Advanced Pharmacology Test Bank – Complete Questions and Answers with Rationales – All Chapters Included

MedConnoisseurVFiles:

ADVANCEDVPHARMACOLOGYVTESTVBANKVALLVCHA
PTERSVQUESTIONSVANDVANSWERSVWITHVRATIONAL
ES

ChapterV01:VPrescriptiveVAuthorityVandVRoleVImplementation:VTraditionVvs.VCh
angeVTestVBank

MULTIPLEVCHOICE

1. WhichVofVtheVfollowingVhasVinfluencedVanVemphasisVonVprimaryVcareVeducationVinV
medicalVschools?
a. ChangesVinVMedicareVreimbursementVm
ethodsVrecommendedVinV1992
b. CompetitionVfromVnonphysiciansVdesirin
gVtoVmeetVprimaryVcareVshortages
c. TheVneedVforVmonopolisticVcontrolVinVth
eVmarketplaceVofVprimaryVoutpatientVcar
e
d. TheVrecognitionVthatVnonphysiciansVhave
VvariableVsuccessVprovidingVprimaryVcar
e
ANS:V A
TheVPhysicianVPaymentVReviewVCommissionVinV1992VdirectlyVincreasedVfinancialVre
imbursementVtoVcliniciansVwhoVprovideVprimaryVcare.VCoupledVwithVaVshortageVofVp
rimaryVcareVproviders,VthisVincentiveVledVmedicalVschoolsVtoVplaceVgreaterVemphasisV
onVpreparingVprimaryVcareVphysicians.VCompetitionVfromVnonphysiciansVincreasedVco
incidentallyVasVprofessionalsVfromVotherVdisciplinesVsteppedVupVtoVmeetVtheVneeds.
NonphysiciansVhaveVhadVincreasingVsuccessVatVprovidingVprimaryVcareVandVhaveVbee
nVshownVtoVbeVsafeVandVeffective.

DIF: CognitiveVLevel:VRememberingV(Knowledge) REF:V 2

2. WhichVofVtheVfollowingVstatementsVisVtrueVaboutVtheVprescribingVpracticesVofVphysicians
?
a. OlderVphysiciansVtendVtoVprescribeVmore
VappropriateVmedicationsVthanVyounger
physicians.
b. AntibioticVmedicationsVremainVinVtheVto
pVfiveVclassificationsVofVmedicationsVpr
escribed.
c. MostVphysiciansVrelyVonVaV“therapeutic
Varmamentarium”VthatVconsistsVofVlessVt
hanV100VdrugVpreparationsVperVphysicia
n.

, MedConnoisseurVFiles:

d. TheVdominantVformVofVdrugVinformatio
nVusedVbyVprimaryVcareVphysiciansVcont
inuesVtoVbeVthatVprovidedVbyVpharmace
utical
companies.

, MedConnoisseurVFiles:

ANS:V D
EvenVthoughVmostVphysiciansVclaimVtoVplaceVlittleVweightVonVdrugVadvertisements,
pharmaceuticalVrepresentatives,VandVpatientVpreferenceVandVstateVthatVtheyVrelyVonVa
cademicVsourcesVforVdrugVinformation,VaVstudyVshowedVthatVcommercialVratherVthan
VscientificVsourcesVofVdrugVinformationVdominatedVtheirVdrugVinformationVmaterials.V
YoungerVphysiciansVtendVtoVprescribeVfewerVandVmoreVappropriateVdrugs.VAntibiotics
VhaveVdroppedVoutVofVtheVtopVfiveVclassificationsVofVdrugsVprescribed.VMostVphysici
ansVhaveVaVtherapeuticVarmamentariumVofVaboutV144Vdrugs.

DIF: CognitiveVLevel:VRememberingV(Knowledge) REF:V 3

3. AsVprimaryVcareVnurseVpractitionersV(NPs)VcontinueVtoVdevelopVtheirVroleVasVprescri
bersVofVmedications,VitVwillVbeVimportantVto:
a. attainVtheVsameVlevelVofVexpertise
VasVphysiciansVwhoVcurrentlyVpre
scribeVmedications.
b. learnVfromVtheVexperiencesVofVphysician
sVandVdevelopVexpertiseVbasedVonVevide
nce-VbasedVpractice.
c. maintainVcollaborativeVandVsupervisorial
VrelationshipsVwithVphysiciansVwhoVwill
VoverseeVprescribingVpractices.

d. developVrelationshipsVwithVpharmaceutica
l
representativesVtoVlearnVaboutVnewVmed
icationsVasVtheyVareVdeveloped.
ANS:V B
AsVnonphysiciansVdevelopVtheVrolesVassociatedVwithVprescriptiveVauthority,VitVwillVb
eVimportantVtoVlearnVfromVtheVpastVexperiencesVofVphysiciansVandVtoVdevelopVprescr
ibingVpracticesVbasedVonVevidence-
basedVmedicine.VItVisVhopedVthatVallVprescribers,VincludingVphysiciansVandVnurseVpra
ctitioners,VwillVstriveVtoVdoVbetterVthanVinVtheVpast.VNPsVshouldVworkVtowardVprescr
iptiveVauthorityVandVforVpracticeVthatVisVnotVsupervisedVbyVanotherVprofessional.VPha
rmaceuticalVrepresentativesVprovideVinformationVthatVcarriesVsomeVbias.VAcademicVso
urcesVareVbetter.

DIF: CognitiveVLevel:VApplyingV(Application) REF:V 4

ChapterV02:VHistoricalVReviewVofVPrescriptiveVAuthority:VTheVRoleVofVNursesV(
NPs,VCNMs,VCRNAs,VandVCNSs)VandVPhysicianVAssistants
TestVBank

MULTIPLEVCHOICE

1. AVprimaryVcareVNPVwillVbeginVpracticingVinVaVstateVinVwhichVtheVgovernorVhasVopt
edVoutVofVtheVfederalVfacilityVreimbursementVrequirement.VTheVNPVshouldVbeVaware
VthatVthisVdefinesVhowVNPsVmayVwriteVprescriptions:

, MedConnoisseurVFiles:

a. withoutVphysicianVsupervisionVinVprivate
Vpractice.

b. asVCRNAsVwithoutVphysicianVsupervisio
nVinVaVhospitalVsetting.
c. inVanyVsituationVbutVwillVnotVbeVreimbu
rsedVforVthisVbyVgovernmentVinsurers.
d. onlyVwithVphysicianVsupervisionVinVboth
VprivateVpracticeVandVaVhospitalVsetting.

ANS:V B
InV2001,VtheVCentersVforVMedicareVandVMedicaidVServicesVchangedVtheVfederalVphy
sicianVsupervisionVruleVforVCRNAsVtoVallowVstateVgovernorsVtoVoptVout,VallowingVC
RNAsVtoVwriteVprescriptionsVandVdispenseVdrugsVwithoutVphysicianVsupervision.

DIF: CognitiveVLevel:VUnderstandingV(Comprehension) REF:V 9

2. CRNAsVinVmostVstates:
a. mustVhaveVaVDrugVEnforcementVAdmini
strationV(DEA)VnumberVtoVpractice.
b. mustVhaveVprescriptiveVauthorityVtoVprac
tice.
c. orderVandVadministerVcontrolledVsubstanc
esVbutVdoVnotVhaveVfullVprescriptiveVaut
hority.
d. administerVmedications,Vincludin
gVcontrolledVsubstances,VunderVd
irectVphysicianVsupervision.
ANS:V C
OnlyVfiveVstatesVgrantVindependentVprescriptiveVauthorityVtoVCRNAs.VCRNAsVdoVno
tVrequireVprescriptiveVauthorityVbecauseVtheyVdispenseVaVdrugVimmediatelyVtoVaVpati
entVandVdoVnotVprescribe.VWithoutVprescriptiveVauthority,VtheyVdoVnotVneedVaVDEA
Vnumber.


DIF: CognitiveVLevel:VUnderstandingV(Comprehension) REF:V 9

3. AVCNM:
a. mayVtreatVonlyVwomen.
b. hasVprescriptiveVauthorityVinVallV50Vstate
s.
c. mayVadministerVonlyVdrugsVusedVduring
VlaborVandVdelivery.

d. mayVpracticeVonlyVinVbirthingVcentersVa
ndVhomeVbirthVsettings.
ANS:V B