FOR
PHARMACOLOGY
FORPRIMARY P
j jj
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ROVIDER 4 j
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,EDITION EDMUN jj
DS
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, Stuvia.comj-jThejMarketplacejto j Buy j and j Sell j your j Study j Material
Chapter j01:jPrescriptive jAuthority jandjRole jImplementation: jTraditionjvs.jChange j Testj
Bank
MULTIPLEjCHOICE
1. Whichjof jthejfollowingjhasjinfluenced janjemphasisjonjprimaryjcarejeducationjinjmedicaljscho
ols?
a. ChangesjinjMedicarejreimbursement jmetho
dsjrecommended jinj1992
b. Competitionjfromjnonphysiciansjdesiringjto
jmeet jprimaryjcarejshortages
c. Thejneed jforjmonopolisticjcontroljinjthejmar
ketplacejof jprimaryjoutpatient jcare
d. Thejrecognitionjthat jnonphysiciansjhavejvar
iablejsuccessjprovidingjprimaryjcare
ANS:j A
ThejPhysicianjPayment jReview jCommissionjinj1992jdirectlyjincreased jfinancialjreimburse
ment jtojcliniciansjwhojprovidejprimaryjcare.jCoupled jwithjajshortagejof jprimaryjcarejprovide
rs,jthisjincentivejled jmedicaljschoolsjtojplacejgreaterjemphasisjonjpreparingjprimaryjcarejphy
sicians.jCompetitionjfromjnonphysiciansjincreased jcoincidentallyjasjprofessionalsjfromjoth
erjdisciplinesjstepped jupjtojmeet jthejneeds.
Nonphysiciansjhavejhad jincreasingjsuccessjat jprovidingjprimaryjcarejand jhavejbeenjshownjto
jbejsafejand jeffective.
DIF: CognitivejLevel:jRememberingj(Knowledge) REF:j 2
2. Whichjof jthejfollowingjstatementsjisjtruejabout jthejprescribingjpracticesjof jphysicians?
a. Olderjphysiciansjtend jtojprescribejmorejapp
ropriatejmedicationsjthanjyoungerjphysicia
ns.
b. Antibioticjmedicationsjremainjinjthejtopjfiv
ejclassificationsjof jmedicationsjprescribed.
c. Most jphysiciansjrelyjonjaj“therapeuticjarma
mentarium”jthat jconsistsjof jlessjthanj100jdru
gjpreparationsjperjphysician.
d. Thejdominant jformjof jdrugjinformationjuse
d jbyjprimaryjcarejphysiciansjcontinuesjtojbej
that jprovided jbyjpharmaceuticaljcompanies
.
ANS:j D
Evenjthoughjmost jphysiciansjclaimjtojplacejlittlejweight jonjdrugjadvertisements,
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Distribution j ofj this j documentj is j illegal
, Stuvia.comj-jThejMarketplacejto j Buy j and j Sell j your j Study j Material
Pharmaceuticaljrepresentatives,jand jpatient jpreferencejand jstatejthat jtheyjrelyjonjacademicjso
urcesjforjdrugjinformation,jajstudyjshowed jthat jcommercialjratherjthanjscientificjsourcesjof jdr
ugjinformationjdominated jtheirjdrugjinformationjmaterials.jYoungerjphysiciansjtend jtojpresc
ribejfewerjand jmorejappropriatejdrugs.jAntibioticsjhavejdropped jout jofjthejtopjfivejclassificati
onsjof jdrugsjprescribed.jMost jphysiciansjhavejajtherapeuticjarmamentariumjof jabout j144jdru
gs.
DIF: CognitivejLevel:jRememberingj(Knowledge) REF:j 3
3. Asjprimaryjcarejnursejpractitionersj(NPs)jcontinuejtojdevelopjtheirjrolejasjprescribersjof jmed
ications,jit jwilljbejimportant jto:
a. attainjthejsamejleveljof jexpertisejasjp
hysiciansjwhojcurrentlyjprescribejm
edications.
b. learnjfromjthejexperiencesjof jphysiciansjan
d jdevelopjexpertisejbased jonjevidence-
jbased jpractice.
c. maintainjcollaborativejand jsupervisorialjrel
ationshipsjwithjphysiciansjwhojwilljoverse
ejprescribingjpractices.
d. developjrelationshipsjwithjpharmaceuticaljr
epresentativesjtojlearnjabout jnew jmedicatio
nsjasjtheyjarejdeveloped.
ANS:j B
Asjnonphysiciansjdevelopjthejrolesjassociated jwithjprescriptivejauthority,jit jwilljbejimportant
jtojlearnjfromjthejpast jexperiencesjof jphysiciansjand jtojdevelopjprescribingjpracticesjbased jonj
evidence-
based jmedicine.jIt jisjhoped jthat jalljprescribers,jincludingjphysiciansjand jnursejpractitioners,j
willjstrivejtojdojbetterjthanjinjthejpast.jNPsjshould jworkjtoward jprescriptivejauthorityjand jforjp
racticejthat jisjnot jsupervised jbyjanotherjprofessional.jPharmaceuticaljrepresentativesjprovidej
informationjthat jcarriesjsomejbias.jAcademicjsourcesjarejbetter.
DIF: CognitivejLevel:jApplyingj(Application) REF:j 4
Chapter j02:jHistoricaljReviewjofjPrescriptive jAuthority: jThejRole jofjNursesj(NPs,jCNMs
,jCRNAs,jandjCNSs)jandjPhysicianjAssistants
TestjBank
MULTIPLEjCHOICE
1. AjprimaryjcarejNPjwilljbeginjpracticingjinjajstatejinjwhichjthejgovernorjhasjopted jout jof jthejfe
deraljfacilityjreimbursement jrequirement.jThejNPjshould jbejawarejthat jthisjdefinesjhow jNPsj
mayjwritejprescriptions:
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Distribution j ofj this j documentj is j illegal