Edmunds' Pharmacology for the Primary Care Provider 5th Edition by Constance G Visovsky Test Bank All Chapters Covered A+

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Edmunds'PharmacologyforthePrimaryCare
Provider5thEdition
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byConstanceGVisovskyTestBankAllChapters m m




Covered




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Chapter01:PrescriptiveAuthorityandRoleImplementation:Traditionvs.Change m




Test Bank
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MULTIPLECHOICE

1. Whichofthefollowinghasinfluencedanemphasisonprimarycareeducationin u




u medicalschools?
a. ChangesinMedicarereimbursement
methodsrecommended in1992
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b. Competitionfromnonphysiciansdesiring m m




tomeet primarycareshortages
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c. Theneedformonopolisticcontrolinthe
marketplaceofprimaryoutpatient care
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d. Therecognitionthatnonphysicianshave
variablesuccess providing primarycare
u u m




ANS: A
ThePhysicianPayment ReviewCommissionin1992directlyincreasedfinancial
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reimbursementtoclinicianswhoprovideprimarycare.Coupledwithashortageofprimary
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u careproviders,thisincentiveledmedicalschoolstoplacegreateremphasisonpreparing
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uprimarycarephysicians.Competitionfrom nonphysiciansincreased coincidentallyas
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professionalsfromotherdisciplinessteppeduptomeet theneeds.Nonphysicianshavehad
u m u




uincreasingsuccessat providingprimarycareand havebeenshowntobesafeandeffective.
u m u m




DIF: Cognitive Level:Remembering(Knowledge)
u u REF: 2 u




2. Whichofthe followingstatements istrueabout the prescribingpractices of physicians?
u u u u u u u u u u u




a. Older physicians tend to prescribe more u u u u u




appropriate medications than younger
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physicians.
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b. Antibioticmedicationsremaininthetop
fiveclassificationsofmedications
u




prescribed.
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c. Mostphysiciansrelyona“therapeutic
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armamentarium”thatconsistsofless
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than100drugpreparationsperphysician.
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d. Thedominantformofdruginformation
usedbyprimarycarephysicians
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continuestobethatprovidedby
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pharmaceuticalcompanies.
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ANS: D
Eventhoughmost physiciansclaim toplace little weight ondrug advertisements,
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pharmaceuticalrepresentatives,andpatient preferenceand statethattheyrelyonacademic
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usourcesfordruginformation,a studyshowedthatcommercialratherthanscientificsources
m u




u ofdrug informationdominatedtheirdruginformationmaterials.Youngerphysicianstend
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utoprescribefewerandmoreappropriatedrugs.Antibioticshavedroppedoutofthetopfive u




u classificationsofdrugsprescribed.Mostphysicianshaveatherapeuticarmamentariumofu




uabout144drugs. u




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




3. Asprimarycarenursepractitioners(NPs)continuetodeveloptheirroleas u




u prescribersofmedications,itwillbeimportantto:
u




a. attain the same level of expertise
u u u u u




as physicians who currently
u




prescribemedications.
b. learn fromtheexperiencesofphysicians
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anddevelopexpertisebasedonevidence-
u




based practice.
u u




c. maintain collaborative and supervisorial u u u




relationships with physicians who will
u u u u u




overseeprescribingpractices.
u




d. developrelationshipswithpharmaceutical
representativestolearnaboutnew
u




medicationsastheyaredeveloped.
u u




ANS: B
Asnonphysiciansdeveloptherolesassociated withprescriptiveauthority,itwillbe
u m




importanttolearnfromthepastexperiencesofphysiciansand todevelopprescribing
u m u




practicesbasedonevidence-basedmedicine.Itishopedthatallprescribers,including
u u u




physicians and nurse practitioners, will strive to do better than in the past. NPs
u u u u u u u u u u u u u u




shouldworktowardprescriptiveauthorityandforpracticethatisnotsupervisedbyanother
u u




professional.Pharmaceuticalrepresentativesprovideinformationthatcarriessome
u




bias.Academicsourcesarebetter.
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DIF: CognitiveLevel:Applying(Application) REF: 4 u




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




uof Nurses(NPs,CNMs,CRNAs,andCNSs)andPhysician Assistants
u u u




TestBank

MULTIPLECHOICE

1. Aprimary care NP willbeginpracticing ina state in whichthe governorhasoptedout
u u u u ofthe
u u u u u




ufederal facility reimbursement requirement. The NP should be aware that this defineshow
u u u u u u u u u u u




uNPsmaywriteprescriptions:




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