Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change
1. Which of the following has influenced an emphasis on primary care education in medical schools?
Changes in Medicare reimbursement methods recommended in 1992
Competition from nonphysicians desiring to meet primary care shortages
The need for monopolistic control in the marketplace of primary outpatient care
The recognition that nonphysicians have variable success providing primary care
2. Which of the following statements is true about the prescribing practices of physicians?
Older physicians tend to prescribe more appropriate medications than younger physicians.
Antibiotic medications remain in the top five classifications of medications prescribed.
Most physicians rely on a “therapeutic armamentarium” that consists of less than 100 drug preparations per physician.
The dominant form of drug information used by primary care physicians continues to be that provided by pharmaceutical companies.
3. As primary care nurse practitioners (NPs) continue to develop their role as prescribers of medications, it will be important to:
attain the same level of expertise as physicians who currently prescribe medications.
learn from the experiences of physicians and develop expertise based on evidence-based practice.
maintain collaborative and supervisorial relationships with physicians who will oversee prescribing practices.
develop relationships with pharmaceutical representatives to learn about new medications as they are developed.