ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 4 : Cultural, Legal, and Ethical Considerations Questions
Question 1 of 5
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?
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.
Question 2 of 5
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?
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.
Question 3 of 5
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 contraindindation to that drug. The nurse may be liable for which of these?
Correct Answer: B
Rationale: Negligence is the failure to act in a reasonable and prudent manner or failure of the nurse to give the care that a reasonably prudent (cautious) nurse would render or use under similar circumstances. Nurses are expected to assess patients thoroughly before medications are given, and to be familiar with medications they are administering. In this case, nursing negligence applies to nurses, not medical negligence. Nonmaleficence is defined as the duty to do no harm, autonomy is defined as the right to make one's own decisions, or self-determination.
Question 4 of 5
The nurse is reviewing the concept of drug polymorphism. Which factors contribute to drug polymorphism?
Correct Answer: B,C,E
Rationale: Inherited factors, diet and nutritional status, and cultural practices are some of the factors that contribute to drug polymorphism. The other options are not factors that contribute to drug polymorphism.
Question 5 of 5
The nurse is performing an admission assessment. Which findings reflect components of a cultural assessment?
Correct Answer: A,C,D,F
Rationale: The past use of medicines, use of herbal treatments, languages spoken, and religious practices and beliefs are components of a cultural assessment. The other options reflect components of a general medication assessment or health history.