Pharmacology A Patient Centered Nursing Process Approach 8th Edition-Kee -Hayes
Pharmacology A Patient Centered Nursing Process Approach 8th Edition-Kee -Hayes
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Chapter 23: Drugs for Neurological Disorders: Parkinsonism and Alzheimer’s Disease
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Carbidopa-levodopa (Sinemet) |
| b. | Donepezil (Aricept) |
| c. | Rivastigmine (Exelon) |
| d. | Tacrine (Cognex) |
ANS: A
This patient is exhibiting signs of Parkinson’s disease and should be treated with carbidopa-levodopa. The other drugs are used to treat Alzheimer’s disease.
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 317
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pathophysiology
| a. | Alzheimer’s disease involves a possible excess of acetylcholine and neuritic plaques. |
| b. | Alzheimer’s disease is caused by decreased amounts of dopamine and degeneration of cholinergic neurons. |
| c. | Parkinson’s disease is characterized by an imbalance of dopamine and acetylcholine. |
| d. | Parkinson’s disease involves increased dopamine production and decreased acetylcholine. |
ANS: C
Parkinson’s disease (PD) is characterized by an imbalance of dopamine (DA) and acetylcholine (ACh) caused by an unexplained degeneration of the dopaminergic neurons allowing the excitatory response of acetylcholine to exceed the inhibitory response of dopamine. Alzheimer’s disease (AD) may result from decreased ACh, degeneration of cholinergic neurons, and neuritic plaques. Dopamine does not appear to play a role in Alzheimer’s disease.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 315
TOP: NURSING PROCESS: N/A MSC: NCLEX: Physiological Integrity: Pathophysiology
| a. | counsel the spouse that parkinsonism is a normal part of the aging process in some people. |
| b. | recommend exercise, nutritional counseling, and group support to help manage the disease. |
| c. | tell the spouse that the disease will not progress if mild symptoms are treated early. |
| d. | tell the spouse that medication therapy can be curative if drugs are begun in time. |
ANS: B
PD is a progressive disorder. Nonpharmacologic measures can lessen symptoms and help patients and families cope with the disorder. Although the aging process may contribute to the development of PD, it is not necessarily a normal part of aging. Treatment may slow the progression but does not arrest or cure the disease.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 315
TOP: NURSING PROCESS: Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pathophysiology
| a. | Helping the patient to walk faster |
| b. | Improving mental function |
| c. | Minimizing symptoms of bradykinesia |
| d. | Reducing some of the tremors |
ANS: D
Benztropine is given to reduce rigidity and some of the tremors. It does not enhance walking or reduce bradykinesia or improve mental function.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 317
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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