By Marilyn Winterton Edmunds, Maren Stewart Mayhew
(All Chapters Covered, 100% Verified Answers with Rationales)
,Table of Contents
PART ONE: ESSENTIAL CONCEPTS FOR THE PRESCRIPTION OF MEDICATIONS
UNIT 1: Foundations of Prescriptive Practice
Chapter 1: Prescriptive Authority and Role Implementation: Tradition vs. Change, 1
Chapter 2: Historical Review of Prescriptive Authority: The Role of Nurses (NPs, CNMs, CRNAs, and CNSs)
and Physician Assistants, 5
UNIT 2: Pharmacokinetics and Pharmacodynamics, 21
Chapter 3: General Pharmacokinetic and Pharmacodynamic Principles, 21
Chapter 4: Special Populations: Geriatrics, 50
Chapter 5: Special Populations: Pediatrics, 60
Chapter 6: Special Populations: Pregnant and Nursing Women, 70
Chapter 7: Over-the-Counter Medications, 88
Chapter 8: Complementary and Alternative Therapies, 93
UNIT 3: The Art and Science of Pharmacotherapeutics, 103
Chapter 9: Establishing the Therapeutic Relationship, 103
Chapter 10: Practical Tips on Writing Prescriptions, 112
Chapter 11: Evidence-Based Decision Making and Treatment Guidelines, 123
Chapter 12: Design and Implementation of Patient Education, 139
PART TWO: DRUG MONOGRAPHS
UNIT 4: Topical Agents, 149
Chapter 13: Dermatologic Agents, 149
Chapter 14: Eye, Ear, Throat, and Mouth Agents, 173
UNIT 5: Respiratory Agents, 185
Chapter 15: Upper Respiratory Agents, 185
Chapter 16: Asthma and Chronic Obstructive Pulmonary Disease Medications, 204
UNIT 6: Cardiovascular Agents, 225
Chapter 17: Hypertension and Miscellaneous Antihypertensive Medications, 225
Chapter 18: Coronary Artery Disease and Antianginal Medications, 236
Chapter 19: Heart Failure and Digoxin, 247
Chapter 20: β-Blockers, 256
Chapter 21: Calcium Channel Blockers, 265
,Chapter 22: ACE Inhibitors and Angiotensin Receptor Blockers, 273
Chapter 23: Antiarrhythmic Agents, 281
Chapter 24: Antihyperlipidemic Agents, 293
Chapter 25: Agents That Act on Blood, 307
UNIT 7: Gastrointestinal Agents, 327
Chapter 26: Antacids and the Management of GERD, 327
Chapter 27: Histamine₂-Blockers and Proton Pump Inhibitors, 333
Chapter 28: Laxatives, 340
Chapter 29: Antidiarrheals, 351
Chapter 30: Antiemetics, 356
Chapter 31: Medications for Irritable Bowel Syndrome and Other Gastrointestinal Problems, 362
UNIT 8: Renal/Genitourinary Agents, 369
Chapter 32: Diuretics, 369
Chapter 33: Male Genitourinary Agents, 384
Chapter 34: Agents for Urinary Incontinence and Urinary Analgesia, 392
, Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change
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
Answer: 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.