,Chapter k01: kPrescriptive kAuthority kand kRole kImplementation: kTradition kvs.
kChangekTest kBank
MULTIPLE kCHOICE
1. Which kof kthe kfollowing khas kinfluenced kan kemphasis kon kprimary kcare keducation kin
kmedicalkschools?
a. Changes kin kMedicare
kreimbursementkmethods
krecommended kin k1992
b. Competition kfrom knonphysicians
kdesiringkto kmeet kprimary kcare
kshortages
c. The kneed kfor kmonopolistic kcontrol kin
kthekmarketplace kof kprimary koutpatient
kcare
d. The krecognition kthat knonphysicians
khavekvariable ksuccess kproviding
kprimary kcare
ANS: k A
The kPhysician kPayment kReview kCommission kin k1992 kdirectly kincreased kfinancial
kreimbursement kto kclinicians kwho kprovide kprimary kcare. kCoupled kwith ka kshortage
kof kprimary kcare kproviders, kthis kincentive kled kmedical kschools kto kplace kgreater
kemphasis konkpreparing kprimary kcare kphysicians. kCompetition kfrom knonphysicians
kincreased kcoincidentally kas kprofessionals kfrom kother kdisciplines kstepped kup kto
kmeet kthe kneeds.
Nonphysicians khave khad kincreasing ksuccess kat kproviding kprimary kcare kand
khave kbeenkshown kto kbe ksafe kand keffective.
DIF: Cognitive kLevel: kRemembering k(Knowledge) REF: k 2
2. Which kof kthe kfollowing kstatements kis ktrue kabout kthe kprescribing kpractices kof
kphysicians?
a. Older kphysicians ktend kto kprescribe
kmorekappropriate kmedications kthan
kyounger kphysicians.
b. Antibiotic kmedications kremain kin kthe
ktopkfive kclassifications kof kmedications
kprescribed.
c. Most kphysicians krely kon ka k―therapeutic
karmamentarium‖ kthat kconsists kof kless
kthank100 kdrug kpreparations kper
kphysician.
d. The kdominant kform kof kdrug
kinformation kused kby kprimary kcare
kphysicians kcontinueskto kbe kthat
kprovided kby kpharmaceutical
kcompanies.
,ANS: k D
Even kthough kmost kphysicians kclaim kto kplace klittle kweight kon kdrug kadvertisements,
, pharmaceutical krepresentatives, kand kpatient kpreference kand kstate kthat kthey krely kon
kacademic ksources kfor kdrug kinformation, ka kstudy kshowed kthat kcommercial krather
kthan kscientific ksources kof kdrug kinformation kdominated ktheir kdrug kinformation
kmaterials. kYounger kphysicians ktend kto kprescribe kfewer kand kmore kappropriate kdrugs.
kAntibiotics khavekdropped kout kof kthe ktop kfive kclassifications kof kdrugs kprescribed.
kMost kphysicians khave ka ktherapeutic karmamentarium kof kabout k144 kdrugs.
DIF: Cognitive kLevel: kRemembering k(Knowledge) REF: k 3
3. As kprimary kcare knurse kpractitioners k(NPs) kcontinue kto kdevelop ktheir krole kas
kprescribers kofkmedications, kit kwill kbe kimportant kto:
a. attain kthe ksame klevel kof
kexpertise kas kphysicians kwho
kcurrently kprescribe kmedications.
b. learn kfrom kthe kexperiences kof
kphysicians kand kdevelop kexpertise
kbased kon kevidence-kbased kpractice.
c. maintain kcollaborative kand
ksupervisorialkrelationships kwith
kphysicians kwho kwill koversee
kprescribing kpractices.
d. develop krelationships kwith
kpharmaceuticalkrepresentatives kto klearn
kabout knew kmedications kas kthey kare
kdeveloped.
ANS: k B
As knonphysicians kdevelop kthe kroles kassociated kwith kprescriptive kauthority, kit kwill
kbe kimportant kto klearn kfrom kthe kpast kexperiences kof kphysicians kand kto kdevelop
kprescribing kpractices kbased kon kevidence-based kmedicine. kIt kis khoped kthat kall
kprescribers, kincluding kphysicians kand knurse kpractitioners, kwill kstrive kto kdo kbetter
kthan kin kthe kpast. kNPs kshould kwork ktoward kprescriptive kauthority kand kfor kpractice
kthat kis knot ksupervised kby kanother kprofessional. kPharmaceutical krepresentatives
kprovide kinformation kthat kcarries ksome kbias.kAcademic ksources kare kbetter.
DIF: Cognitive kLevel: kApplying k(Application) REF: k 4
kChangekTest kBank
MULTIPLE kCHOICE
1. Which kof kthe kfollowing khas kinfluenced kan kemphasis kon kprimary kcare keducation kin
kmedicalkschools?
a. Changes kin kMedicare
kreimbursementkmethods
krecommended kin k1992
b. Competition kfrom knonphysicians
kdesiringkto kmeet kprimary kcare
kshortages
c. The kneed kfor kmonopolistic kcontrol kin
kthekmarketplace kof kprimary koutpatient
kcare
d. The krecognition kthat knonphysicians
khavekvariable ksuccess kproviding
kprimary kcare
ANS: k A
The kPhysician kPayment kReview kCommission kin k1992 kdirectly kincreased kfinancial
kreimbursement kto kclinicians kwho kprovide kprimary kcare. kCoupled kwith ka kshortage
kof kprimary kcare kproviders, kthis kincentive kled kmedical kschools kto kplace kgreater
kemphasis konkpreparing kprimary kcare kphysicians. kCompetition kfrom knonphysicians
kincreased kcoincidentally kas kprofessionals kfrom kother kdisciplines kstepped kup kto
kmeet kthe kneeds.
Nonphysicians khave khad kincreasing ksuccess kat kproviding kprimary kcare kand
khave kbeenkshown kto kbe ksafe kand keffective.
DIF: Cognitive kLevel: kRemembering k(Knowledge) REF: k 2
2. Which kof kthe kfollowing kstatements kis ktrue kabout kthe kprescribing kpractices kof
kphysicians?
a. Older kphysicians ktend kto kprescribe
kmorekappropriate kmedications kthan
kyounger kphysicians.
b. Antibiotic kmedications kremain kin kthe
ktopkfive kclassifications kof kmedications
kprescribed.
c. Most kphysicians krely kon ka k―therapeutic
karmamentarium‖ kthat kconsists kof kless
kthank100 kdrug kpreparations kper
kphysician.
d. The kdominant kform kof kdrug
kinformation kused kby kprimary kcare
kphysicians kcontinueskto kbe kthat
kprovided kby kpharmaceutical
kcompanies.
,ANS: k D
Even kthough kmost kphysicians kclaim kto kplace klittle kweight kon kdrug kadvertisements,
, pharmaceutical krepresentatives, kand kpatient kpreference kand kstate kthat kthey krely kon
kacademic ksources kfor kdrug kinformation, ka kstudy kshowed kthat kcommercial krather
kthan kscientific ksources kof kdrug kinformation kdominated ktheir kdrug kinformation
kmaterials. kYounger kphysicians ktend kto kprescribe kfewer kand kmore kappropriate kdrugs.
kAntibiotics khavekdropped kout kof kthe ktop kfive kclassifications kof kdrugs kprescribed.
kMost kphysicians khave ka ktherapeutic karmamentarium kof kabout k144 kdrugs.
DIF: Cognitive kLevel: kRemembering k(Knowledge) REF: k 3
3. As kprimary kcare knurse kpractitioners k(NPs) kcontinue kto kdevelop ktheir krole kas
kprescribers kofkmedications, kit kwill kbe kimportant kto:
a. attain kthe ksame klevel kof
kexpertise kas kphysicians kwho
kcurrently kprescribe kmedications.
b. learn kfrom kthe kexperiences kof
kphysicians kand kdevelop kexpertise
kbased kon kevidence-kbased kpractice.
c. maintain kcollaborative kand
ksupervisorialkrelationships kwith
kphysicians kwho kwill koversee
kprescribing kpractices.
d. develop krelationships kwith
kpharmaceuticalkrepresentatives kto klearn
kabout knew kmedications kas kthey kare
kdeveloped.
ANS: k B
As knonphysicians kdevelop kthe kroles kassociated kwith kprescriptive kauthority, kit kwill
kbe kimportant kto klearn kfrom kthe kpast kexperiences kof kphysicians kand kto kdevelop
kprescribing kpractices kbased kon kevidence-based kmedicine. kIt kis khoped kthat kall
kprescribers, kincluding kphysicians kand knurse kpractitioners, kwill kstrive kto kdo kbetter
kthan kin kthe kpast. kNPs kshould kwork ktoward kprescriptive kauthority kand kfor kpractice
kthat kis knot ksupervised kby kanother kprofessional. kPharmaceutical krepresentatives
kprovide kinformation kthat kcarries ksome kbias.kAcademic ksources kare kbetter.
DIF: Cognitive kLevel: kApplying k(Application) REF: k 4
