Preview Extract
Chapter 6: The Prescription Multiple Choice Questions 1. A ________ prescription is handwritten by the physician on a single preprinted sheet. a. computerized b. electronic c. verbal d. written Answer: d. written Correct Feedback: A written prescription is handwritten on a single preprinted sheet taken from a prescription pad. a. computerized Incorrect Feedback: A computerized prescription is done on the computer, not handwritten. b. electronic Incorrect Feedback: Electronic prescriptions are generated by the computer. c. verbal Incorrect Feedback: Verbal prescriptions are not handwritten by the provider on a single sheet of paper, but are given over the telephone. 2. Which type of prescription is typed into the medical office’s computer system, a copy printed out, and then signed by the physician and given to the patient? a. computerized b. electronic c. verbal d. written Answer: a. computerized Correct Feedback: Computerized prescriptions are typed into the medical office’s computer system, a copy is printed out and then signed by the physician and given to the patient. b. electronic Incorrect Feedback: Electronic prescriptions are generated by a computer, but are not signed by the physician; an electronic signature is automatically imprinted on the bottom of the prescription. c. verbal Incorrect Feedback: Verbal prescriptions are not typed into a medical office’s computer system, but are provided over the telephone or in person. d. written Incorrect Feedback: Written prescriptions are not typed into the medical office’s computer system, but are handwritten. 3. Which type of prescription is generated by a computer and not signed by the physician? a. computerized b. electronic c. verbal d. written Answer: b. electronic Correct Feedback: An electronic prescription is generated by a computer, but is not signed by the physician. Instead, the physician’s digital electronic signature is automatically imprinted at the bottom of the prescription. a. computerized Incorrect Feedback: Computerized prescriptions are printed out and signed by the physician. c. verbal Incorrect Feedback: Verbal prescriptions are not generated by a computer. d. written Incorrect Feedback: Written prescriptions are signed by the physician and are not generated by a computer. 4. A pharmacist can fill a prescription without having it on a prescription form and without a physician’s signature for which of the following types of drugs? a. drugs that are not controlled substances b. Schedule I drugs c. Schedule II drugs d. Schedule III drugs Answer: a. drugs that are not controlled substances Correct Feedback: When the prescription is for a drug that is not a controlled substance, the pharmacist can fill the prescription without having a printed-out prescription and without having the physician’s signature. b. Schedule I drugs Incorrect Feedback: Schedule I drugs are controlled substances and require a written and signed prescription. c. Schedule II drugs Incorrect Feedback: Schedule II drugs are controlled substances and require a written and signed prescription. d. Schedule III drugs Incorrect Feedback: Schedule III drugs are controlled substances and require a written and signed prescription. 5. What is the name given to a group of specific orders that are preprinted on a hospital’s physician’s order sheet? They often pertain to a protocol of treatment related to a specific disease or surgical procedure. a. automatic stop orders b. medication orders c. standing orders d. verbal orders Answer: c. standing orders Correct Feedback: Standing orders are a group of specific orders that are preprinted on the facility’s physician’s order sheet. They often pertain to a protocol of treatment related to a specific disease or surgical procedure. a. automatic stop orders Incorrect Feedback: Automatic stop orders originate from the hospital pharmacy and are not preprinted on the physician’s order sheet. b. medication orders Incorrect Feedback: Medication orders are individually written on the physician’s order sheet, not preprinted as a group. d. verbal orders Incorrect Feedback: Verbal orders are orders given verbally, not preprinted as group on the physician’s order sheet. 6. What type of order does not originate with the physician, but with the hospital pharmacy? a. automatic stop orders b. medication orders c. standing orders d. verbal orders Answer: a. automatic stop orders Correct Feedback: Automatic stop orders are a type of medication order that originates not with the physician but with the hospital pharmacy. b. medication orders Incorrect Feedback: Medication orders originate with the physician. c. standing orders Incorrect Feedback: Standing orders originate with the physician. d. verbal orders Incorrect Feedback: Verbal orders originate with the physician. 7. Prescriptions for most drugs (except schedule drugs) are valid for how long from the date on the prescription form? a. seven days b. three months c. six months d. one year Answer: d. one year Correct Feedback: A prescription for a prescription drug is only valid for one year from the date on the prescription form. a. seven days Incorrect Feedback: This is not correct. b. three months Incorrect Feedback: This is not correct. c. six months Incorrect Feedback: This is not correct. 8. Prescriptions for Schedule III through Schedule V drugs are valid for how long from the date on the prescription form? a. seven days b. three months c. six months d. one year Answer: c. six months Correct Feedback: A prescription for a Schedule III through Schedule V drug is only valid for six months from the date on the prescription form. a. seven days Incorrect Feedback: This is not correct. b. three months Incorrect Feedback: This is not correct. d. one year Incorrect Feedback: This is not correct. 9. Prescriptions for Schedule II drugs are valid for how long from the date on the prescription form? a. seven days b. three months c. six months d. one year Answer: a. seven days Correct Feedback: A prescription for a Schedule II drug is only valid for seven days from the date on the form. b. three months Incorrect Feedback: This is not correct. c. six months Incorrect Feedback: This is not correct. d. one year Incorrect Feedback: This is not correct. 10. Which of the following is NOT used when writing a drug name on a prescription? a. abbreviation b. chemical name c. generic name d. trade name Answer: b. chemical name Correct Feedback: The chemical name of a drug is not used in writing a prescription a. abbreviation Incorrect Feedback: While abbreviations of drug names should be avoided because they can be misread, they can be used. c. generic name Incorrect Feedback: The generic name is often used when writing the drug’s name on a prescription. d. trade name Incorrect Feedback: The trade name is often used when writing the drug’s name on a prescription. 11. When a physician writes the directions for use on a prescription, those directions describe three things. Which of the following is NOT one of the things included in the directions for use? a. the amount of the dose b. the drug form c. the frequency of the dose d. the route of administration Answer: b. the drug form Correct Feedback: The drug form is specified at the beginning of the prescription, not under the section Sig that gives the directions for use. a. the amount of the dose Incorrect Feedback: The amount of the dose is included in the directions, such as take two tablets before bedtime. c. the frequency of the dose Incorrect Feedback: The frequency of the dose is included in the directions, such as take one tablet three times a day. d. the route of administration Incorrect Feedback: The route of administration is included in the direction, such as take one tablet by mouth. 12. All drug orders in the hospital carry an automatic stop order that is activated whenever a patient ______. a. is transferred to another nursing unit b. goes to surgery c. is discharged to home d. all of the above Answer: d. all of the above Correct Feedback: All drug orders carry an automatic stop order that is activated whenever a patient’s situation changes in the hospital (e.g., the patient goes to surgery, is transferred to another nursing unit within the hospital, is discharged to another healthcare facility, or is discharged to home). a. is transferred to another nursing unit Incorrect Feedback: This is true, but it is not the only correct statement. b. goes to surgery Incorrect Feedback: This is true, but it is not the only correct answer. c. is discharged to home Incorrect Feedback: This is true, but it is not the only correct statement. 13. All of the following are identifying information about the prescriber that is preprinted on a prescription form EXCEPT ______. a. the physician’s office phone number b. the physician’s DEA number c. the physician’s name d. the physician’s office address Answer: b. the physician’s DEA number Correct Feedback: On a prescription form, the physician’s name (and/or the name of the medical group), office address, and phone number are preprinted at the top of the prescription form to positively identify the prescriber. Many preprinted prescription forms provide a preprinted line on which to write the DEA number, but the number itself is never preprinted on the form. a. the physician’s office phone number Incorrect Feedback: This is preprinted on the prescription form. c. the physician’s name Incorrect Feedback: This is preprinted on the prescription form. d. the physician’s office address Incorrect Feedback: This is preprinted on the prescription form. 14. Nonprescription (over-the-counter) drugs _____. a. do not require a prescription and can be purchased by any adult b. do not require a prescription and can be purchased by anyone c. require a prescription and can be purchased by any adult d. require a prescription and can be purchased by anyone Answer: a. do not require a prescription and can be purchased by any adult Correct Feedback: Nonprescription (over-the-counter) drugs do not require a prescription and can be purchased by any adult. b. do not require a prescription and can be purchased by anyone Incorrect Feedback: While nonprescription drugs do not require a prescription, they can only be purchased by an adult. c. require a prescription and can be purchased by any adult Incorrect Feedback: Nonprescription drugs do not require a prescription. d. require a prescription and can be purchased by anyone Incorrect Feedback: Nonprescription drugs do not require a prescription and can only be purchased by an adult. 15. Several ethical concerns have been raised about online pharmacies that offer”prescription drugs without a prescription.” Which of the following statements is NOT one of the ethical concerns about these types of online pharmacies. a. These pharmacies do not provide patient education and counseling. b. These pharmacies are an easy source of drugs for addicts. c. Some of the drugs could come from foreign countries with poor quality control. d. The patient is not actually examined by a physician before being given a prescription. Answer: a. These pharmacies do not provide patient education and counseling. Correct Feedback: Some Internet pharmacies are unscrupulous and do not require a prescription form. The company’s doctor, without examining the patient, writes a prescription for the drug. Internet pharmacies can be an easy source of drugs for an addict. Some obtain their drugs from foreign countries where the quality and purity of the drugs may be compromised. b. These pharmacies are an easy source of drugs for addicts. Incorrect Feedback: This is one of the ethical concerns. c. Some of the drugs could come from foreign countries with poor quality control. Incorrect Feedback: This is one of the ethical concerns. d. The patient is not actually examined by a physician before being given a prescription. Incorrect Feedback: This is one of the ethical concerns. 16. Which type of medication order is carried out (or dispensed) before a physician’s signature is obtained? a. electronic order b. standing order c. verbal order d. written order Answer: c. verbal order Correct Feedback: Verbal orders are carried out or dispensed before the doctor signs the order. When a patient has been admitted to the hospital, the patient’s physician may give a verbal drug order over the telephone to a licensed nurse. The order is then sent to the pharmacy to be carried out. The physician must then come to the facility to personally sign the order within a specific amount of time. a. electronic order Incorrect Feedback: An electronic order is digitally signed with the physician’s name at the time it is created. b. standing order Incorrect Feedback: A standing order is signed by the physician prior to being carried out or dispensed. d. written order Incorrect Feedback: A written order is signed by the physician before it is carried out or dispensed. 17. A legitimate Internet pharmacy ______. a. advertises that it will provide prescription drugs without a prescription b. can be an easy source of drugs for an addict c. calls the doctor to verify the validity of a prescription before filling it d. all of the above Answer: c. calls the doctor to verify the validity of a prescription before filling it Correct Feedback: For a legitimate Internet pharmacy, patients mail in their actual prescriptions, and the Internet pharmacy calls the doctor to verify the validity of the prescription before filling it. However, some Internet pharmacies are unscrupulous and do not require a prescription form and do not check with the patient’s physician. They advertise that they will provide “prescription drugs without a prescription.” Unscrupulous Internet pharmacies can be an easy source of drugs for an addict. a. advertises that it will provide prescription drugs without a prescription Incorrect Feedback: An unscrupulous Internet pharmacy, not a legitimate one, will provide prescription drugs without a prescription. b. can be an easy source of drugs for an addict Incorrect Feedback: An unscrupulous Internet pharmacy, not a legitimate one, is an easy source of drugs for an addict. d. all of the above Incorrect Feedback: A legitimate pharmacy does not do all of these things. 18. A prescription can be written by all of the following EXCEPT ______. a. a physician or dentist b. a podiatrist or optometrist c. a nurse d. a physician’s assistant or nurse practitioner Answer: c. a nurse Correct Feedback: Prescription drugs can only be ordered by a licensed physician or doctor of osteopathy (MD or DO), dentist (DDS), podiatrist (DPM.), or other appropriately licensed healthcare provider such as a physician’s assistant (PA), nurse practitioner (NP), or optometrist (OD). This list does not include nurses. a. a physician or dentist Incorrect Feedback: A physician or dentist can write a prescription. b. a podiatrist or optometrist Incorrect Feedback: A podiatrist or optometrist can write a prescription. d. a physician’s assistant or nurse practitioner Incorrect Feedback: A physician’s assistant or nurse practitioner can write a prescription. 19. A prescription form is used to convey to ______ a written record of a physician’s order of a drug for a patient. a. another physician b. the pharmacist c. the patient d. none of the above Answer: b. the pharmacist Correct Feedback: a prescription form is used to convey to a pharmacist a written record of a physician’s order of a drug for a patient. a. another physician Incorrect feedback: the physician does not write a prescription to another physician. c. the patient Incorrect feedback: the physician does not write a prescription to the patient, but for the patient. d. none of the above Incorrect feedback: one of these answers is correct. 20. In a prescription or medication order, after the drug name and the drug strength, the next thing that would be the written is the ______. a. unit of measurement b. physician’s signature c. patient’s age and weight d. the unique Rx number Answer: a. unit of measurement Correct Feedback: a number appears right after the name of the drug. This number, which indicates the drug strength, is followed by an abbreviation of a unit of measurement. b. physician’s signature Incorrect Feedback: the physician’s signature is at the end of the prescription form. c. patient’s age and weight Incorrect Feedback: if included, the patient’s age and weight are at the beginning of a prescription form. d. the unique Rx number Incorrect Feedback: the unique Rx number is assigned by the pharmacist, not written in the prescription or medication order. 21. Official prescription forms used to prescribe schedule II drugs include all of the following security features except ______. a. an imprinted seal b. the physician’s DEA number c. a control number d. thermochromatic ink Answer: b. the physician’s DEA number Correct Feedback: official prescription forms contain security features (a control number, thermos chromatic ink, and an imprinted seal) that are designed to prevent alterations and forgeries. For schedule drugs, the physician's assigned federal DEA (drug enforcement agency) number must be written in for the prescription to be valid. a. an imprinted seal Incorrect Feedback: official prescription forms for schedule drugs do contain an imprinted seal. c. a control number Incorrect Feedback: official prescription forms for schedule drugs do contain a control number. d. thermochromatic ink Incorrect Feedback: official prescription forms for schedule drugs do use thermochromatic ink. 22. If a handwritten prescription was photocopied, and the word “VOID” became visible on the photocopy, this would tell you that the prescription was ________. a. not valid b. for an over-the-counter drug c. expired and would not be filled by the pharmacist d. on an official prescription form used for a Schedule II drugs Answer: d. on an official prescription form used for a Schedule II drugs Correct Feedback: Prescriptions for Schedule II drugs must be written on an official prescription form. These prescription forms may include background repetition of the word “void” that becomes visible if someone attempts to photocopy or fax these forms. a. not valid Incorrect Feedback: This is not true statement. b. for an over-the-counter drug Incorrect Feedback: Physicians do not write prescriptions for over-the-counter drugs as they can be purchased without a prescription. c. expired and would not be filled by the pharmacist Incorrect Feedback: This is not a true statement. 23. The paper physician’s order sheet is _______. a. kept on file in the physician’s office b. kept in a computer c. part of a preprinted prescription pad d. located at the front of the patient’s hospital medical record. Answer: d. located at the front of the patient’s hospital medical record. Correct Feedback: The physician’s order sheet is located at the front of the patient’s hospital medical record. a. kept on file in the physician’s office Incorrect Feedback: The physician’s order sheet is not kept in the physician’s office. b. kept in a computer Incorrect Feedback: The physician’s order sheet is a paper record, not kept in a computer c. part of a preprinted prescription pad Incorrect Feedback: A prescription form, not a physician’s order sheet, is part of a prescription pad. 24. To obtain a refill of a prescription drug, the patient must _______. a. rewrite the prescription b. provide the pharmacy with the unique Rx number c. seek information and counseling from the pharmacist d. request a childproof safety cap Answer: b. provide the pharmacy with the unique Rx number Correct Feedback: To obtain a refill, the patient must provide this unique prescription number to the pharmacy. a. rewrite the prescription Incorrect Feedback: The patient cannot write or rewrite a prescription. c. seek information and counseling from the pharmacist Incorrect Feedback: Pharmacists provide information and counseling, but this is not a prerequisite for refilling a prescription. d. request a childproof safety cap Incorrect Feedback: The pharmacist may offer a childproof cap, but it is not a prerequisite for obtaining a refill of the prescription. 25. According to the National Association of Chain Drug Stores, many seniors are ________ because of expensive drug costs. a. relying on their primary care physician to give them drug samples b. cutting down on the frequency of drug doses c. doing without their drugs d. all of the above Answer: d. all of the above Correct Feedback: The president of the National Association of Chain Drug Stores reported that many seniors rely on the kindness of their primary care physicians to supply them with enough drug samples to last until their next visit, or they cut down on the frequency of doses, or they simply do without their drugs. a. relying on their primary care physician to give them drug samples Incorrect Feedback: This is true, but it is not the only correct statement. b. cutting down on the frequency of drug doses Incorrect Feedback: This is true, but it is not the only correct statement. c. doing without their drugs Incorrect Feedback: This is true, but it is not the only correct statement. 26. Prescribing schedule drugs is restricted under the Controlled Substances Act of 1970. Answer: True Feedback: Prescribing prescription drugs with a potential for abuse or physical/psychological dependence (e.g., schedule drugs or controlled substances) is restricted under the Controlled Substances Act of 1970. 27. The abbreviation Sig. in a prescription refers to the signature line where the physician signs. Answer: False Feedback: The abbreviation Sig. stands for the Latin word signetur, meaning write on the label. It indicates that the directions for how to use the drug will follow. 28. Some unscrupulous Internet pharmacies obtain their drugs from foreign countries where the quality and purity of the drugs may be compromised. Answer: True Feedback: Some unscrupulous Internet pharmacies obtain their drugs from foreign countries where the quality and purity of the drugs may be compromised. 29. All states have passed laws that say that a physician must write a prescription that is legible and can be read. Answer: False Feedback: Handwritten prescriptions can be notoriously difficult to read. Some states, such as Florida, but not all states, have passed a law that all handwritten prescriptions must be legible! 30. The hospital’s pharmacy committee decides how many days any medication order for a scheduled drug will continue to be filled until the pharmacy automatically stops it. Answer: True Feedback: Medication orders for certain types of drugs (e.g., controlled substances) are only valid for a certain number of days while the patient is in the hospital. (The exact number of days is determined by the hospital’s pharmacy committee.) After that time, the pharmacy automatically stops sending the drug. 31. The use of generic rather than trade name drugs can result in considerable savings to consumers. Answer: True Feedback: The use of generic rather than trade name drugs can result in considerable savings to consumers. 32. Prescriptions for controlled substances require the physician’s DEA number. Answer: True Feedback: For schedule drugs, the physician's assigned federal DEA (Drug Enforcement Agency) number must be included for the prescription to be valid. 33. Handwritten prescriptions can be written in ink or pencil, as long as they are legible. Answer: False. Feedback: All handwritten prescriptions must be written in ink, not pencil. 34. Only the drug’s trade name can be used when writing a prescription. Answer: False Feedback: The physician may write either the drug’s generic name or its trade name on the prescription form. 35. Childproof caps were introduced in 1984 and are important for keeping children from mistaking colorful prescription drug capsules and tablets for candy. Answer: True Feedback: The childproof safety cap for prescription drug bottles was invented in 1984. Childproof caps on prescription bottles keep children in the home from mistaking colorful prescription drug capsules and tablets for candy. 36. When a hospital patient is discharged home, the attending physician in the hospital provides individual prescriptions that the patient can take to a local pharmacy to be filled. Answer: True Feedback: If the patient is discharged to home, the attending physician at the hospital provides individual prescriptions that the patient can take to a local pharmacy to be filled. 37. OTC drugs must have a written prescription from a physician or dentist. Answer: False Feedback: nonprescription (over-the-counter) drugs do not require a prescription and can be purchased by any adult. 38. No physician is allowed to write a medication order for a hospital patient unless he/she is already an approved member of the hospital’s medical staff. Answer: True Feedback: No physician is permitted to write orders, including medication orders, unless he/she is already an approved member of the hospital’s medical staff. 39. For the sake of convenience and to speed up office visits, the physician should presign some blank prescription forms ahead of time. Answer: False Feedback: The physician should never pre-sign blank prescription forms. 40. On a medication order for a patient in the hospital, the physician must write both the date and the time. Answer: True Feedback: On a physician’s order sheet, the physician writes the full date next to each medication order. In addition, the time of the order is written next to the date. This is because medication orders in the hospital setting are time sensitive and must be filled by the pharmacy and administered by the nurse in a timely manner. 41. Most prescription forms come with a large preprinted Rx just to the left of the area where the prescription itself will be handwritten. Answer: True Feedback: Most prescription forms come with a large preprinted Rx just to the left of the area where the prescription itself will be handwritten. 42. Writing an abbreviation of a drug name on a prescription form or physician’s order sheet is common and saves time and avoids confusion. Answer: False Feedback: Abbreviations of drug names are avoided because they may be misread and mistaken for a different drug. 43. One advantage of a computerized or an electronic prescription is that the patient does not have to hand-carry it to the pharmacy because it can be faxed to the pharmacist. Answer: True Feedback: A computerized prescription can be faxed directly to the pharmacist. An electronic prescription can be faxed directly to the pharmacist. 44. The DEA number consists of nine characters, the first two of which are A, B, or C for physicians and M for other practitioners. Answer: True Feedback: The DEA number consists of nine characters, the first two of which are A, B, or C for physicians and M for other practitioners. 45. Prescriptions written for prescription drugs require that the physician include his/her DEA number. Answer: False Feedback: Prescriptions for drugs that are not controlled substances do not require the physician’s DEA number. Prescriptions for controlled substances require a DEA number. 46. If a prescription is filled by a pharmacy technician, it must then be checked for accuracy by a pharmacist. Answer: True Feedback: After a prescription is received, the pharmacist verifies the drug and dose prescribed and then fills the prescription. In a large facility, these tasks may be completed by a pharmacy technician and then checked for accuracy by a pharmacist. 47. Because each hospital has its own formulary of which drugs it has in stock, the hospital pharmacist will dispense the generic equivalent of a drug unless the physician specifically requests the trade name. Answer: True Feedback: Each hospital has its own formulary that contains all of the drugs that are stocked by the hospital pharmacy. The hospital pharmacist will dispense the generic equivalent of a drug unless the physician specifically requests a particular trade name. 48. A prescription is a medicolegal document. It contains medical information and it can be used as evidence in a court of law. Answer: True Feedback: A prescription is a medicolegal document; it conveys precise medical information, and it is a legal document that can be used as evidence in a court of law. 49. In the hospital, medication orders are handwritten on a large preprinted form known as a prescription pad or prescription record. Answer: False Feedback: Medication orders are handwritten on a large preprinted form known as the physician’s order sheet or physician’s order record. 50. The physician’s name (and/or the name of the medical group), office address, and phone number are preprinted on both prescription forms in the office and on the physician’s order sheets in the hospital. Answer: False Feedback: This information is not included on the physician’s order sheet. The physician’s signature after the written order provides his/her name; all other information about the physician is already on file with the hospital. 51. The patient’s first and last name are handwritten on a physician’s order sheet and preprinted on a prescription form. Answer: False Feedback: It is exactly the opposite. The patient’s first and last name and his/her address are handwritten on the prescription form by the physician. This information is already preprinted on the physician’s order sheet. 52. The abbreviation Rx is printed on both the prescription form and on the physician’s order sheet. Answer: False Feedback: The abbreviation Rx is not preprinted on a physician’s order sheet because the page is large and is used to order other types of treatments and services (e.g., physical therapy, social services) in addition to drugs. 53. Even though a prescription is submitted by the patient to the pharmacy to be filled, the prescription itself remains the property of the prescribing physician. Answer: False Feedback: Once a prescription is submitted to the pharmacy, it becomes the property of the pharmacy. 54. Once a pharmacist receives a prescription, he/she assigns a unique prescription number (Rx #) that is printed on the label of the prescription bottle and is unique to that prescription. Answer: True Feedback: The pharmacist assigns a unique prescription number (Rx #) that is printed on the label of the prescription bottle and is unique to that prescription. 55. Verbal orders for a patient in the hospital can be given over the phone to a licensed nurse. Since the order is verbal, the nurse does not need to write it on the physician’s order sheet. Answer: False Feedback: When a patient has been admitted to the hospital, the patient’s physician may give a verbal drug order over the telephone to a licensed nurse, who then writes the order on the physician’s order sheet. 56. In addition to standing orders when a patient enters the hospital, a physician would also write more specific medication orders for drugs to treat the patient’s other current medical needs. Answer: True Feedback: In addition to the standing orders, the physician would also write more specific medication orders to address the patient’s other medical needs for drugs for ongoing disease processes (diabetes, hypertension, etc.). 57. In the past, prescriptions were actually recipes listing several ingredients to be crushed and mixed by the pharmacist before dispensing. Answer: True Feedback: Prescriptions were, at one time, actually recipes listing several ingredients to be crushed and mixed by the pharmacist before dispensing. 58. The physician does NOT need to provide his/her DEA number when writing a medication order for a controlled substance if the patient is in the hospital. Answer: True Feedback: The physician does not need to provide his/her DEA number when writing a medication order for a controlled substance for a patient in the hospital or other healthcare facility. When the physician became a member of the medical staff of that hospital, his/her DEA certification was verified and is kept on file. 59. In some large facilities, pharmacy technicians are the ones who actually verify the drug and dose prescribed and then fill the prescription. Answer: True Feedback: After a prescription is received, the pharmacist verifies the drug and dose prescribed and then fills the prescription. In a large facility, these tasks may be completed by a pharmacy technician. Their work is then checked for accuracy by the pharmacist. 60. Legitimate Internet pharmacies have a seal on the home page of their Website that says “Verified Internet Pharmacy Provider Site.” True Answer: True Feedback: Legitimate Internet pharmacies have a seal on the home page of their Website that says “Verified Internet Pharmacy Provider Site.” 61. A _________ is a written, computerized, electronic, or verbal order from a physician (or other qualified healthcare provider) to a pharmacist, giving instructions as to how to dispense a drug to a specific patient who has been diagnosed with a condition that requires drug therapy. Answer: prescription Feedback: A prescription is a written, computerized, electronic, or verbal order from a physician (or other healthcare provider) to a pharmacist, giving instructions as to how to dispense a drug to a specific patient who has been diagnosed with a condition that requires drug therapy. 62. A ________ is the written record of a physician’s order to the pharmacist to dispense a drug to a patient who is in the hospital or other healthcare facility. Answer: medication order Feedback: A medication order is the written record of a physician’s order to the pharmacist to dispense a drug to a patient who is in a hospital or other healthcare facility. 63. When a licensed nurse receives this type of order, they write it in the chart and mark it as a V.O. The abbreviation V.O. stands for _________. Answer: verbal order Feedback: When a patient has been admitted to the hospital, the patient’s physician may give a verbal drug order over the telephone to a licensed nurse, who then writes the order on the physician’s order sheet in the patient’s medical record, marks it as a verbal order (V.O.). 64. The etiology of the word _________ comes from a Latin word meaning a written order. Answer: prescription Feedback: The etiology of the word prescription comes from the Latin word praescriptio, meaning a written order. 65. The abbreviation Rx stands for the Latin word recipere, meaning __________. Answer: to take Feedback: The Rx abbreviation stands for the Latin word recipere, meaning to take. 66. The abbreviation Sig. stands for the Latin word signetur, meaning __________ Answer: write on the label Feedback: The abbreviation Sig. stands for the Latin word signetur, meaning write on the label. 67. The abbreviation NR on a prescription form stands for ______. Answer: no refills Feedback: The abbreviation NR on a prescription form stands for no refills. 68. For schedule drugs, the physician’s assigned federal DEA number must be included for the prescription to be valid. The abbreviation DEA stands for ______. Answer: Drug Enforcement Agency Feedback: For schedule drugs, the physician's assigned federal DEA (Drug Enforcement Agency) number must be included for the prescription to be valid. 69. Verbal orders are also known as __________. Answer: telephone orders Feedback: Verbal orders are also known as telephone orders. 70. __________ contain common orders that are the same for any patient who has that specific disease or is scheduled for that surgical procedure. Answer: Standing orders Feedback: Standing orders contain standard common orders that are the same for any patient who has a specific disease or is scheduled for a specific surgical procedure. 71. A healthcare professional who fills prescriptions and provides personalized services by answering questions and helping customers understand what drugs they are taking is known as a ______. Answer: pharmacist Feedback: A pharmacist offers personalized services by answering questions and helping customers understand what drugs they are taking and when and how to take them. 72. Define these abbreviations. DAW _______ DEA ________ NR _________ V.O. ________ Answer: Dispense as written, Drug Enforcement Administration, no refills, verbal order. Feedback: If the physician wants the prescription filled with a trade name drug, he/she must specifically indicate this either by writing the trade name and checking a preprinted box that says “Dispense as Written” (“DAW”). For schedule drugs, the physician's assigned federal DEA (Drug Enforcement Agency) number must be written in for the prescription to be valid. The abbreviation NR on a prescription form stands for no refills. V.O. marks a prescription as a verbal order. Matching Questions Matching Questions 73. 2. DEA number B. appears only on a physician’s order sheet 3. drug form C. appears on both a prescription and on a physician’s order form 4. preprinted identifying information about the prescriber 5. quantity to be dispensed 6. physician’s signature 7. preprinted identifying information about the patient 8. abbreviation Rx Answer: C Answer: A Answer: C Answer: A Answer: C Answer: C Answer: B Answer: A Feedback: 1. Both a prescription form and a physician’s order sheet must include the date of the order. 2. The DEA number is only required on a prescription form, not on a physician’s order sheet (as the hospital keeps the physician’s DEA number on file in its credentialing department). 3. Both a prescription and a physician’s order sheet must include the drug form. 4. Preprinted identifying information about the prescriber is required on the prescription form, not on the physician’s order sheet (as the physician is already a member of the medical staff and this information is already on file in the hospital’s credentialing department). 5. Refills are only required on prescription forms. Refills are not included on a physician’s order sheet because the pharmacy will continue to dispense the medication as long as the patient is in the hospital. 6. Both the prescription form and the physician’s order sheet must include the physician’s signature. 7. Preprinted identifying information about the patient is only seen on the physician’s order sheet, not on the prescription. 8. Most prescription forms come with a large Rx preprinted on them, but this is not on the physician’s order sheet as the page is large and it is used to order other types of treatments and services in addition to drugs. 74. A patient’s age and weight are sometimes (but not always) included on a prescription form. Explain why this information might be useful to include. Answer: Age is important when the patient is a child. Prescriptions for children less than five years of age should give an accurate age in years and months. It is mandatory to include the age of the patient in any prescription written for a Schedule II drug. The dosages of some drugs may need to be adjusted if the patient’s weight is very low or very high. 75. When a physician orders a drug’s strength, there is limitation as to what can be written in the order. Describe what that limitation is, giving an example to justify your explanation. Answer: The physician must prescribe a drug strength that corresponds exactly to the strength in which the drug is manufactured. Example: If the drug is manufactured in 25 mg and 50 mg tablets, the physician cannot write a prescription for an 80 mg tablet. 76. There are several different ways that a physician can specify that he/wants a trade name drug rather than a generic equivalent to be dispensed. Give examples of two ways in which this can be done. Answer: If the physician wants the prescription filled with a trade name drug, he/she must specifically indicate this either by writing the trade name and checking a preprinted box stating “Dispense As Written” (“DAW”) or by writing the trade name drug and also writing “No substitution” or “Do not substitute.” Other prescription forms include a preprinted message such as this: “A generically equivalent product will be dispensed unless the practitioner handwrites “Brand Necessary” or “Brand Medically Necessary” on the prescription form. 77. Why is the abbreviation Rx NOT preprinted on physician order sheets? Answer: Because the sheet is large and it is used to order other types of treatments and services (physical therapy, social services, etc.) in addition to drugs. 78. Describe four ways to prevent the theft of prescription pads from the medical office. Answer: 1. Store extra prescription pads in a locked drawer or closet. 2. Have the physician carry just one prescription pad on his/her person from examining room to examining room. 3. Never leave a prescription pad on the counter or in an unlocked drawer in the examining room. 4. The physician should sign the prescription form only at the time he/she writes the prescription. 5. The physician should never presign blank prescription forms. 79. Explain why many physicians prefer to prescribe a trade name drug for certain drugs rather than the generic equivalent, even though the generic equivalent costs less for the patient. Answer: The use of generic rather than trade name drugs can result in considerable savings to consumers, but for certain critical drugs—such as digoxin (Lanoxin) for congestive heart failure, phenytoin (Dilantin) for seizures, and anticoagulant drugs—many physicians prefer to rely on the proven therapeutic action of a trade name drug. Test Bank for Understanding Pharmacology for Health Professionals Susan M. Turley 9780135145708, 9780133911268
