TEST BANK For Edmunds' Pharmacology for the Primary Care Provider, 5th Edition by Constance G Visovsky 9780323661171 Chapters 1-73 Complete Guide.

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Edmunds' hPharmacology hfor hthe hPrimary hCare
hProvider h5th hEdition hby hConstance hG hVisovsky
hTesthBank hAll hChapters hCovered hA+
Chapter h01: hPrescriptive hAuthority hand hRole hImplementation: hTradition hvs.
hChange




MULTIPLE hCHOICE


1. Which hof hthe hfollowing hhas hinfluenced han hemphasis hon hprimary hcare heducation hin
hmedicalhschools?

a. Changes hin hMedicare hreimbursement hmethods hrecommended hin h1992
b. Competition hfrom hnonphysicians hdesiring hto hmeet hprimary hcare hshortages
c. The hneed hfor hmonopolistic hcontrol hin hthe hmarketplace hof hprimary houtpatient hcare
d. The hrecognition hthat hnonphysicians hhave hvariable hsuccess hproviding hprimary
hcarehANS: hA

The hPhysician hPayment hReview hCommission hin h1992 hdirectly hincreased hfinancial
hreimbursementhto hclinicians hwho hprovide hprimary hcare. hCoupled hwith ha hshortage hof

hprimary hcare hproviders, hthis hincentive hled hmedical hschools hto hplace hgreater hemphasis hon

hpreparing hprimary hcare hphysicians.

Competition hfrom hnonphysicians hincreased hcoincidentally has hprofessionals hfrom hother
hdisciplineshstepped hup hto hmeet hthe hneeds.

Nonphysicians hhave hhad hincreasing hsuccess hat hproviding hprimary hcare hand hhave hbeen
hshown hto hbehsafe hand heffective.




DIF: Cognitive hLevel: hRemembering h(Knowledge) REF: h2


2. Which hof hthe hfollowing hstatements his htrue habout hthe hprescribing hpractices hof
hphysicians?

a. Older hphysicians htend hto hprescribe hmore happropriate hmedications hthan
h youngerhphysicians.


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b. Antibiotic hmedications hremain hin hthe htop hfive hclassifications hof hmedications
hprescribed.




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c. Most hphysicians hrely hon ha h“therapeutic harmamentarium” hthat hconsists hof hless
hthan h100hdrug hpreparations hper hphysician.

d. The hdominant hform hof hdrug hinformation hused hby hprimary hcare hphysicians
hcontinues hto hbehthat hprovided hby hpharmaceutical hcompanies.

ANS: hD
Even hthough hmost hphysicians hclaim hto hplace hlittle hweight hon hdrug hadvertisements,
hpharmaceuticalhrepresentatives, hand hpatient hpreference hand hstate hthat hthey hrely hon

hacademic hsources hfor hdrug hinformation, ha hstudy hshowed hthat hcommercial hrather hthan

hscientific hsources hof hdrug hinformation hdominated htheir hdrug hinformation hmaterials.

hYounger hphysicians htend hto hprescribe hfewer hand hmore happropriate hdrugs. hAntibiotics hhave

hdropped hout hof hthe htop hfive hclassifications hof hdrugs hprescribed. hMost hphysicians hhave ha

htherapeutic harmamentarium hof habout h144 hdrugs.




DIF: Cognitive hLevel: hRemembering h(Knowledge) REF: h3


3. As hprimary hcare hnurse hpractitioners h(NPs) hcontinue hto hdevelop htheir hrole has
hprescribers hofhmedications, hit hwill hbe himportant hto:

a. attain hthe hsame hlevel hof hexpertise has hphysicians hwho hcurrently hprescribe hmedications.
b. learn hfrom hthe hexperiences hof hphysicians hand hdevelop hexpertise hbased hon
hevidence- hbasedhpractice.

c. maintain hcollaborative hand hsupervisorial hrelationships hwith hphysicians hwho hwill
hoverseehprescribing hpractices.

d. develop hrelationships hwith hpharmaceutical hrepresentatives hto hlearn habout hnew
hmedicationshas hthey hare hdeveloped.

ANS: hB
As hnonphysicians hdevelop hthe hroles hassociated hwith hprescriptive hauthority, hit hwill hbe
himportant htohlearn hfrom hthe hpast hexperiences hof hphysicians hand hto hdevelop hprescribing

hpractices hbased hon hevidence-based hmedicine. hIt his hhoped hthat hall hprescribers, hincluding

hphysicians hand hnurse hpractitioners, hwill hstrive hto hdo hbetter hthan hin hthe hpast. hNPs hshould

hwork htoward hprescriptive hauthority hand hfor hpractice hthat his hnot hsupervised hby hanother

hprofessional. hPharmaceutical hrepresentatives hprovide hinformation hthat hcarries hsome hbias.

hAcademic hsources hare hbetter.
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DIF: Cognitive hLevel: hApplying h(Application) REF: h4


Chapter h02: hHistorical hReview hof hPrescriptive hAuthority: hThe hRole hof hNurses h(NPs,
hCNMs,hCRNAs, hand hCNSs) hand hPhysician hAssistants




MULTIPLE hCHOICE


1. A hprimary hcare hNP hwill hbegin hpracticing hin ha hstate hin hwhich hthe hgovernor hhas
hopted hout hofhthe hfederal hfacility hreimbursement hrequirement. hThe hNP hshould hbe haware

hthat hthis hdefines hhow hNPs hmay hwrite hprescriptions:




a. without hphysician hsupervision hin hprivate hpractice.
b. as hCRNAs hwithout hphysician hsupervision hin ha hhospital hsetting.
c. in hany hsituation hbut hwill hnot hbe hreimbursed hfor hthis hby hgovernment hinsurers.
d. only hwith hphysician hsupervision hin hboth hprivate hpractice hand ha hhospital
hsetting.hANS: hB

In h2001, hthe hCenters hfor hMedicare hand hMedicaid hServices hchanged hthe hfederal
hphysician hsupervision hrule hfor hCRNAs hto hallow hstate hgovernors hto hopt hout,

hallowing hCRNAs hto hwritehprescriptions hand hdispense hdrugs hwithout hphysician

hsupervision.




DIF: Cognitive hLevel: hUnderstanding h(Comprehension) REF: h9


2. CRNAs hin hmost hstates:
a. must hhave ha hDrug hEnforcement hAdministration h(DEA) hnumber hto hpractice.
b. must hhave hprescriptive hauthority hto hpractice.
c. order hand hadminister hcontrolled hsubstances hbut hdo hnot hhave hfull hprescriptive
hauthority.

d. administer hmedications, hincluding hcontrolled hsubstances, hunder hdirect
hphysicianhsupervision.

ANS: hC
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