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test bank for pharmacology for primary provider 4th edition edmunds.
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TEST BANK Pharmacology for the Primary Care Provider, 4th m Edition by Marilyn Winterton Edmunds and Maren Stewart Mayhew
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Test Bank - Pharmacology for the Primary Care Provider, 4th Edition (Edmunds, 2014), Chapter 1-73 | All Chapters
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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,
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CNMs, CRNAs, and CNSs) and Physician Assistants Test Bank
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