https://www.stuvia.com/
Stuvia.comn-nThenMarketplacentonBuynandnSellnyournStudynMaterial
TEST BANK n
FOR
PHARMACOLOGY
FORPRIMARY n n
PROVIDER 4 TH
n
Downloadednby:nSuperAn|
m
Distributionnofnthisndocumentnisnillegal
,https://www.stuvia.com/
Stuvia.comn-nThenMarketplacentonBuynandnSellnyournStudynMaterial
nThenMarketplacentonBuynandnSellnyournStudynMaterial
EDITION E n
DMUNDS
Downloadednby:nSuperAn|
m
Distributionnofnthisndocumentnisnillegal
,https://www.stuvia.com/
Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. ChangeTes
n n n n n n n n n n
t Bank
n
MULTIPLEnCHOICE
1. Whichnofnthenfollowingnhasninfluencednannemphasisnonnprimaryncareneducationninnmedicalns
chools?
a. ChangesninnMedicarenreimbursementn
methodsnrecommendedninn1992
b. Competitionnfromnnonphysiciansndesiringn
tonmeetnprimaryncarenshortages
c. Thenneednfornmonopolisticncontrolninnthen
marketplacenofnprimarynoutpatientncare
d. Thenrecognitionnthatnnonphysiciansnhaven
variablensuccessnprovidingnprimaryncare
ANS:n A
ThenPhysiciannPaymentnReviewnCommissionninn1992ndirectlynincreasednfinancialnreimb
ursementntoncliniciansnwhonprovidenprimaryncare.nCouplednwithnanshortagenofnprimarynca
renproviders,nthisnincentivenlednmedicalnschoolsntonplacengreaternemphasisnonnpreparingnp
rimaryncarenphysicians.nCompetitionnfromnnonphysiciansnincreasedncoincidentallynasnpr
ofessionalsnfromnotherndisciplinesnsteppednupntonmeetnthenneeds.
Nonphysiciansnhavenhadnincreasingnsuccessnatnprovidingnprimaryncarenandnhavenbeenns
hownntonbensafenandneffective.
DIF: CognitivenLevel:nRememberingn(Knowledge) REF:n 2
2. Whichnofnthenfollowingnstatementsnisntruenaboutnthenprescribingnpracticesnofnphysicians?
a. Oldernphysiciansntendntonprescribenmoren
appropriatenmedicationsnthannyoungernp
hysicians.
b. Antibioticnmedicationsnremainninnthentopn
fivenclassificationsnofnmedicationsnprescr
ibed.
c. Mostnphysiciansnrelynonnan“therapeuticnar
mamentarium”nthatnconsistsnofnlessnthann10
0ndrugnpreparationsnpernphysician.
d. Thendominantnformnofndrugninformationnus
ednbynprimaryncarenphysiciansncontinuesnton
benthatnprovidednbynpharmaceuticalncompa
nies.
ANS:n D
Evennthoughnmostnphysiciansnclaimntonplacenlittlenweightnonndrugnadvertisements,
Downloadednby:nSuperAn|
m
Distributionnofnthisndocumentnisnillegal
,https://www.stuvia.com/
Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
pharmaceuticalnrepresentatives,nandnpatientnpreferencenandnstatenthatntheynrelynonnacademi
cnsourcesnforndrugninformation,nanstudynshowednthatncommercialnrathernthannscientificnsour
cesnofndrugninformationndominatedntheirndrugninformationnmaterials.nYoungernphysiciansnte
ndntonprescribenfewernandnmorenappropriatendrugs.nAntibioticsnhavendroppednoutnofnthentopnfi
venclassificationsnofndrugsnprescribed.nMostnphysiciansnhavenantherapeuticnarmamentariumn
ofnaboutn144ndrugs.
DIF: CognitivenLevel:nRememberingn(Knowledge) REF:n 3
3. Asnprimaryncarennursenpractitionersn(NPs)ncontinuentondevelopntheirnrolenasnprescribersnofn
medications,nitnwillnbenimportantnto:
a. attainnthensamenlevelnofnexpertisenasn
physiciansnwhoncurrentlynprescriben
medications.
b. learnnfromnthenexperiencesnofnphysiciansna
ndndevelopnexpertisenbasednonnevidence-
nbasednpractice.
c. maintainncollaborativenandnsupervisorialn
relationshipsnwithnphysiciansnwhonwillno
verseenprescribingnpractices.
d. developnrelationshipsnwithnpharmaceuticaln
representativesntonlearnnaboutnnewnmedicat
ionsnasntheynarendeveloped.
ANS:n B
Asnnonphysiciansndevelopnthenrolesnassociatednwithnprescriptivenauthority,nitnwillnbenimpo
rtantntonlearnnfromnthenpastnexperiencesnofnphysiciansnandntondevelopnprescribingnpractice
snbasednonnevidence-
basednmedicine.nItnisnhopednthatnallnprescribers,nincludingnphysiciansnandnnursenpractition
ers,nwillnstriventondonbetternthanninnthenpast.nNPsnshouldnworkntowardnprescriptivenauthorit
ynandnfornpracticenthatnisnnotnsupervisednbynanothernprofessional.nPharmaceuticalnrepresen
tativesnprovideninformationnthatncarriesnsomenbias.nAcademicnsourcesnarenbetter.
DIF: CognitivenLevel:nApplyingn(Application) REF:n 4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs,CN
n n n n n n n n n n n n
Ms, CRNAs, and CNSs) and Physician Assistants
n n n n n n
Test Bank
n
MULTIPLEnCHOICE
1. AnprimaryncarenNPnwillnbeginnpracticingninnanstateninnwhichnthengovernornhasnoptednoutnofnth
enfederalnfacilitynreimbursementnrequirement.nThenNPnshouldnbenawarenthatnthisndefinesnho
wnNPsnmaynwritenprescriptions:
Downloadednby:nSuperAn|
m
Distributionnofnthisndocumentnisnillegal
Stuvia.comn-nThenMarketplacentonBuynandnSellnyournStudynMaterial
TEST BANK n
FOR
PHARMACOLOGY
FORPRIMARY n n
PROVIDER 4 TH
n
Downloadednby:nSuperAn|
m
Distributionnofnthisndocumentnisnillegal
,https://www.stuvia.com/
Stuvia.comn-nThenMarketplacentonBuynandnSellnyournStudynMaterial
nThenMarketplacentonBuynandnSellnyournStudynMaterial
EDITION E n
DMUNDS
Downloadednby:nSuperAn|
m
Distributionnofnthisndocumentnisnillegal
,https://www.stuvia.com/
Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. ChangeTes
n n n n n n n n n n
t Bank
n
MULTIPLEnCHOICE
1. Whichnofnthenfollowingnhasninfluencednannemphasisnonnprimaryncareneducationninnmedicalns
chools?
a. ChangesninnMedicarenreimbursementn
methodsnrecommendedninn1992
b. Competitionnfromnnonphysiciansndesiringn
tonmeetnprimaryncarenshortages
c. Thenneednfornmonopolisticncontrolninnthen
marketplacenofnprimarynoutpatientncare
d. Thenrecognitionnthatnnonphysiciansnhaven
variablensuccessnprovidingnprimaryncare
ANS:n A
ThenPhysiciannPaymentnReviewnCommissionninn1992ndirectlynincreasednfinancialnreimb
ursementntoncliniciansnwhonprovidenprimaryncare.nCouplednwithnanshortagenofnprimarynca
renproviders,nthisnincentivenlednmedicalnschoolsntonplacengreaternemphasisnonnpreparingnp
rimaryncarenphysicians.nCompetitionnfromnnonphysiciansnincreasedncoincidentallynasnpr
ofessionalsnfromnotherndisciplinesnsteppednupntonmeetnthenneeds.
Nonphysiciansnhavenhadnincreasingnsuccessnatnprovidingnprimaryncarenandnhavenbeenns
hownntonbensafenandneffective.
DIF: CognitivenLevel:nRememberingn(Knowledge) REF:n 2
2. Whichnofnthenfollowingnstatementsnisntruenaboutnthenprescribingnpracticesnofnphysicians?
a. Oldernphysiciansntendntonprescribenmoren
appropriatenmedicationsnthannyoungernp
hysicians.
b. Antibioticnmedicationsnremainninnthentopn
fivenclassificationsnofnmedicationsnprescr
ibed.
c. Mostnphysiciansnrelynonnan“therapeuticnar
mamentarium”nthatnconsistsnofnlessnthann10
0ndrugnpreparationsnpernphysician.
d. Thendominantnformnofndrugninformationnus
ednbynprimaryncarenphysiciansncontinuesnton
benthatnprovidednbynpharmaceuticalncompa
nies.
ANS:n D
Evennthoughnmostnphysiciansnclaimntonplacenlittlenweightnonndrugnadvertisements,
Downloadednby:nSuperAn|
m
Distributionnofnthisndocumentnisnillegal
,https://www.stuvia.com/
Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
pharmaceuticalnrepresentatives,nandnpatientnpreferencenandnstatenthatntheynrelynonnacademi
cnsourcesnforndrugninformation,nanstudynshowednthatncommercialnrathernthannscientificnsour
cesnofndrugninformationndominatedntheirndrugninformationnmaterials.nYoungernphysiciansnte
ndntonprescribenfewernandnmorenappropriatendrugs.nAntibioticsnhavendroppednoutnofnthentopnfi
venclassificationsnofndrugsnprescribed.nMostnphysiciansnhavenantherapeuticnarmamentariumn
ofnaboutn144ndrugs.
DIF: CognitivenLevel:nRememberingn(Knowledge) REF:n 3
3. Asnprimaryncarennursenpractitionersn(NPs)ncontinuentondevelopntheirnrolenasnprescribersnofn
medications,nitnwillnbenimportantnto:
a. attainnthensamenlevelnofnexpertisenasn
physiciansnwhoncurrentlynprescriben
medications.
b. learnnfromnthenexperiencesnofnphysiciansna
ndndevelopnexpertisenbasednonnevidence-
nbasednpractice.
c. maintainncollaborativenandnsupervisorialn
relationshipsnwithnphysiciansnwhonwillno
verseenprescribingnpractices.
d. developnrelationshipsnwithnpharmaceuticaln
representativesntonlearnnaboutnnewnmedicat
ionsnasntheynarendeveloped.
ANS:n B
Asnnonphysiciansndevelopnthenrolesnassociatednwithnprescriptivenauthority,nitnwillnbenimpo
rtantntonlearnnfromnthenpastnexperiencesnofnphysiciansnandntondevelopnprescribingnpractice
snbasednonnevidence-
basednmedicine.nItnisnhopednthatnallnprescribers,nincludingnphysiciansnandnnursenpractition
ers,nwillnstriventondonbetternthanninnthenpast.nNPsnshouldnworkntowardnprescriptivenauthorit
ynandnfornpracticenthatnisnnotnsupervisednbynanothernprofessional.nPharmaceuticalnrepresen
tativesnprovideninformationnthatncarriesnsomenbias.nAcademicnsourcesnarenbetter.
DIF: CognitivenLevel:nApplyingn(Application) REF:n 4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs,CN
n n n n n n n n n n n n
Ms, CRNAs, and CNSs) and Physician Assistants
n n n n n n
Test Bank
n
MULTIPLEnCHOICE
1. AnprimaryncarenNPnwillnbeginnpracticingninnanstateninnwhichnthengovernornhasnoptednoutnofnth
enfederalnfacilitynreimbursementnrequirement.nThenNPnshouldnbenawarenthatnthisndefinesnho
wnNPsnmaynwritenprescriptions:
Downloadednby:nSuperAn|
m
Distributionnofnthisndocumentnisnillegal
