TEST BANK FOR PHARMACOLOGY FOR PRIMARY PROVIDER 4TH EDITION EDMUNDS

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TEST BANK g




FOR
PHARMACOLOGY
FOR PRIMARYg g




PROVIDER 4 TH
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EDITION E g




DMUNDS




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Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. ChangeTes
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t Bank
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MULTIPLEgCHOICE

1. Whichgofgthegfollowingghasginfluencedgangemphasisgongprimarygcaregeducationgingmedicalgs
chools?
a. ChangesgingMedicaregreimbursementg
methodsgrecommendedging1992
b. Competitiongfromgnonphysiciansgdesiringg
togmeetgprimarygcaregshortages
c. Thegneedgforgmonopolisticgcontrolgingtheg
marketplacegofgprimarygoutpatientgcare
d. Thegrecognitiongthatgnonphysiciansghaveg
variablegsuccessgprovidinggprimarygcare
ANS:g A
ThegPhysiciangPaymentgReviewgCommissionging1992gdirectlygincreasedgfinancialgreimb
ursementgtogcliniciansgwhogprovidegprimarygcare.gCoupledgwithgagshortagegofgprimarygca
regproviders,gthisgincentivegledgmedicalgschoolsgtogplaceggreatergemphasisgongpreparinggp
rimarygcaregphysicians.gCompetitiongfromgnonphysiciansgincreasedgcoincidentallygasgpr
ofessionalsgfromgothergdisciplinesgsteppedgupgtogmeetgthegneeds.
Nonphysiciansghaveghadgincreasinggsuccessgatgprovidinggprimarygcaregandghavegbeengs
howngtogbegsafegandgeffective.

DIF: CognitivegLevel:gRememberingg(Knowledge) REF:g 2

2. Whichgofgthegfollowinggstatementsgisgtruegaboutgthegprescribinggpracticesgofgphysicians?
a. Oldergphysiciansgtendgtogprescribegmoreg
appropriategmedicationsgthangyoungergp
hysicians.
b. Antibioticgmedicationsgremaingingthegtopg
fivegclassificationsgofgmedicationsgprescr
ibed.
c. Mostgphysiciansgrelygongag“therapeuticgar
mamentarium”gthatgconsistsgofglessgthang10
0gdruggpreparationsgpergphysician.
d. Thegdominantgformgofgdrugginformationgus
edgbygprimarygcaregphysiciansgcontinuesgtog
begthatgprovidedgbygpharmaceuticalgcompa
nies.
ANS:g D
Evengthoughgmostgphysiciansgclaimgtogplaceglittlegweightgongdruggadvertisements,




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pharmaceuticalgrepresentatives,gandgpatientgpreferencegandgstategthatgtheygrelygongacademi
cgsourcesgforgdrugginformation,gagstudygshowedgthatgcommercialgrathergthangscientificgsour
cesgofgdrugginformationgdominatedgtheirgdrugginformationgmaterials.gYoungergphysiciansgte
ndgtogprescribegfewergandgmoregappropriategdrugs.gAntibioticsghavegdroppedgoutgofgthegtopgfi
vegclassificationsgofgdrugsgprescribed.gMostgphysiciansghavegagtherapeuticgarmamentariumg
ofgaboutg144gdrugs.

DIF: CognitivegLevel:gRememberingg(Knowledge) REF:g 3

3. Asgprimarygcaregnursegpractitionersg(NPs)gcontinuegtogdevelopgtheirgrolegasgprescribersgofg
medications,gitgwillgbegimportantgto:
a. attaingthegsameglevelgofgexpertisegasg
physiciansgwhogcurrentlygprescribeg
medications.
b. learngfromgthegexperiencesgofgphysiciansga
ndgdevelopgexpertisegbasedgongevidence-
gbasedgpractice.


c. maintaingcollaborativegandgsupervisorialg
relationshipsgwithgphysiciansgwhogwillgo
verseegprescribinggpractices.
d. developgrelationshipsgwithgpharmaceuticalg
representativesgtoglearngaboutgnewgmedicat
ionsgasgtheygaregdeveloped.
ANS:g B
Asgnonphysiciansgdevelopgthegrolesgassociatedgwithgprescriptivegauthority,gitgwillgbegimpo
rtantgtoglearngfromgthegpastgexperiencesgofgphysiciansgandgtogdevelopgprescribinggpractice
sgbasedgongevidence-
basedgmedicine.gItgisghopedgthatgallgprescribers,gincludinggphysiciansgandgnursegpractition
ers,gwillgstrivegtogdogbettergthangingthegpast.gNPsgshouldgworkgtowardgprescriptivegauthorit
ygandgforgpracticegthatgisgnotgsupervisedgbyganothergprofessional.gPharmaceuticalgrepresen
tativesgprovideginformationgthatgcarriesgsomegbias.gAcademicgsourcesgaregbetter.

DIF: CognitivegLevel:gApplyingg(Application) REF:g 4

Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs,CNM
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s, CRNAs, and CNSs) and Physician Assistants
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Test Bank
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MULTIPLEgCHOICE

1. AgprimarygcaregNPgwillgbegingpracticinggingagstategingwhichgtheggovernorghasgoptedgoutgofgth
egfederalgfacilitygreimbursementgrequirement.gThegNPgshouldgbegawaregthatgthisgdefinesgho
wgNPsgmaygwritegprescriptions:




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