MedConnoisseur Files:
M M
ADVANCED PHARMACOLOGY TEST BANK ALL CHAP
M M M M M
TERS QUESTIONS AND ANSWERS WITH RATIONALE
M M M M M
S
Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Chan
M M M M M M M M M
ge Test Bank
M M
MULTIPLEMCHOICE
1. WhichMofMtheMfollowingMhasMinfluencedManMemphasisMonMprimaryMcareMeducationMinMmed
icalMschools?
a. ChangesMinMMedicareMreimbursementMmet
hodsMrecommendedMinM1992
b. CompetitionMfromMnonphysiciansMdesiring
MtoMmeetMprimaryMcareMshortages
c. TheMneedMforMmonopolisticMcontrolMinMthe
MmarketplaceMofMprimaryMoutpatientMcare
d. TheMrecognitionMthatMnonphysiciansMhaveM
variableMsuccessMprovidingMprimaryMcare
ANS:M A
TheMPhysicianMPaymentMReviewMCommissionMinM1992MdirectlyMincreasedMfinancialMreim
bursementMtoMcliniciansMwhoMprovideMprimaryMcare.MCoupledMwithMaMshortageMofMprimar
yMcareMproviders,MthisMincentiveMledMmedicalMschoolsMtoMplaceMgreaterMemphasisMonMprep
aringMprimaryMcareMphysicians.MCompetitionMfromMnonphysiciansMincreasedMcoincidental
lyMasMprofessionalsMfromMotherMdisciplinesMsteppedMupMtoMmeetMtheMneeds.
NonphysiciansMhaveMhadMincreasingMsuccessMatMprovidingMprimaryMcareMandMhaveMbeenMs
hownMtoMbeMsafeMandMeffective.
DIF: CognitiveMLevel:MRememberingM(Knowledge) REF:M 2
2. WhichMofMtheMfollowingMstatementsMisMtrueMaboutMtheMprescribingMpracticesMofMphysicians?
a. OlderMphysiciansMtendMtoMprescribeMmoreM
appropriateMmedicationsMthanMyounger
physicians.
b. AntibioticMmedicationsMremainMinMtheMtopM
fiveMclassificationsMofMmedicationsMprescr
ibed.
c. MostMphysiciansMrelyMonMaM“therapeuticMa
rmamentarium”MthatMconsistsMofMlessMthan
M100MdrugMpreparationsMperMphysician.
d. TheMdominantMformMofMdrugMinformationM
usedMbyMprimaryMcareMphysiciansMcontinue
sMtoMbeMthatMprovidedMbyMpharmaceutical
companies.
, MedConnoisseur Files:
M M
ANS:M D
EvenMthoughMmostMphysiciansMclaimMtoMplaceMlittleMweightMonMdrugMadvertisements,
pharmaceuticalMrepresentatives,MandMpatientMpreferenceMandMstateMthatMtheyMrelyMonMacad
emicMsourcesMforMdrugMinformation,MaMstudyMshowedMthatMcommercialMratherMthanMscient
ificMsourcesMofMdrugMinformationMdominatedMtheirMdrugMinformationMmaterials.MYoungerM
physiciansMtendMtoMprescribeMfewerMandMmoreMappropriateMdrugs.MAntibioticsMhaveMdropp
edMoutMofMtheMtopMfiveMclassificationsMofMdrugsMprescribed.MMostMphysiciansMhaveMaMther
apeuticMarmamentariumMofMaboutM144Mdrugs.
DIF: CognitiveMLevel:MRememberingM(Knowledge) REF:M 3
3. AsMprimaryMcareMnurseMpractitionersM(NPs)McontinueMtoMdevelopMtheirMroleMasMprescriber
sMofMmedications,MitMwillMbeMimportantMto:
a. attainMtheMsameMlevelMofMexpertiseM
asMphysiciansMwhoMcurrentlyMpresc
ribeMmedications.
b. learnMfromMtheMexperiencesMofMphysicians
MandMdevelopMexpertiseMbasedMonMevidenc
e-MbasedMpractice.
c. maintainMcollaborativeMandMsupervisorialM
relationshipsMwithMphysiciansMwhoMwillMo
verseeMprescribingMpractices.
d. developMrelationshipsMwithMpharmaceutical
representativesMtoMlearnMaboutMnewMmedic
ationsMasMtheyMareMdeveloped.
ANS:M B
AsMnonphysiciansMdevelopMtheMrolesMassociatedMwithMprescriptiveMauthority,MitMwillMbeMi
mportantMtoMlearnMfromMtheMpastMexperiencesMofMphysiciansMandMtoMdevelopMprescribingM
practicesMbasedMonMevidence-
basedMmedicine.MItMisMhopedMthatMallMprescribers,MincludingMphysiciansMandMnurseMpractit
ioners,MwillMstriveMtoMdoMbetterMthanMinMtheMpast.MNPsMshouldMworkMtowardMprescriptiveM
authorityMandMforMpracticeMthatMisMnotMsupervisedMbyManotherMprofessional.MPharmaceutic
alMrepresentativesMprovideMinformationMthatMcarriesMsomeMbias.MAcademicMsourcesMareMbe
tter.
DIF: CognitiveMLevel:MApplyingM(Application) REF:M 4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NP
M M M M M M M M M M M
s, CNMs, CRNAs, and CNSs) and Physician Assistants
M M M M M M M
Test Bank
M
MULTIPLEMCHOICE
1. AMprimaryMcareMNPMwillMbeginMpracticingMinMaMstateMinMwhichMtheMgovernorMhasMoptedMo
utMofMtheMfederalMfacilityMreimbursementMrequirement.MTheMNPMshouldMbeMawareMthatMthi
sMdefinesMhowMNPsMmayMwriteMprescriptions:
, MedConnoisseur Files:
M M
a. withoutMphysicianMsupervisionMinMprivateM
practice.
b. asMCRNAsMwithoutMphysicianMsupervision
MinMaMhospitalMsetting.
c. inManyMsituationMbutMwillMnotMbeMreimburs
edMforMthisMbyMgovernmentMinsurers.
d. onlyMwithMphysicianMsupervisionMinMbothM
privateMpracticeMandMaMhospitalMsetting.
ANS:M B
InM2001,MtheMCentersMforMMedicareMandMMedicaidMServicesMchangedMtheMfederalMphysici
anMsupervisionMruleMforMCRNAsMtoMallowMstateMgovernorsMtoMoptMout,MallowingMCRNAsMt
oMwriteMprescriptionsMandMdispenseMdrugsMwithoutMphysicianMsupervision.
DIF: CognitiveMLevel:MUnderstandingM(Comprehension) REF:M 9
2. CRNAsMinMmostMstates:
a. mustMhaveMaMDrugMEnforcementMAdminis
trationM(DEA)MnumberMtoMpractice.
b. mustMhaveMprescriptiveMauthorityMtoMpracti
ce.
c. orderMandMadministerMcontrolledMsubstances
MbutMdoMnotMhaveMfullMprescriptiveMauthorit
y.
d. administerMmedications,Mincluding
McontrolledMsubstances,MunderMdire
ctMphysicianMsupervision.
ANS:M C
OnlyMfiveMstatesMgrantMindependentMprescriptiveMauthorityMtoMCRNAs.MCRNAsMdoMnotMr
equireMprescriptiveMauthorityMbecauseMtheyMdispenseMaMdrugMimmediatelyMtoMaMpatientMan
dMdoMnotMprescribe.MWithoutMprescriptiveMauthority,MtheyMdoMnotMneedMaMDEAMnumber.
DIF: CognitiveMLevel:MUnderstandingM(Comprehension) REF:M 9
3. AMCNM:
a. mayMtreatMonlyMwomen.
b. hasMprescriptiveMauthorityMinMallM50Mstates.
c. mayMadministerMonlyMdrugsMusedMduringMl
aborMandMdelivery.
d. mayMpracticeMonlyMinMbirthingMcentersMand
MhomeMbirthMsettings.
ANS:M B
, MedConnoisseur Files:
M M
CNMsMhaveMprescriptiveMauthorityMinMallM50Mstates.MTheyMmayMtreatMpartnersMofMwomen
MforMsexuallyMtransmittedMdiseases.MTheyMhaveMfullMprescriptiveMauthorityMandMareMnotMli
mitedMtoMdrugsMusedMduringMchildbirth.MTheyMpracticeMinMmanyMotherMtypesMofMsettings.
DIF:M M CognitiveMLevel:MRememberingM(Knowledge) REF:M 9
4. InMeveryMstate,MprescriptiveMauthorityMforMNPsMincludesMtheMabilityMtoMwriteMprescriptions:
a. forMcontrolledMsubstances.
b. forMspecifiedMclassificationsMofMmedicatio
ns.
c. withoutMphysician-mandatedMinvolvement.
d. withMfull,MindependentMprescriptiveMauthor
ity.
ANS:M B
AllMstatesMnowMhaveMsomeMdegreeMofMprescriptiveMauthorityMgrantedMtoMNPs,MbutMnotMallM
statesMallowMauthorityMtoMprescribeMcontrolledMsubstances.MManyMstatesMstillMrequireMsome
MdegreeMofMphysicianMinvolvementMwithMcertainMtypesMofMdrugs.
DIF:M M CognitiveMLevel:MUnderstandingM(Comprehension) REF:M 12
5. TheMcurrentMtrendMtowardMtransitioningMNPMprogramsMtoMtheMdoctoralMlevelMwillMmeanMthat:
a. NPsMlicensedMinMoneMstateMmayMpracticeMi
nMotherMstates.
b. fullMprescriptiveMauthorityMwillMbeMgrante
dMtoMallMNPsMwithMdoctoralMdegrees.
c. NPsMwillMbeMbetterMpreparedMtoMmeetMeme
rgingMhealthMcareMneedsMofMpatients.
d. requirementsMforMphysicianMsupervisionMof
MNPsMwillMbeMremovedMinMallMstates.
ANS:M C
TheMAmericanMAssociationMofMCollegesMofMNursingMhasMrecommendedMtransitioningMgra
duateMlevelMNPMprogramsMtoMtheMdoctoralMlevelMasMaMresponseMtoMchangesMinMhealthMcare
MdeliveryMandMemergingMhealthMcareMneeds.MNPsMwithMdoctoralMdegreesMwillMnotMnecessa
rilyMhaveMfullMprescriptiveMauthorityMorMbeMfreedMfromMrequirementsMaboutMphysicianM su
pervisionMbecauseMthoseMareMsubjectMtoMindividualMstateMlaws.MNPsMwillMstillMbeMrequiredM
toMmeetMlicensureMrequirementsMofMeachMstate.
DIF: CognitiveMLevel:MUnderstandingM(Comprehension) REF:M 12
6. AnMimportantMdifferenceMbetweenMphysicianMassistantsM(PAs)MandMNPsMisMPAs:
a. alwaysMworkMunderMphysicianMsupervision.
b. areMnotMrequiredMtoMfollowMdrugMtreatment
M M
ADVANCED PHARMACOLOGY TEST BANK ALL CHAP
M M M M M
TERS QUESTIONS AND ANSWERS WITH RATIONALE
M M M M M
S
Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Chan
M M M M M M M M M
ge Test Bank
M M
MULTIPLEMCHOICE
1. WhichMofMtheMfollowingMhasMinfluencedManMemphasisMonMprimaryMcareMeducationMinMmed
icalMschools?
a. ChangesMinMMedicareMreimbursementMmet
hodsMrecommendedMinM1992
b. CompetitionMfromMnonphysiciansMdesiring
MtoMmeetMprimaryMcareMshortages
c. TheMneedMforMmonopolisticMcontrolMinMthe
MmarketplaceMofMprimaryMoutpatientMcare
d. TheMrecognitionMthatMnonphysiciansMhaveM
variableMsuccessMprovidingMprimaryMcare
ANS:M A
TheMPhysicianMPaymentMReviewMCommissionMinM1992MdirectlyMincreasedMfinancialMreim
bursementMtoMcliniciansMwhoMprovideMprimaryMcare.MCoupledMwithMaMshortageMofMprimar
yMcareMproviders,MthisMincentiveMledMmedicalMschoolsMtoMplaceMgreaterMemphasisMonMprep
aringMprimaryMcareMphysicians.MCompetitionMfromMnonphysiciansMincreasedMcoincidental
lyMasMprofessionalsMfromMotherMdisciplinesMsteppedMupMtoMmeetMtheMneeds.
NonphysiciansMhaveMhadMincreasingMsuccessMatMprovidingMprimaryMcareMandMhaveMbeenMs
hownMtoMbeMsafeMandMeffective.
DIF: CognitiveMLevel:MRememberingM(Knowledge) REF:M 2
2. WhichMofMtheMfollowingMstatementsMisMtrueMaboutMtheMprescribingMpracticesMofMphysicians?
a. OlderMphysiciansMtendMtoMprescribeMmoreM
appropriateMmedicationsMthanMyounger
physicians.
b. AntibioticMmedicationsMremainMinMtheMtopM
fiveMclassificationsMofMmedicationsMprescr
ibed.
c. MostMphysiciansMrelyMonMaM“therapeuticMa
rmamentarium”MthatMconsistsMofMlessMthan
M100MdrugMpreparationsMperMphysician.
d. TheMdominantMformMofMdrugMinformationM
usedMbyMprimaryMcareMphysiciansMcontinue
sMtoMbeMthatMprovidedMbyMpharmaceutical
companies.
, MedConnoisseur Files:
M M
ANS:M D
EvenMthoughMmostMphysiciansMclaimMtoMplaceMlittleMweightMonMdrugMadvertisements,
pharmaceuticalMrepresentatives,MandMpatientMpreferenceMandMstateMthatMtheyMrelyMonMacad
emicMsourcesMforMdrugMinformation,MaMstudyMshowedMthatMcommercialMratherMthanMscient
ificMsourcesMofMdrugMinformationMdominatedMtheirMdrugMinformationMmaterials.MYoungerM
physiciansMtendMtoMprescribeMfewerMandMmoreMappropriateMdrugs.MAntibioticsMhaveMdropp
edMoutMofMtheMtopMfiveMclassificationsMofMdrugsMprescribed.MMostMphysiciansMhaveMaMther
apeuticMarmamentariumMofMaboutM144Mdrugs.
DIF: CognitiveMLevel:MRememberingM(Knowledge) REF:M 3
3. AsMprimaryMcareMnurseMpractitionersM(NPs)McontinueMtoMdevelopMtheirMroleMasMprescriber
sMofMmedications,MitMwillMbeMimportantMto:
a. attainMtheMsameMlevelMofMexpertiseM
asMphysiciansMwhoMcurrentlyMpresc
ribeMmedications.
b. learnMfromMtheMexperiencesMofMphysicians
MandMdevelopMexpertiseMbasedMonMevidenc
e-MbasedMpractice.
c. maintainMcollaborativeMandMsupervisorialM
relationshipsMwithMphysiciansMwhoMwillMo
verseeMprescribingMpractices.
d. developMrelationshipsMwithMpharmaceutical
representativesMtoMlearnMaboutMnewMmedic
ationsMasMtheyMareMdeveloped.
ANS:M B
AsMnonphysiciansMdevelopMtheMrolesMassociatedMwithMprescriptiveMauthority,MitMwillMbeMi
mportantMtoMlearnMfromMtheMpastMexperiencesMofMphysiciansMandMtoMdevelopMprescribingM
practicesMbasedMonMevidence-
basedMmedicine.MItMisMhopedMthatMallMprescribers,MincludingMphysiciansMandMnurseMpractit
ioners,MwillMstriveMtoMdoMbetterMthanMinMtheMpast.MNPsMshouldMworkMtowardMprescriptiveM
authorityMandMforMpracticeMthatMisMnotMsupervisedMbyManotherMprofessional.MPharmaceutic
alMrepresentativesMprovideMinformationMthatMcarriesMsomeMbias.MAcademicMsourcesMareMbe
tter.
DIF: CognitiveMLevel:MApplyingM(Application) REF:M 4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NP
M M M M M M M M M M M
s, CNMs, CRNAs, and CNSs) and Physician Assistants
M M M M M M M
Test Bank
M
MULTIPLEMCHOICE
1. AMprimaryMcareMNPMwillMbeginMpracticingMinMaMstateMinMwhichMtheMgovernorMhasMoptedMo
utMofMtheMfederalMfacilityMreimbursementMrequirement.MTheMNPMshouldMbeMawareMthatMthi
sMdefinesMhowMNPsMmayMwriteMprescriptions:
, MedConnoisseur Files:
M M
a. withoutMphysicianMsupervisionMinMprivateM
practice.
b. asMCRNAsMwithoutMphysicianMsupervision
MinMaMhospitalMsetting.
c. inManyMsituationMbutMwillMnotMbeMreimburs
edMforMthisMbyMgovernmentMinsurers.
d. onlyMwithMphysicianMsupervisionMinMbothM
privateMpracticeMandMaMhospitalMsetting.
ANS:M B
InM2001,MtheMCentersMforMMedicareMandMMedicaidMServicesMchangedMtheMfederalMphysici
anMsupervisionMruleMforMCRNAsMtoMallowMstateMgovernorsMtoMoptMout,MallowingMCRNAsMt
oMwriteMprescriptionsMandMdispenseMdrugsMwithoutMphysicianMsupervision.
DIF: CognitiveMLevel:MUnderstandingM(Comprehension) REF:M 9
2. CRNAsMinMmostMstates:
a. mustMhaveMaMDrugMEnforcementMAdminis
trationM(DEA)MnumberMtoMpractice.
b. mustMhaveMprescriptiveMauthorityMtoMpracti
ce.
c. orderMandMadministerMcontrolledMsubstances
MbutMdoMnotMhaveMfullMprescriptiveMauthorit
y.
d. administerMmedications,Mincluding
McontrolledMsubstances,MunderMdire
ctMphysicianMsupervision.
ANS:M C
OnlyMfiveMstatesMgrantMindependentMprescriptiveMauthorityMtoMCRNAs.MCRNAsMdoMnotMr
equireMprescriptiveMauthorityMbecauseMtheyMdispenseMaMdrugMimmediatelyMtoMaMpatientMan
dMdoMnotMprescribe.MWithoutMprescriptiveMauthority,MtheyMdoMnotMneedMaMDEAMnumber.
DIF: CognitiveMLevel:MUnderstandingM(Comprehension) REF:M 9
3. AMCNM:
a. mayMtreatMonlyMwomen.
b. hasMprescriptiveMauthorityMinMallM50Mstates.
c. mayMadministerMonlyMdrugsMusedMduringMl
aborMandMdelivery.
d. mayMpracticeMonlyMinMbirthingMcentersMand
MhomeMbirthMsettings.
ANS:M B
, MedConnoisseur Files:
M M
CNMsMhaveMprescriptiveMauthorityMinMallM50Mstates.MTheyMmayMtreatMpartnersMofMwomen
MforMsexuallyMtransmittedMdiseases.MTheyMhaveMfullMprescriptiveMauthorityMandMareMnotMli
mitedMtoMdrugsMusedMduringMchildbirth.MTheyMpracticeMinMmanyMotherMtypesMofMsettings.
DIF:M M CognitiveMLevel:MRememberingM(Knowledge) REF:M 9
4. InMeveryMstate,MprescriptiveMauthorityMforMNPsMincludesMtheMabilityMtoMwriteMprescriptions:
a. forMcontrolledMsubstances.
b. forMspecifiedMclassificationsMofMmedicatio
ns.
c. withoutMphysician-mandatedMinvolvement.
d. withMfull,MindependentMprescriptiveMauthor
ity.
ANS:M B
AllMstatesMnowMhaveMsomeMdegreeMofMprescriptiveMauthorityMgrantedMtoMNPs,MbutMnotMallM
statesMallowMauthorityMtoMprescribeMcontrolledMsubstances.MManyMstatesMstillMrequireMsome
MdegreeMofMphysicianMinvolvementMwithMcertainMtypesMofMdrugs.
DIF:M M CognitiveMLevel:MUnderstandingM(Comprehension) REF:M 12
5. TheMcurrentMtrendMtowardMtransitioningMNPMprogramsMtoMtheMdoctoralMlevelMwillMmeanMthat:
a. NPsMlicensedMinMoneMstateMmayMpracticeMi
nMotherMstates.
b. fullMprescriptiveMauthorityMwillMbeMgrante
dMtoMallMNPsMwithMdoctoralMdegrees.
c. NPsMwillMbeMbetterMpreparedMtoMmeetMeme
rgingMhealthMcareMneedsMofMpatients.
d. requirementsMforMphysicianMsupervisionMof
MNPsMwillMbeMremovedMinMallMstates.
ANS:M C
TheMAmericanMAssociationMofMCollegesMofMNursingMhasMrecommendedMtransitioningMgra
duateMlevelMNPMprogramsMtoMtheMdoctoralMlevelMasMaMresponseMtoMchangesMinMhealthMcare
MdeliveryMandMemergingMhealthMcareMneeds.MNPsMwithMdoctoralMdegreesMwillMnotMnecessa
rilyMhaveMfullMprescriptiveMauthorityMorMbeMfreedMfromMrequirementsMaboutMphysicianM su
pervisionMbecauseMthoseMareMsubjectMtoMindividualMstateMlaws.MNPsMwillMstillMbeMrequiredM
toMmeetMlicensureMrequirementsMofMeachMstate.
DIF: CognitiveMLevel:MUnderstandingM(Comprehension) REF:M 12
6. AnMimportantMdifferenceMbetweenMphysicianMassistantsM(PAs)MandMNPsMisMPAs:
a. alwaysMworkMunderMphysicianMsupervision.
b. areMnotMrequiredMtoMfollowMdrugMtreatment
