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Information for Fundamentals of Nursing Test #3

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Term
Definition
Which law required to list the presence of 11 drugs that were dangerous or potentially addictive?   Federal Food & Drug Act of 1906  
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The act that prevented the use of fraudulent therapeutic claims is __________.   Sherley Amendment of 1912  
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(True/False) The food, drug, and cosmetic act of 1938 requires that drug labels must be accurate and complete.   True  
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Prescription drugs must bear the legend "federal law prohibits dispensing without prescription" comes from what law?   Durham-Humphrey Amendment of 1952  
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The amendment that states all old drugs had to be tested as well as any new ones is know as __________.   Harris-Kefauver Amendment of 1962  
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(True/False) The Controlled Substance Act of 1970 categorized controlled substances on the basis of their potential for abuse.   True  
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Which act shortened the drug investigation process to release drugs sooner to the public?   Drug Regulation Reform Act of 1978  
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The Orphan Drug Act of 1983 allowed drug companies to take tax deductions for about 3/4 of the cost to manufacture of drugs with ___________.   Rare Diseases  
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(True/False) The food and drug administration modernization act of 1997 gives a 6 month notice to drug companies who plan to stop making a drug.   True  
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The most serious type of warning label by the FDA is know as the ___________.   "Black box" warning  
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Who is responsible for every medication they administer?   Nurse  
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When does product liability exist?   -If a product is defective or not fit for its reasonable foreseeable uses -The defect arose before the product left the control of the manufacturer -The defect caused some person harm  
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Who is collectively responsible for accounting for the inventory and management of the flow and distribution of controlled substances?   Drug suppliers, hospitals, physicians, pharmacists, and nurses  
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(True/False) The law was designed to prevent & provide increased research into substance abuse and dependence and to provide treatment and rehabilitation is know as the Controlled Substance Act of 1970.   True  
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Which act established "Narcotic" as a legal term and regulated the importance, manufacture, sale, and use of narcotics?   Harrison Narcotic Act of 1914  
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What is known as the chemical or biological technique by which the strength and purity of a drug are measured?   Assay  
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What is performed by determining the amount of precipitation required to produce a defined effect on a suitable lab animal under certain conditions?   Bioassay  
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(True/False) 300,000 out of the 400,000 drugs in the US and Canada are OTC   True  
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According to the study conducted by the FDA advisory panel, how many drugs were found to be safe & effective for labeled use?   1/3  
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How would a prescriber note a drug substitution if it's not wanted?   -dispense as written -brand unnecessary -medically necessary  
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(True/False) Nursing practice is not only regulated by drug standards and legislation but also by individual state nurse practice acts.   True  
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The code that explains the rights of human participants in medical research is _____________.   Nuremberg Code  
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What does a written consent include in drug research?   -explanation of the nature -procedures -drugs/devices involved -potential benefits, risks, and discomforts -alternative treatments -compensation  
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Which phase of drug testing is used by a greater number of clients for a longer period of time with additional effects?   4  
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(True/False) Some limitations of drug testing include pregnant women, people with multiple disease states, children, and older adults.   True  
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What are the goals of human testing for drug development?   -determine clinical effectiveness -determine drug safety -establish tolerated dose/range  
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The steps of animal testing for drug development include:   -toxicity (acute, subacute, and chronic) -therapeutic index -modes of absorption, distribution, metabolism, and excretion  
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Which phase of human testing has a small number of human volunteers & used to determine pharmacokinetics?   Phase 1  
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What occurs during phase 2 of human testing of drug development?   -limited controlled evaluation -in selected individuals with targeted disease -closely monitored for side effects  
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(True/False) Extended clinical evaluation & the drugs is tests in various centers across the US are part of phase 3 in human testing.   True  
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What are some basic guidelines for professional nursing practice?   -knowing the limitations of nursing practice in the community -maintaining a rel. w/ fam & clie -knowing the limitations of ones own skills -informing involved personnel of and documenting thoroughly and carefully all happenings related to client care  
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How can a nurse take precautions against malpractice?   Observing the 6 rights of med admin  
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What does a nurse do if he/she believes a medical order is an error?   -validate w/ the pharmacist or other authoritative resource -report the conflicting facts to the prescriber in a factual & no blaming manner  
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(True/False) No one can relieve a nurse of responsibility for the nurses action.   True; for a nurse to carry out an order that the nurse knows to be incorrect constitutes negligence.  
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How should the med order be written?   -correct -legible -complete -clearly understandable  
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(True/False) The drug must be deemed appropriate for that specific client.   True  
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What are the 3 legal requirements before med admin?   -med order must be valid -prescriber & the nurse must be licensed -nurse must know the purpose, actions, effects, and major adverse effects & teaching required  
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Some examples of the expanded roles of nurses regarding other areas of drug therapy include:   Nurse Practitioner & Prescription writing  
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What is a function of state nurse practice acts?   Protect the public from unskilled, undereducated, or unlicensed nurses and to delineate clearly the scope of nursing as a health care profession.  
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What refers the effect of a patient's age, gender, size, body composition with associated changes in how an individual absorbs or metabolizes specific drugs?   Drug polymorphism  
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How is culture important to holistic nursing?   Affect the patient's health, health beliefs, and health care practices.  
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The US health care system advocates a what type of treatment?   "One size fits all."  
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(True/False) It is the nurses responsibility to assist the client in the decision making process by ensuring the client is informed of the risks and benefits of therapy and can make a knowledgeable decision.   True  
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Some nurses responsibilities to clients include:   -promote health -prevent illness -restore health -alleviate suffering  
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(True/False) The most powerful fundamental force of the actual implementation of right and proper nursing practice is the nurses own concept of ethical & moral correctness and responsibility.   True  
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