Test Bank For Core Concepts in Pharmacology- 3rd edition- Holland Adams Test Bank

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Chapter 6 Sample
Exam
Name___________________________________
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or
answers the question.
1)
The client asks if ʺnaturalʺ products are superior to prescription medication. The best
1)
response by
the nurse is:
A) ʺInteractions are rare when mixing natural and prescribed medications.ʺ
B) ʺNatural products are not as potent as approved medications.ʺ
C) ʺYes, since the product is based in
nature.ʺ
D) ʺNatural does not always mean better or
safe.ʺ
2)
The nurse understands that CAM therapies have common characteristics, such as
which of the
2)
following? Select all that apply.
A) Focusing on treatment of the person as an individual
B) Recognizing the role of spirituality in health and healing
C) Promotion of disease prevention, self-care, and self-healing
D) Consideration of the specific system
involved
3)
The nurse advises the menopausal client that which of the following herbal products
3)
might help
alleviate her symptoms?
4)
A) Black cohosh
B) Valerian
C) Ginger
D) Cranberry tablets
Which of the following is not a characteristic of complementary and alternative
medicine (CAM)?
4)
A) Promote disease prevention, self-care, and self-healing.
B) Consider the health of the whole person.
C) Focus on treating each individual person.
D) Replace all traditional medication.
5)
CAM includes biological therapies and alternate health care systems. Which of the
following is an
5)
example of an alternate health care system?
6)
A) Special diets
B) Naturopathy
C) Nutritional supplements
D) Herbal therapies
A client ask the nurse about the benefits of yoga and meditation. The nurse
understands yoga and
6)
meditation both to be the ________ type of
CAM.
A) Manual healing
B) Alternate health care systems
C) Biological therapies
D) Mind—body intervention
A client tells the nurse she takes garlic on a daily basis. The nurse knows the effect
of garlic on the
7)
body is to:
1.
2.
3.
4.
A) Work as an antitoxin.
B) Decrease cholesterol and blood pressure.
C) Decrease stomach upset and motion sickness.
D) Enhance sexual function.
1
8) Although used for many years by various cultures, the effectiveness (or noneffectiveness) of
8)
complementary and alternative medicine (CAM) therapies has only recently been of
interest. The nurse educates her client that this has been mainly due to the fact that:
1. The popularity of these therapies has only been recent.Practitioners have not been
suggesting them as treatments to their clients.
1. The Food and Drug Administration has not been supportive of this type of therapy.
2.
3. Few have been subjected to rigorous clinical and scientific study.
7)
9) The nurse explains to her client, when questioned about use of herbal therapies, that use
9)
has
increased over time
because:
A) Natural herb products can be standardized and produced more
cheaply.
B) Medical schools are including this information as part of the
curriculum
C) Of renewed interest in preventive medicine.
D) Of controls by regulatory agencies.
10) The nurse understands the increase in popularity of herbal products has occurred
recently. Which
10)
of the following is not a reason for this increase?
A) Herbal products are readily available.
B) Renewed interest in preventative medicine
C) Aggressive marketing by the herbal industry
D) Lack of side effects from herbal products
11) The nurse explains that the liquid form of an herbal product might not be the same as a
11)
solid form,
since:
A) Liquid forms are concentrated in solvents at various strengths.
B) Liquid products may be administered as salves and ointments.
C) Solid products include parts of the plant.
D) Liquid forms do not contain active chemicals from the plant.
12) A client asks the nurse what a botanical or herb is. The nurse
replies:
A) ʺAny plant product with useful application.ʺ
B) ʺAny plant that is used to supplement diet only.ʺ
C) ʺAny plant product that does not cause a skin reaction.ʺ
D) ʺAny plant that can be made into a tea.ʺ
12)
13) Liquid and herbal products are made by extracting the active chemicals using a solvent.
13)
Which of
the following is not used for this purpose?
A) Glycerol
B) Alcohol
C) Sucrose
D) Water
14) The nurse understands that solid herbal products include which of the following? Select
14)
all that
apply.
B) Pills
A) Tablets
C) Tea
D) Salves
15) When asked if there are any regulatory controls on herbal or dietary supplements, the
nurse
15)
responds to the client by informing him that dietary supplements are regulated by the:
1. Joint Commission on the Accreditation of Healthcare Organizations (JCAHO).Food,
Drug, and Cosmetic Act.
1. Dietary Supplement Health and Education Act (DSHEA).
2.
3. Department of Health and Human Services (HHS).
2
The nurse explains that in regard to regulation by the Dietary Supplement Health and
16)
Education
Act, dietary supplements:
A) Do not have to demonstrate effectiveness.
B) Are tested prior to marketing.
C) Are determined to be safe before being placed on the market.
D) Are checked for label accuracy.
16)
Which of the following is not a weakness of the Dietary Supplement Health and
17)
Education Act
17)
(DSHEA)?
A) The accuracy of the label is not regulated.
B) Dietary supplements do not need to be tested prior to marketing.
C) The manufacturer does not need to prove the safety of the supplement.
D) The FDA can remove products from the market if they pose a significant risk.
A client asks the nurse to explain what a dietary supplement is, and how these
18)
supplements are
18)
regulated. Which of the following should the nurse tell the client? Select all that apply.
1. ʺDietary supplements are products to enhance the diet that are not approved as
drugs.ʺʺDietary supplements are only vitamins and minerals.ʺ
1. ʺDietary supplements are exempted from The Food, Drug, and Cosmetic Act.ʺ
2.
3. ʺThe FDA can remove products from the market if they pose an unreasonable risk to the
public.ʺ
When beginning herbal products, the nurse understands that the best way to identify
19)
allergic or
19)
other adverse reactions is to have the client:
A) Check with a reputable pharmacist.
B) Never take them with prescription
medications.
C) Use only one herbal product at a time.
D) Take less than the recommended dose
initially.
20)Which of the following statements is incorrect regarding herbal therapy?
20)
A) Natural does not always mean better or
safe.
B) Herbs can interact with prescription medication.
C) Herbs cause no significant side effects.
D) Not all natural substances are therapeutic.
The nurse is explaining to a client why it is important to discuss all herbal medications
21)
with the
21)
physician. The nurse knows the potential for drug interaction increases in which of the
following
client populations? Select all that apply.
A) Elderly
B) Pregnant women
C) Clients with hepatic impairment
D) Clients with renal impairment
One reason it is difficult for a client to be sure the herbal product purchased at the store
22)
22)
is made in
the same strength if the client purchases a different brand is because:
1. All herbs are collected under the same conditions.Multiple active ingredients are present
in herbs.
1. Only one active ingredient is in each herb.
2.
3. All herbal products contain the same amount of active ingredients.
3
The nurse responds to the clientʹs questions about CAM therapies, and explains that
23)
some have
been popular for centuries in treating conditions of the body and mind, including which
of the
following? Select all that apply.
A) Ointments with steroid base
B) Massage
C) OTC medications
D) Meditation
23)
The client asks the nurse which supplement can be used to treat arthritis and joint pain.
24)
24)
The nurse
knows the supplement is:
A) Coenzyme Q10.
B) Selenium.
C) Fish oil.
D) Glucosamine and chondroitin.
________ supplements are non -herbal products that are widely used to promote
25)
wellness.
A) Tea
B) Herbal extract
C) Traditional drug
D) Specialty
25)
4
Answer Key
Testname: UNTITLED6


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






D
A, B, C
A
D
B
D
B
D
C
D
A
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












A
C
A, B, D
B
A
D
A, B, D
D
C
A, C, D
C
B, D
D
D
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