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The nurse is reviewing facts about pharmacology for a review course. The term legend drug refers to which item?
- A. Over-the-counter drugs
- B. Prescription drugs
- C. Orphan drugs
- D. Older drugs
Correct Answer: B
Rationale: The term legend drug refers to prescription drugs, which were differentiated from over-the-counter drugs by the 1951 Durham-Humpphrey Amendment. Orphan drugs are drugs that are developed for rare diseases. The other options are not examples of legend drugs.
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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. I The patient is demonstrating which ethical term?
- A. Autonomy
- B. Beneficeence
- C. Justice
- D. Veracity
Correct Answer: A
Rationale: Autonomy includes self-determination, or the ability to act on one's own, including making one's own decisions about health care. Veracity is defined as the duty to tell the truth. Justice is the ethical principle of being fair or equal in one's actions. Beneficeence is the ethical principle of doing or actively promoting good.
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?
- A. The patient should be discouraged from using folk remedies and rituals.
- B. The nurse will expect the patient to value protective bracelets and -root doctorsl as healers.
- C. The nurse will remember that the balance among body, mind, and environment is important for this patient's health beliefs.
- D. The nurse's assessment needs to include gathering information regarding religious practices and beliefs regarding medication, treatment, and healing.
Correct Answer: D
Rationale: All beliefs need to be considered clearly so as to prevent a conflict from arising between the goals of nursing and health care and the dictates of a patient's cultural background. Assessing religious practices and beliefs is part of a thorough cultural assessment. The other options are incorrect. The nurse should not ignore a patient's cultural practices. The concept of balance among body, mind, and environment and the valuing of protective bracelets and root doctors reflect beliefs or practices that usually do not apply to the Hispanic cultural group.
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?
- A. No refills are permitted.
- B. They may be obtained over-the-counter with a signature.
- C. They are available only by written prescription.
- D. They are used only with approved protocols.
Correct Answer: D
Rationale: 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.
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?
- A. No prescription refills are permitted.
- B. Refills are allowed only by written prescription.
- C. The patient may have no more than five refills in a 6-month period.
- D. Written prescriptions expire in 12 months.
Correct Answer: C
Rationale: 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.
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?
- A. Hispanics
- B. Asian Americans
- C. Native Americans
- D. African Americans
Correct Answer: C
Rationale: Some Native Americans believe in preserving harmony with nature and that disease is a result of ill spirits. The groups listed in the other options do not typically reflect these practices.