TEST BANK FOR INTRODUCTION TO CLINICAL PHARMACOLOGY 8TH EDITION BY EDMUNDS

TEST BANK FOR INTRODUCTION TO
CLINICAL PHARMACOLOGY 8TH
EDITION BY EDMUNDS

,TEST BANK FOR INTRODUCTION TO CLINICAL PHARMACOLOGY 8TH EDITION BY EDMUNDS


Chapter 2: Patient Teaching and Health Literacy
Edmunds: Introduction to Clinical Pharmacology, 8th Edition


MULTIPLE CHOICE

1. A patient comes into the clinic and is started on a new antihypertensive
medication. In the past, this patient has not been taking the medication
on a daily basis as per the drug treatment plan. Which strategy should the
nurse use to get the patient to take the prescribed medication?
a.
Tell the patient to follow the plan of care.
b.
Tell the patient he will have a stroke if he does not take his medication.
c.
Discuss with the patient the reasons that he is not taking his medication.
d.
Tell the patient he will have to see a doctor to get more medication.
ANS: C
When the nurse teaches the patient, the nurse should discuss the
patient’s reasons for not taking the medication and help the patient set
goals so the patient can make informed decisions about taking the
medication.

DIF: Cognitive Level: Apply REF: p. 11 OBJ: 2
TOP: Compliance, Noncompliance, and Concordance
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

2. A patient is a newly diagnosed diabetic who has been incorrectly
taking the medication prescribed. Which is the most likely reason?
a.
The patient feels the dose of medication is not enough.
b.
The patient feels the dose of medication is too much.
c. NURSINGTB.CO
The patient does not understand the medication dosage.
d. M
The patient cannot swallow the medication.
ANS: C
There are two basic reasons a patient has difficulty meeting treatment
goals: (1) the patient does not understand what to do, or (2) the patient
understands what to do but fails to do it. When teaching the patient,
discuss both of these reasons with the goal of helping the patient make
informed decisions about properly taking medications.

DIF: Cognitive Level: Apply REF: p. 11 OBJ: 2
TOP: Compliance KEY: Nursing Process
Step: Implementation
MSC: NCLEX: Physiological Integrity

3. Poor literacy is a problem that interferes with a patient’s ability to deal
with the health care setting. What can contribute to a patient’s literacy
problems?
a.
The patient is hearing-impaired.
b.
The patient cannot read health content.
c.
The patient’s family is not involved.
d.
The patient lives alone.
ANS: B



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, TEST BANK FOR INTRODUCTION TO CLINICAL PHARMACOLOGY 8TH EDITION BY EDMUNDS

Inability to read health content often means that patients cannot read the
information nurses or doctors send home with them about their disease,
the medications they are taking, and important things they need to know.
Recent research suggests that written information given to most patients
should be written at a fifth- to seventh-grade level to make it more likely
that they will understand.

DIF: Cognitive Level: Understand REF: p. 12 OBJ: 2
TOP: Communicating with Patient KEY: Nursing Process Step:
Assessment MSC: NCLEX: Physiological Integrity

4. The nurse needs to teach a patient about the side effects of a medication
she is taking. By what means will the nurse know whether the patient has
learned the information she needs to know about her medication?
a.
The patient can repeat the information.
b.
The patient learns the information in her mind.
c.
The patient remembers most of the information given.
d.
The patient is selective with the information given.
ANS: A
Have the patient repeat information back, show a procedure, or follow up
on a behavior to determine how well the material has been learned.
Return demonstration or discussion is the only way to measure a
patient’s understanding.

DIF: Cognitive Level: Understand REF: p. 13 OBJ: 3
TOP: Assess Learning Needs KEY: Nursing Process Step:
Implementation MSC: NCLEX: Physiological Integrity

5. The nurse is planning the teachNinUgR/leSaIrnNinGgToBbj.ecCtiOvMes
for a patient who comes into the clinic to learn about hormonal therapy
and is experiencing stress. What will help the patient’s learning process?
a.
Covering as many topics as possible at one time
b.
Timing the teaching to coincide with visiting hours
c.
Teaching the patient while a favorite television program
is playing in the background
d.
Systematic teaching in a quiet, unhurried setting
ANS: D
Teaching needs to be given in a systematic manner to decrease stress. It
needs to be provided in a timely way and in a quiet, unhurried setting
that gives the patient a chance to ask questions. If the patient appears to
be anxious or in pain, stop and reschedule the session.

DIF: Cognitive Level: Apply REF: p. 14 OBJ: 3
TOP: Teaching Plan KEY: Nursing Process Step:
Implementation MSC: NCLEX: Physiological Integrity

6. Television ads that are created by drug companies cannot always answer
patients’ questions. What is the term for television ads created for
patients?
a.
Direct-to-consumer advertising
b.
Direct visual teaching advertising
c.
Limited-content advertising
d.
Limited-focus advertising
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