5th Edition
by Constance G Visovsky & Cheryl H Zambroski & Rebecca M Lutz |
Verified Chapter's 1 - 73 | Complete Newest Version
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MPharmacologyMforMtheMPrimaryMCareMProvider,M 5thMEditionM(Edmunds),M ChapterM1-73
1
,TestMBankM-
MPharmacologyMforMtheMPrimaryMCareMProvider,M 5thMEditionM(Edmunds),M ChapterM1-73
2
,TestMBankM-
MPharmacologyMforMtheMPrimaryMCareMProvider,M 5thMEditionM(Edmunds),M ChapterM1-73
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,ChapterM01:MPrescriptiveMAuthorityMandMRoleMImplementation:MTraditionMvs.MChangeM
TestMBank
MULTIPLEMCHOICE
1. WhichMofMtheMfollowingMhasMinfluencedManMemphasisMonMprimaryMcareMeducationMinM
medicalMschools?
a. ChangesMinMMedicareMreimburseme
ntMmethodsMrecommendedM inM199
2
b. CompetitionMfromMnonphysiciansMdesiri
ngMtoMmeetM primaryMcareMshortages
c. TheMneedMforMmonopolisticMcontrolMinM
theMmarketplaceMofMprimaryMoutpatien
tM care
d. TheMrecognitionMthatMnonphysiciansMha
veMvariableMsuccessMprovidingMprimaryM
care
ANS:M A
TheMPhysicianMPaymentMReviewMCommissionMinM1992MdirectlyMincreasedMfinancialMrei
mbursementMtoMcliniciansMwhoMprovideMprimaryMcare.MCoupledMwithMaMshortageMofMp
rimaryMcareMproviders,MthisMincentiveMledMmedicalMschoolsMtoMplaceMgreaterMemphasis
MonMpreparingMprimaryMcareMphysicians.MCompetitionMfromMnonphysiciansMincreasedMc
oincidentallyMasMprofessionalsMfromMotherMdisciplinesMsteppedMupMtoMmeetMtheMneeds.
NonphysiciansMhaveMhadMincreasingMsuccessMatMprovidingMprimaryMcareMandMhaveMbee
nMshownMtoMbeMsafeMandMeffective.
DIF: CognitiveMLevel:MRememberingM(Knowledge) REF:M 2
2. WhichMofMtheMfollowingMstatementsMisMtrueMaboutMtheMprescribingMpracticesMofMphysicians?
a. OlderMphysiciansMtendMtoMprescribeMm
oreMappropriateMmedicationsMthanMyo
ungerMphysicians.
b. AntibioticMmedicationsMremainMinMtheM
topMfiveMclassificationsMofMmedications
Mprescribed.
c. MostMphysiciansMrelyMonMaM“therapeutic
Marmamentarium”MthatMconsistsMofMless
Mthan
100MdrugMpreparationsMperMphysician.
d. TheMdominantMformMofMdrugMinformatio
nMusedMbyMprimaryMcareMphysiciansMcont
inuesMtoMbeMthatMprovidedMbyMpharmace
uticalMcompanies.
ANS:M D
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, EvenMthoughMmostMphysiciansMclaimMtoMplaceMlittleMweightMonMdrugMadvertisements,
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, pharmaceuticalMrepresentatives,MandMpatientMpreferenceMandMstateMthatMtheyMrelyMon
MacademicMsourcesMforMdrugMinformation,MaMstudyMshowedMthatMcommercialMratherMt
hanMscientificMsourcesMofMdrugMinformationMdominatedMtheirMdrugMinformationMmateri
als.MYoungerMphysiciansMtendMtoMprescribeMfewerMandMmoreMappropriateMdrugs.MAntibi
oticsMhaveMdroppedMoutMofMtheMtopMfiveMclassificationsMofMdrugsMprescribed.MMostMphy
siciansMhaveMaMtherapeuticMarmamentariumMofMaboutM144Mdrugs.
DIF: CognitiveMLevel:MRememberingM(Knowledge) REF:M 3
3. AsMprimaryMcareMnurseMpractitionersM(NPs)McontinueMtoMdevelopMtheirMroleMasMprescri
bersMofMmedications,MitMwillMbeM importantMto:
a. attainMtheMsameMlevelMofMexpertis
eMasMphysiciansM whoM currentlyMpr
escribe
medications.
b. learnMfromMtheMexperiencesMofMphysicia
nsMandMdevelopMexpertiseMbasedMonMevi
dence-MbasedMpractice.
c. maintainMcollaborativeMandMsupervisori
alMrelationshipsMwithMphysiciansMwhoM
willMoverseeMprescribingMpractices.
d. developMrelationshipsMwithMpharmaceuti
calMrepresentativesMtoMlearnMaboutM new
MmedicationsMasMtheyMareMdeveloped.
ANS:M B
AsMnonphysiciansMdevelopMtheMrolesMassociatedMwithMprescriptiveMauthority,MitMwillMbe
MimportantMtoMlearnMfromMtheMpastMexperiencesMofMphysiciansMandMtoMdevelopMprescr
ibingMpracticesMbasedMonMevidence-
basedMmedicine.MItMisMhopedMthatMallMprescribers,MincludingMphysiciansMandMnurseMpra
ctitioners,MwillMstriveMtoMdoMbetterMthanMinMtheMpast.MNPsMshouldMworkMtowardMpresc
riptiveMauthorityMandMforMpracticeMthatMisMnotMsupervisedMbyManotherMprofessional.MP
harmaceuticalMrepresentativesMprovideMinformationMthatMcarriesMsomeMbias.MAcademic
MsourcesMareMbetter.
DIF: CognitiveMLevel:MApplyingM(Application) REF:M4
ChapterM 02:M HistoricalM ReviewM ofM PrescriptiveM Authority:M TheM RoleM ofM NursesM (NPs,MC
NMs,M CRNAs,M andM CNSs)MandMPhysicianMAssistants
TestMBank
MULTIPLEMCHOICE
1. AMprimaryMcareMNPMwillMbeginMpracticingMinMaMstateMinMwhichMtheMgovernorMhasMopte
dMoutMofMtheMfederalMfacilityMreimbursementMrequirement.MTheMNPMshouldMbeMawareM
thatMthisMdefinesMhowMNPsMmayMwriteMprescriptions:
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, a. withoutMphysicianMsupervisionMinMpriva
teMpractice.
b. asMCRNAsMwithoutMphysicianMsupervisio
nMinMaM hospitalMsetting.
c. inManyMsituationMbutMwillMnotMbeMreimbu
rsedMforMthisMbyMgovernmentM insurers.
d. onlyMwithMphysicianMsupervisionMinMb
othMprivateMpracticeMandMaMhospitalMs
etting.
ANS:M B
InM2001,MtheMCentersMforMMedicareMandMMedicaidMServicesMchangedMtheMfederalMphys
icianMsupervisionMruleMforMCRNAsMtoMallowMstateMgovernorsMtoMoptMout,MallowingMCRN
AsMtoMwriteMprescriptionsMandMdispenseMdrugsMwithoutM physicianMsupervision.
DIF: CognitiveMLevel:MUnderstandingM(Comprehension) REF:M 9
2. CRNAsMinMmostMstates:
a. mustMhaveMaMDrugMEnforcementMAdmini
strationM(DEA)MnumberMtoMpractice.
b. mustMhaveMprescriptiveMauthority
MtoMpractice.
c. orderMandMadministerMcontrolledMsubstan
cesMbutMdoMnotMhaveMfullMprescriptiveMau
thority.
d. administerMmedications,Mincludin
gMcontrolledMsubstances,MunderM
directMphysicianMsupervision.
ANS:M C
OnlyMfiveMstatesMgrantMindependentMprescriptiveMauthorityMtoMCRNAs.MCRNAsMdoMnotM
requireMprescriptiveMauthorityMbecauseMtheyMdispenseMaMdrugMimmediatelyMtoMaMpatie
ntMandMdoMnotMprescribe.MWithoutMprescriptiveMauthority,M theyMdoMnotMneedMaMDEAMn
umber.
DIF: CognitiveMLevel:MUnderstandingM(Comprehension) REF:M 9
3. AMCNM:
a. mayMtreatMonlyMwomen.
b. hasMprescriptiveMauthorityMinMallM50Mstate
s.
c. mayMadministerMonlyMdrugsMusedMdur
ingMlaborMandMdelivery.
d. mayMpracticeMonlyMinMbirthingMcentersM
andMhomeMbirthMsettings.
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