PH 2 Legal, Regulatory, and Ethical Aspects of Drug Administration
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Questions and Answers

Which schedule of controlled substances has the highest potential for abuse and no accepted medical use in the United States?

  • Schedule I (correct)
  • Schedule IV
  • Schedule III
  • Schedule II

    • Which schedule of controlled substances has a lower potential for abuse compared to Schedule III drugs?

  • Schedule V
  • Schedule II
  • Schedule I
  • Schedule IV (correct)

    • Which type of dependence is associated with physical symptoms that occur with drug withdrawal?

  • Physical dependence (correct)
  • Neither physical nor psychologic dependence
  • Both physical and psychologic dependence
  • Psychologic dependence

    • Which healthcare providers may write prescriptions for controlled substances?

    <p>Physicians, dentists, nurse practitioners, physician assistants, and sometimes nurse midwives</p> Signup and view all the answers

    Which term refers to drugs that are highly regulated because they are commonly abused?

    <p>controlled substances</p> Signup and view all the answers

    What does the term 'legal responsibility' refer to?

    <p>The nurse's authority as defined by the state Nurse Practice Act.</p> Signup and view all the answers

    What is the meaning of a 'as needed' or 'PRN' drug order?

    <p>An order for a drug to be given as needed based on nurse's judgment.</p> Signup and view all the answers

    What is the purpose of a black box warning?

    <p>To provide a special designation for drugs with higher-than-normal risk.</p> Signup and view all the answers

    Which of the following is an example of a prescription drug?

    <p>Antibiotics</p> Signup and view all the answers

    What is the definition of physical dependence?

    <p>The actual physical symptoms that occur with drug withdrawal</p> Signup and view all the answers

    What is the term for the authority designated by an individual state that determines who is legally permitted to write an order or prescription for drugs?

    <p>Prescriptive authority</p> Signup and view all the answers

    What is the term for a drug order that indicates that the drug is to be given until discontinued or for a certain number of doses?

    <p>Standing drug order</p> Signup and view all the answers

    Which healthcare professionals are authorized to have access to and deliver controlled substances?

    <p>Nurses</p> Signup and view all the answers

    What is the purpose of the Federal Prescription Drug Marketing Act?

    <p>To prevent prescription drug misuse and abuse</p> Signup and view all the answers

    What is the most commonly abused type of prescription drugs?

    <p>Narcotics (opioids)</p> Signup and view all the answers

    Why are older patients at high risk for problems with prescription drugs?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is NOT a responsibility of the nurse who handles controlled substances?

    <p>Using controlled substances for personal use</p> Signup and view all the answers

    What can serve as clues to possible drug diversion?

    <p>Patients receiving large or more frequent doses of drugs without pain relief</p> Signup and view all the answers

    Who has the legal responsibility for overseeing the use and recording of all opioids during a shift?

    <p>The charge nurse or drug nurse carrying the key to the locked cabinet</p> Signup and view all the answers

    What happens if a controlled drug is accidentally dropped or made unusable?

    <p>The nurse must discard the drug and document the incident</p> Signup and view all the answers

    Which of the following is true about the Controlled Substances Act of 1970?

    <p>It classified drugs into five schedules based on their potential for abuse.</p> Signup and view all the answers

    What are some behaviors that may signal a drug or alcohol dependency problem in a nurse?

    <p>Increased absences, lateness to work, and decreased alertness.</p> Signup and view all the answers

    Which of the following is true about federal laws regarding drug administration?

    <p>They ensure that drugs are as safe as possible for patients to take.</p> Signup and view all the answers

    What is the purpose of the US Food and Drug Administration (FDA)?

    <p>To monitor or watch the testing, approval, and marketing of new drugs.</p> Signup and view all the answers

    Which of the following is NOT a common minor problem that OTC drugs can be used to treat?

    <p>Coughs</p> Signup and view all the answers

    What is the main purpose of the Drug Facts label on OTC products?

    <p>To provide instructions on how to use the drug</p> Signup and view all the answers

    Why are common cold drugs no longer recommended for use in pediatric patients?

    <p>Parents often give incorrect dosages to their children</p> Signup and view all the answers

    What is the purpose of storing cold and allergy products that contain pseudoephedrine behind the pharmacy counter?

    <p>To limit the quantity of the products sold</p> Signup and view all the answers

    In which settings do OTC drugs require a legal prescriber's order before they are given?

    <p>Hospitals</p> Signup and view all the answers

    What are the three major classes of drugs under the Canadian Food and Drugs Act?

    <p>Nonprescription drugs, prescription drugs, and restricted drugs</p> Signup and view all the answers

    Which schedule of controlled substances has the highest potential for abuse and no accepted medical use in the United States?

    <p>Schedule I</p> Signup and view all the answers

    What is the term for a drug order that indicates that the drug is to be given until discontinued or for a certain number of doses?

    <p>Standing order</p> Signup and view all the answers

    Which healthcare providers may write prescriptions for controlled substances?

    <p>Physicians and nurse practitioners</p> Signup and view all the answers

    What is the purpose of the Federal Prescription Drug Marketing Act?

    <p>To regulate the marketing and distribution of prescription drugs</p> Signup and view all the answers

    Which term refers to a special designation from the FDA that a drug has a higher-than-normal risk for causing serious and even life-threatening problems in addition to its positive benefits for some people?

    <p>Black box warning</p> Signup and view all the answers

    What is the state law that licenses LPN/VN, registered nurses, nurse anesthetists, nurse practitioners, and nurse midwives called?

    <p>Nurse Practice Act</p> Signup and view all the answers

    Which of the following is NOT a type of drug order?

    <p>Single drug order</p> Signup and view all the answers

    What is the term for the nurse's authority as defined by the state Nurse Practice Act and involves the nurse's judgment and actions while performing professional duties?

    <p>Legal responsibility</p> Signup and view all the answers

    Which government agency is responsible for regulating the safety and effectiveness of prescription drugs in the United States?

    <p>Food and Drug Administration (FDA)</p> Signup and view all the answers

    What is the main purpose of the Federal Prescription Drug Marketing Act?

    <p>To control the marketing and distribution of prescription drugs</p> Signup and view all the answers

    Which healthcare professionals are authorized to have access to and deliver controlled substances?

    <p>All of the above</p> Signup and view all the answers

    What is the purpose of the Omnibus Budget Reconciliation Acts of 1989, 1990, and 1991?

    <p>To place further controls on drugs for Medicare or older adult patients</p> Signup and view all the answers

    Which of the following is NOT considered a best practice in drug administration when drugs are mixed with food or drink?

    <p>Mixing drugs with grapefruit juice</p> Signup and view all the answers

    Which of the following is a potential consequence of crushing pills or opening capsules before mixing them with food or drink?

    <p>Accidental overdose</p> Signup and view all the answers

    What is drug diversion?

    <p>The illegal transfer of regulated drugs from the patient for whom it was prescribed to another person for their own use</p> Signup and view all the answers

    What is the potential impact of drug diversion on patient safety and healthcare organizations?

    <p>Increased liability for healthcare organizations and decreased patient safety</p> Signup and view all the answers

    According to the text, who has the legal responsibility for overseeing the use and recording of all opioids during a shift?

    <p>The charge nurse or a drug nurse</p> Signup and view all the answers

    According to the text, what happens if a dose of a controlled drug is accidentally dropped or made unusable?

    <p>The nurse must sign the inventory report and describe the situation</p> Signup and view all the answers

    According to the text, what is the purpose of the locked cabinet where controlled substances are stored?

    <p>To prevent unauthorized access to controlled substances</p> Signup and view all the answers

    According to the text, what is the goal of all regulations and policies regarding controlled substances?

    <p>To prevent drug diversion and account for all controlled substances</p> Signup and view all the answers

    Which of the following is true about the drug schedules under the Controlled Substances Act of 1970?

    <p>Schedule III drugs are considered highly addictive.</p> Signup and view all the answers

    Which of the following is NOT a behavior that may signal a drug or alcohol dependency problem in a nurse?

    <p>Increased alertness</p> Signup and view all the answers

    Which of the following is true about federal laws regarding drug administration?

    <p>Federal laws ensure that drugs are safe and effective.</p> Signup and view all the answers

    What are the three levels of rules that nurses who give drugs are required to follow?

    <p>Federal, state, and individual hospital or agency rules</p> Signup and view all the answers

    Which of the following is true about over-the-counter (OTC) drugs?

    <p>OTC drugs are the first choice for patients before visiting a doctor</p> Signup and view all the answers

    What is the purpose of the Drug Facts label on OTC products?

    <p>To provide information about the correct dosage of the OTC product</p> Signup and view all the answers

    Why are common cold drugs no longer recommended for use in pediatric patients?

    <p>Parents often give incorrect dosages of these drugs to children</p> Signup and view all the answers

    What is the purpose of storing cold and allergy products that contain pseudoephedrine behind the pharmacy counter?

    <p>To prevent the misuse of these drugs for making illegal drugs</p> Signup and view all the answers

    In which settings do OTC drugs require a legal prescriber's order before they are given?

    <p>All of the above</p> Signup and view all the answers

    What is the purpose of the Canadian Health Protection Branch?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is NOT a potential consequence of crushing pills or opening capsules before mixing them with food or drink?

    <p>Faster absorption of the drug</p> Signup and view all the answers

    What is the term for the actual physical symptoms that occur with drug withdrawal?

    <p>Physical dependence</p> Signup and view all the answers

    What is the term for the feeling of anxiety, stress, or tension when a patient does not have a medication?

    <p>Psychologic dependence</p> Signup and view all the answers

    Which of the following is an example of a drug that falls under the category of prescription drugs?

    <p>Antibiotics</p> Signup and view all the answers

    Which schedule of controlled substances has the highest potential for abuse and no accepted medical use in the United States?

    <p>Schedule I</p> Signup and view all the answers

    Which schedule of controlled substances has the lowest potential for abuse relative to the drugs or substances in Schedule III?

    <p>Schedule IV</p> Signup and view all the answers

    What are the most well-known drugs in Schedule II of controlled substances?

    <p>amphetamines, cocaine, codeine</p> Signup and view all the answers

    What are the symptoms of mental dependence, also known as addiction?

    <p>anxiety, anger, depression</p> Signup and view all the answers

    According to the text, what is the purpose of inspecting and counting opened drug packages?

    <p>To verify the numbers listed on the inventory report</p> Signup and view all the answers

    What must nurses do when the inventory and the written report do not agree?

    <p>Notify the pharmacy and nursing service office</p> Signup and view all the answers

    What can be a potential consequence of drug diversion?

    <p>Adverse drug events</p> Signup and view all the answers

    Why are prescription drugs carefully tested for safety and effectiveness before being put on the market?

    <p>To prevent adverse drug events</p> Signup and view all the answers

    Which of the following is true about the five drug schedules under the Controlled Substances Act of 1970?

    <p>Schedule II drugs have a high potential for abuse and are considered highly addictive.</p> Signup and view all the answers

    What is the purpose of the Federal Prescription Drug Marketing Act?

    <p>To prevent counterfeit or substandard drugs from entering the market</p> Signup and view all the answers

    Which of the following is true about federal laws regarding drug administration?

    <p>Federal laws ensure that drugs are as safe as possible for patients to take.</p> Signup and view all the answers

    What is the meaning of a 'PRN' drug order?

    <p>The drug is to be given as needed.</p> Signup and view all the answers

    Which of the following is NOT a responsibility of the nurse regarding controlled substances?

    <p>Borrowing drugs ordered for one patient to use for another patient</p> Signup and view all the answers

    What is the purpose of the special locked cabinet where controlled substances are stored?

    <p>To prevent drug diversion</p> Signup and view all the answers

    What must be done if a dose of controlled substance is smaller than provided or if the drug is accidentally dropped or spilled?

    <p>The nurse must sign the inventory report and describe the situation</p> Signup and view all the answers

    Who has the legal responsibility for overseeing the use and recording of all opioids during a shift?

    <p>The charge nurse or drug nurse</p> Signup and view all the answers

    Which of the following is true about black box warnings?

    <p>Black box warnings are given to drugs that have a higher-than-normal risk for causing serious problems.</p> Signup and view all the answers

    Which of the following is true about controlled substances?

    <p>Controlled substances are drugs that are highly regulated because they are commonly abused.</p> Signup and view all the answers

    What is the purpose of the Nurse Practice Act?

    <p>The Nurse Practice Act defines the legal responsibilities of a nurse for drug administration.</p> Signup and view all the answers

    What is the meaning of an 'emergency' or 'stat' drug order?

    <p>An emergency or stat drug order is a drug order that is given immediately.</p> Signup and view all the answers

    Which of the following is true about over-the-counter (OTC) drugs?

    <p>They are the first thing patients try before going to the doctor</p> Signup and view all the answers

    What is the purpose of the Drug Facts label included with all OTC products?

    <p>To provide information about the possible adverse effects of the drug</p> Signup and view all the answers

    Why are common cold drugs no longer recommended for use in pediatric patients?

    <p>They can cause confusion in parents over the correct dosage to give</p> Signup and view all the answers

    What is the purpose of the Canadian Health Protection Branch?

    <p>To administer and enforce federal legislation related to drugs and healthcare</p> Signup and view all the answers

    What are the three major classes of drugs under the Canadian Food and Drugs Act?

    <p>Nonprescription drugs, prescription drugs, and restricted drugs</p> Signup and view all the answers

    In which settings do OTC drugs require a legal prescriber's order before they are given?

    <p>Assisted living, nursing homes, and hospitals</p> Signup and view all the answers

    Which schedule of controlled substances has the highest potential for abuse and no accepted medical use in treatment in the United States?

    <p>Schedule I</p> Signup and view all the answers

    Which of the following symptoms can occur with physical dependence on a drug?

    <p>Confusion</p> Signup and view all the answers

    Which healthcare providers may write prescriptions for controlled substances?

    <p>Physicians</p> Signup and view all the answers

    Which of the following drugs falls under the category of prescription drugs?

    <p>Oxycodone (Percodan)</p> Signup and view all the answers

    Which of the following is NOT a type of drug order?

    <p>Routine drug order</p> Signup and view all the answers

    What is the meaning of a 'as needed' or 'PRN' drug order?

    <p>A drug order to be given as needed based on a nurse's judgment of safety and patient need</p> Signup and view all the answers

    Which term refers to drugs that are highly regulated because they are commonly abused?

    <p>Controlled substances</p> Signup and view all the answers

    What is the purpose of the Federal Prescription Drug Marketing Act?

    <p>To prevent the diversion of prescription drugs into the gray market</p> Signup and view all the answers

    Which of the following is an example of a prescription drug?

    <p>Antibiotics</p> Signup and view all the answers

    What is the purpose of the 'do not crush' list published by the Institute for Safe Medical Practice?

    <p>To provide a list of drugs that should not be crushed or have the capsule opened</p> Signup and view all the answers

    What is the term for the illegal transfer of regulated drugs from a patient to another person for their own use?

    <p>Drug diversion</p> Signup and view all the answers

    What is the potential impact of drug diversion on patient safety and healthcare organizations?

    <p>Threats to patient safety</p> Signup and view all the answers

    According to the text, what is the responsibility of the nurse who handles controlled substances?

    <p>To count and secure controlled substances</p> Signup and view all the answers

    What happens if a nurse violates the controlled substance laws?

    <p>They may be punished by both a fine and a prison sentence</p> Signup and view all the answers

    What is the purpose of the special locked cabinet where controlled substances are stored?

    <p>To prevent unauthorized access to controlled substances</p> Signup and view all the answers

    What must nurses do when a dose of a controlled drug is accidentally dropped or made unusable?

    <p>They must sign the inventory report and describe the situation</p> Signup and view all the answers

    Which of the following is true about the five drug schedules under the Controlled Substances Act of 1970?

    <p>Schedule IV drugs have a high potential for abuse.</p> Signup and view all the answers

    Which of the following is NOT a behavior that may signal a drug or alcohol dependency problem in a nurse?

    <p>Increased alertness</p> Signup and view all the answers

    Which of the following is true about federal laws regarding drug administration?

    <p>Federal laws ensure that drugs are as safe as possible for patients to take.</p> Signup and view all the answers

    What is the purpose of the US Food and Drug Administration (FDA)?

    <p>To monitor the testing, approval, and marketing of new drugs.</p> Signup and view all the answers

    Which of the following is NOT a responsibility of nurses when it comes to drug inventory management?

    <p>Examine prefilled syringes for color, fluid levels, and air amounts</p> Signup and view all the answers

    Which of the following is a potential consequence of drug diversion?

    <p>The institution or agency administrator is notified and an investigation is opened</p> Signup and view all the answers

    What is the purpose of the Federal Prescription Drug Marketing Act?

    <p>To control drugs for Medicare or older adult patients</p> Signup and view all the answers

    What is the purpose of the Drug Facts label included with all OTC products?

    <p>To provide information about the drug's ingredients, uses, warnings, and directions</p> Signup and view all the answers

    Which of the following is NOT a common minor problem that can be treated with over-the-counter (OTC) drugs?

    <p>Fever</p> Signup and view all the answers

    What is the potential risk associated with over-the-counter (OTC) drugs?

    <p>All of the above</p> Signup and view all the answers

    Why are common cold drugs no longer recommended for use in pediatric patients?

    <p>Parents often give incorrect dosages to children</p> Signup and view all the answers

    Which of the following is true about the Canadian Health Protection Branch?

    <p>All of the above</p> Signup and view all the answers

    What are the three major classes of drugs under the Canadian Food and Drugs Act?

    <p>Nonprescription drugs, prescription drugs, and restricted drugs</p> Signup and view all the answers

    What is the purpose of the Drug Facts label included with all over-the-counter (OTC) products?

    <p>All of the above</p> Signup and view all the answers

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