Test Bank for Pharmacology for the Primary Care Provider, 4th Edition by Marilyn Winterton Edmunds & Maren Stewart Mayhew | Complete 2025–2026 Nursing Pharmacology Test Bank with Correct Answers

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Edmunds'PharmacologyforthePrimaryCare
Provider5thEdition
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byConstanceGVisovskyTestBankAllChapters m m




Covered




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Chapter01:PrescriptiveAuthorityandRoleImplementation:Traditionvs.Change m




Test Bank
x m




MULTIPLECHOICE

1. Whichofthefollowinghasinfluencedanemphasisonprimarycareeducationin x




x medicalschools?
a. ChangesinMedicarereimbursement
methodsrecommended in1992
x m




b. Competitionfromnonphysiciansdesiring m m




tomeet primarycareshortages
x m




c. Theneedformonopolisticcontrolinthe
marketplace of primary outpatient care
x x x x x




d. Therecognitionthatnonphysicianshave
variablesuccess providing primarycare
x x m




ANS: A
ThePhysicianPayment ReviewCommissionin1992directlyincreasedfinancial
x m




xreimbursementtoclinicianswhoprovideprimarycare.Coupledwithashortageofprimary x




x careproviders,thisincentiveledmedicalschoolstoplacegreateremphasisonpreparing
x




xprimarycarephysicians.Competitionfrom nonphysiciansincreased coincidentallyas
x m m




xprofessionalsfromotherdisciplinessteppeduptomeet theneeds.Nonphysicianshavehad m x




xincreasingsuccessat providingprimarycareand havebeenshowntobesafeandeffective.
x m x m




DIF: Cognitive Level:Remembering(Knowledge)
x x REF: 2 x




2. Whichofthe followingstatements istrueabout the prescribingpractices of physicians?
x x x x x x x x x x x




a. Older physicians tend to prescribe more
x x x x x




appropriate medications than younger
x x x x




physicians.
x




b. Antibioticmedicationsremaininthetop
fiveclassificationsofmedications
x




prescribed.
x




c. Mostphysiciansrelyona“therapeutic
m




armamentarium”thatconsistsofless
x x




than100drugpreparationsperphysician.
x




d. Thedominantformofdruginformation
usedbyprimarycarephysicians
x m




continuestobethatprovidedby
x




pharmaceuticalcompanies.
x




ANS: D
Eventhough most physiciansclaim toplace little weight on drug advertisements,
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pharmaceuticalrepresentatives,andpatient preferenceand statethattheyrelyonacademic
x m m




xsourcesfordruginformation,a studyshowedthatcommercialratherthanscientificsources
m x




x ofdrug informationdominatedtheirdruginformationmaterials.Youngerphysicianstend
m x




xtoprescribefewerandmoreappropriatedrugs.Antibioticshavedroppedoutofthetopfive x




x classificationsofdrugsprescribed.Mostphysicianshaveatherapeuticarmamentariumof x




xabout144drugs. x




DIF: Cognitive Level:Remembering(Knowledge)
x x REF: 3 x




3. Asprimarycarenursepractitioners(NPs)continuetodeveloptheirroleas x




x prescribersofmedications,itwillbeimportantto:
x




a. attain the same level of expertise
x x x x x




as physicians who currently
x




prescribemedications.
b. learn fromtheexperiencesofphysicians
m




anddevelopexpertisebasedonevidence-
x




based practice. x




c. maintain collaborative and supervisorial x x x




relationships with physicians who will
x x x x x




overseeprescribingpractices.
x




d. developrelationshipswithpharmaceutical
representativestolearnaboutnew
x




medicationsastheyaredeveloped.
x x




ANS: B
Asnonphysiciansdeveloptherolesassociated withprescriptiveauthority,itwillbe
x m




importanttolearnfromthepastexperiencesofphysiciansand todevelopprescribing
x m x




practicesbasedonevidence-basedmedicine.Itishopedthatallprescribers,including
x x x




physicians and nurse practitioners, will strive to do better than in the past. NPs
x x x x x x x x x x x x x x




shouldworktowardprescriptiveauthorityandforpracticethatisnotsupervisedbyanother
x x




professional.Pharmaceuticalrepresentativesprovideinformationthatcarriessome
x




bias.Academicsourcesarebetter.
x




DIF: CognitiveLevel:Applying(Application) REF: 4 x




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Chapter 02: Historical Review
x of Prescriptive Authority: The Role x x




xof Nurses(NPs,CNMs,CRNAs,andCNSs)andPhysician Assistants
x x x




TestBank

MULTIPLECHOICE

1. Aprimary care NP willbeginpracticing ina state in whichthe governorhasoptedout
x x x x x ofthe x x x x




x federal facility reimbursement requirement. The NP should be aware that this defineshow
x x x x x x x x x x x




x NPsmaywriteprescriptions:




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