https://www.stuvia.com/
Stuvia.comf-fThefMarketplaceftofBuyfandfSellfyourfStudyfMaterial
TEST BANK f
FOR
PHARMACOLOGY
FORPRIMARY f f
PROVIDER 4 TH
f
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Stuvia.comf-fThefMarketplaceftofBuyfandfSellffyourffStudy
StudyffMaterial
Material
EDITION E f
DMUNDS
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Stuvia.comf-fThefMarketplaceftofBuyfandfSellfyourfStudyfMaterial
Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. ChangeTest
f f f f f f f f f f f
Bank
MULTIPLEfCHOICE
1. Whichfofftheffollowingfhasfinfluencedfanfemphasisfonfprimaryfcarefeducationfinfmedicalfsch
ools?
a. ChangesfinfMedicarefreimbursementf
methodsfrecommendedfinf1992
b. Competitionffromfnonphysiciansfdesiringft
ofmeetfprimaryfcarefshortages
c. Thefneedfforfmonopolisticfcontrolfinfthef
marketplacefoffprimaryfoutpatientfcare
d. Thefrecognitionfthatfnonphysiciansfhavefv
ariablefsuccessfprovidingfprimaryfcare
ANS:f A
ThefPhysicianfPaymentfReviewfCommissionfinf1992fdirectlyfincreasedffinancialfreimbur
sementftofcliniciansfwhofprovidefprimaryfcare.fCoupledfwithfafshortagefoffprimaryfcarefpr
oviders,fthisfincentivefledfmedicalfschoolsftofplacefgreaterfemphasisfonfpreparingfprimaryf
carefphysicians.fCompetitionffromfnonphysiciansfincreasedfcoincidentallyfasfprofessiona
lsffromfotherfdisciplinesfsteppedfupftofmeetfthefneeds.
Nonphysiciansfhavefhadfincreasingfsuccessfatfprovidingfprimaryfcarefandfhavefbeenfsh
ownftofbefsafefandfeffective.
DIF: CognitivefLevel:fRememberingf(Knowledge) REF:f 2
2. Whichfofftheffollowingfstatementsfisftruefaboutfthefprescribingfpracticesfoffphysicians?
a. Olderfphysiciansftendftofprescribefmorefa
ppropriatefmedicationsfthanfyoungerfphy
sicians.
b. Antibioticfmedicationsfremainfinftheftopffi
vefclassificationsfoffmedicationsfprescrib
ed.
c. Mostfphysiciansfrelyfonfaf“therapeuticfarm
amentarium”fthatfconsistsfofflessfthanf100fd
rugfpreparationsfperfphysician.
d. Thefdominantfformfoffdrugfinformationfuse
dfbyfprimaryfcarefphysiciansfcontinuesftofbe
fthatfprovidedfbyfpharmaceutical fcompanie
s.
ANS:f D
Evenfthoughfmostfphysiciansfclaimftofplaceflittlefweightfonfdrugfadvertisements,
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Stuvia.comf-fThefMarketplaceftofBuyfandfSellfyourfStudyfMaterial
pharmaceuticalfrepresentatives,fandfpatientfpreferencefandfstatefthatftheyfrelyfonfacademicfs
ourcesfforfdrugfinformation,fafstudyfshowedfthatfcommercialfratherfthanfscientificfsourcesfof
fdrugfinformationfdominatedftheirfdrugfinformationfmaterials. fYoungerfphysiciansftendftofpr
escribeffewerfandfmorefappropriatefdrugs.fAntibioticsfhavefdroppedfoutfofftheftopffivefclassif
icationsfoffdrugsfprescribed.fMostfphysiciansfhavefaftherapeuticfarmamentariumfoffaboutf14
4fdrugs.
DIF: CognitivefLevel:fRememberingf(Knowledge) REF:f 3
3. Asfprimaryfcarefnursefpractitionersf(NPs)fcontinueftofdevelopftheirfrolefasfprescribersfoffme
dications,fitfwillfbefimportantfto:
a. attainfthefsameflevelfoffexpertisefasfp
hysiciansfwhofcurrentlyfprescribefm
edications.
b. learnffromfthefexperiencesfoffphysiciansfa
ndfdevelopfexpertisefbasedfonfevidence-
fbasedfpractice.
c. maintainfcollaborativefandfsupervisorialfr
elationshipsfwithfphysiciansfwhofwillfov
erseefprescribingfpractices.
d. developfrelationshipsfwithfpharmaceuticalfr
epresentativesftoflearnfaboutfnewfmedicati
onsfasftheyfarefdeveloped.
ANS:f B
Asfnonphysiciansfdevelopfthefrolesfassociatedfwithfprescriptivefauthority,fitfwillfbefimport
antftoflearnffromfthefpastfexperiencesfoffphysiciansfandftofdevelopfprescribingfpracticesfbas
edfonfevidence-
basedfmedicine.fItfisfhopedfthatfallfprescribers,fincludingfphysiciansfandfnursefpractitioner
s,fwillfstriveftofdofbetterfthanfinfthefpast.fNPsfshouldfworkftowardfprescriptivefauthorityfand
fforfpracticefthatfisfnotfsupervisedfbyfanotherfprofessional.fPharmaceutical frepresentativesf
providefinformationfthatfcarriesfsomefbias.fAcademicfsourcesfarefbetter.
DIF: CognitivefLevel:fApplyingf(Application) REF:f 4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs,CNMs,
f f f f f f f f f f f f f
CRNAs, and CNSs) and Physician Assistants
f f f f f
Test Bank
f
MULTIPLEfCHOICE
1. AfprimaryfcarefNPfwillfbeginfpracticingfinfafstatefinfwhichfthefgovernorfhasfoptedfoutfofftheff
ederalffacilityfreimbursementfrequirement.fThefNPfshouldfbefawarefthatfthisfdefinesfhowfNP
sfmayfwritefprescriptions:
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Stuvia.comf-fThefMarketplaceftofBuyfandfSellfyourfStudyfMaterial
TEST BANK f
FOR
PHARMACOLOGY
FORPRIMARY f f
PROVIDER 4 TH
f
Downloadedfby:fSuperAf|
Distributionfoffthisfdocumentfisfillegal
,https://www.stuvia.com/
Stuvia.comf-fThefMarketplaceftofBuyfandfSellffyourffStudy
StudyffMaterial
Material
EDITION E f
DMUNDS
Downloadedfby:fSuperAf|
Distributionfoffthisfdocumentfisfillegal
,https://www.stuvia.com/
Stuvia.comf-fThefMarketplaceftofBuyfandfSellfyourfStudyfMaterial
Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. ChangeTest
f f f f f f f f f f f
Bank
MULTIPLEfCHOICE
1. Whichfofftheffollowingfhasfinfluencedfanfemphasisfonfprimaryfcarefeducationfinfmedicalfsch
ools?
a. ChangesfinfMedicarefreimbursementf
methodsfrecommendedfinf1992
b. Competitionffromfnonphysiciansfdesiringft
ofmeetfprimaryfcarefshortages
c. Thefneedfforfmonopolisticfcontrolfinfthef
marketplacefoffprimaryfoutpatientfcare
d. Thefrecognitionfthatfnonphysiciansfhavefv
ariablefsuccessfprovidingfprimaryfcare
ANS:f A
ThefPhysicianfPaymentfReviewfCommissionfinf1992fdirectlyfincreasedffinancialfreimbur
sementftofcliniciansfwhofprovidefprimaryfcare.fCoupledfwithfafshortagefoffprimaryfcarefpr
oviders,fthisfincentivefledfmedicalfschoolsftofplacefgreaterfemphasisfonfpreparingfprimaryf
carefphysicians.fCompetitionffromfnonphysiciansfincreasedfcoincidentallyfasfprofessiona
lsffromfotherfdisciplinesfsteppedfupftofmeetfthefneeds.
Nonphysiciansfhavefhadfincreasingfsuccessfatfprovidingfprimaryfcarefandfhavefbeenfsh
ownftofbefsafefandfeffective.
DIF: CognitivefLevel:fRememberingf(Knowledge) REF:f 2
2. Whichfofftheffollowingfstatementsfisftruefaboutfthefprescribingfpracticesfoffphysicians?
a. Olderfphysiciansftendftofprescribefmorefa
ppropriatefmedicationsfthanfyoungerfphy
sicians.
b. Antibioticfmedicationsfremainfinftheftopffi
vefclassificationsfoffmedicationsfprescrib
ed.
c. Mostfphysiciansfrelyfonfaf“therapeuticfarm
amentarium”fthatfconsistsfofflessfthanf100fd
rugfpreparationsfperfphysician.
d. Thefdominantfformfoffdrugfinformationfuse
dfbyfprimaryfcarefphysiciansfcontinuesftofbe
fthatfprovidedfbyfpharmaceutical fcompanie
s.
ANS:f D
Evenfthoughfmostfphysiciansfclaimftofplaceflittlefweightfonfdrugfadvertisements,
Downloadedfby:fSuperAf|
Distributionfoffthisfdocumentfisfillegal
,https://www.stuvia.com/
Stuvia.comf-fThefMarketplaceftofBuyfandfSellfyourfStudyfMaterial
pharmaceuticalfrepresentatives,fandfpatientfpreferencefandfstatefthatftheyfrelyfonfacademicfs
ourcesfforfdrugfinformation,fafstudyfshowedfthatfcommercialfratherfthanfscientificfsourcesfof
fdrugfinformationfdominatedftheirfdrugfinformationfmaterials. fYoungerfphysiciansftendftofpr
escribeffewerfandfmorefappropriatefdrugs.fAntibioticsfhavefdroppedfoutfofftheftopffivefclassif
icationsfoffdrugsfprescribed.fMostfphysiciansfhavefaftherapeuticfarmamentariumfoffaboutf14
4fdrugs.
DIF: CognitivefLevel:fRememberingf(Knowledge) REF:f 3
3. Asfprimaryfcarefnursefpractitionersf(NPs)fcontinueftofdevelopftheirfrolefasfprescribersfoffme
dications,fitfwillfbefimportantfto:
a. attainfthefsameflevelfoffexpertisefasfp
hysiciansfwhofcurrentlyfprescribefm
edications.
b. learnffromfthefexperiencesfoffphysiciansfa
ndfdevelopfexpertisefbasedfonfevidence-
fbasedfpractice.
c. maintainfcollaborativefandfsupervisorialfr
elationshipsfwithfphysiciansfwhofwillfov
erseefprescribingfpractices.
d. developfrelationshipsfwithfpharmaceuticalfr
epresentativesftoflearnfaboutfnewfmedicati
onsfasftheyfarefdeveloped.
ANS:f B
Asfnonphysiciansfdevelopfthefrolesfassociatedfwithfprescriptivefauthority,fitfwillfbefimport
antftoflearnffromfthefpastfexperiencesfoffphysiciansfandftofdevelopfprescribingfpracticesfbas
edfonfevidence-
basedfmedicine.fItfisfhopedfthatfallfprescribers,fincludingfphysiciansfandfnursefpractitioner
s,fwillfstriveftofdofbetterfthanfinfthefpast.fNPsfshouldfworkftowardfprescriptivefauthorityfand
fforfpracticefthatfisfnotfsupervisedfbyfanotherfprofessional.fPharmaceutical frepresentativesf
providefinformationfthatfcarriesfsomefbias.fAcademicfsourcesfarefbetter.
DIF: CognitivefLevel:fApplyingf(Application) REF:f 4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs,CNMs,
f f f f f f f f f f f f f
CRNAs, and CNSs) and Physician Assistants
f f f f f
Test Bank
f
MULTIPLEfCHOICE
1. AfprimaryfcarefNPfwillfbeginfpracticingfinfafstatefinfwhichfthefgovernorfhasfoptedfoutfofftheff
ederalffacilityfreimbursementfrequirement.fThefNPfshouldfbefawarefthatfthisfdefinesfhowfNP
sfmayfwritefprescriptions:
Downloadedfby:fSuperAf|
Distributionfoffthisfdocumentfisfillegal
