Chapter 20 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 20 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCMA

Several senior citizens have asked the nurse to do a presentation on degenerative diseases. What does the nurse plan to teach as the most common degenerative diseases?

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

Standard Text: Select all that apply.

1. Amyotrophic lateral sclerosis
2. Multiple sclerosis
3. Alzheimer’s disease
4. Huntington’s chorea
5. Parkinson’s disease

Correct Answer: 3,5

Rationale 1: Amyotrophic lateral sclerosis is not as common as other diseases.

Rationale 2: Multiple sclerosis is not as common as other diseases.

Rationale 3: Alzheimer’s disease is one of the most common diseases of the central nervous system.

Rationale 4: Huntington’s chorea is not as common as other diseases.

Rationale 5: Parkinson’s disease is one of the most common diseases of the central nervous system.

Global Rationale: Alzheimer’s disease and Parkinson’s disease are the two most common diseases of the central nervous system. Multiple sclerosis is not as common as Alzheimer’s disease and Parkinson’s disease. Huntington’s chorea is not as common as Alzheimer’s disease and Parkinson’s disease. Amyotrophic lateral sclerosis is not as common as Alzheimer’s disease and Parkinson’s disease.

 

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: IX.7 Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care.

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

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 20-1 Identify the most common degenerative diseases of the central nervous system.

MNL Learning Outcome: 3.3.4 Apply the nursing process to pharmacotherapy, safe drug administration, and client education.

Page Number: 282

 

Question 2

Type: MCSA

The patient is diagnosed with Parkinson’s disease. The patient’s wife asks the nurse how taking medicine will help her husband. What is the best response by the nurse?

1. “The medications will help prevent muscle wasting in your husband.”
2. “The medications will boost your husband’s appetite and energy.”
3. “The medications will balance serotonin and acetylcholine in your husband’s brain.”
4. “The medications will help your husband to eat and walk.”

Correct Answer: 4

Rationale 1: Medications do not prevent muscle wasting.

Rationale 2: Medications do not boost appetite or energy.

Rationale 3: The medications help restore balance between dopamine, not serotonin, and acetylcholine.

Rationale 4: The goal of pharmacotherapy for Parkinson’s disease is to increase the ability of the patient to perform activities of daily living (ADLs) such as walking, eating, dressing, and bathing.

Global Rationale: The goal of pharmacotherapy for Parkinson’s disease is to increase the ability of the patient to perform activities of daily living (ADLs) such as walking, eating, dressing, and bathing. Medications do not prevent muscle wasting. Medications do not boost appetite or energy. The medications help restore balance between dopamine, not serotonin, and acetylcholine.

 

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: III.1 Explain the interrelationships among theory, practice, and research.

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

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 20-3 Explain the neurochemical basis for Parkinson’s disease, focusing on the roles of dopamine and acetylcholine in the brain.

MNL Learning Outcome: 3.3.1 Examine etiology, pathophysiology, clinical manifestations, and pharmacotherapy of Parkinson’s disease.

Page Number: 283

 

Question 3

Type: MCMA

The nurse plans to teach a class about Alzheimer’s disease to a caregiver’s support group. What will the best plan by the nurse include?

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

Standard Text: Select all that apply.

1. Depression and aggressive behavior are common with the disease.
2. Alzheimer’s disease accounts for about 50% of all dementias.
3. Glutamergic inhibitors are the most common class of drugs for treating Alzheimer’s disease.
4. Chronic inflammation of the brain may be a cause of the disease.
5. Memory difficulties are an early symptom of the disease.

Correct Answer: 1,4,5

Rationale 1: Depression and aggressive behavior are common symptoms of the disease.

Rationale 2: Alzheimer’s disease accounts for about 70% of all dementias.

Rationale 3: The acetylcholinesterase inhibitors, not the glutamergic inhibitors, are the most widely used class of drugs for treating the disease.

Rationale 4: It is suspected that chronic inflammation and excess free radicals may cause neuron damage and contribute to the disease.

Rationale 5: Memory difficulties are an early symptom of Alzheimer’s disease.

Global Rationale: Memory difficulties are an early symptom of Alzheimer’s disease. It is suspected that chronic inflammation and excess free radicals may cause neuron damage and contribute to the disease. Depression and aggressive behavior are common symptoms of the disease. Alzheimer’s disease accounts for about 70% of all dementias. The acetylcholinesterase inhibitors, not the glutamergic inhibitors, are the most widely used class of drugs for treating the disease.

 

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: III.1 Explain the interrelationships among theory, practice, and research.

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

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 20-5 Describe symptoms of Alzheimer’s disease and explain theories about why these symptoms develop.

MNL Learning Outcome: 3.3.2 Examine etiology, pathophysiology, clinical manifestations, and pharmacotherapy of Alzheimer’s disease.

Page Number: 287

 

Question 4

Type: MCSA

The nurse plans care for a patient with Parkinson’s disease. What will the best plan by the nurse include?

1. Monitor the patient for the ability to chew and swallow.
2. Check peripheral circulation for thrombophlebitis.
3. Monitor the patient for psychotic symptoms.
4. Limit exercise to decrease the possibility of fractures.

Correct Answer: 1

Rationale 1: In Parkinson’s disease, muscle function is lost, and the patient’s ability to chew and swallow to prevent aspiration becomes a safety issue.

Rationale 2: Thrombophlebitis is not related to Parkinson’s disease.

Rationale 3: Psychosis is possible; however, this is not the primary concern.

Rationale 4: Activity is important to maintain as much muscle tone as possible and should not be limited.

Global Rationale: In Parkinson’s disease, muscle function is lost, and the patient’s ability to chew and swallow to prevent aspiration becomes a safety issue. Psychosis is possible; however, this is not the primary concern. Activity is important to maintain as much muscle tone as possible and should not be limited. Thrombophlebitis is not related to Parkinson’s disease.

 

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: III.1 Explain the interrelationships among theory, practice, and research.

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

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 20-2 Describe symptoms of Parkinson’s disease.

MNL Learning Outcome: 3.3.1 Examine etiology, pathophysiology, clinical manifestations, and pharmacotherapy of Parkinson’s disease.

Page Number: 282