APEA 3P Exam Test Bank 2025/2026 | 150 Questions & Detailed Rationales | HealthStudyPro | Patho, Pharm, Physical Assessment

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Edmunds'PharmacologyforthePrimaryCare
Provider5thEdition
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byConstanceGVisovskyTestBankAllChapters
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Chapter01:PrescriptiveAuthorityandRoleImplementation:Traditionvs.Change
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Test Bank
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MULTIPLECHOICE

1. Which of the following has influenced an emphasis on primary care education in
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medicalschools?
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a. Changes inMedicarereimbursement m m m




methods recommended in 1992
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b. Competitionfromnonphysiciansdesiring m m m




to meet primary care shortages
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c. Theneed formonopolistic controlin the m m m m m m




marketplace of primary outpatient care
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d. Therecognition that nonphysicians have m m m




variablesuccess providing primarycare
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ANS: A
The Physician Payment Review Commission in 1992 directly increased financial
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reimbursement to clinicians who provide primary care. Coupled with a shortage of primary
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care providers, this incentive led medical schools to place greater emphasis onpreparing
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primary care physicians. Competition from nonphysicians increased coincidentally as
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professionals from other disciplines stepped up to meet the needs. Nonphysicians have had
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increasing success at providing primary care and have beenshown to be safe and effective.
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DIF: Cognitive Level: Remembering (Knowledge)m m m REF: 2 m




2. Which of the following statements is true about the prescribing practices of physicians?
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a. Older physicians tend to prescribe more m m m m m




appropriate medications than younger
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physicians.
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b. Antibioticmedications remainin thetop m m m m m




five classifications of medications
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prescribed.
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c. Most physicians rely on a “therapeutic m m m m m




armamentarium” that consists of less
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than 100 drug preparations per physician. m m m m m




d. The dominant form of drug information m m m m m




used by primary care physicians
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continuesto be that provided by
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pharmaceutical companies.
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ANS: D
Even though most physicians claim to place little weight on drug advertisements,
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pharmaceutical representatives, and patient preference and state that they rely on academic
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msources for drug information, a study showed that commercial rather than scientific sources
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mof drug information dominated their drug information materials. Younger physicians tend
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mto prescribe fewer and more appropriate drugs.Antibiotics have dropped out of the top five
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mclassifications of drugs prescribed. Most physicians have a therapeutic armamentarium of
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mabout 144 drugs.
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DIF: Cognitive Level: Remembering (Knowledge) m m m REF: 3 m




3. As primary care nurse practitioners (NPs) continue to develop their role as
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prescribers ofmedications, it will be important to:
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a. attain the same level of expertise m m m m m




as physicians who currently
prescribe medications.
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b. learn from the experiences of physicians m m m m m




mand develop expertise based on evidence-
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based practice. m




c. maintain collaborative and supervisorial m m m




relationships with physicians who will
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oversee prescribing practices.
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d. developrelationshipswithpharmaceutical m m m




mrepresentatives to learn about new m m m m




mmedications as they are developed. m m m m




ANS: B
As nonphysicians develop the roles associated with prescriptive authority, it will be
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important to learn from the past experiences of physicians and to develop prescribing
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practices based on evidence-based medicine. It is hoped that all prescribers, including
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physicians and nurse practitioners, will strive to do better than in the past. NPs
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should work toward prescriptive authority and for practice that is not supervised by another
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professional. Pharmaceutical representatives provide information that carries some
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bias.Academic sources are better.
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DIF: Cognitive Level:Applying (Application) m m m REF: 4 m




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Chapter 02: Historical Review
m of Prescriptive Authority: The Role m m




of Nurses (NPs,CNMs, CRNAs, and CNSs) and Physician Assistants
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TestBank

MULTIPLE CHOICE m




1. A primary care NP will begin practicing in a state in which the governor has opted out of the
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mfederal facility reimbursement requirement. The NP should be aware that this defineshow
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mNPs may write prescriptions:
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