Holland/Adams/Brice, Core Concepts in Pharmacology 5th Edition Test Bank
Chapter 7

Question 1

Type: MCSA

The client asks whether “natural” products are superior to prescription medication. What is the best response by the nurse?

1. “Yes, since the product is based in nature.”
2. “Natural products are not as potent as approved medications.”
3. “Natural does not always mean better or safe.”
4. “Interactions are rare when mixing natural and prescribed medications.”

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page number: 75

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-1 Compare and contrast complementary and alternative medicine therapies to conventional medical therapies.

Question 2

Type: MCMA

What are the common characteristics of CAM therapies? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Consideration of the specific system involved
2. Recognizing the role of spirituality in health and healing
3. Promotion of disease prevention, self-care, and self-healing
4. Focusing on treatment of the person as an individual
5. Focusing on the medical plan of treatment

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Page number: 72

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-1 Compare and contrast complementary and alternative medicine therapies to conventional medical therapies.

Question 3

Type: MCSA

What herbal product is most appropriate for the nurse to advise the menopausal client to take in order to alleviate her symptoms?

1. Valerian
2. Ginger
3. Black cohosh
4. Cranberry tablets

Cognitive Level: Applying

Client Need: Physiological Integrity

Page number: 74

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-1 Compare and contrast complementary and alternative medicine therapies to conventional medical therapies.

Question 4

Type: MCSA

The nurse is educating a client on the characteristics of complementary and alternative medicine (CAM). Which characteristic should the nurse not include in the teaching?

1. Promote disease prevention, self-care, and self-healing
2. Replace all traditional medication
3. Focus on treating each individual person
4. Consider the health of the whole person

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page number: 72

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-1 Compare and contrast complementary and alternative medicine therapies to conventional medical therapies.

Question 5

Type: MCSA

CAM includes biological therapies and alternate healthcare systems. What is an example of an alternate healthcare system?

1. Herbal therapies
2. Nutritional supplements
3. Special diets
4. Naturopathy

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page number: 73

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-1 Compare and contrast complementary and alternative medicine therapies to conventional medical therapies.

Question 6

Type: MCSA

A client asks the nurse about the benefits of yoga and meditation. The nurse plans a response based on the fact that yoga and meditation are which type of CAM?

1. Manual healing
2. Biological therapies
3. Mind–body interventions
4. Alternate healthcare systems

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page number: 73

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-1 Compare and contrast complementary and alternative medicine therapies to conventional medical therapies.

Question 7

Type: MCSA

Although used for many years by various cultures, the effectiveness (or ineffectiveness) of complementary and alternative medicine (CAM) therapies has only recently been of interest. What explanation by the nurse regarding this phenomenon is the most appropriate?

1. The Food and Drug Administration has not been supportive of this type of therapy.
2. Few have been subjected to rigorous clinical and scientific study.
3. The popularity of these therapies has only been recent.
4. Practitioners have not been suggesting them as treatments to their clients.

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page Number: 72

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-2 Discuss the reasons why herbal products and dietary supplements have steadily increased in popularity.

Question 8

Type: MCSA

A client asks the nurse why herbal therapy use has increased over time. Which response by the nurse is the most appropriate?

1. The renewed interest in preventive medicine has increased herbal therapy.
2. The control of herbal therapies by regulatory agencies has increased its use.
3. Medical schools are now including this information as part of the curriculum.
4. Natural herb products can now be standardized and produced more cheaply.

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page Numbers: 73–74

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-2 Discuss the reasons why herbal products and dietary supplements have steadily increased in popularity.

Question 9

Type: MCSA

The nurse understands the recent increase in popularity of herbal products. What is not a reason for this increase in popularity?

1. Aggressive marketing by the herbal industry
2. Renewed interest in preventative medicine
3. Lack of side effects from herbal products
4. Herbal products are readily available

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page Number: 73

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-2 Discuss the reasons why herbal products and dietary supplements have steadily increased in popularity.

Question 10

Type: MCSA

A client asks the nurse whether the liquid form of an herbal product is the same as the solid form. What is the nurse’s best response?

1. Liquid products may be administered as salves and ointments.
2. Liquid forms are concentrated in solvents at various strengths.
3. Liquid forms do not contain active chemicals from the plant.
4. Solid products include parts of the plant.

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page Number: 74

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-3 Explain why it is important to standardize herbal products based on specific active ingredients.

Question 11

Type: MCSA

A client asks the nurse whether there are any regulatory controls on herbal or dietary supplements. Which response by the nurse is most appropriate?

1. The Dietary Supplement Health and Education Act (DSHEA) regulates herbal and dietary supplements.
2. The Joint Commission (TJC) regulates herbal and dietary supplements.
3. The Food, Drug, and Cosmetic Act regulates herbal and dietary supplements.
4. The Department of Health and Human Services (HHS) regulates herbal and dietary supplements.

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Page Number: 78

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-6 Describe strengths and weakness of legislation governing the use of dietary supplements.

Question 12

Type: MCSA

Which statement by the nurse is the most appropriate in regards to the regulation of dietary supplements by the Dietary Supplement Health and Education Act?

1. Dietary supplements are checked for label accuracy.
2. Dietary supplements do not have to demonstrate effectiveness.
3. Dietary supplements are tested prior to marketing.
4. Dietary supplements are determined to be safe before being placed on the market.

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page Number: 78

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-6 Describe strengths and weakness of legislation governing the use of dietary supplements.

Question 13

Type: MCMA

What are the weaknesses of the Dietary Supplement Health and Education Act (DSHEA)? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. The manufacturer does not need to prove the safety of the supplement.
2. The accuracy of the label is not regulated.
3. The FDA can remove products from the market if they pose a significant risk.
4. Dietary supplements do not need to be tested prior to marketing.
5. Dietary supplements are safe for everyone to use.

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page Number: 78

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-6 Describe strengths and weakness of legislation governing the use of dietary supplements.

Question 14

Type: MCMA

A client asks the nurse to explain what a dietary supplement is and how these supplements are regulated. What responses by the nurse are most appropriate? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. “Dietary supplements are only vitamins and minerals.”
2. “The FDA can remove products from the market if they pose an unreasonable risk to the public.”
3. “Dietary supplements are exempted from the Food, Drug, and Cosmetic Act.”
4. “Dietary supplements are products to enhance the diet that are not approved as drugs.”
5. “Dietary supplements are regulated by The Joint Commission (TJC).”

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page Number: 78

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-6 Describe strengths and weakness of legislation governing the use of dietary supplements.

Question 15

Type: MCSA

Which intervention should the nurse implement to identify allergic or other adverse reactions when first administering an herbal product?

1. Take less than the recommended dose initially
2. Use only one herbal product at a time
3. Check with a reputable pharmacist
4. Never take them with prescription medications

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 76

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-4 Describe drug interactions and adverse effects that may be caused by herbal and dietary supplements.

Question 16

Type: MCSA

Which statement by the nurse is incorrect regarding herbal therapy?

1. Herbs cause no significant side effects.
2. Herbs can interact with prescription medication.
3. Natural does not always mean better or safe.
4. Not all natural substances are therapeutic.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Numbers: 75–76

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-4 Describe drug interactions and adverse effects that may be caused by herbal and dietary supplements.

Question 17

Type: MCMA

The nurse is explaining to a client why it is important to discuss all herbal medications with the healthcare provider. The nurse knows the potential for drug interaction increases in which client populations? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Elderly
2. Clients with hepatic impairment
3. Clients with renal impairment
4. Pregnant women
5. Male population

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 76

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-4 Describe drug interactions and adverse effects that may be caused by herbal and dietary supplements.

Question 18

Type: MCSA

Why is it difficult for a client to be sure that the herbal product purchased at one store is made in the same strength as a different brand at another store?

1. It is not difficult because all herbal products contain the same amount of active ingredients.
2. Only one active ingredient is in each herb.
3. All herbs are collected under the same conditions.
4. Multiple active ingredients are present in herbs.

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page Number: 74

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-3 Explain why it is important to standardize herbal products based on specific active ingredients.

Question 19

Type: MCSA

A nurse is collecting medication information from a patient. The patient tells the nurse that she does not take any medications, but she does take a supplement of fish oil. What is the role of a supplement?

1. It is used to enhance a specific function of the body.

2. It plays a role similar to herbs.

3. It targets multiple areas of the body.

4. It has an intended benefit and role.

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Page Number: 77

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-5 Explain how a specialty supplement differs from an herbal product.

Question 20

Type: MCSA

Which is correct regarding specialty supplements and herbal supplements?

1. Caution should be given to the patient regarding the health claims of both types of products.

2. Herbal supplements have specific health claims and should be promoted by the nurse.

3. Specialty supplements have specific health claims and should be promoted by the nurse.

4. Both specialty and herbal supplements should be encouraged by the nurse for use by all patients.

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page Number: 77

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 7-5 Explain how a specialty supplement differs from an herbal product.