TEST BANK FOR
n n
PHARMACOLOGY FORP n n
RIMARY PROVIDER 4TH
n n
EDITION EDMUNDS
n n
, Stuvia.comn-
nThenMarketplacentonBuyn andnSellnyournStudynMaterial
Stuvia.com n-nThenMarketplacentonBuyn andnSellnyournStudynMaterial
Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change
n n n n n n n n n n
Test Bank
n
MULTIPLEnCHOICE
1. Whichn ofn then followingn hasn influencedn ann emphasisn onn primaryn caren educationn inn medicalns
chools?
a. ChangesninnMedicarenreimbursementnmetho
dsnrecommendedninn1992
b. Competitionn fromn nonphysiciansn desiringnt
onmeetn primaryncarenshortages
c. Thenneednfornmonopolisticncontrolninnthen
marketplacenofnprimarynoutpatientncare
d. Then recognitionn thatn nonphysiciansn havenva
riablensuccessnprovidingnprimaryncare
ANS:n A
ThenPhysiciannPaymentnReviewnCommissionninn1992ndirectlynincreasednfinancialnreimbur
sementntoncliniciansn whonprovidenprimaryncare.nCoupledn withnanshortagenofnprimaryncarenp
roviders,nthisnincentivenlednmedicalnschoolsntonplacengreaternemphasisnonnpreparingnprimaryn
carenphysicians.nCompetitionnfromnnonphysiciansnincreasedncoincidentallynasnprofessional
snfromnotherndisciplinesnsteppednupntonmeetnthenneeds.
Nonphysiciansnhavenhadnincreasingnsuccessnatnprovidingnprimaryncarenandnhavenbeennshown
nton ben safenandn effective.
DIF: CognitivenLevel:nRememberingn(Knowledge) REF:n 2
2. Whichn ofn then followingn statementsn isn truen aboutn then prescribingn practicesn ofn physicians?
a. Oldernphysiciansntendntonprescribenmoren
appropriatenmedicationsnthannyounger
physicians.
b. Antibioticnmedicationsnremainninnthentop
fivenclassificationsnofnmedicationsn
prescribed.
c. Mostn physiciansnrelynonnan―therapeuticnarm
amentarium‖nthatn consistsnofnlessnthan
100ndrugnpreparationsnpernphysician.
d. Thendominantnformnofndrugninformationnu
sednbynprimaryncarenphysiciansncontinuesnt
onbenthatnprovidednbynpharmaceutical
companies.
ANS:n D
Evennthoughnmostnphysiciansnclaimntonplacenlittlenweightnonndrugnadvertisements,
Downloadednby:nSuperAn|
m
Distributionn ofn thisn documentn isn illegal
, Stuvia.comn-
nThenMarketplacentonBuyn andnSellnyournStudynMaterial
pharmaceuticalnrepresentatives,nandnpatientnpreferencenandnstatenthatntheynrelynonnacademi
cnsourcesnforndrugninformation,nanstudynshowednthatncommercialnrathernthannscientificnsour
cesnofndrugninformationndominatedntheirndrugninformationn materials.nYoungern physiciansn t
endn ton prescriben fewern andn moren appropriaten drugs.n Antibioticsn havendroppednoutnofnthentopn
fivenclassificationsnofndrugsnprescribed.n Mostnphysiciansnhavenantherapeuticnarmamentariu
mnofnaboutn 144ndrugs.
DIF: CognitivenLevel:nRememberingn(Knowledge) REF:n 3
3. Asnprimaryncarennursenpractitionersn(NPs)ncontinuentondevelopntheirnrolenasnprescribersnofn
medications,n itn willn benimportantn to:
a. attainnthensamenlevelnofnexpertisenasn
physiciansnwhoncurrentlynprescriben
medications.
b. learnnfromnthenexperiencesnofnphysicians
andndevelopnexpertisenbasednonnevidence-
nbasedn practice.
c. maintainn collaborativen andn supervisorialnrel
ationshipsn withnphysiciansn whon willnovers
eenprescribingnpractices.
d. developn relationshipsn withn pharmaceuticalnr
epresentativesntonlearnnaboutnnewn medicat
ionsnasntheynarendeveloped.
ANS:n B
Asnnonphysiciansndevelopnthenrolesnassociatednwithnprescriptivenauthority,nitnwillnbenimpor
tantntonlearnnfromnthenpastnexperiencesnofnphysiciansnandntondevelopnprescribingnpracticesn
basednonnevidence-
basednmedicine.nItnisnhopednthatnallnprescribers,nincludingnphysiciansnandnnursenpractitione
rs,nwillnstriventondonbetternthanninnthenpast.n NPsnshouldn workntowardnprescriptivenauthorityn
andnfornpracticenthatnisnnotnsupervisednbynanothernprofessional.nPharmaceuticalnrepresentati
vesnprovideninformationnthatncarriesnsomenbias.nAcademicnsourcesnaren better.
DIF: CognitivenLevel:nApplyingn(Application) REF:n 4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs,
n n n n n n n n n n n n
CNMs, CRNAs, and CNSs) and Physician Assistants
n n n n n n
Test Bank
n
MULTIPLEnCHOICE
1. AnprimaryncarenNPnwillnbeginnpracticingninnanstateninnwhichnthengovernornhasnoptednoutnofnt
henfederalnfacilitynreimbursementnrequirement.nThenNPnshouldnbenawarenthatnthisndefinesnh
ownNPsnmayn writenprescriptions:
Downloadednby:nSuperAn|
m
Distributionn ofn thisn documentn isn illegal
, Stuvia.comn-
nThenMarketplacentonBuyn andnSellnyournStudynMaterial
a. withoutnphysiciannsupervisionninnprivaten
practice.
b. asn CRNAsn withoutn physiciann supervisionni
nnan hospitaln setting.
c. innanynsituationnbutnwillnnotnbenreimbursedn
fornthisnbyngovernmentninsurers.
d. onlynwithnphysiciannsupervisionninnbothn
privatenpracticenandnanhospitalnsetting.
ANS:n B
Inn2001,nthenCentersnfornMedicarenandn MedicaidnServicesnchangednthenfederalnphysicianns
upervisionnrulenfornCRNAsntonallownstatengovernorsntonoptnout,nallowingnCRNAsntonwritenpr
escriptionsnandndispensendrugsnwithoutnphysiciann supervision.
DIF: CognitivenLevel:nUnderstandingn(Comprehension) REF:n 9
2. CRNAsninnmostnstates:
a. mustnhavenan DrugnEnforcementnAdministr
ationn (DEA)n numbern ton practice.
b. mustnhavenprescriptivenauthorityntonpractic
e.
c. ordern andn administern controlledn substancesnb
utndonnotnhavenfullnprescriptivenauthority.
d. administernmedications,nincluding
controllednsubstances,nunderndirectnphysicia
nnsupervision.
ANS:n C
OnlynfivenstatesngrantnindependentnprescriptivenauthorityntonCRNAs.nCRNAsndonnotnrequ
irenprescriptivenauthoritynbecausentheyndispensenandrugnimmediatelyntonanpatientnandndon not
n prescribe.nWithoutn prescriptiven authority,n theyn don notn needn an DEAnnumber.
DIF: CognitivenLevel:nUnderstandingn(Comprehension) REF:n 9
3. AnCNM:
a. mayntreatnonlynwomen.
b. hasnprescriptivenauthorityninnalln50nstates.
c. mayn administern onlyn drugsn usedn duringnlab
orn andndelivery.
d. maynpracticenonlyninnbirthingncentersnandn
homenbirthnsettings.
ANS:n B
Downloadednby:nSuperAn|
m
Distributionn ofn thisn documentn isn illegal
n n
PHARMACOLOGY FORP n n
RIMARY PROVIDER 4TH
n n
EDITION EDMUNDS
n n
, Stuvia.comn-
nThenMarketplacentonBuyn andnSellnyournStudynMaterial
Stuvia.com n-nThenMarketplacentonBuyn andnSellnyournStudynMaterial
Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change
n n n n n n n n n n
Test Bank
n
MULTIPLEnCHOICE
1. Whichn ofn then followingn hasn influencedn ann emphasisn onn primaryn caren educationn inn medicalns
chools?
a. ChangesninnMedicarenreimbursementnmetho
dsnrecommendedninn1992
b. Competitionn fromn nonphysiciansn desiringnt
onmeetn primaryncarenshortages
c. Thenneednfornmonopolisticncontrolninnthen
marketplacenofnprimarynoutpatientncare
d. Then recognitionn thatn nonphysiciansn havenva
riablensuccessnprovidingnprimaryncare
ANS:n A
ThenPhysiciannPaymentnReviewnCommissionninn1992ndirectlynincreasednfinancialnreimbur
sementntoncliniciansn whonprovidenprimaryncare.nCoupledn withnanshortagenofnprimaryncarenp
roviders,nthisnincentivenlednmedicalnschoolsntonplacengreaternemphasisnonnpreparingnprimaryn
carenphysicians.nCompetitionnfromnnonphysiciansnincreasedncoincidentallynasnprofessional
snfromnotherndisciplinesnsteppednupntonmeetnthenneeds.
Nonphysiciansnhavenhadnincreasingnsuccessnatnprovidingnprimaryncarenandnhavenbeennshown
nton ben safenandn effective.
DIF: CognitivenLevel:nRememberingn(Knowledge) REF:n 2
2. Whichn ofn then followingn statementsn isn truen aboutn then prescribingn practicesn ofn physicians?
a. Oldernphysiciansntendntonprescribenmoren
appropriatenmedicationsnthannyounger
physicians.
b. Antibioticnmedicationsnremainninnthentop
fivenclassificationsnofnmedicationsn
prescribed.
c. Mostn physiciansnrelynonnan―therapeuticnarm
amentarium‖nthatn consistsnofnlessnthan
100ndrugnpreparationsnpernphysician.
d. Thendominantnformnofndrugninformationnu
sednbynprimaryncarenphysiciansncontinuesnt
onbenthatnprovidednbynpharmaceutical
companies.
ANS:n D
Evennthoughnmostnphysiciansnclaimntonplacenlittlenweightnonndrugnadvertisements,
Downloadednby:nSuperAn|
m
Distributionn ofn thisn documentn isn illegal
, Stuvia.comn-
nThenMarketplacentonBuyn andnSellnyournStudynMaterial
pharmaceuticalnrepresentatives,nandnpatientnpreferencenandnstatenthatntheynrelynonnacademi
cnsourcesnforndrugninformation,nanstudynshowednthatncommercialnrathernthannscientificnsour
cesnofndrugninformationndominatedntheirndrugninformationn materials.nYoungern physiciansn t
endn ton prescriben fewern andn moren appropriaten drugs.n Antibioticsn havendroppednoutnofnthentopn
fivenclassificationsnofndrugsnprescribed.n Mostnphysiciansnhavenantherapeuticnarmamentariu
mnofnaboutn 144ndrugs.
DIF: CognitivenLevel:nRememberingn(Knowledge) REF:n 3
3. Asnprimaryncarennursenpractitionersn(NPs)ncontinuentondevelopntheirnrolenasnprescribersnofn
medications,n itn willn benimportantn to:
a. attainnthensamenlevelnofnexpertisenasn
physiciansnwhoncurrentlynprescriben
medications.
b. learnnfromnthenexperiencesnofnphysicians
andndevelopnexpertisenbasednonnevidence-
nbasedn practice.
c. maintainn collaborativen andn supervisorialnrel
ationshipsn withnphysiciansn whon willnovers
eenprescribingnpractices.
d. developn relationshipsn withn pharmaceuticalnr
epresentativesntonlearnnaboutnnewn medicat
ionsnasntheynarendeveloped.
ANS:n B
Asnnonphysiciansndevelopnthenrolesnassociatednwithnprescriptivenauthority,nitnwillnbenimpor
tantntonlearnnfromnthenpastnexperiencesnofnphysiciansnandntondevelopnprescribingnpracticesn
basednonnevidence-
basednmedicine.nItnisnhopednthatnallnprescribers,nincludingnphysiciansnandnnursenpractitione
rs,nwillnstriventondonbetternthanninnthenpast.n NPsnshouldn workntowardnprescriptivenauthorityn
andnfornpracticenthatnisnnotnsupervisednbynanothernprofessional.nPharmaceuticalnrepresentati
vesnprovideninformationnthatncarriesnsomenbias.nAcademicnsourcesnaren better.
DIF: CognitivenLevel:nApplyingn(Application) REF:n 4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs,
n n n n n n n n n n n n
CNMs, CRNAs, and CNSs) and Physician Assistants
n n n n n n
Test Bank
n
MULTIPLEnCHOICE
1. AnprimaryncarenNPnwillnbeginnpracticingninnanstateninnwhichnthengovernornhasnoptednoutnofnt
henfederalnfacilitynreimbursementnrequirement.nThenNPnshouldnbenawarenthatnthisndefinesnh
ownNPsnmayn writenprescriptions:
Downloadednby:nSuperAn|
m
Distributionn ofn thisn documentn isn illegal
, Stuvia.comn-
nThenMarketplacentonBuyn andnSellnyournStudynMaterial
a. withoutnphysiciannsupervisionninnprivaten
practice.
b. asn CRNAsn withoutn physiciann supervisionni
nnan hospitaln setting.
c. innanynsituationnbutnwillnnotnbenreimbursedn
fornthisnbyngovernmentninsurers.
d. onlynwithnphysiciannsupervisionninnbothn
privatenpracticenandnanhospitalnsetting.
ANS:n B
Inn2001,nthenCentersnfornMedicarenandn MedicaidnServicesnchangednthenfederalnphysicianns
upervisionnrulenfornCRNAsntonallownstatengovernorsntonoptnout,nallowingnCRNAsntonwritenpr
escriptionsnandndispensendrugsnwithoutnphysiciann supervision.
DIF: CognitivenLevel:nUnderstandingn(Comprehension) REF:n 9
2. CRNAsninnmostnstates:
a. mustnhavenan DrugnEnforcementnAdministr
ationn (DEA)n numbern ton practice.
b. mustnhavenprescriptivenauthorityntonpractic
e.
c. ordern andn administern controlledn substancesnb
utndonnotnhavenfullnprescriptivenauthority.
d. administernmedications,nincluding
controllednsubstances,nunderndirectnphysicia
nnsupervision.
ANS:n C
OnlynfivenstatesngrantnindependentnprescriptivenauthorityntonCRNAs.nCRNAsndonnotnrequ
irenprescriptivenauthoritynbecausentheyndispensenandrugnimmediatelyntonanpatientnandndon not
n prescribe.nWithoutn prescriptiven authority,n theyn don notn needn an DEAnnumber.
DIF: CognitivenLevel:nUnderstandingn(Comprehension) REF:n 9
3. AnCNM:
a. mayntreatnonlynwomen.
b. hasnprescriptivenauthorityninnalln50nstates.
c. mayn administern onlyn drugsn usedn duringnlab
orn andndelivery.
d. maynpracticenonlyninnbirthingncentersnandn
homenbirthnsettings.
ANS:n B
Downloadednby:nSuperAn|
m
Distributionn ofn thisn documentn isn illegal
