TEST BANK FOR
n n
PHARMACOLOGY
n
FOR PRIMARY
n n
PROVIDER 4TH
n n
EDITION
n
EDMUNDS
n
,Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs.
n n n n n n n n
Change Test Bank
n n n
MULTIPLE nCHOICE
1. Which nof nthe nfollowing nhas ninfluenced nan nemphasis non nprimary ncare
neducation nin nmedical n schools?
a. Changes nin nMedicare
nreimbursement n methods
nrecommended nin n1992
b. Competition nfrom nnonphysicians
ndesiring n to nmeet nprimary ncare
nshortages
c. The nneed nfor nmonopolistic ncontrol
nin nthe n marketplace nof nprimary
noutpatient ncare
d. The nrecognition nthat nnonphysicians
nhave n variable nsuccess nproviding
nprimary ncare
ANS: n A
The nPhysician nPayment nReview nCommission nin n1992 ndirectly nincreased
nfinancial n reimbursement nto nclinicians nwho nprovide nprimary ncare. nCoupled
nwith na nshortage nof n primary ncare nproviders, nthis nincentive nled nmedical
nschools nto nplace ngreater nemphasis non n preparing nprimary ncare nphysicians.
nCompetition nfrom nnonphysicians nincreased n coincidentally nas nprofessionals
nfrom nother ndisciplines nstepped nup nto nmeet nthe nneeds.
Nonphysicians nhave nhad nincreasing nsuccess nat nproviding nprimary ncare nand
nhave nbeen n shown nto nbe nsafe nand neffective.
DIF: Cognitive nLevel: nRemembering n(Knowledge) REF: n n2
2. Which nof nthe nfollowing nstatements nis ntrue nabout nthe nprescribing npractices nof
nphysicians?
a. Older nphysicians ntend nto nprescribe
nmore n appropriate nmedications
nthan nyounger n physicians.
b. Antibiotic nmedications nremain nin
nthe ntop n five nclassifications nof
nmedications n prescribed.
c. Most nphysicians nrely non na
n“therapeutic n armamentarium” nthat
nconsists nof nless nthan n 100 ndrug
npreparations nper nphysician.
d. The ndominant nform nof ndrug
ninformation n used nby nprimary ncare
nphysicians ncontinues n to nbe nthat
nprovided nby npharmaceutical
n companies.
ANS: n D
Even nthough nmost nphysicians nclaim nto nplace nlittle nweight non ndrug nadvertisements,
,1
, pharmaceutical nrepresentatives, nand npatient npreference nand nstate nthat nthey
nrely non n academic nsources nfor ndrug ninformation, na nstudy nshowed nthat
ncommercial nrather nthan n scientific nsources nof ndrug ninformation ndominated
ntheir ndrug ninformation nmaterials. n Younger nphysicians ntend nto nprescribe
nfewer nand nmore nappropriate ndrugs. nAntibiotics nhave n dropped nout nof nthe ntop
nfive nclassifications nof ndrugs nprescribed. nMost nphysicians nhave na n therapeutic
narmamentarium nof nabout n144 ndrugs.
DIF: Cognitive nLevel: nRemembering n(Knowledge) REF: n n3
3. As nprimary ncare nnurse npractitioners n(NPs) ncontinue nto ndevelop ntheir nrole nas
nprescribers nof n medications, nit nwill nbe nimportant nto:
a. attain nthe nsame nlevel nof
nexpertise nas n physicians n who
n currently n prescribe
n medications.
b. learn nfrom nthe nexperiences nof
nphysicians n and ndevelop nexpertise
nbased non nevidence- n based npractice.
c. maintain ncollaborative nand
nsupervisorial n relationships nwith
nphysicians nwho nwill n oversee
nprescribing npractices.
d. develop nrelationships nwith
npharmaceutical n representatives nto
nlearn nabout nnew n medications nas
nthey nare ndeveloped.
ANS: n B
As nnonphysicians ndevelop nthe nroles nassociated nwith nprescriptive nauthority, nit
nwill nbe n important nto nlearn nfrom nthe npast nexperiences nof nphysicians nand nto
ndevelop nprescribing n practices nbased non nevidence-based nmedicine. nIt nis
nhoped nthat nall nprescribers, nincluding n physicians nand nnurse npractitioners,
nwill nstrive nto ndo nbetter nthan nin nthe npast. nNPs nshould n work ntoward
nprescriptive nauthority nand nfor npractice nthat nis nnot nsupervised nby nanother
n professional. nPharmaceutical nrepresentatives nprovide ninformation nthat ncarries
nsome nbias. n Academic nsources nare nbetter.
DIF: Cognitive nLevel: nApplying n(Application) REF: n n4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses
n n n n n n n n n n
(NPs, CNMs, CRNAs, and CNSs) and Physician Assistants
n n n n n n n n
Test Bank
n
MULTIPLE nCHOICE
1. A nprimary ncare nNP nwill nbegin npracticing nin na nstate nin nwhich nthe ngovernor nhas
nopted nout nof n the nfederal nfacility nreimbursement nrequirement. nThe nNP
nshould nbe naware nthat nthis ndefines n how nNPs nmay nwrite nprescriptions:
n n
PHARMACOLOGY
n
FOR PRIMARY
n n
PROVIDER 4TH
n n
EDITION
n
EDMUNDS
n
,Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs.
n n n n n n n n
Change Test Bank
n n n
MULTIPLE nCHOICE
1. Which nof nthe nfollowing nhas ninfluenced nan nemphasis non nprimary ncare
neducation nin nmedical n schools?
a. Changes nin nMedicare
nreimbursement n methods
nrecommended nin n1992
b. Competition nfrom nnonphysicians
ndesiring n to nmeet nprimary ncare
nshortages
c. The nneed nfor nmonopolistic ncontrol
nin nthe n marketplace nof nprimary
noutpatient ncare
d. The nrecognition nthat nnonphysicians
nhave n variable nsuccess nproviding
nprimary ncare
ANS: n A
The nPhysician nPayment nReview nCommission nin n1992 ndirectly nincreased
nfinancial n reimbursement nto nclinicians nwho nprovide nprimary ncare. nCoupled
nwith na nshortage nof n primary ncare nproviders, nthis nincentive nled nmedical
nschools nto nplace ngreater nemphasis non n preparing nprimary ncare nphysicians.
nCompetition nfrom nnonphysicians nincreased n coincidentally nas nprofessionals
nfrom nother ndisciplines nstepped nup nto nmeet nthe nneeds.
Nonphysicians nhave nhad nincreasing nsuccess nat nproviding nprimary ncare nand
nhave nbeen n shown nto nbe nsafe nand neffective.
DIF: Cognitive nLevel: nRemembering n(Knowledge) REF: n n2
2. Which nof nthe nfollowing nstatements nis ntrue nabout nthe nprescribing npractices nof
nphysicians?
a. Older nphysicians ntend nto nprescribe
nmore n appropriate nmedications
nthan nyounger n physicians.
b. Antibiotic nmedications nremain nin
nthe ntop n five nclassifications nof
nmedications n prescribed.
c. Most nphysicians nrely non na
n“therapeutic n armamentarium” nthat
nconsists nof nless nthan n 100 ndrug
npreparations nper nphysician.
d. The ndominant nform nof ndrug
ninformation n used nby nprimary ncare
nphysicians ncontinues n to nbe nthat
nprovided nby npharmaceutical
n companies.
ANS: n D
Even nthough nmost nphysicians nclaim nto nplace nlittle nweight non ndrug nadvertisements,
,1
, pharmaceutical nrepresentatives, nand npatient npreference nand nstate nthat nthey
nrely non n academic nsources nfor ndrug ninformation, na nstudy nshowed nthat
ncommercial nrather nthan n scientific nsources nof ndrug ninformation ndominated
ntheir ndrug ninformation nmaterials. n Younger nphysicians ntend nto nprescribe
nfewer nand nmore nappropriate ndrugs. nAntibiotics nhave n dropped nout nof nthe ntop
nfive nclassifications nof ndrugs nprescribed. nMost nphysicians nhave na n therapeutic
narmamentarium nof nabout n144 ndrugs.
DIF: Cognitive nLevel: nRemembering n(Knowledge) REF: n n3
3. As nprimary ncare nnurse npractitioners n(NPs) ncontinue nto ndevelop ntheir nrole nas
nprescribers nof n medications, nit nwill nbe nimportant nto:
a. attain nthe nsame nlevel nof
nexpertise nas n physicians n who
n currently n prescribe
n medications.
b. learn nfrom nthe nexperiences nof
nphysicians n and ndevelop nexpertise
nbased non nevidence- n based npractice.
c. maintain ncollaborative nand
nsupervisorial n relationships nwith
nphysicians nwho nwill n oversee
nprescribing npractices.
d. develop nrelationships nwith
npharmaceutical n representatives nto
nlearn nabout nnew n medications nas
nthey nare ndeveloped.
ANS: n B
As nnonphysicians ndevelop nthe nroles nassociated nwith nprescriptive nauthority, nit
nwill nbe n important nto nlearn nfrom nthe npast nexperiences nof nphysicians nand nto
ndevelop nprescribing n practices nbased non nevidence-based nmedicine. nIt nis
nhoped nthat nall nprescribers, nincluding n physicians nand nnurse npractitioners,
nwill nstrive nto ndo nbetter nthan nin nthe npast. nNPs nshould n work ntoward
nprescriptive nauthority nand nfor npractice nthat nis nnot nsupervised nby nanother
n professional. nPharmaceutical nrepresentatives nprovide ninformation nthat ncarries
nsome nbias. n Academic nsources nare nbetter.
DIF: Cognitive nLevel: nApplying n(Application) REF: n n4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses
n n n n n n n n n n
(NPs, CNMs, CRNAs, and CNSs) and Physician Assistants
n n n n n n n n
Test Bank
n
MULTIPLE nCHOICE
1. A nprimary ncare nNP nwill nbegin npracticing nin na nstate nin nwhich nthe ngovernor nhas
nopted nout nof n the nfederal nfacility nreimbursement nrequirement. nThe nNP
nshould nbe naware nthat nthis ndefines n how nNPs nmay nwrite nprescriptions:
