

Question 4

Type: MCMA

A nurse is providing community education on the increase in heroin use. Which information would be included?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Heroin is an opioid drug.
2. Heroin is a narcotic drug.
3. Heroin causes CNS agitation.
4. Heroin is the same drug as morphine.
5. Heroin is not as dangerous as oxycodone.

Correct Answer: 1,2

Rationale 1: Heroin is classified as an opioid.

Rationale 2: Heroin is an illegal drug. Narcotic is the term often used to describe such drugs.

Rationale 3: Heroin causes CNS depression, not agitation.

Rationale 4: Morphine and heroin are in the same class but are different drugs.

Rationale 5: Heroin is addictive and dangerous—as dangerous, if not more dangerous, as oxycodone.

 

Global Rationale: Heroin is classified as an opioid. Heroin is an illegal drug. Narcotic is the term often used to describe such drugs. Heroin causes CNS depression, not agitation. Morphine and heroin are in the same class but are different drugs. Heroin is addictive and dangerous—as dangerous, if not more dangerous, as oxycodone.

 

 

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 Essentials Competencies: I.I Integrate theories and concepts from liberal education into nursing practice.

NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe nursing care.

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 18-10 Categorize drugs used in the treatment of pain based on their classification and mechanism of action.

MNL Learning Outcome: 3.7.2 Compare the classes of medications used to treat pain.

Page Number: 243