Created ilBy: ilA
Solution
Edmunds' ilPharmacology ilfor ilthe ilPrimary ilCare
il Provider il5th ilEdition ilby ilConstance ilG ilVisovsky
Test ilBank ilAll ilChapters ilCovered ilA+
il
Chapter il01: ilPrescriptive ilAuthority iland ilRole ilImplementation: ilTradition ilvs. ilChange
MULTIPLE ilCHOICE
1. Which ilof ilthe ilfollowing ilhas ilinfluenced ilan ilemphasis ilon ilprimary ilcare ileducation ilin
ilmedical ilschools?
a. Changes ilin ilMedicare ilreimbursement ilmethods ilrecommended ilin il1992
b. Competition ilfrom ilnonphysicians ildesiring ilto ilmeet ilprimary ilcare ilshortages
c. The ilneed ilfor ilmonopolistic ilcontrol ilin ilthe ilmarketplace ilof ilprimary iloutpatient ilcare
d. The ilrecognition ilthat ilnonphysicians ilhave ilvariable ilsuccess ilproviding ilprimary
ilcare ilANS: ilA
The ilPhysician ilPayment ilReview ilCommission ilin il1992 ildirectly ilincreased ilfinancial
ilreimbursement ilto ilclinicians ilwho ilprovide ilprimary ilcare. ilCoupled ilwith ila ilshortage ilof
ilprimary ilcare ilproviders, ilthis ilincentive illed ilmedical ilschools ilto ilplace ilgreater ilemphasis ilon
ilpreparing ilprimary ilcare ilphysicians.
Competition ilfrom ilnonphysicians ilincreased ilcoincidentally ilas ilprofessionals ilfrom ilother
ildisciplines ilstepped ilup ilto ilmeet ilthe ilneeds.
Nonphysicians ilhave ilhad ilincreasing ilsuccess ilat ilproviding ilprimary ilcare iland ilhave ilbeen
ilshown ilto ilbe ilsafe iland ileffective.
DIF: Cognitive ilLevel: ilRemembering il(Knowledge) REF: il2
2. Which ilof ilthe ilfollowing ilstatements ilis iltrue ilabout ilthe ilprescribing ilpractices ilof
ilphysicians?
a. Older ilphysicians iltend ilto ilprescribe ilmore ilappropriate ilmedications ilthan
ilyounger ilphysicians.
b. Antibiotic ilmedications ilremain ilin ilthe iltop ilfive ilclassifications ilof ilmedications
A+ Page il1
,Created ilBy: ilA
Solution
ilprescribed.
A+ Page il2
,Created ilBy: ilA
Solution
c. Most ilphysicians ilrely ilon ila il“therapeutic ilarmamentarium” ilthat ilconsists ilof illess
ilthan il100 ildrug ilpreparations ilper ilphysician.
d. The ildominant ilform ilof ildrug ilinformation ilused ilby ilprimary ilcare ilphysicians
ilcontinues ilto ilbe ilthat ilprovided ilby ilpharmaceutical ilcompanies.
ANS: ilD
Even ilthough ilmost ilphysicians ilclaim ilto ilplace illittle ilweight ilon ildrug iladvertisements,
ilpharmaceutical ilrepresentatives, iland ilpatient ilpreference iland ilstate ilthat ilthey ilrely ilon
ilacademic ilsources ilfor ildrug ilinformation, ila ilstudy ilshowed ilthat ilcommercial ilrather ilthan
ilscientific ilsources ilof ildrug ilinformation ildominated iltheir ildrug ilinformation ilmaterials.
ilYounger ilphysicians iltend ilto ilprescribe ilfewer iland ilmore ilappropriate ildrugs. ilAntibiotics
ilhave ildropped ilout ilof ilthe iltop ilfive ilclassifications ilof ildrugs ilprescribed. ilMost ilphysicians
ilhave ila iltherapeutic ilarmamentarium ilof ilabout il144 ildrugs.
DIF: Cognitive ilLevel: ilRemembering il(Knowledge) REF: il3
3. As ilprimary ilcare ilnurse ilpractitioners il(NPs) ilcontinue ilto ildevelop iltheir ilrole ilas
ilprescribers ilof ilmedications, ilit ilwill ilbe ilimportant ilto:
a. attain ilthe ilsame illevel ilof ilexpertise ilas ilphysicians ilwho ilcurrently ilprescribe
ilmedications.
b. learn ilfrom ilthe ilexperiences ilof ilphysicians iland ildevelop ilexpertise ilbased ilon
ilevidence- ilbased ilpractice.
c. maintain ilcollaborative iland ilsupervisorial ilrelationships ilwith ilphysicians ilwho ilwill
iloversee ilprescribing ilpractices.
d. develop ilrelationships ilwith ilpharmaceutical ilrepresentatives ilto illearn ilabout ilnew
ilmedications ilas ilthey ilare ildeveloped.
ANS: ilB
As ilnonphysicians ildevelop ilthe ilroles ilassociated ilwith ilprescriptive ilauthority, ilit ilwill ilbe
ilimportant ilto illearn ilfrom ilthe ilpast ilexperiences ilof ilphysicians iland ilto ildevelop ilprescribing
ilpractices ilbased ilon ilevidence-based ilmedicine. ilIt ilis ilhoped ilthat ilall ilprescribers, ilincluding
ilphysicians iland ilnurse ilpractitioners, ilwill ilstrive ilto ildo ilbetter ilthan ilin ilthe ilpast. ilNPs
ilshould ilwork iltoward ilprescriptive ilauthority iland ilfor ilpractice ilthat ilis ilnot ilsupervised ilby
ilanother ilprofessional. ilPharmaceutical ilrepresentatives ilprovide ilinformation ilthat ilcarries
A+ Page il3
, Created ilBy: ilA
Solution
ilsome ilbias. ilAcademic ilsources ilare ilbetter.
A+ Page il4
Solution
Edmunds' ilPharmacology ilfor ilthe ilPrimary ilCare
il Provider il5th ilEdition ilby ilConstance ilG ilVisovsky
Test ilBank ilAll ilChapters ilCovered ilA+
il
Chapter il01: ilPrescriptive ilAuthority iland ilRole ilImplementation: ilTradition ilvs. ilChange
MULTIPLE ilCHOICE
1. Which ilof ilthe ilfollowing ilhas ilinfluenced ilan ilemphasis ilon ilprimary ilcare ileducation ilin
ilmedical ilschools?
a. Changes ilin ilMedicare ilreimbursement ilmethods ilrecommended ilin il1992
b. Competition ilfrom ilnonphysicians ildesiring ilto ilmeet ilprimary ilcare ilshortages
c. The ilneed ilfor ilmonopolistic ilcontrol ilin ilthe ilmarketplace ilof ilprimary iloutpatient ilcare
d. The ilrecognition ilthat ilnonphysicians ilhave ilvariable ilsuccess ilproviding ilprimary
ilcare ilANS: ilA
The ilPhysician ilPayment ilReview ilCommission ilin il1992 ildirectly ilincreased ilfinancial
ilreimbursement ilto ilclinicians ilwho ilprovide ilprimary ilcare. ilCoupled ilwith ila ilshortage ilof
ilprimary ilcare ilproviders, ilthis ilincentive illed ilmedical ilschools ilto ilplace ilgreater ilemphasis ilon
ilpreparing ilprimary ilcare ilphysicians.
Competition ilfrom ilnonphysicians ilincreased ilcoincidentally ilas ilprofessionals ilfrom ilother
ildisciplines ilstepped ilup ilto ilmeet ilthe ilneeds.
Nonphysicians ilhave ilhad ilincreasing ilsuccess ilat ilproviding ilprimary ilcare iland ilhave ilbeen
ilshown ilto ilbe ilsafe iland ileffective.
DIF: Cognitive ilLevel: ilRemembering il(Knowledge) REF: il2
2. Which ilof ilthe ilfollowing ilstatements ilis iltrue ilabout ilthe ilprescribing ilpractices ilof
ilphysicians?
a. Older ilphysicians iltend ilto ilprescribe ilmore ilappropriate ilmedications ilthan
ilyounger ilphysicians.
b. Antibiotic ilmedications ilremain ilin ilthe iltop ilfive ilclassifications ilof ilmedications
A+ Page il1
,Created ilBy: ilA
Solution
ilprescribed.
A+ Page il2
,Created ilBy: ilA
Solution
c. Most ilphysicians ilrely ilon ila il“therapeutic ilarmamentarium” ilthat ilconsists ilof illess
ilthan il100 ildrug ilpreparations ilper ilphysician.
d. The ildominant ilform ilof ildrug ilinformation ilused ilby ilprimary ilcare ilphysicians
ilcontinues ilto ilbe ilthat ilprovided ilby ilpharmaceutical ilcompanies.
ANS: ilD
Even ilthough ilmost ilphysicians ilclaim ilto ilplace illittle ilweight ilon ildrug iladvertisements,
ilpharmaceutical ilrepresentatives, iland ilpatient ilpreference iland ilstate ilthat ilthey ilrely ilon
ilacademic ilsources ilfor ildrug ilinformation, ila ilstudy ilshowed ilthat ilcommercial ilrather ilthan
ilscientific ilsources ilof ildrug ilinformation ildominated iltheir ildrug ilinformation ilmaterials.
ilYounger ilphysicians iltend ilto ilprescribe ilfewer iland ilmore ilappropriate ildrugs. ilAntibiotics
ilhave ildropped ilout ilof ilthe iltop ilfive ilclassifications ilof ildrugs ilprescribed. ilMost ilphysicians
ilhave ila iltherapeutic ilarmamentarium ilof ilabout il144 ildrugs.
DIF: Cognitive ilLevel: ilRemembering il(Knowledge) REF: il3
3. As ilprimary ilcare ilnurse ilpractitioners il(NPs) ilcontinue ilto ildevelop iltheir ilrole ilas
ilprescribers ilof ilmedications, ilit ilwill ilbe ilimportant ilto:
a. attain ilthe ilsame illevel ilof ilexpertise ilas ilphysicians ilwho ilcurrently ilprescribe
ilmedications.
b. learn ilfrom ilthe ilexperiences ilof ilphysicians iland ildevelop ilexpertise ilbased ilon
ilevidence- ilbased ilpractice.
c. maintain ilcollaborative iland ilsupervisorial ilrelationships ilwith ilphysicians ilwho ilwill
iloversee ilprescribing ilpractices.
d. develop ilrelationships ilwith ilpharmaceutical ilrepresentatives ilto illearn ilabout ilnew
ilmedications ilas ilthey ilare ildeveloped.
ANS: ilB
As ilnonphysicians ildevelop ilthe ilroles ilassociated ilwith ilprescriptive ilauthority, ilit ilwill ilbe
ilimportant ilto illearn ilfrom ilthe ilpast ilexperiences ilof ilphysicians iland ilto ildevelop ilprescribing
ilpractices ilbased ilon ilevidence-based ilmedicine. ilIt ilis ilhoped ilthat ilall ilprescribers, ilincluding
ilphysicians iland ilnurse ilpractitioners, ilwill ilstrive ilto ildo ilbetter ilthan ilin ilthe ilpast. ilNPs
ilshould ilwork iltoward ilprescriptive ilauthority iland ilfor ilpractice ilthat ilis ilnot ilsupervised ilby
ilanother ilprofessional. ilPharmaceutical ilrepresentatives ilprovide ilinformation ilthat ilcarries
A+ Page il3
, Created ilBy: ilA
Solution
ilsome ilbias. ilAcademic ilsources ilare ilbetter.
A+ Page il4
