Test Bank For Edmunds' Pharmacology for the Primary Care Provider 5th Edition by Constance G Visovsky ISBN 978-0323661171 All Chapters Complete Guide A+Latest Update

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PRIMARY PROVIDER 4
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TH EDITION EDMUNDS
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Chapterg01:gPrescriptivegAuthoritygandgRolegImplementation:gTraditiongvs.gChange
gTestgBank



MULTIPLEgCHOICE

1. Whichgofgthegfollowingghasginfluencedgangemphasisgongprimarygcaregeducationgingmedic
algschools?
a. ChangesgingMedicaregreimbursementgmeth
odsgrecommendedging1992
b. Competitiongfromgnonphysiciansgdesiringg
togmeetgprimarygcaregshortages
c. Thegneedgforgmonopolisticgcontrolgingtheg
marketplacegofgprimarygoutpatientgcare
d. Thegrecognitiongthatgnonphysiciansghaveg
variablegsuccessgprovidinggprimarygcare

ANS:g A
ThegPhysiciangPaymentgReviewgCommissionging1992gdirectlygincreasedgfinancialgreimb
ursementgtogcliniciansgwhogprovidegprimarygcare.gCoupledgwithgagshortagegofgprimarygc
aregproviders,gthisgincentivegledgmedicalgschoolsgtogplaceggreatergemphasisgongpreparingg
primarygcaregphysicians.gCompetitiongfromgnonphysiciansgincreasedgcoincidentallygasgp
rofessionalsgfromgothergdisciplinesgsteppedgupgtogmeetgthegneeds.
Nonphysiciansghaveghadgincreasinggsuccessgatgprovidinggprimarygcaregandghavegbeengsho
wngtogbegsafegandgeffective.

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

2. Whichgofgthegfollowinggstatementsgisgtruegaboutgthegprescribinggpracticesgofgphysicians?
a. Oldergphysiciansgtendgtogprescribegmoreg
appropriategmedicationsgthangyounger
physicians.
b. Antibioticg medicationsg remaing ing theg top
fivegclassificationsgofgmedication
sgprescribed.
c. Mostgphysiciansgrelygongag―therapeuticgar
mamentarium‖gthatgconsistsgofglessgthan
100gdruggpreparationsgpergphysician.
d. Thegdominantgformgofgdrugginformationgu
sedgbygprimarygcaregphysiciansgcontinuesgt
ogbegthatgprovidedgbygpharmaceutical
companies.

ANS:g D
Evengthoughgmostgphysiciansgclaimgtogplaceglittlegweightgongdruggadvertisements,




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pharmaceuticalgrepresentatives,gandgpatientgpreferencegandgstategthatgtheygrelygongacade
micgsourcesgforgdrugginformation,gagstudygshowedgthatgcommercialgrathergthangscientific
gsourcesgofgdrugginformation gdominatedgtheirgdrugginformation gmaterials.gYoungergphys

iciansgtendgtogprescribegfewergandgmoregappropriategdrugs.gAntibioticsghavegdroppedgoutg
ofgthegtopgfivegclassificationsgofgdrugsgprescribed.gMostgphysiciansghavegagtherapeuticga
rmamentariumgofgaboutg144gdrugs.

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

3. Asgprimarygcaregnursegpractitionersg(NPs)gcontinuegtogdevelopgtheirgrolegasgprescribersg
ofgmedications,gitgwillgbegimportantgto:
a. attaingthegsameglevelgofgexpertisega
sgphysiciansgwhogcurrentlygprescri
begmedications.
b. learngfromgthegexperiencesgofgphysicians
andgdevelopgexpertisegbasedgongevidence
-gbasedgpractice.
c. maintaingcollaborativegandgsupervisoria
lgrelationshipsgwithgphysiciansgwhogwil
lgoverseegprescribinggpractices.
d. developgrelationshipsgwithgpharmaceutical
grepresentatives gtoglearngaboutgnewgmedi
cationsgasgtheygaregdeveloped.

ANS:g B
Asgnonphysiciansgdevelopgthegrolesgassociatedgwithgprescriptivegauthority,gitgwillgbegim
portantgtoglearngfromgthegpastgexperiencesgofgphysiciansgandgtogdevelopgprescribinggprac
ticesgbasedgongevidence-
basedgmedicine.gItgisghopedgthatgallgprescribers,gincludinggphysiciansgandgnursegpractitio
ners,gwillgstrivegtogdogbettergthangingthegpast.gNPsgshouldgworkgtowardgprescriptivegauth
oritygandgforgpracticegthatgisgnotgsupervisedgbyganothergprofessional.gPharmaceuticalgrep
resentativesgprovideginformationgthatgcarriesgsomegbias.gAcademicgsourcesgaregbetter.

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

Chapterg02:gHistoricalgReviewgofgPrescriptivegAuthority:gThegRolegofgNursesg(NPs,g
CNMs,gCRNAs,gandgCNSs)gandgPhysiciangAssistants
TestgBank

MULTIPLEgCHOICE

1. AgprimarygcaregNPgwillgbegingpracticinggingagstategingwhichgtheggovernorghasgoptedgoutg
ofgthegfederalgfacilitygreimbursementgrequirement.gThegNPgshouldgbegawaregthatgthisgdef
inesghowgNPsgmaygwritegprescriptions:




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a. withoutgphysiciangsupervisiongingprivateg
practice.
b. asgCRNAsgwithoutgphysiciangsupervision
gingaghospitalgsetting.

c. inganygsituationgbutgwillgnotgbegreimbursed
gforgthisgbyggovernmentginsurers.

d. onlygwithgphysiciangsupervisiongingbothg
privategpracticegandgaghospitalgsetting.

ANS:g B
Ing2001,gthegCentersgforgMedicaregandgMedicaidgServicesgchangedgthegfederalgphysician
gsupervisiongrulegforgCRNAsgtogallowgstateggovernorsgtogoptgout,gallowinggCRNAsgtogwr

itegprescriptionsgandgdispensegdrugsgwithoutgphysiciangsupervision.

DIF: CognitivegLevel:gUnderstandingg(Comprehension) REF:g 9

2. CRNAsgingmostgstates:
a. mustghavegagDruggEnforcementgAdminist
rationg(DEA)gnumbergtogpractice.
b. mustghavegprescriptivegauthoritygtogpracti
ce.
c. ordergandgadministergcontrolledgsubstances
gbutgdognotghavegfullgprescriptivegauthority

.
d. administerg medications,g including
controlledgsubstances,gundergdirectgphysi
ciangsupervision.

ANS:g C
OnlygfivegstatesggrantgindependentgprescriptivegauthoritygtogCRNAs.gCRNAsgdognotgre
quiregprescriptivegauthoritygbecausegtheygdispensegagdruggimmediatelygtogagpatientgandg
dognotgprescribe.gWithoutgprescriptivegauthority,gtheygdognotgneedgagDEAgnumber.

DIF: CognitivegLevel:gUnderstandingg(Comprehension) REF:g 9

3. AgCNM:
a. maygtreatgonlygwomen.
b. hasgprescriptivegauthoritygingallg50gstates.
c. maygadministergonlygdrugsgusedgduringgl
aborgandgdelivery.
d. maygpracticegonlygingbirthinggcentersgand
ghomegbirthgsettings.


ANS:g B




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