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f
TEST BANK f
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f
PHARMACOLOGY
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EDITION f
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EDMUNDS
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Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change Test B
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ank
MULTIPLEfCHOICE
1. Whichfofftheffollowingfhasfinfluencedfanfemphasisfonfprimaryfcarefeducationfinfmedicalfsc
hools?
a. ChangesfinfMedicarefreimbursementf
methodsfrecommendedfinf1992
b. Competitionffromfnonphysiciansfdesiringf
tofmeetfprimaryfcarefshortages
c. Thefneedfforfmonopolisticfcontrolfinfthef
marketplacefoffprimaryfoutpatientfcare
d. Thefrecognitionfthatfnonphysiciansfhavef
variablefsuccessfprovidingfprimaryfcare
ANS:fA
ThefPhysicianfPaymentfReviewfCommissionfinf1992fdirectlyfincreasedffinancialfreimburse
mentftofcliniciansfwhofprovidefprimaryfcare.fCoupledfwithfafshortagefoffprimaryfcarefprovi
ders,fthisfincentivefledfmedicalfschoolsftofplacefgreaterfemphasisfonfpreparingfprimaryfcar
efphysicians.fCompetitionffromfnonphysiciansfincreasedfcoincidentallyfasfprofessionalsffro
mfotherfdisciplinesfsteppedfupftofmeetfthefneeds.fNonphysiciansfhavefhadfincreasingfsucce
ssfatfprovidingfprimaryfcarefandfhavefbeenfshownftofbefsafefandfeffective.
DIF: CognitivefLevel:fRememberingf(Knowledge) REF: 2
2. Whichfofftheffollowingfstatementsfisftruefaboutfthefprescribingfpracticesfoffphysicians?
a. Olderfphysiciansftendftofprescribefmoref
appropriatefmedicationsfthanfyoungerfphys
icians.
b. Antibioticfmedicationsfremainfinftheftopf
fivefclassificationsfoffmedicationsfprescribe
d.
c. Mostfphysiciansfrelyfonfaf“therapeuticf
armamentarium”fthatfconsistsfofflessfthanf1
00ffdrugfpreparationsfperfphysician.
d. Thefdominantfformfoffdrugfinformationf
usedfbyfprimaryfcarefphysiciansfcontinuesft
ofbefthatfprovidedfbyfpharmaceuticalfcomp
anies.
ANS:fD
Evenfthoughfmostfphysiciansfclaimftofplaceflittlefweightfonfdrugfadvertisements,f
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Stuvia.comf-fThefMarketplaceftofBuyfandfSellfyourfStudyfMaterialf
pharmaceuticalfrepresentatives,fandfpatientfpreferencefandfstatefthatftheyfrelyfonfacade
micfsourcesfforfdrugfinformation,fafstudyfshowedfthatfcommercialfratherfthanfscientificfso
urcesfoffdrugfinformationfdominatedftheirfdrugfinformationfmaterials.fYoungerfphysiciansf
tendftofprescribeffewerfandfmorefappropriatefdrugs.fAntibioticsfhavefdroppedfoutfoffthefto
pffivefclassificationsfoffdrugsfprescribed.fMostfphysiciansfhavefaftherapeuticfarmamentariu
mfoffaboutf144fdrugs.
DIF: CognitivefLevel:fRememberingf(Knowledge) REF: 3
3.
Asfprimaryfcarefnursefpractitionersf(NPs)fcontinueftofdevelopftheirfrolefasfprescribersfoff
medications,fitfwillfbefimportantfto:
a. attainfthefsameflevelfoffexpertisefasf
physiciansfwhofcurrentlyfprescribefmedicati
ons.
b. learnffromfthefexperiencesfoffphysiciansf
andfdevelopfexpertisefbasedfonfevidenceba
sedfpractice.
c. maintainfcollaborativefandfsupervisorialf
relationshipsfwithfphysiciansfwhofwillfovers
eefprescribingfpractices.
d. developfrelationshipsfwithfpharmaceutical
representativesftoflearnfaboutfnewfmedicat
ionsfasftheyfarefdeveloped.
ANS:fB
Asfnonphysiciansfdevelopfthefrolesfassociatedfwithfprescriptivefauthority,fitfwillfbefimporta
ntftoflearnffromfthefpastfexperiencesfoffphysiciansfandftofdevelopfprescribingfpracticesfbas
edfonfevidence-
basedfmedicine.fItfisfhopedfthatfallfprescribers,fincludingfphysiciansfandfnursefpractitioner
s,fwillfstriveftofdofbetterfthanfinfthefpast.fNPsfshouldfworkftowardfprescriptivefauthorityfan
dfforfpracticefthatfisfnotfsupervisedfbyfanotherfprofessional.fPharmaceuticalfrepresentativ
esfprovidefinformationfthatfcarriesfsomefbias.fAcademicfsourcesfarefbetter.
DIF: CognitivefLevel:fApplyingf(Application) REF: 4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs,
f f f f f f f f f f f f
CNMs, CRNAs, and CNSs) and Physician Assistants Test Bank
f f f f f f f f
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Stuvia.comf-fThefMarketplaceftofBuyfandfSellfyourfStudyfMateria l
f
f
f
TEST BANK f
FOR f
f
PHARMACOLOGY
FOR PRIMARY f
f
f
TH
PROVIDER 4 f
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Distributionfoffthisfdocumentfisfillegalf
,https://www.stuvia.com/f
Stuvia.comf-fThefMarketplaceftofBuyfandfSellfyourfStudyfMateri al
f
EDITION f
f
EDMUNDS
Downloadedfby:fSuperAf|
Distributionfoffthisfdocumentfisfillegalf
,https://www.stuvia.com/f
Stuvia.comf-fThefMarketplaceftofBuyfandfSellfyourfStudyfMaterialf
Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change Test B
f f f f f f f f f f f
ank
MULTIPLEfCHOICE
1. Whichfofftheffollowingfhasfinfluencedfanfemphasisfonfprimaryfcarefeducationfinfmedicalfsc
hools?
a. ChangesfinfMedicarefreimbursementf
methodsfrecommendedfinf1992
b. Competitionffromfnonphysiciansfdesiringf
tofmeetfprimaryfcarefshortages
c. Thefneedfforfmonopolisticfcontrolfinfthef
marketplacefoffprimaryfoutpatientfcare
d. Thefrecognitionfthatfnonphysiciansfhavef
variablefsuccessfprovidingfprimaryfcare
ANS:fA
ThefPhysicianfPaymentfReviewfCommissionfinf1992fdirectlyfincreasedffinancialfreimburse
mentftofcliniciansfwhofprovidefprimaryfcare.fCoupledfwithfafshortagefoffprimaryfcarefprovi
ders,fthisfincentivefledfmedicalfschoolsftofplacefgreaterfemphasisfonfpreparingfprimaryfcar
efphysicians.fCompetitionffromfnonphysiciansfincreasedfcoincidentallyfasfprofessionalsffro
mfotherfdisciplinesfsteppedfupftofmeetfthefneeds.fNonphysiciansfhavefhadfincreasingfsucce
ssfatfprovidingfprimaryfcarefandfhavefbeenfshownftofbefsafefandfeffective.
DIF: CognitivefLevel:fRememberingf(Knowledge) REF: 2
2. Whichfofftheffollowingfstatementsfisftruefaboutfthefprescribingfpracticesfoffphysicians?
a. Olderfphysiciansftendftofprescribefmoref
appropriatefmedicationsfthanfyoungerfphys
icians.
b. Antibioticfmedicationsfremainfinftheftopf
fivefclassificationsfoffmedicationsfprescribe
d.
c. Mostfphysiciansfrelyfonfaf“therapeuticf
armamentarium”fthatfconsistsfofflessfthanf1
00ffdrugfpreparationsfperfphysician.
d. Thefdominantfformfoffdrugfinformationf
usedfbyfprimaryfcarefphysiciansfcontinuesft
ofbefthatfprovidedfbyfpharmaceuticalfcomp
anies.
ANS:fD
Evenfthoughfmostfphysiciansfclaimftofplaceflittlefweightfonfdrugfadvertisements,f
Downloadedfby:fSuperAf|
Distributionfoffthisfdocumentfisfillegalf
, https://www.stuvia.com/f
Stuvia.comf-fThefMarketplaceftofBuyfandfSellfyourfStudyfMaterialf
pharmaceuticalfrepresentatives,fandfpatientfpreferencefandfstatefthatftheyfrelyfonfacade
micfsourcesfforfdrugfinformation,fafstudyfshowedfthatfcommercialfratherfthanfscientificfso
urcesfoffdrugfinformationfdominatedftheirfdrugfinformationfmaterials.fYoungerfphysiciansf
tendftofprescribeffewerfandfmorefappropriatefdrugs.fAntibioticsfhavefdroppedfoutfoffthefto
pffivefclassificationsfoffdrugsfprescribed.fMostfphysiciansfhavefaftherapeuticfarmamentariu
mfoffaboutf144fdrugs.
DIF: CognitivefLevel:fRememberingf(Knowledge) REF: 3
3.
Asfprimaryfcarefnursefpractitionersf(NPs)fcontinueftofdevelopftheirfrolefasfprescribersfoff
medications,fitfwillfbefimportantfto:
a. attainfthefsameflevelfoffexpertisefasf
physiciansfwhofcurrentlyfprescribefmedicati
ons.
b. learnffromfthefexperiencesfoffphysiciansf
andfdevelopfexpertisefbasedfonfevidenceba
sedfpractice.
c. maintainfcollaborativefandfsupervisorialf
relationshipsfwithfphysiciansfwhofwillfovers
eefprescribingfpractices.
d. developfrelationshipsfwithfpharmaceutical
representativesftoflearnfaboutfnewfmedicat
ionsfasftheyfarefdeveloped.
ANS:fB
Asfnonphysiciansfdevelopfthefrolesfassociatedfwithfprescriptivefauthority,fitfwillfbefimporta
ntftoflearnffromfthefpastfexperiencesfoffphysiciansfandftofdevelopfprescribingfpracticesfbas
edfonfevidence-
basedfmedicine.fItfisfhopedfthatfallfprescribers,fincludingfphysiciansfandfnursefpractitioner
s,fwillfstriveftofdofbetterfthanfinfthefpast.fNPsfshouldfworkftowardfprescriptivefauthorityfan
dfforfpracticefthatfisfnotfsupervisedfbyfanotherfprofessional.fPharmaceuticalfrepresentativ
esfprovidefinformationfthatfcarriesfsomefbias.fAcademicfsourcesfarefbetter.
DIF: CognitivefLevel:fApplyingf(Application) REF: 4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs,
f f f f f f f f f f f f
CNMs, CRNAs, and CNSs) and Physician Assistants Test Bank
f f f f f f f f
Downloadedfby:fSuperAf|
Distributionfoffthisfdocumentfisfillegalf
