Test Bank for Pharmacology for the Primary Care Provider (4th Edition, Edmunds &
Mayhew) – Complete Chapter-Wise Exam Resource with ISBN
1
, Title: Pharmacology for the Primary Care Provider
Edition: 4th Edition (2013)
Authors: Marilyn Winterton Edmunds, Maren Stewart Mayhew
Publisher: Elsevier/Mosby
ISBN-10: 0323087906
ISBN-13: 9780323087902
📑 Accurate Chapter Breakdown (4th Edition)
Part I: Essential Concepts for the Prescription of Medications
1. Prescriptive Authority and Role Implementation: Tradition vs. Change
2. Historical Review of Prescriptive Authority: The Role of NPs, CNMs, CRNAs, CNSs, and PAs
Unit 2: Pharmacokinetics and Pharmacodynamics
1. General Pharmacokinetic and Pharmacodynamic Principles
2. Special Populations: Geriatrics
3. Special Populations: Pediatrics
4. Special Populations: Pregnant and Nursing Women
Over-the-Counter Medications
Complementary and Alternative Therapies
Unit 3: The Art and Science of Pharmacotherapeutics
1. Establishing the Therapeutic Relationship
2. Evidence-Based Prescribing
3. Prescribing Guidelines and Formularies
4. Patient Education and Compliance
Part II: Pharmacotherapeutics for Primary Care
1. Drugs Affecting the Autonomic Nervous System
2. Drugs Affecting the Central Nervous System
3. Drugs for Pain Management
4. Drugs for Psychiatric Disorders
5. Drugs for Seizure Disorders
6. Drugs for Neurodegenerative Disorders
7. Drugs for Cardiovascular Disorders
8. Drugs for Hypertension
5. Drugs for Heart Failure
6. Drugs for Lipid Disorders
7. Drugs for Coagulation Disorders
8. Drugs for Respiratory Disorders
9. Drugs for Gastrointestinal Disorders
10. Drugs for Endocrine Disorders (Diabetes, Thyroid, Adrenal)
11. Drugs for Women’s Health
12. Drugs for Men’s Health
13. Drugs for Infectious Diseases (Antibacterials, Antivirals, Antifungals, Antiparasitics)
14. Drugs for Cancer Chemotherapy
15. Drugs for Dermatologic Disorders
16. Drugs for Eye and Ear Disorders
EST
2
,Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change Test
Bank
MULTIPLE CHOICE
1. Which of the following has influenced an emphasis on primary care education in medical
schools?
a. Changes in Medicare reimbursement
methods recommended in 1992
b. Competition from nonphysicians desiring
to meet primary care shortages
c. The need for monopolistic control in the
marketplace of primary outpatient care
d. The recognition that nonphysicians have
variable success providing primary care
ANS: A
The Physician Payment Review Commission in 1992 directly increased financial
reimbursement to clinicians who provide primary care. Coupled with a shortage of
primary care providers, this incentive led medical schools to place greater emphasis on
preparing primary care physicians. Competition from nonphysicians increased
coincidentally as professionals from other disciplines stepped up to meet the needs.
Nonphysicians have had increasing success at providing primary care and have been
shown to be safe and effective.
DIF: Cognitive Level: Remembering (Knowledge) REF: 2
2. Which of the following statements is true about the prescribing practices of physicians?
a. Older physicians tend to prescribe more
appropriate medications than younger
physicians.
b. Antibiotic medications remain in the top
five classifications of medications
prescribed.
c. Most physicians rely on a “therapeutic
armamentarium” that consists of less than
100 drug preparations per physician.
d. The dominant form of drug information
used by primary care physicians continues
to be that provided by pharmaceutical
companies.
ANS: D
Even though most physicians claim to place little weight on drug advertisements,
3
, pharmaceutical representatives, and patient preference and state that they rely on
academic sources for drug information, a study showed that commercial rather than
scientific sources of drug information dominated their drug information materials.
Younger physicians tend to prescribe fewer and more appropriate drugs. Antibiotics have
dropped out of the top five classifications of drugs prescribed. Most physicians have a
therapeutic armamentarium of about 144 drugs.
DIF: Cognitive Level: Remembering (Knowledge) REF: 3
3. As primary care nurse practitioners (NPs) continue to develop their role as prescribers of
medications, it will be important to:
a. attain the same level of expertise as
physicians who currently prescribe
medications.
b. learn from the experiences of physicians
and develop expertise based on evidence-
based practice.
c. maintain collaborative and supervisorial
relationships with physicians who will
oversee prescribing practices.
d. develop relationships with pharmaceutical
representatives to learn about new
medications as they are developed.
ANS: B
As nonphysicians develop the roles associated with prescriptive authority, it will be
important to learn from the past experiences of physicians and to develop prescribing
practices based on evidence-based medicine. It is hoped that all prescribers, including
physicians and nurse practitioners, will strive to do better than in the past. NPs should
work toward prescriptive authority and for practice that is not supervised by another
professional. Pharmaceutical representatives provide information that carries some bias.
Academic sources are better.
DIF: Cognitive Level: Applying (Application) REF: 4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs,
CNMs, CRNAs, and CNSs) and Physician Assistants
Test Bank
MULTIPLE CHOICE
1. A primary care NP will begin practicing in a state in which the governor has opted out of
the federal facility reimbursement requirement. The NP should be aware that this defines
how NPs may write prescriptions:
4
Mayhew) – Complete Chapter-Wise Exam Resource with ISBN
1
, Title: Pharmacology for the Primary Care Provider
Edition: 4th Edition (2013)
Authors: Marilyn Winterton Edmunds, Maren Stewart Mayhew
Publisher: Elsevier/Mosby
ISBN-10: 0323087906
ISBN-13: 9780323087902
📑 Accurate Chapter Breakdown (4th Edition)
Part I: Essential Concepts for the Prescription of Medications
1. Prescriptive Authority and Role Implementation: Tradition vs. Change
2. Historical Review of Prescriptive Authority: The Role of NPs, CNMs, CRNAs, CNSs, and PAs
Unit 2: Pharmacokinetics and Pharmacodynamics
1. General Pharmacokinetic and Pharmacodynamic Principles
2. Special Populations: Geriatrics
3. Special Populations: Pediatrics
4. Special Populations: Pregnant and Nursing Women
Over-the-Counter Medications
Complementary and Alternative Therapies
Unit 3: The Art and Science of Pharmacotherapeutics
1. Establishing the Therapeutic Relationship
2. Evidence-Based Prescribing
3. Prescribing Guidelines and Formularies
4. Patient Education and Compliance
Part II: Pharmacotherapeutics for Primary Care
1. Drugs Affecting the Autonomic Nervous System
2. Drugs Affecting the Central Nervous System
3. Drugs for Pain Management
4. Drugs for Psychiatric Disorders
5. Drugs for Seizure Disorders
6. Drugs for Neurodegenerative Disorders
7. Drugs for Cardiovascular Disorders
8. Drugs for Hypertension
5. Drugs for Heart Failure
6. Drugs for Lipid Disorders
7. Drugs for Coagulation Disorders
8. Drugs for Respiratory Disorders
9. Drugs for Gastrointestinal Disorders
10. Drugs for Endocrine Disorders (Diabetes, Thyroid, Adrenal)
11. Drugs for Women’s Health
12. Drugs for Men’s Health
13. Drugs for Infectious Diseases (Antibacterials, Antivirals, Antifungals, Antiparasitics)
14. Drugs for Cancer Chemotherapy
15. Drugs for Dermatologic Disorders
16. Drugs for Eye and Ear Disorders
EST
2
,Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change Test
Bank
MULTIPLE CHOICE
1. Which of the following has influenced an emphasis on primary care education in medical
schools?
a. Changes in Medicare reimbursement
methods recommended in 1992
b. Competition from nonphysicians desiring
to meet primary care shortages
c. The need for monopolistic control in the
marketplace of primary outpatient care
d. The recognition that nonphysicians have
variable success providing primary care
ANS: A
The Physician Payment Review Commission in 1992 directly increased financial
reimbursement to clinicians who provide primary care. Coupled with a shortage of
primary care providers, this incentive led medical schools to place greater emphasis on
preparing primary care physicians. Competition from nonphysicians increased
coincidentally as professionals from other disciplines stepped up to meet the needs.
Nonphysicians have had increasing success at providing primary care and have been
shown to be safe and effective.
DIF: Cognitive Level: Remembering (Knowledge) REF: 2
2. Which of the following statements is true about the prescribing practices of physicians?
a. Older physicians tend to prescribe more
appropriate medications than younger
physicians.
b. Antibiotic medications remain in the top
five classifications of medications
prescribed.
c. Most physicians rely on a “therapeutic
armamentarium” that consists of less than
100 drug preparations per physician.
d. The dominant form of drug information
used by primary care physicians continues
to be that provided by pharmaceutical
companies.
ANS: D
Even though most physicians claim to place little weight on drug advertisements,
3
, pharmaceutical representatives, and patient preference and state that they rely on
academic sources for drug information, a study showed that commercial rather than
scientific sources of drug information dominated their drug information materials.
Younger physicians tend to prescribe fewer and more appropriate drugs. Antibiotics have
dropped out of the top five classifications of drugs prescribed. Most physicians have a
therapeutic armamentarium of about 144 drugs.
DIF: Cognitive Level: Remembering (Knowledge) REF: 3
3. As primary care nurse practitioners (NPs) continue to develop their role as prescribers of
medications, it will be important to:
a. attain the same level of expertise as
physicians who currently prescribe
medications.
b. learn from the experiences of physicians
and develop expertise based on evidence-
based practice.
c. maintain collaborative and supervisorial
relationships with physicians who will
oversee prescribing practices.
d. develop relationships with pharmaceutical
representatives to learn about new
medications as they are developed.
ANS: B
As nonphysicians develop the roles associated with prescriptive authority, it will be
important to learn from the past experiences of physicians and to develop prescribing
practices based on evidence-based medicine. It is hoped that all prescribers, including
physicians and nurse practitioners, will strive to do better than in the past. NPs should
work toward prescriptive authority and for practice that is not supervised by another
professional. Pharmaceutical representatives provide information that carries some bias.
Academic sources are better.
DIF: Cognitive Level: Applying (Application) REF: 4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs,
CNMs, CRNAs, and CNSs) and Physician Assistants
Test Bank
MULTIPLE CHOICE
1. A primary care NP will begin practicing in a state in which the governor has opted out of
the federal facility reimbursement requirement. The NP should be aware that this defines
how NPs may write prescriptions:
4
