Introduction to Pharmacology 12th Edition Asperheim Favaro Test Bank
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Asperheim: Introduction to Pharmacology, 12th Edition
Chapter 26: Home Health and End-of-Life Care
- Which best describes the current trend in home health care?
|a.||It is reserved for palliative care, when the patient is not expected to improve.|
|b.||It is an expensive alternative to in-patient treatment.|
|c.||It is often more efficient and more economical than other delivery methods.|
|d.||It is only available for indigent patients who have no caregiver.|
|A||Home health care is effective for patients who have healing wounds, chronic illnesses, and rehabilitation agendas.|
|B||Home health care is usually much less expensive than hospitalization.|
|C||Home health care is an effective alternative to extended hospitalization.|
|D||Home health care is available for patients all across the socioeconomic continuum and is valuable in supporting available caregivers.|
DIF: Cognitive Level: Understand REF: Page 242
- Home infusion is a possible option for which of the following?
|a.||Transfusions for an older adult man with anemia who has frequent episodes of hypotension|
|b.||Chemotherapy for a child with leukemia who has respiratory distress|
|c.||Tocolytic therapy for a woman in preterm labor with an abrupted placenta|
|d.||Chemotherapy for a medically stable postmastectomy patient|
|A||Frequent episodes of hypotension make this patient medically unstable and therefore not necessarily a good candidate for home infusion.|
|B||A child with leukemia who has respiratory distress is not medically stable and therefore not necessarily a good candidate for home infusion.|
|C||A patient with an abrupted placenta is not medically stable and therefore not necessarily a good candidate for home infusion.|
|D||Patients who are medically stable other than the need for continued infusion are generally good candidates for home care.|
DIF: Cognitive Level: Understand REF: Page 243
- Which of the following may be a sign that the home-based psychiatric patient is compliant with the prescribed medication regimen?
|a.||Imbalances of rest and activity|
|b.||Appropriate food choices|
|A||Imbalances of rest and activity might suggest that the patient is not compliant with the prescribed medication regimen.|
|B||The ability to choose and consume appropriate food choices is a sign that the psychiatric patient is functioning in an appropriate manner.|
|C||Deteriorating environment might suggest that the patient is not compliant with the prescribed medication regimen.|
|D||Poor self-care might suggest that the patient is not compliant with the prescribed medication regimen.|
DIF: Cognitive Level: Understand REF: Page 244
- In addition to continuous or regular administration of narcotic pain medication, which of the following is helpful in providing comfort to the hospice patient?
|a.||Stimulants to maintain consciousness|
|b.||Regular feedings to maintain stamina|
|c.||Short-acting pain medications for breakthrough pain|
|d.||Tricyclic antidepressant agents to improve mood|
|A||Stimulants might create unwanted anxiety in the patient and may not be metabolized correctly with the physiologic changes taking place in the body.|
|B||The terminally ill patient often has a reduced appetite, especially when pain is not adequately controlled.|
|C||In addition to fentanyl or morphine, terminally ill patients may benefit from such medications as ibuprofen for pain that exceeds the regular narcotic medication, without creating unnecessary sedation.|
|D||Although some tricyclic antidepressant agents may help manage pain levels, it would not benefit the terminally ill patient in pain as much as short-acting pain medications would.|
DIF: Cognitive Level: Remember REF: Page 245
- With respect to tolerance of opioid agents, the terminally ill patient in pain has which of the following?
|a.||Decreased ability to tolerate the effects of the medication|
|b.||Unaltered ability to tolerate high doses of the medication|
|c.||Increased ability to tolerate the sedative effects of the medication|
|d.||Increased susceptibility to addiction to the medication|
|A||The patient in pain has a higher ability to tolerate opioid effects.|
|B||The patient in pain has a higher ability to tolerate opioid effects.|
|C||Severe pain allows patients to tolerate the sedative effects of opioid agents in high doses.|
|D||The patient in pain has a higher ability to tolerate opioid effects without becoming addicted.|
DIF: Cognitive Level: Understand REF: Page 245
- One common result of vigorous feeding and hydration of the terminally ill patient is:
|a.||Improved mental status|
|c.||Discomfort because of sluggish metabolism and circulation|
|d.||Significant lengthening of life|
|A||Forcing fluids and food does not improve the mental status of a terminally ill patient.|
|B||Food and fluids do not help relieve pain in the terminally ill patient.|
|C||Because of changes in the cardiovascular and gastrointestinal systems, feeding and hydration often produce severe discomfort in the terminally ill patient.|
|D||Food and fluid do not lengthen the life of a terminally ill patient; they may, in fact, shorten it because of complications of overloading failing body systems.|
DIF: Cognitive Level: Understand REF: Page 246
- A patient with diabetes might need home care for which of the following?
|a.||Consistently high blood glucose levels|
|b.||Consistently low blood glucose levels|
|c.||Severely impaired vision|
|A||Hyperglycemia is generally treated in the hospital.|
|B||Hypoglycemia is generally treated in the hospital.|
|C||Diabetic retinopathy often leaves the patient severely visually compromised or even totally blind. The patient then cannot self-administer insulin injections or attend to personal hygiene, foot care, or skin care properly.|
|D||Peripheral neuropathy cannot be treated; it might be slowed good control of blood glucose at home.|
DIF: Cognitive Level: Understand REF: Page 243
- Types of home infusion that a patient might receive would include which of the following? Select all that apply.
ANS: A, C, E, F, G
|Correct||Any of the following may be administered in the patient’s home:
antibiotic agents, chemotherapy, hydration, pain medication, immunoglobulins, transfusions, parenteral nutrition, anticoagulation therapy, antiviral and antifungal infusion therapy.
|Incorrect||Vasoconstrictive or radioactive substances would not be administered at home.|
DIF: Cognitive Level: Remember REF: Page 243