PHARMACOLOGY FOR NURSES
A PATHOPHYSIOLOGICAL APPROACH
4TH CANADIAN EDITION
CHAPTER NO. 01: INTRODUCTION TO PHARMACOLOGY AND DRUG
REGULATIONS IN CANADA
QUESTION 1
Type: MCMA
What key elements are included in the definition of pharmacology?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Physiological effects of drugs
2. Chemical makeup of drugs
3. Formularies of drugs
4. Approval processes for new drugs
5. Mechanism of action
Correct Answer: 1,2,5
Rationale 1: The definition of pharmacology includes the actual responses produced by the drug.
Rationale 2: The study of medicines include how they are made, including their chemical
properties.
Rationale 3: Formularies are a list of drugs and are not an element that defines pharmacology.
Rationale 4: Approval processes for new drugs is important understanding but not an element of
the definition of pharmacology.
Rationale 5: How a drug exerts its effect is an element of the defined term pharmacology.
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-1 Define pharmacology
QUESTION 2
Type: MCSA
While many substances can be considered drugs, which of the following drug definitions is the
most accurate?
1. Any substance that is found in nature or that normally occurs in the body
2. Any substance that is naturally produced in animal cells
3. Substances that have the capacity to produce biological responses
4. Substances that can be isolated from natural substances in nature
,Correct Answer: 3
Rationale 1: A drug is not a substance that is found in nature or that normally occurs in the
human body.
Rationale 2: This statement is true of a biologic not a drug.
Rationale 3: A drug is an agent capable of producing biological responses that are either
therapeutic or adverse.
Rationale 4: A drug is not only a substance isolated from natural substances.
Cognitive Level: Understanding
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-4 Compare and contrast conventional drugs, biologics, and complementary
and alternative health products.
QUESTION 3
Type: MCSA
Which statement best describes pharmacotherapy?
1. The study of medicine and drug therapy
2. The application of natural substances to cure diseases
3. The application of drugs for the prevention and treatment of disease and human suffering
4. The understanding of the difference between trade and generic medications
Correct Answer: 3
Rationale 1: Pharmacotherapy is not just the study of medicine and drug therapy.
Rationale 2: Pharmacotherapy is not the application of natural substances to cure diseases.
Rationale 3: Pharmacotherapy is the application of drugs for the prevention and treatment of
diseases and human suffering.
Rationale 4: Pharmacotherapy comprises more than understanding the difference between trade
and generic drugs.
Cognitive Level: Understanding
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-3 Compare and contrast therapeutics and pharmacology.
QUESTION 4
Type: MCMA
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
Which statement(s) is(are) considered true when dispensing prescription drugs compared to
dispensing over-the-counter (OTC) drugs?
,1. May only be obtained by a physician
2. Are easily obtainable
3. Choice of drug is usually more specific
4. Frequency of the drug can be controlled
Correct Answer: 3,4
Rationale 1: Prescription drugs are not only available by physicians; other healthcare providers
can write prescriptions.
Rationale 2: Prescription drugs are less easily obtainable than OTC; they require an appointment
with a healthcare provider.
Rationale 3: The choice of drug is considered more specific because the healthcare provider has
the opportunity to examine the client and come up with a diagnosis.
Rationale 4: The dose and frequency of the drug is controlled through prescription dispensing.
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Teaching/Learning
Learning Outcome: 1-5 Identify the advantages and disadvantages of prescription and over-the-
counter (OTC) drugs.
QUESTION 5
Type: MCMA
Which criteria are assessed before marketing a pharmaceutical drug?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Efficacy
2. Need
3. Cost
4. Safety
5. Quality
Correct Answer: 1,4,5
Rationale 1: The Pharmaceutical Drugs Directorate, a branch of Health Canada, authorizes
marketing of a pharmaceutical drug or medical device once a manufacturer presents sufficient
scientific evidence of the product’s safety, efficacy, and quality.
Rationale 2: The need for a particular drug does not influence the marketing of drugs in Canada.
Despite need, all drugs must go through the same degree of rigour to promote safety, efficacy,
and quality.
Rationale 3: Cost is not a considered criteria for marketing drugs.
Rationale 4: The Pharmaceutical Drugs Directorate, a branch of Health Canada, authorizes
marketing of a pharmaceutical drug or medical device once a manufacturer presents sufficient
scientific evidence of the product’s safety, efficacy, and quality.
, Rationale 5: The Pharmaceutical Drugs Directorate, a branch of Health Canada, authorizes
marketing of a pharmaceutical drug or medical device once a manufacturer presents sufficient
scientific evidence of the product’s safety, efficacy, and quality.
Cognitive Level: Understanding
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcomes: 1-7 Discuss the role of Health Canada and the Health Products and Food
Branch (HPFB) and its Pharmaceutical Drugs Directorate in the drug approval process.
QUESTION 6
Type: MCMA
Mrs. Morton expresses concern to the nurse about a new drug on the market that has been
prescribed for her health condition; she worries about the safety of the medication. What can the
nurse tell Mrs. Morton about drug regulatory standards in Canada that are intended to protect
clients?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. All drugs go through a three-step approval process before marketed for human use.
2. The first phase of clinical trials involves testing on 1000–3000 individuals with the target
disorder.
3. Once a drug is considered safe on animals, the manufacturer applies for clinical trials.
4. Health Canada continues to monitor the safety of drugs even after initial marketing.
Correct Answer: 3,4
Rationale 1: Drugs go through a seven-step approval process from preclinical trials to the
monitoring of drugs after marketing.
Rationale 2: The first phase of clinical trials involves a small group of healthy individuals.
Rationale 3: After the preclinical trials, an application for clinical trials is submitted to Health
Canada.
Rationale 4: Health Canada monitors the efficacy of the drug and any safety concerns after it has
been marketed. This is done by regular inspection, notices, newsletters, and feedback from
consumers and healthcare professionals.
Cognitive Level: Remembering
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-6 Identify key Canadian drug regulations that help to ensure the safety and
efficacy of medications.