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13 Dec 2019

Clinical judgement in prescribing includes

a. Factoring in the cost to the patient of the medication prescribed

b. Always prescribing the newest medication available for the disease process

c. Handing out drug samples to poor patients

d. Prescribing all generic medications to cut costs

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Sixta Kovacek
Sixta KovacekLv2
17 Dec 2019
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Related questions

22. What is the primary reason for having the older adult bring all medications with every office visit, including prescription and nonprescription medicines,vitamins, and herbal supplements?

A. So the health provider can determine if the older adult know the names of the medication.

B. So the health provider can reduce potential polypharmacy in the older adult.

C. So the health provider can ensure the older adult takes prescribed medications

D. So the health provider can assess the older adults lifestyle

23. Which medications should the nurse cautiously review from the Beer's List of medications when documenting the patient's drug profile ?

A. Diuretics

B. Inotropic drugs

C. Benzodiazepines

D. Cyclosporines

24. Which statement is true regarding the use of interdisciplinary team?

A. They enhance primary care visitation.

B. They bring better quality services for clients.

C. They meet the centers for Medicare and Medicaid services guidelines.

D. They expedite nursing care services

26. What should be the nurse's primary consideration while allowing for patient autonomy and reducing risk when dealing with end of life care ?

A.stage of illness

B. Cognitive impairment

C. Weight

D. Age

27. Whicn statement from a nurse would indicate good judgment when considering common myths regarding physical restraint use ?

A. Alternatively to physical restraints are unavailable

B. Inadequate staffing causes the need for physical restraint use.

C. Failure to restrain puts individuals at risk for legal liability

D. Risk of falls exists when restraints are used.

28. A 66 year- old patient lives alone and has a BMI of 32, as well as diabetes. As the nurse begins to encourage the patient to increase current levels of physical activity, the nurse should recognize common barriers identified by the elderly.

Which barrier to physical activity is least common for the elderly?

A. Finding safe area to walk

B. Swelling of ankles

C. Having pain from arthritis

D. Experience fatigue

29. An 81-year-old patient is a new resident in Hill Side Nursing Home. Upon admission the patient had a Braden score of 17.

Which statement would indicate that the RN on duty lacks understanding that the patient is at risk for pressure ulcers?

A. The primary risk factor is immobility.

B. The primary risk factor is a BMI < 24

C. The primary risk factor is polypharmacy

D. The primary risk factor is malnutrition

30. Harriett is a 92-year-old who lives in assisted living; she recently fell and broke her hip. Harriet and her family would like to keep Harriet safe and at the highest level of independence on her return to her accommodations from the hospital.

Which action should the nurse take to help Harriet and her family ?

A. Counsel about home safely assessments

B. Tell Harriet to become active in the local Tai Chi program

C. Discuss the rate of unintentional injuries for older aldults

D. Have Harriet and her family request a daily room check by staff

31. Sharron is a 90- year-old female who lived in Asia for most of her life and is a nonnative English speaker. She recently had emergency gallbladder surgery.

Which nursing action would be best to do before discharging Sharron back to her accommodations?

A. Explore her use of alternative medicines

B. Explore English as a second language lessons

C. Explore aromatherapy for relaxation purposes

D. Explore counciling for depression options.

32. Agnes is a 77 year old who lost her husband last year and has congestive heart failure. She has a move in with her son Alex. She has been brought to the ER by Alex who says she is short of breath. He doesn't know how long she has been in the state, nor does he know the medication she should be on.

What is the nursing priority?

A. Admit and stabilize the patient

B. Call Agne's daughter

C. Contact social services

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CASE STUDY: HIV TRANSMISSION Background A dentist showed symptoms of HIV infection in late 1986 and was diagnosed with AIDS in 1987. At the time of the AIDS diagnosis, AZT therapy was begun, discontinued for a short period in late 1987, then restarted and continued until his practice closed in 1989. All of the dentist’s employees, including the dental hygienists, tested negative for HIV antibodies. The dentist wrote an open letter to his former patients, which prompted 591 persons to be tested for HIV antibodies. The following list summarizes the seropositive individuals.

Patient: A Sex: F Clinical Status: AIDS HIV Risk Factor: No # of Dental Visits: 6 Dates: 1987-89

Patient: B Sex: F Clinical Status: CD4+ <500/mm3 HIV Risk Factor: No # of Dental Visits: 21 Dates: 1987-89

Patient: C Sex: M Clinical Status: CD4+ <200/mm3 HIV Risk Factor: Unknown # of Dental Visits: 14 Dates: 1984-89

Patient: D Sex: M Clinical Status: AIDS HIV Risk Factor: Yes # of Dental Visits: 19 Dates: 1985-89

Patient: E Sex: F Clinical Status: CD4+ <500/mm3 HIV Risk Factor: No* # of Dental Visits: 10 Dates: 1988

Patient: F Sex: M Clinical Status: AIDS HIV Risk Factor: Yes†# of Dental Visits: 5 Dates: 1988

Patient: G Sex: M Clinical Status: CD4+ <400/mm3 HIV Risk Factor: No # of Dental Visits: 2 Dates: 1988

*Patient F was an infrequent sex partner of patient E. Their last contact was in the fall of 1988

†Tested seronegative in October and December 1988, positive in December 1990.

Questions:

1. Analyses of DNA and amino acid sequences from HIV isolated from the patients strongly suggest that five of the patients were infected by the dentist. Which two were not? How did you arrive at your conclusion?

2. How can transmission of HIV and hepatitis B by health care workers be prevented?

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1

Antonio uses Adderal to treat his ADHD. Scott stole some of Antonio's medication so he could study for an exam. Which of the following best describes Scott's behavior relative to this incident?

A

Drug dependence

B

Drug abuse

C

Drug addiction

D

All of these answers are correct

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2

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2

______________ is the key player in the reward system of the brain.

A

Serotonin

B

None of these answers are correct

C

Adrenaline

D

Dopamine

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3

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3

Several factors influence how drug users experience the drug effects. The four more important factors are which of the following?

A

Physiological, social, genetics, and cultural

B

Psychological, genetics, social, and cultural

C

Pharmacological, physiological, psychological, and social

D

Pharmacological, cultural, social, and contextual

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4

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4

Drug abuse usually follows 4 steps of drug use. This is known as the spectrum of psychoactive drugs. What 4 steps are part of this spectrum?

A

Beneficial, casual, problematic, chronic dependence

B

Beneficial, casual, abusive, addictive

C

Beneficial, problematic, chronic dependence, and abusive

D

Social, abusive, dependent, addictive

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5

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5

The main neurotransmitter in the reward system is thought of being which of the following?

A

Dobutamine

B

Epinephrine

C

Glutamate

D

Dopamine

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6

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6

The rate at which a drug is distributed in the body depends on which of the following?

A

Its solubility properties

B

Its tendency to attach to proteins in tissues

C

Its ability to pass across membranes

D

Its molecular size

E

All of these answers are correct

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7

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7

A period of medical treatment, usually including a 9-12 step program, during which a person is helped to overcome physical and psychological dependence on alcohol or drugs is known as part of the ______________ process.

A

Withdrawal

B

Intoxication

C

Oxidation

D

Detoxification

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8

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8

Drug addiction is defined as which of the following?

A

Pathological condition in which one compulsively uses a drug, despite its negative effects

B

Using any prescribed drug or over the counter medication for healing purposes

C

Using a drug excessively, or for purposes for which it was not medically intended

D

Constant use of a chemical to ensure a constant state of happiness

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9

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9

The rate at which a drug is distributed in the body depends on which of the following properties?

A

It's solubility properties

B

Pass across membranes

C

It's molecular size

D

All of these answers are correct

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10

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10

The most commonly abused set of drugs in the USA is which of the following?

A

Non prescription over the counter drugs

B

Illegal drugs such as cocaine

C

Prescription Drugs

D

All of these answers are correct

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