TEST BANK For Pharmacology for the Primary Care Provider, 4th Edition (Edmunds, 2014)| Complete Chapter's 1 - 73 | 100 % Verified

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PROVIDER 4 TH
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EDITION E n




DMUNDS




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Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. ChangeTes
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t Bank
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MULTIPLEnCHOICE

1. Whichnofnthenfollowingnhasninfluencednannemphasisnonnprimaryncareneducationninnmedicalns
chools?
a. ChangesninnMedicarenreimbursementn
methodsnrecommendedninn1992
b. Competitionnfromnnonphysiciansndesiringn
tonmeetnprimaryncarenshortages
c. Thenneednfornmonopolisticncontrolninnthen
marketplacenofnprimarynoutpatientncare
d. Thenrecognitionnthatnnonphysiciansnhaven
variablensuccessnprovidingnprimaryncare
ANS:n A
ThenPhysiciannPaymentnReviewnCommissionninn1992ndirectlynincreasednfinancialnreimb
ursementntoncliniciansnwhonprovidenprimaryncare.nCouplednwithnanshortagenofnprimarynca
renproviders,nthisnincentivenlednmedicalnschoolsntonplacengreaternemphasisnonnpreparingnp
rimaryncarenphysicians.nCompetitionnfromnnonphysiciansnincreasedncoincidentallynasnpr
ofessionalsnfromnotherndisciplinesnsteppednupntonmeetnthenneeds.
Nonphysiciansnhavenhadnincreasingnsuccessnatnprovidingnprimaryncarenandnhavenbeenns
hownntonbensafenandneffective.

DIF: CognitivenLevel:nRememberingn(Knowledge) REF:n 2

2. Whichnofnthenfollowingnstatementsnisntruenaboutnthenprescribingnpracticesnofnphysicians?
a. Oldernphysiciansntendntonprescribenmoren
appropriatenmedicationsnthannyoungernp
hysicians.
b. Antibioticnmedicationsnremainninnthentopn
fivenclassificationsnofnmedicationsnprescr
ibed.
c. Mostnphysiciansnrelynonnan“therapeuticnar
mamentarium”nthatnconsistsnofnlessnthann10
0ndrugnpreparationsnpernphysician.
d. Thendominantnformnofndrugninformationnus
ednbynprimaryncarenphysiciansncontinuesnton
benthatnprovidednbynpharmaceuticalncompa
nies.
ANS:n D
Evennthoughnmostnphysiciansnclaimntonplacenlittlenweightnonndrugnadvertisements,




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pharmaceuticalnrepresentatives,nandnpatientnpreferencenandnstatenthatntheynrelynonnacademi
cnsourcesnforndrugninformation,nanstudynshowednthatncommercialnrathernthannscientificnsour
cesnofndrugninformationndominatedntheirndrugninformationnmaterials.nYoungernphysiciansnte
ndntonprescribenfewernandnmorenappropriatendrugs.nAntibioticsnhavendroppednoutnofnthentopnfi
venclassificationsnofndrugsnprescribed.nMostnphysiciansnhavenantherapeuticnarmamentariumn
ofnaboutn144ndrugs.

DIF: CognitivenLevel:nRememberingn(Knowledge) REF:n 3

3. Asnprimaryncarennursenpractitionersn(NPs)ncontinuentondevelopntheirnrolenasnprescribersnofn
medications,nitnwillnbenimportantnto:
a. attainnthensamenlevelnofnexpertisenasn
physiciansnwhoncurrentlynprescriben
medications.
b. learnnfromnthenexperiencesnofnphysiciansna
ndndevelopnexpertisenbasednonnevidence-
nbasednpractice.


c. maintainncollaborativenandnsupervisorialn
relationshipsnwithnphysiciansnwhonwillno
verseenprescribingnpractices.
d. developnrelationshipsnwithnpharmaceuticaln
representativesntonlearnnaboutnnewnmedicat
ionsnasntheynarendeveloped.
ANS:n B
Asnnonphysiciansndevelopnthenrolesnassociatednwithnprescriptivenauthority,nitnwillnbenimpo
rtantntonlearnnfromnthenpastnexperiencesnofnphysiciansnandntondevelopnprescribingnpractice
snbasednonnevidence-
basednmedicine.nItnisnhopednthatnallnprescribers,nincludingnphysiciansnandnnursenpractition
ers,nwillnstriventondonbetternthanninnthenpast.nNPsnshouldnworkntowardnprescriptivenauthorit
ynandnfornpracticenthatnisnnotnsupervisednbynanothernprofessional.nPharmaceuticalnrepresen
tativesnprovideninformationnthatncarriesnsomenbias.nAcademicnsourcesnarenbetter.

DIF: CognitivenLevel:nApplyingn(Application) REF:n 4

Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs,CN
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Ms, CRNAs, and CNSs) and Physician Assistants
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Test Bank
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MULTIPLEnCHOICE

1. AnprimaryncarenNPnwillnbeginnpracticingninnanstateninnwhichnthengovernornhasnoptednoutnofnth
enfederalnfacilitynreimbursementnrequirement.nThenNPnshouldnbenawarenthatnthisndefinesnho
wnNPsnmaynwritenprescriptions:




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