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TEST BANK For Edmunds' Pharmacology for the Primary Care Provider, 5th Edition by Constance Visovsky, Verified Chapters 1 - 73, Complete Newest Version$17.99
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TEST BANK For Edmunds' Pharmacology for the Primary Care Provider, 5th Edition by Constance Visovsky, Verified Chapters 1 - 73, Complete Newest Version
TEST BANK For Edmunds' Pharmacology for the Primary Care Provider, 5th Edition by Constance Visovsky, Verified Chapters 1 - 73, Complete Newest Version
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Edmunds'PharmacologyforthePrimaryCare
Provider5thEdition
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byConstanceGVisovskyTestBankAllChapters
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Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. ChangeTest
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Bank
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MULTIPLECHOICE
1. Which of the following has influenced an emphasis on primary care educationin
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c medicalschools?
a. ChangesinMedicarereimbursement c c c
methods recommended in 1992
c c c c
b. Competition fromnonphysicians desiring c c c
to meet primary care shortages
c c c c c
c. Theneed formonopolistic control in the c c c c c c
marketplace of primary outpatient care
c c c c c
d. Therecognition that nonphysicians have c c c
variable success providing primarycare
c c c c c
ANS: A
The Physician Payment Review Commission in 1992 directly increased financial
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reimbursement to clinicians who provide primary care. Coupled with a shortage of primary
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ccare providers, this incentive led medical schools to place greater emphasisonpreparing
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cprimary care physicians. Competition from nonphysicians increased coincidentally as
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cprofessionals from other disciplines stepped up to meet the needs. Nonphysicians have had
c c c c c c c c c c c c
cincreasing success at providing primary care and have beenshown to be safe and effective.
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DIF: Cognitive Level: Remembering(Knowledge) c c c REF: 2 c
2. Which of the following statements is true about the prescribing practices of physicians?
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a. Older physicians tend to prescribe more c c c c c
appropriate medications than younger
c c c c
physicians.
c
b. Antibioticmedications remain in thetop c c c c c
five classifications of medications
c c c c
prescribed.
c
c. Most physicians rely on a “therapeutic c c c c c
armamentarium” that consists of less
c c c c c
than 100 drug preparations per c c c c
physician.
c
d. The dominant form of drug information c c c c c
used by primary care physicians
c c c c c
continuesto be that provided by
c c c c c
pharmaceutical companies.
c c
ANS: D
Even though most physicians claim to place little weight on drug advertisements,
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pharmaceutical representatives, and patient preference and state that they rely on academic
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csources for drug information, a study showed that commercial rather than scientific
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csources of drug information dominated their drug information materials. Younger
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physicians tend to prescribe fewer and moreappropriate drugs.Antibiotics have dropped
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cout of the top five classifications of drugs prescribed. Most physicianshave a therapeutic
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carmamentarium of about 144 drugs. c c c c
DIF: Cognitive Level: Remembering(Knowledge) c c c REF: 3 c
3. As primary care nurse practitioners (NPs) continue to develop their role as
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prescribers ofmedications, it will be important to:
c c c c c c c
a. attain the same level of expertise c c c c c
as physicians who currently
prescribe medications.
c c
b. learn from the experiences of physicians c c c c c
and develop expertise based on evidence-
c c c c c c
based practice. c
c. maintain collaborative and supervisorial c c c
relationships with physicians who will
c c c c c
oversee prescribing practices.
c c c
d. develop relationships with pharmaceutical c c c
representatives to learn about new
c c c c c
medications as they are developed.
c c c c c
ANS: B
As nonphysicians develop the roles associated with prescriptive authority, it will be
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important to learn from the past experiences of physicians and to develop prescribing
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practices based on evidence-based medicine. It is hoped that all prescribers, including
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physicians and nurse practitioners, will strive to do better than in the past. NPs should
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work toward prescriptive authority and for practice that is not supervised by another
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professional. Pharmaceutical representatives provide information that carries some
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bias.Academic sources are better.
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DIF: Cognitive Level:Applying (Application) c c c REF: 4 c
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Chapter 02: Historical Review
c of Prescriptive Authority: The Role c c
of Nurses (NPs,CNMs, CRNAs, and CNSs) and Physician Assistants
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TestBank
MULTIPLECHOICE c
1. A primary care NP will begin practicing in a state in which the governor has opted out of
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c the federal facility reimbursement requirement. The NP should be aware that this defineshow
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c NPs may write prescriptions:
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