Test Bank for Pharmacology for the Primary Care Provider 4th Edition by Authors: Marilyn Edmunds and Maren Mayhew ISBN 9780323087902 Chapter 1-73 | Complete Guide A+

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FOR
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EDITION E m




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Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change
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Test Bank
m




MULTIPLEmCHOICE

1. Whichmofmthemfollowingmhasminfluencedmanmemphasismonmprimarymcaremeducationminmmedi
calmschools?
a. ChangesminmMedicaremreimbursemen
tmmethodsmrecommendedminm1992
b. Competitionmfrommnonphysiciansmdesirin
gmtommeetmprimarymcaremshortages
c. Themneedmformmonopolisticmcontrolminmth
emmarketplacemofmprimarymoutpatientmcar
e
d. Themrecognitionmthatmnonphysiciansmhav
emvariablemsuccessmprovidingmprimarymca
re
ANS:m A
ThemPhysicianmPaymentmReviewmCommissionminm1992mdirectlymincreasedmfinancialmrei
mbursementmtomcliniciansmwhomprovidemprimarymcare.mCoupledmwithmamshortagemofmpri
marymcaremproviders,mthismincentivemledmmedicalmschoolsmtomplacemgreatermemphasismonm
preparingmprimarymcaremphysicians.mCompetitionmfrommnonphysiciansmincreasedmcoinci
dentallymasmprofessionalsmfrommothermdisciplinesmsteppedmupmtommeetmthemneeds.
Nonphysiciansmhavemhadmincreasingmsuccessmatmprovidingmprimarymcaremandmhavembe
enmshownmtombemsafemandmeffective.

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

2. Whichmofmthemfollowingmstatementsmismtruemaboutmthemprescribingmpracticesmofmphysicians?
a. Oldermphysiciansmtendmtomprescribemmor
emappropriatemmedicationsmthanmyounger
mphysicians.


b. Antibioticmmedicationsmremainminmthemto
pmfivemclassificationsmofmmedicationsmpre
scribed.
c. Mostmphysiciansmrelymonmam“therapeuticma
rmamentarium”mthatmconsistsmofmlessmthanm
100mdrugmpreparationsmpermphysician.
d. Themdominantmformmofmdrugminformationm
usedmbymprimarymcaremphysiciansmcontinue
smtombemthatmprovidedmbympharmaceuticalmc
ompanies.
ANS:m D
Evenmthoughmmostmphysiciansmclaimmtomplacemlittlemweightmonmdrugmadvertisements,




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pharmaceuticalmrepresentatives,mandmpatientmpreferencemandmstatemthatmtheymrelymonmacade
micmsourcesmformdrugminformation,mamstudymshowedmthatmcommercialmrathermthanmscientifi
cmsourcesmofmdrugminformationmdominatedmtheirmdrugminformationmmaterials.mYoungermph
ysiciansmtendmtomprescribemfewermandmmoremappropriatemdrugs.mAntibioticsmhavemdroppedmo
utmofmthemtopmfivemclassificationsmofmdrugsmprescribed.mMostmphysiciansmhavemamtherapeuti
cmarmamentariummofmaboutm144mdrugs.

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

3. Asmprimarymcaremnursempractitionersm(NPs)mcontinuemtomdevelopmtheirmrolemasmprescribers
m ofmmedications,mitmwillmbemimportantmto:
a. attainmthemsamemlevelmofmexpertisem
asmphysiciansmwhomcurrentlymprescri
bemmedications.
b. learnmfrommthemexperiencesmofmphysicians
mandmdevelopmexpertisembasedmonmevidenc

e-mbasedmpractice.
c. maintainmcollaborativemandmsupervisoria
lmrelationshipsmwithmphysiciansmwhomwill
moverseemprescribingmpractices.


d. developmrelationshipsmwithmpharmaceutica
lmrepresentativesmtomlearnmaboutmnewmmedi
cationsmasmtheymaremdeveloped.
ANS:m B
Asmnonphysiciansmdevelopmthemrolesmassociatedmwithmprescriptivemauthority,mitmwillmbemi
mportantmtomlearnmfrommthempastmexperiencesmofmphysiciansmandmtomdevelopmprescribingm
practicesmbasedmonmevidence-
basedmmedicine.mItmismhopedmthatmallmprescribers,mincludingmphysiciansmandmnursempractit
ioners,mwillmstrivemtomdombettermthanminmthempast.mNPsmshouldmworkmtowardmprescriptivem
authoritymandmformpracticemthatmismnotmsupervisedmbymanothermprofessional.mPharmaceutic
almrepresentativesmprovideminformationmthatmcarriesmsomembias.mAcademicmsourcesmarembe
tter.

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

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

1. AmprimarymcaremNPmwillmbeginmpracticingminmamstateminmwhichmthemgovernormhasmoptedmout
mofmthemfederalmfacilitymreimbursementmrequirement.mThemNPmshouldmbemawaremthatmthismd
efinesmhowmNPsmmaymwritemprescriptions:




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