,
,
,
,Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. ChangeTest
y y y y y y y y y y
Bank
MULTIPLEyCHOICE
1. Whichyofytheyfollowingyhasyinfluencedyanyemphasisyonyprimaryycareyeducationyinymedicalys
chools?
a. ChangesyinyMedicareyreimbursementymetho
dsyrecommendedyiny1992
b. Competitionyfromynonphysiciansydesiringtoy
meetyprimaryycareyshortages
c. Theyneedyforymonopolisticycontrolyinytheym
arketplaceyofyprimaryyoutpatientycare
d. Theyrecognitionythatynonphysiciansyhaveyvari
ableysuccessyprovidingyprimaryycare
ANS:yA
TheyPhysicianyPaymentyReviewyCommissionyiny1992ydirectlyyincreasedyfinancialyreimburs
ementytoycliniciansywhoyprovideyprimaryycare.yCoupledywithyayshortageyofyprimaryycareyprov
iders,ythisyincentiveyledymedicalyschoolsytoyplaceygreateryemphasisyonypreparingyprimaryycar
eyphysicians.yCompetitionyfromynonphysiciansyincreasedycoincidentallyyasyprofessionalsyfr
omyotherydisciplinesysteppedyupytoymeetytheyneeds.
Nonphysiciansyhaveyhadyincreasingysuccessyatyprovidingyprimaryycareyandyhaveybeenyshow
nytoybeysafeyandyeffective.
DIF: CognitiveyLevel:y Rememberingy (Knowledge) REF:y 2
2. Whichyofytheyfollowingystatementsyisytrueyaboutytheyprescribingypracticesyofyphysicians?
a. Olderyphysiciansytendytoyprescribeymoreyap
propriateymedicationsythanyyoungeryphys
icians.
b. Antibioticymedicationsyremainyinytheytopy
fiveyclassificationsyofymedicationsypre
scribed.
c. Mostyphysiciansyrelyyonyay“therapeuticyar
mamentarium”ythatyconsistsyofylessythany100
ydrugypreparationsyperyphysician.
d. Theydominantyformyofydrugyinformationyu
sedybyyprimaryycareyphysiciansycontinuesytoy
beythatyprovidedybyypharmaceuticalyco
mpanies.
ANS:yD
Evenythoughymosty physiciansyclaimytoy placey littley weighty onydrugyadvertisements,
, pharmaceuticalyrepresentatives,yandypatientypreferenceyandystateythatytheyyrelyyonyacademi
cysourcesyforydrugyinformation,yaystudyyshowedythatycommercialyratherythanyscientificysource
syofydrugyinformationydominatedytheirydrugyinformationymaterials.yYoungeryphysiciansytendytoy
prescribeyfeweryandymoreyappropriateydrugs.yAntibioticsyhavedroppedyoutyofytheytopyfiveyclas
sificationsyofydrugsyprescribed.yMostyphysiciansyhaveyaytherapeuticyarmamentariumyofyabo
uty144ydrugs.
DIF: CognitiveyLevel:y Rememberingy (Knowledge) REF:y 3
3. Asyprimaryycareynurseypractitionersy(NPs)ycontinueytoydevelopytheiryroleyasyprescribersyofym
edications,yitywillybeyimportantyto:
a. attainytheysameylevelyofyexpertiseyasph
ysiciansywhoycurrentlyyprescribe
medications.
b. learnyfromytheyexperiencesyofyphysiciansy
andydevelopyexpertiseybasedyonyevide
nce-basedypractice.
c. maintainycollaborativeyandysupervisorialyrel
ationshipsywithyphysiciansywhoywillyoverse
eyprescribingypractices.
d. developyrelationshipsywithypharmaceuticalyr
epresentativesytoylearnyaboutynewymedi
cationsyasytheyyareydeveloped.
ANS:yB
Asynonphysiciansydevelopytheyrolesyassociatedywithyprescriptiveyauthority,yitywillybeyimportan
tytoylearnyfromytheypastyexperiencesyofyphysiciansyandytoydevelopyprescribingypracticesybase
dyonyevidence-
basedymedicine.yItyisyhopedythatyallyprescribers,yincludingyphysiciansyandynurseypractitioners,
ywillystrive ytoydoybetterythanyinytheypast.yNPsyshould yworkytowardyprescriptiveyauthorityyandyfo
rypracticeythatyisynotysupervisedybyyanotheryprofessional.yPharmaceuticalyrepresentativesyp
rovideyinformationythatycarriesysomeybias.
Academicysourcesyareybetter.
DIF: CognitiveyLevel:yApplyingy(Application) REF:y4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs, CNMs,
y y y y y y y y y y y y
CRNAs, and CNSs) and Physician Assistants
y y y y y y
Test Bank
y
MULTIPLEyCHOICE
1. AyprimaryycareyNPywillybeginypracticingyinyaystateyinywhichytheygovernoryhasyoptedyoutyofytheyf
ederalyfacilityyreimbursementyrequirement.yTheyNPyshouldybeyawareythatythisydefinesyhowyN
Psymayywriteyprescriptions:
,
,
,Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. ChangeTest
y y y y y y y y y y
Bank
MULTIPLEyCHOICE
1. Whichyofytheyfollowingyhasyinfluencedyanyemphasisyonyprimaryycareyeducationyinymedicalys
chools?
a. ChangesyinyMedicareyreimbursementymetho
dsyrecommendedyiny1992
b. Competitionyfromynonphysiciansydesiringtoy
meetyprimaryycareyshortages
c. Theyneedyforymonopolisticycontrolyinytheym
arketplaceyofyprimaryyoutpatientycare
d. Theyrecognitionythatynonphysiciansyhaveyvari
ableysuccessyprovidingyprimaryycare
ANS:yA
TheyPhysicianyPaymentyReviewyCommissionyiny1992ydirectlyyincreasedyfinancialyreimburs
ementytoycliniciansywhoyprovideyprimaryycare.yCoupledywithyayshortageyofyprimaryycareyprov
iders,ythisyincentiveyledymedicalyschoolsytoyplaceygreateryemphasisyonypreparingyprimaryycar
eyphysicians.yCompetitionyfromynonphysiciansyincreasedycoincidentallyyasyprofessionalsyfr
omyotherydisciplinesysteppedyupytoymeetytheyneeds.
Nonphysiciansyhaveyhadyincreasingysuccessyatyprovidingyprimaryycareyandyhaveybeenyshow
nytoybeysafeyandyeffective.
DIF: CognitiveyLevel:y Rememberingy (Knowledge) REF:y 2
2. Whichyofytheyfollowingystatementsyisytrueyaboutytheyprescribingypracticesyofyphysicians?
a. Olderyphysiciansytendytoyprescribeymoreyap
propriateymedicationsythanyyoungeryphys
icians.
b. Antibioticymedicationsyremainyinytheytopy
fiveyclassificationsyofymedicationsypre
scribed.
c. Mostyphysiciansyrelyyonyay“therapeuticyar
mamentarium”ythatyconsistsyofylessythany100
ydrugypreparationsyperyphysician.
d. Theydominantyformyofydrugyinformationyu
sedybyyprimaryycareyphysiciansycontinuesytoy
beythatyprovidedybyypharmaceuticalyco
mpanies.
ANS:yD
Evenythoughymosty physiciansyclaimytoy placey littley weighty onydrugyadvertisements,
, pharmaceuticalyrepresentatives,yandypatientypreferenceyandystateythatytheyyrelyyonyacademi
cysourcesyforydrugyinformation,yaystudyyshowedythatycommercialyratherythanyscientificysource
syofydrugyinformationydominatedytheirydrugyinformationymaterials.yYoungeryphysiciansytendytoy
prescribeyfeweryandymoreyappropriateydrugs.yAntibioticsyhavedroppedyoutyofytheytopyfiveyclas
sificationsyofydrugsyprescribed.yMostyphysiciansyhaveyaytherapeuticyarmamentariumyofyabo
uty144ydrugs.
DIF: CognitiveyLevel:y Rememberingy (Knowledge) REF:y 3
3. Asyprimaryycareynurseypractitionersy(NPs)ycontinueytoydevelopytheiryroleyasyprescribersyofym
edications,yitywillybeyimportantyto:
a. attainytheysameylevelyofyexpertiseyasph
ysiciansywhoycurrentlyyprescribe
medications.
b. learnyfromytheyexperiencesyofyphysiciansy
andydevelopyexpertiseybasedyonyevide
nce-basedypractice.
c. maintainycollaborativeyandysupervisorialyrel
ationshipsywithyphysiciansywhoywillyoverse
eyprescribingypractices.
d. developyrelationshipsywithypharmaceuticalyr
epresentativesytoylearnyaboutynewymedi
cationsyasytheyyareydeveloped.
ANS:yB
Asynonphysiciansydevelopytheyrolesyassociatedywithyprescriptiveyauthority,yitywillybeyimportan
tytoylearnyfromytheypastyexperiencesyofyphysiciansyandytoydevelopyprescribingypracticesybase
dyonyevidence-
basedymedicine.yItyisyhopedythatyallyprescribers,yincludingyphysiciansyandynurseypractitioners,
ywillystrive ytoydoybetterythanyinytheypast.yNPsyshould yworkytowardyprescriptiveyauthorityyandyfo
rypracticeythatyisynotysupervisedybyyanotheryprofessional.yPharmaceuticalyrepresentativesyp
rovideyinformationythatycarriesysomeybias.
Academicysourcesyareybetter.
DIF: CognitiveyLevel:yApplyingy(Application) REF:y4
Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs, CNMs,
y y y y y y y y y y y y
CRNAs, and CNSs) and Physician Assistants
y y y y y y
Test Bank
y
MULTIPLEyCHOICE
1. AyprimaryycareyNPywillybeginypracticingyinyaystateyinywhichytheygovernoryhasyoptedyoutyofytheyf
ederalyfacilityyreimbursementyrequirement.yTheyNPyshouldybeyawareythatythisydefinesyhowyN
Psymayywriteyprescriptions:
