TEST BANK FOR PHARMACOLOGY FOR PRIMARY PROVIDER 4TH EDITION EDMUNDS.

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TEST BANK f




FOR
PHARMACOLOGY
FORPRIMARY f f




PROVIDER 4 TH
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Material




EDITION E f




DMUNDS




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Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. ChangeTest
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Bank

MULTIPLEfCHOICE

1. Whichfofftheffollowingfhasfinfluencedfanfemphasisfonfprimaryfcarefeducationfinfmedicalfsch
ools?
a. ChangesfinfMedicarefreimbursementf
methodsfrecommendedfinf1992
b. Competitionffromfnonphysiciansfdesiringft
ofmeetfprimaryfcarefshortages
c. Thefneedfforfmonopolisticfcontrolfinfthef
marketplacefoffprimaryfoutpatientfcare
d. Thefrecognitionfthatfnonphysiciansfhavefv
ariablefsuccessfprovidingfprimaryfcare
ANS:f A
ThefPhysicianfPaymentfReviewfCommissionfinf1992fdirectlyfincreasedffinancialfreimbur
sementftofcliniciansfwhofprovidefprimaryfcare.fCoupledfwithfafshortagefoffprimaryfcarefpr
oviders,fthisfincentivefledfmedicalfschoolsftofplacefgreaterfemphasisfonfpreparingfprimaryf
carefphysicians.fCompetitionffromfnonphysiciansfincreasedfcoincidentallyfasfprofessiona
lsffromfotherfdisciplinesfsteppedfupftofmeetfthefneeds.
Nonphysiciansfhavefhadfincreasingfsuccessfatfprovidingfprimaryfcarefandfhavefbeenfsh
ownftofbefsafefandfeffective.

DIF: CognitivefLevel:fRememberingf(Knowledge) REF:f 2

2. Whichfofftheffollowingfstatementsfisftruefaboutfthefprescribingfpracticesfoffphysicians?
a. Olderfphysiciansftendftofprescribefmorefa
ppropriatefmedicationsfthanfyoungerfphy
sicians.
b. Antibioticfmedicationsfremainfinftheftopffi
vefclassificationsfoffmedicationsfprescrib
ed.
c. Mostfphysiciansfrelyfonfaf“therapeuticfarm
amentarium”fthatfconsistsfofflessfthanf100fd
rugfpreparationsfperfphysician.
d. Thefdominantfformfoffdrugfinformationfuse
dfbyfprimaryfcarefphysiciansfcontinuesftofbe
fthatfprovidedfbyfpharmaceutical fcompanie

s.
ANS:f D
Evenfthoughfmostfphysiciansfclaimftofplaceflittlefweightfonfdrugfadvertisements,




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pharmaceuticalfrepresentatives,fandfpatientfpreferencefandfstatefthatftheyfrelyfonfacademicfs
ourcesfforfdrugfinformation,fafstudyfshowedfthatfcommercialfratherfthanfscientificfsourcesfof
fdrugfinformationfdominatedftheirfdrugfinformationfmaterials. fYoungerfphysiciansftendftofpr

escribeffewerfandfmorefappropriatefdrugs.fAntibioticsfhavefdroppedfoutfofftheftopffivefclassif
icationsfoffdrugsfprescribed.fMostfphysiciansfhavefaftherapeuticfarmamentariumfoffaboutf14
4fdrugs.

DIF: CognitivefLevel:fRememberingf(Knowledge) REF:f 3

3. Asfprimaryfcarefnursefpractitionersf(NPs)fcontinueftofdevelopftheirfrolefasfprescribersfoffme
dications,fitfwillfbefimportantfto:
a. attainfthefsameflevelfoffexpertisefasfp
hysiciansfwhofcurrentlyfprescribefm
edications.
b. learnffromfthefexperiencesfoffphysiciansfa
ndfdevelopfexpertisefbasedfonfevidence-
fbasedfpractice.


c. maintainfcollaborativefandfsupervisorialfr
elationshipsfwithfphysiciansfwhofwillfov
erseefprescribingfpractices.
d. developfrelationshipsfwithfpharmaceuticalfr
epresentativesftoflearnfaboutfnewfmedicati
onsfasftheyfarefdeveloped.
ANS:f B
Asfnonphysiciansfdevelopfthefrolesfassociatedfwithfprescriptivefauthority,fitfwillfbefimport
antftoflearnffromfthefpastfexperiencesfoffphysiciansfandftofdevelopfprescribingfpracticesfbas
edfonfevidence-
basedfmedicine.fItfisfhopedfthatfallfprescribers,fincludingfphysiciansfandfnursefpractitioner
s,fwillfstriveftofdofbetterfthanfinfthefpast.fNPsfshouldfworkftowardfprescriptivefauthorityfand
fforfpracticefthatfisfnotfsupervisedfbyfanotherfprofessional.fPharmaceutical frepresentativesf

providefinformationfthatfcarriesfsomefbias.fAcademicfsourcesfarefbetter.

DIF: CognitivefLevel:fApplyingf(Application) REF:f 4

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

1. AfprimaryfcarefNPfwillfbeginfpracticingfinfafstatefinfwhichfthefgovernorfhasfoptedfoutfofftheff
ederalffacilityfreimbursementfrequirement.fThefNPfshouldfbefawarefthatfthisfdefinesfhowfNP
sfmayfwritefprescriptions:




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