Question 1

During discharge patient teaching,the nurse reviews prescriptions with a patient.Which statement is correct about refills for an analgesic that is classified as Schedule C-III?&#10;A) No prescription refills are permitted.&#10;B) Refills are allowed only by written prescription.&#10;C) The patient may have no more than five refills in a 6-month period.&#10;D) Written prescriptions expire in 12 months.

Accepted Answer

Schedule C-III medications may be refilled no more than five times in a 6-month period. The patient should be informed of this regulation. No prescription refills are permitted for Schedule C-II drugs. Requiring refills by written prescription only applies to Schedule C-II drugs. Schedule C-III prescriptions (written or oral) expire in 6 months.

Question 2

A member of an investigational drug study team is working with healthy volunteers whose participation will help to determine the optimal dosage range and pharmacokinetics of the drug.The team member is participating in what type of study?

A) Phase I
B) Phase II
C) Phase III
D) Phase IV

Phase I

Accepted Answer

This study is a Phase I clinical trial, which involves testing the safety, tolerability, and pharmacokinetics of a new drug in healthy volunteers. Phase II trials involve testing the efficacy of the drug in a small group of patients with the target disease, Phase III trials involve testing the efficacy and safety of the drug in a larger group of patients, and Phase IV trials involve post-marketing surveillance to monitor the long-term safety and effectiveness of the drug in a larger population.

Question 3

The nurse is reviewing a list of scheduled drugs and notes that Schedule C-I drugs are not on the list.Which is a characteristic of Schedule C-I drugs?&#10;A) No refills are permitted.&#10;B) They may be obtained over-the-counter with a signature.&#10;C) They are available only by written prescription.&#10;D) They are used only with approved protocols.

Accepted Answer

Schedule C-I drugs are used only with approved protocols. Schedule C-II drugs are available only by written prescription, and refills are not permitted. Being available over-the-counter with a signature may be true of Schedule C-V drugs in certain states.

Question 4

A patient is undergoing major surgery and asks the nurse about a living will.He states,"I don't want anybody else making decisions for me.And I don't want to prolong my life." The patient is demonstrating which ethical term?

A) Autonomy
B) Beneficence
C) Justice
D) Veracity

Accepted Answer

The patient is expressing their desire for self-determination and control over their own medical decisions, which is known as autonomy. They are stating that they do not want anyone else making decisions for them and do not want their life to be prolonged, which are both expressions of autonomy.

Question 5

When reviewing the various schedules of controlled drugs,the nurse knows that which description correctly describes Schedule II drugs?&#10;A) Drugs with high potential for abuse that have accepted medical use&#10;B) Drugs with high potential for abuse that do not have accepted medical use&#10;C) Medically accepted drugs that may cause moderate physical or psychologic dependence&#10;D) Medically accepted drugs with limited potential for causing physical or psychologic dependence

Accepted Answer

Schedule II drugs are those with high potential for abuse but that have accepted medical use. Drugs that have high potential for abuse but do not have accepted medical use are Schedule I drugs. Medically accepted drugs that have moderate physical or high psychologic dependence potential are Schedule III drugs. Medically accepted drugs with limited potential for causing physical or psychologic dependence are Schedule IV and V drugs.

Question 6

During a busy night shift,a new nurse administered an unfamiliar medication without checking it in a drug handbook.Later that day,the patient had a severe reaction because he has renal problems,which was a contraindication to that drug.The nurse may be liable for which of these?

A) Medical negligence
B) Nursing negligence
C) Nonmaleficence
D) Autonomy

Accepted Answer

Nursing negligence refers to a breach of duty by a nurse that results in harm to a patient. In this case, the nurse administered a medication without checking for contraindications, which is a breach of duty and caused harm to the patient. Medical negligence refers to a breach of duty by a physician that results in harm to a patient, and nonmaleficence and autonomy are ethical principles related to avoiding harm and respecting patient autonomy, respectively, but do not apply to liability in this situation.

Question 7

The nurse is reviewing facts about pharmacology for a review course.The term legend drug refers to which item?&#10;A) Over-the-counter drugs&#10;B) Prescription drugs&#10;C) Orphan drugs&#10;D) Older drugs

Accepted Answer

Legend drug refers to prescription drugs, which can only be obtained with a prescription from a licensed healthcare provider.

Question 8

Nurses have the ethical responsibility to tell the truth to their patients.What is this principle known as?&#10;A) Justice&#10;B) Veracity&#10;C) Beneficence&#10;D) Autonomy

Accepted Answer

The principle of telling the truth to patients is known as veracity. This is an important ethical responsibility for nurses as it promotes trust and allows patients to make informed decisions about their health.

Question 9

During the development of a new drug,which would be included in the study by the researcher to prevent any bias or unrealistic expectations of the new drug's usefulness?&#10;A) A placebo&#10;B) FDA approval&#10;C) Informed consent&#10;D) Safety information

Accepted Answer

Including a placebo in the study is important in preventing bias or unrealistic expectations of the new drug's usefulness. This helps to ensure that any observed effects are due to the actual drug and not due to placebo effects or other external factors. The other options (FDA approval, informed consent, safety information) are important components of drug development and research, but they do not directly address the issue of preventing bias.

Question 10

For which cultural group must the health care provider respect the value placed on preserving harmony with nature and the belief that disease is a result of ill spirits?&#10;A) Hispanics&#10;B) Asian Americans&#10;C) Native Americans&#10;D) African Americans

Accepted Answer

Native Americans traditionally value their connection with nature and believe that disease is caused by a disturbance in the balance of nature or ill spirits. It is important for health care providers to be respectful of these beliefs and incorporate them into the patient's care.

Question 11

A patient has been selected as a potential recipient of an experimental drug for heart failure.The nurse knows that when informed consent has been obtained,it indicates which of these?&#10;A) The patient has been informed of the possible benefits of the new therapy.&#10;B) The patient will be informed of the details of the study as the research continues.&#10;C) The patient will receive the actual drug during the experiment.&#10;D) The patient has had the study's purpose,procedures,and the risks involved explained to him.

Accepted Answer

The answer of A patient has been selected as a...

Question 12

The nurse is assessing an elderly Hispanic woman who is being treated for hypertension.During the assessment,what is important for the nurse to remember about cultural aspects?&#10;A) The patient should be discouraged from using folk remedies and rituals.&#10;B) The nurse will expect the patient to value protective bracelets and &#34;root workers&#34; as healers.&#10;C) The nurse will remember that the balance among body,mind,and environment is important for this patient's health beliefs.&#10;D) The nurse's assessment needs to include gathering information regarding religious practices and beliefs regarding medication,treatment,and healing.

Accepted Answer

The answer of The nurse is assessing an elderly Hispanic...

Deck 4: Cultural,legal,and Ethical Considerations