Pharmacology for the Primary Care Provider – 4th Edition by Edmunds | Complete Test Bank with Answers

TEST BANK FOR
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PHARMACOLOGYFOR m m




PRIMARY PROVIDER 4
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TH EDITION EDMUNDS
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Stuvia.comm-mThemMarketplacemtomBuymandmSellmyourmStudymMaterial




Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Chang
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e Test Bank
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MULTIPLEmCHOICE

1. Whichmofmthemfollowingmhasminfluencedmanmemphasismonmprimarymcaremeducationminmmedi
calmschools?
a. ChangesminmMedicaremreimbursementmmet
hodsmrecommendedminm1992
b. Competitionmfrommnonphysiciansmdesiringm
tommeetmprimarymcaremshortages
c. Themneedmformmonopolisticmcontrolminmthe
m marketplace m ofm primarym outpatient m care



d. Themrecognitionmthatmnonphysiciansmhave
m variable m success mproviding m primarymcar

e
ANS:m A
ThemPhysicianmPaymentmReviewmCommissionminm1992mdirectlymincreasedmfinancialmreim
bursementmtomcliniciansmwhomprovidemprimarymcare.mCoupledmwithmamshortagemofmprimary
mcare mproviders, mthismincentive mledmmedical mschools mtomplace mgreater memphasis monm prepari

ngmprimarymcaremphysicians.mCompetitionmfrommnonphysiciansmincreasedmcoincidentallym
asmprofessionalsmfrommothermdisciplinesmsteppedmupmtommeetmthemneeds.
Nonphysiciansmhavemhadmincreasingmsuccessmatmprovidingmprimarymcaremandmhavembeenmsh
ownmtombemsafemandmeffective.

DIF: CognitivemLevel:mRememberingm(Knowledge) REF:m 2

2. Whichmofmthemfollowingmstatementsmismtruemaboutmthemprescribingmpracticesmofmphysicians?
a. Oldermphysiciansmtendmtomprescribemmorem
appropriatemmedicationsmthanmyounger
physicians.
b. Antibioticm medicationsm remainm inm them top
fivemclassificationsmofmmedication
smprescribed.
c. Mostmphysiciansmrelymonmam―therapeuticma
rmamentarium‖mthatmconsistsmofmlessmthan
100mdrugmpreparationsmpermphysician.
d. Themdominantmformmofmdrugminformationmu
sedmbymprimarymcaremphysiciansmcontinuesmt
ombemthatmprovidedmbympharmaceutical
companies.

ANS:m D
Evenmthoughmmostmphysiciansmclaimmtomplacemlittlemweightmonmdrugmadvertisements,




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pharmaceuticalmrepresentatives,mandmpatientmpreferencemandmstatemthatmtheymrelymonmacad
emicmsourcesmformdrugminformation,mamstudymshowedmthatmcommercialmrathermthanmscienti
ficmsourcesmofmdrugminformationmdominatedmtheirmdrugminformationmmaterials.mYoungermp
hysiciansmtendmtomprescribemfewermandmmoremappropriatemdrugs.mAntibioticsmhavemdropped
m out m ofmthe mtopm five m classifications m ofm drugs m prescribed. m Most m physicians m have mamtherape

uticmarmamentariummofmaboutm144mdrugs.

DIF: CognitivemLevel:mRememberingm(Knowledge) REF:m 3

3. Asmprimarymcaremnursempractitionersm(NPs)mcontinuemtomdevelopmtheirmrolemasmprescribers
mofm medications, mit m will m bemimportant mto:


a. attainmthemsamemlevelmofmexpertisema
smphysiciansmwhomcurrentlymprescri
bemmedications.
b. learnmfrommthemexperiencesmofmphysicians
andmdevelopmexpertisembasedmonmevidence
-mbasedmpractice.
c. maintainmcollaborativemandmsupervisoria
lmrelationshipsmwithmphysiciansmwhomwi
llmoverseemprescribingmpractices.
d. developmrelationshipsmwithmpharmaceutical
mrepresentatives mtomlearnm about m newm med

icationsmasmtheymaremdeveloped.

ANS:m B
Asmnonphysiciansmdevelopmthemrolesmassociatedmwithmprescriptivemauthority,mitmwillmbemi
mportantmtomlearnmfrommthempastmexperiencesmofmphysiciansmandmtomdevelopmprescribingmp
racticesmbasedmonmevidence-
basedmmedicine.mItmismhopedmthatmallmprescribers,mincludingmphysiciansmandmnursempractiti
oners,mwillmstrivemtomdombettermthanminmthempast.mNPsmshouldmworkmtowardmprescriptivemau
thoritymandmformpracticemthatmismnotmsupervisedmbymanothermprofessional.mPharmaceutical m
representativesmprovideminformationmthatmcarriesmsomembias.mAcademicmsourcesmarembetter
.

DIF: CognitivemLevel:mApplyingm(Application) REF:m 4

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




MULTIPLEmCHOICE

1. AmprimarymcaremNPmwillmbeginmpracticingminmamstateminmwhichmthemgovernormhasmoptedmou
tmofmthemfederalmfacilitymreimbursementmrequirement.mThemNPmshouldmbemawaremthatmthism
definesmhowmNPsmmaymwritemprescriptions:




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a. withoutmphysicianmsupervisionminmprivatem
practice.
b. asmCRNAsmwithoutmphysicianmsupervisio
nminmamhospitalmsetting.
c. inmanymsituationmbutmwillmnotmbemreimbursed
m formthism bym government m insurers.



d. onlymwithmphysicianmsupervisionminmbothm
privatempracticemandmamhospitalmsetting.

ANS:m B
Inm2001,mthemCentersmformMedicaremandmMedicaidmServicesmchangedmthemfederalmphysicia
nmsupervisionmrulemformCRNAsmtomallowmstatemgovernorsmtomoptmout,mallowingmCRNAsmtom
writemprescriptionsmandmdispensemdrugsmwithoutmphysicianmsupervision.

DIF: CognitivemLevel:mUnderstandingm(Comprehension) REF:m 9

2. CRNAsminmmostmstates:
a. mustmhavemamDrugmEnforcementmAdminis
trationm(DEA)mnumbermtompractice.
b. mustmhavemprescriptivemauthoritymtompract
ice.
c. ordermandmadministermcontrolledmsubstances
m but mdomnot mhave mfull mprescriptive mauthorit

y.
d. administerm medications,m including
controlledmsubstances,mundermdirectmphysi
cianmsupervision.

ANS:m C
OnlymfivemstatesmgrantmindependentmprescriptivemauthoritymtomCRNAs.mCRNAsmdomnotmr
equiremprescriptivemauthoritymbecausemtheymdispensemamdrugmimmediatelymtomampatientman
dmdomnotmprescribe.mWithoutmprescriptivemauthority,mtheymdomnotmneedmamDEAmnumber.

DIF: CognitivemLevel:mUnderstandingm(Comprehension) REF:m 9

3. AmCNM:
a. maymtreatmonlymwomen.
b. hasmprescriptivemauthorityminmallm50mstates.
c. maymadministermonlymdrugsmusedmduringml
abormandmdelivery.
d. maympracticemonlyminmbirthingmcentersman
dmhomembirthmsettings.

ANS:m B




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