A client with advanced heart disease says, I read about a new ...

[809779]

A client with advanced heart disease says, I read about a new drug that was just released. Do you think my doctor could get it for me? What should the nurse include in discussion with the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Since the drug is new it is dangerous to use.
  2. Decisions on using drugs are based on many different variables.
  3. We certainly can talk to your physician about the drug.
  4. When drugs are first developed they are very expensive and their use is limited to those who can afford to purchase them.
  5. People who are very sick often have unrealistic expectations of what drugs can do.

Question 2

A client says, I don't understand why so much money is spent on trying to find a cure for cancer. I have epilepsy and wish more money went into epilepsy drugs. What should the nurse consider prior to responding? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. More people are affected by cancer than by epilepsy.
  2. Drugs that are effective in treating epilepsy exist.
  3. The amounts of money spent on drug development are determined at the federal level.
  4. It would be easier to achieve a cure for cancer than to achieve a cure for epilepsy.
  5. The client should realize that personal family may develop cancer one day.

[Cnarkel]

Answer to Question 1

2,3
Rationale 1: It is non-therapeutic to tell the client the drug is dangerous. At this point, the nurse has no knowledge of which drug is being discussed.
Rationale 2: Use of particular drugs is based on many different variables, including cost-benefit ratio.
Rationale 3: The nurse should support the client's interest in this drug by advocating for a discussion about its use.
Rationale 4: The nurse should not assume the drug is expensive or that the client is unable to obtain it.
Rationale 5: It is non-therapeutic to tell the client that interest in this drug is unrealistic.
Global Rationale: It is non-therapeutic to tell the client the drug is dangerous. At this point, the nurse has no knowledge of which drug is being discussed. Use of particular drugs is based on many different variables, including cost-benefit ratio. The nurse should support the client's interest in this drug by advocating for a discussion about its use. The nurse should not assume the drug is expensive or that the client is unable to obtain it. It is non-therapeutic to tell the client that interest in this drug is unrealistic.

Answer to Question 2

1,2
Rationale 1: According to the tenets of pharmacoeconomics, more money should be spent on development of drugs that will impact the most people.
Rationale 2: There are more drugs to successfully treat epilepsy than to cure cancer.
Rationale 3: Money spent on drug development is determined at several levels, including individual corporations, universities, and governments.
Rationale 4: There is no indication that curing cancer is easier than curing epilepsy.
Rationale 5: The nurse should not judge this client's statement as good or bad, but should attempt to explain the allocation of resources.
Global Rationale: According to the tenets of pharmacoeconomics, more money should be spent on development of drugs that will impact the most people. There are more drugs to successfully treat epilepsy than to cure cancer. Money spent on drug development is determined at several levels, including individual corporations, universities, and governments. There is no indication that curing cancer is easier than curing epilepsy. The nurse should not judge this client's statement as good or bad, but should attempt to explain the allocation of resources.

[809779]

Gracias!

[frankwu0507]

TYSM