Pharmacology For the Primary Care Provider 4th Edition by Edmunds Mayhew
Pharmacology For the Primary Care Provider 4th Edition by Edmunds Mayhew
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Chapter 02: Historical Review of Prescriptive Authority: The Role of Nurses (NPs, CNMs, CRNAs, and CNSs) and Physician Assistants
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | without physician supervision in private practice. |
| b. | as CRNAs without physician supervision in a hospital setting. |
| c. | in any situation but will not be reimbursed for this by government insurers. |
| d. | only with physician supervision in both private practice and a hospital setting. |
ANS: B
In 2001, the Centers for Medicare and Medicaid Services changed the federal physician supervision rule for CRNAs to allow state governors to opt out, allowing CRNAs to write prescriptions and dispense drugs without physician supervision.
DIF: Cognitive Level: Understanding (Comprehension) REF: 9
| a. | must have a Drug Enforcement Administration (DEA) number to practice. |
| b. | must have prescriptive authority to practice. |
| c. | order and administer controlled substances but do not have full prescriptive authority. |
| d. | administer medications, including controlled substances, under direct physician supervision. |
ANS: C
Only five states grant independent prescriptive authority to CRNAs. CRNAs do not require prescriptive authority because they dispense a drug immediately to a patient and do not prescribe. Without prescriptive authority, they do not need a DEA number.
DIF: Cognitive Level: Understanding (Comprehension) REF: 9
| a. | may treat only women. |
| b. | has prescriptive authority in all 50 states. |
| c. | may administer only drugs used during labor and delivery. |
| d. | may practice only in birthing centers and home birth settings. |
ANS: B
CNMs have prescriptive authority in all 50 states. They may treat partners of women for sexually transmitted diseases. They have full prescriptive authority and are not limited to drugs used during childbirth. They practice in many other types of settings.
DIF: Cognitive Level: Remembering (Knowledge) REF: 9
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