TEST BANK For Edmunds' Pharmacology for the Primary Care Provider, 5th Edition by Constance Visovsky, Verified Chapters 1 - 73, Complete Newest Version

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Edmunds'PharmacologyforthePrimaryCare
Provider5thEdition
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byConstanceGVisovskyTestBankAllChapters
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Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. ChangeTest
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Bank
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MULTIPLECHOICE

1. Which of the following has influenced an emphasis on primary care educationin
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c medicalschools?
a. ChangesinMedicarereimbursement c c c




methods recommended in 1992
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b. Competition fromnonphysicians desiring c c c




to meet primary care shortages
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c. Theneed formonopolistic control in the c c c c c c




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




variable success 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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ccare providers, this incentive led medical schools to place greater emphasisonpreparing
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cprimary care physicians. Competition from nonphysicians increased coincidentally as
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cprofessionals from other disciplines stepped up to meet the needs. Nonphysicians have had
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cincreasing success at providing primary care and have beenshown to be safe and effective.
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DIF: Cognitive Level: Remembering(Knowledge) c c c REF: 2 c




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 c c c c c




appropriate medications than younger
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physicians.
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b. Antibioticmedications remain in thetop c c c c c




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




armamentarium” that consists of less
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than 100 drug preparations per c c c c




physician.
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d. The dominant form of drug information c c c c c




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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csources for drug information, a study showed that commercial rather than scientific
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csources of drug information dominated their drug information materials. Younger
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physicians tend to prescribe fewer and moreappropriate drugs.Antibiotics have dropped
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cout of the top five classifications of drugs prescribed. Most physicianshave a therapeutic
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carmamentarium of about 144 drugs. c c c c




DIF: Cognitive Level: Remembering(Knowledge) c c c REF: 3 c




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 c c c c c




as physicians who currently
prescribe medications.
c c




b. learn from the experiences of physicians c c c c c




and develop expertise based on evidence-
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based practice. c




c. maintain collaborative and supervisorial c c c




relationships with physicians who will
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oversee prescribing practices.
c c c




d. develop relationships with pharmaceutical c c c




representatives to learn about new
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medications as they are developed.
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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 should
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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) c c c REF: 4 c




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




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

MULTIPLECHOICE c




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