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by Constance G Visovsky Test Bank All Chapters
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Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change
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Test Bank
g g
MULTIPLE CHOICE c
1. Which gof gthe gfollowing ghas ginfluenced gan gemphasis gon gprimary gcare geducation
g in gmedicalschools?
a. Changes gin gMedicare greimbursement
gmethods grecommended gin g1992
b. Competition gfrom gnonphysicians gdesiring
gto gmeet gprimary gcare gshortages
c. The gneed gfor gmonopolistic gcontrol gin gthe
gmarketplace gof gprimary goutpatient gcare
d. Thegrecognition gthat gnonphysicians ghave
gvariable gsuccess g providing gprimary gcare
ANS: g A
The gPhysician gPayment gReview gCommission gin g1992 gdirectly gincreased gfinancial
greimbursement gto gclinicians gwho gprovide gprimary gcare. gCoupled gwith ga gshortage gof
gprimary gcare gproviders, gthis gincentive gled gmedical gschools gto gplace ggreater gemphasis
gonpreparing gprimary gcare gphysicians. gCompetition gfrom gnonphysicians gincreased
gcoincidentally gas gprofessionals gfrom gother gdisciplines gstepped gup gto gmeet gthe gneeds.
gNonphysicians ghave ghad gincreasing gsuccess gat gproviding gprimary gcare gand ghave
gbeen shown gto gbe gsafe gand geffective.
cb
DIF: Cognitive gLevel: gRemembering g(Knowledge) REF: g 2
2. Which gof gthe g following gstatements gis gtrue gabout g the g prescribing gpractices g of gphysicians?
a. Older gphysicians gtend gto gprescribe gmore
gappropriate gmedications gthan gyounger
gphysicians.
b. Antibiotic gmedications gremain gin gthe gtop
gfive gclassifications gof gmedications
gprescribed.
c. Most gphysicians grely gon ga g“therapeutic
garmamentarium” gthat gconsists gof gless
gthan g100 gdrug gpreparations gper
gphysician.
d. The gdominant gform gof gdrug ginformation
gused gby gprimary gcare gphysicians
gcontinuesto gbe gthat gprovided gby
gpharmaceutical gcompanies.
ANS: g D
Even gthough gmost g physicians gclaim gto gplace glittle gweight gon gdrug gadvertisements,
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pharmaceutical grepresentatives, gand gpatient gpreference gand gstate gthat gthey grely gon
gacademic gsources gfor gdrug ginformation, ga gstudy gshowed gthat gcommercial grather gthan
gscientific gsources gof gdrug ginformation gdominated gtheir gdrug ginformation gmaterials.
gYounger gphysicians gtend gto gprescribe gfewer gand gmore gappropriate gdrugs.gAntibiotics
ghave gdropped gout gof gthe gtop gfive gclassifications gof gdrugs gprescribed. gMost gphysicians
ghave ga gtherapeutic garmamentarium gof gabout g144 gdrugs.
DIF: Cognitive gLevel: gRemembering g(Knowledge) REF: g 3
3. As gprimary gcare gnurse gpractitioners g(NPs) gcontinue gto gdevelop gtheir grole gas
g prescribers gofmedications, git gwill gbe gimportant gto:
a. attain gthe gsame glevel gof gexpertise
g as gphysicians gwho gcurrently
gprescribe gmedications.
b. learn gfrom gthe gexperiences gof gphysicians
gand gdevelop gexpertise gbased gon
evidence-based g practice.
c
c. maintain gcollaborative gand gsupervisorial
grelationships gwith gphysicians gwho gwill
goversee gprescribing gpractices.
d. develop grelationships gwith gpharmaceutical
grepresentatives gto glearn gabout gnew
gmedications gas gthey gare gdeveloped.
ANS: g B
As gnonphysicians gdevelop gthe groles gassociated gwith gprescriptive gauthority, git gwill gbe
gimportant gto glearn gfrom gthe gpast gexperiences gof gphysicians gand gto gdevelop gprescribing
gpractices gbased gon gevidence-based gmedicine. gIt gis ghoped gthat gall gprescribers, gincluding
gphysicians gand gnurse gpractitioners, gwill gstrive gto gdo gbetter gthan gin gthe gpast. gNPs
gshould gwork gtoward gprescriptive gauthority gand gfor gpractice gthat gis gnot gsupervised gby
ganother gprofessional. gPharmaceutical grepresentatives gprovide ginformation gthat gcarries
gsome gbias.Academic gsources gare gbetter.
DIF: Cognitive gLevel:gApplying g(Application) REF: g 4
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Chapter 02: Historical Review
g g of Prescriptive Authority: The Role
g g g g g
g of Nurses (NPs,CNMs, CRNAs, and CNSs) and Physician Assistants
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Test Bank
g
MULTIPLE gCHOICE
1. A gprimary gcare gNP gwill gbegin gpracticing gin ga gstate gin gwhich gthe ggovernor ghas gopted gout
g of gthe gfederal gfacility greimbursement grequirement. gThe gNP gshould gbe gaware gthat gthis
g defines how gNPs gmay gwrite gprescriptions:
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