Test Bank-
Edmunds' Pharmacology For The Primary Care Provider
Authors: Constance G Visovsky & Cheryl H. Zambroski & Rebecca
5th Edition
,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
Medicalschools?
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 Onpreparing 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 Beenshown 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 Continuesto Be That
Provided By Pharmaceutical Companies.
Answer: D
Even Though Most Physicians Claim To Place Little Weight On Drug Advertisements,
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
Ofmedications, 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.
Answer: 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 Defineshow Nps May
Write Prescriptions:
A. Without Physician Supervision In Private Practice.
B. As Crnas Without Physician Supervision In A Hospital Setting.
C. In Any Situation But Will Not Be Reimbursed For This By Government Insurers.
, D. Only With Physician Supervision In Both Private Practice And A Hospital Setting.
Answer: B
In 2001, The Centers For Medicare And Medicaid Services Changed The Federal Physician Supervision
Rule For Crnas To Allow State Governors To Opt Out, Allowing Crnas To Write Prescriptions And
Dispense Drugs Without Physician Supervision.
Dif: Cognitive Level: Understanding (Comprehension) Ref: 9
2. Crnas In Most States:
A. Must Have A Drug Enforcement Administration (Dea) Number To Practice.
B. Must Have Prescriptive Authority To Practice.
C. Order And Administer Controlled Substances But Do Not Have Full Prescriptive Authority.
D. Administer Medications, Including Controlled Substances, Under Direct Physician Supervision.
Answer: C
Only Five States Grant Independent Prescriptive Authority To Crnas. Crnas Do Not Require Prescriptive
Authority Because They Dispense A Drug Immediately To A Patient Anddo Not Prescribe. Without
Prescriptive Authority, They Do Not Need A Dea Number.
Dif: Cognitive Level: Understanding (Comprehension) Ref: 9
3. A Cnm:
A. May Treat Only Women.
B. Has Prescriptive Authority In All 50 States.
C. May Administer Only Drugs Used During Labor And Delivery.
D. May Practice Only In Birthing Centers And Home Birth Settings.
Answer: B
Cnms Have Prescriptive Authority In All 50 States. They May Treat Partners Of Women For Sexually
Transmitted Diseases. They Have Full Prescriptive Authority And Are Not Limited To Drugs Used During
Childbirth. They Practice In Many Other Types Of Settings.
Dif: Cognitive Level: Remembering (Knowledge) Ref: 9
4. In Every State, Prescriptive Authority For Nps Includes The Ability To Write Prescriptions:
A. For Controlled Substances.
B. For Specified Classifications Of Medications.
C. Without Physician-Mandated Involvement.
Edmunds' Pharmacology For The Primary Care Provider
Authors: Constance G Visovsky & Cheryl H. Zambroski & Rebecca
5th Edition
,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
Medicalschools?
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 Onpreparing 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 Beenshown 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 Continuesto Be That
Provided By Pharmaceutical Companies.
Answer: D
Even Though Most Physicians Claim To Place Little Weight On Drug Advertisements,
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
Ofmedications, 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.
Answer: 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 Defineshow Nps May
Write Prescriptions:
A. Without Physician Supervision In Private Practice.
B. As Crnas Without Physician Supervision In A Hospital Setting.
C. In Any Situation But Will Not Be Reimbursed For This By Government Insurers.
, D. Only With Physician Supervision In Both Private Practice And A Hospital Setting.
Answer: B
In 2001, The Centers For Medicare And Medicaid Services Changed The Federal Physician Supervision
Rule For Crnas To Allow State Governors To Opt Out, Allowing Crnas To Write Prescriptions And
Dispense Drugs Without Physician Supervision.
Dif: Cognitive Level: Understanding (Comprehension) Ref: 9
2. Crnas In Most States:
A. Must Have A Drug Enforcement Administration (Dea) Number To Practice.
B. Must Have Prescriptive Authority To Practice.
C. Order And Administer Controlled Substances But Do Not Have Full Prescriptive Authority.
D. Administer Medications, Including Controlled Substances, Under Direct Physician Supervision.
Answer: C
Only Five States Grant Independent Prescriptive Authority To Crnas. Crnas Do Not Require Prescriptive
Authority Because They Dispense A Drug Immediately To A Patient Anddo Not Prescribe. Without
Prescriptive Authority, They Do Not Need A Dea Number.
Dif: Cognitive Level: Understanding (Comprehension) Ref: 9
3. A Cnm:
A. May Treat Only Women.
B. Has Prescriptive Authority In All 50 States.
C. May Administer Only Drugs Used During Labor And Delivery.
D. May Practice Only In Birthing Centers And Home Birth Settings.
Answer: B
Cnms Have Prescriptive Authority In All 50 States. They May Treat Partners Of Women For Sexually
Transmitted Diseases. They Have Full Prescriptive Authority And Are Not Limited To Drugs Used During
Childbirth. They Practice In Many Other Types Of Settings.
Dif: Cognitive Level: Remembering (Knowledge) Ref: 9
4. In Every State, Prescriptive Authority For Nps Includes The Ability To Write Prescriptions:
A. For Controlled Substances.
B. For Specified Classifications Of Medications.
C. Without Physician-Mandated Involvement.
