Lehnes Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants, 2nd Edition by Rosenthal, 9780323554954, Covering Chapters 1-92 | Includes Rationales Test Bank

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LEHNE’SPHARMACOTHERAPEUTICSFORADVANCEDPRACTICENURSESAND pz pz




PHYSICIANASSISTANTS2NDEDITIONROSENTHALTESTBANK
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Chapter1:Prescriptive
33 AuthorityTestBank 3




33 Multiple Choice pz




1. An APRN works in a urology clinic under the supervision of a physician who does not
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33 restrictthe types of medications the APRN is allowed to prescribe. State law does not
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33 require the APRN to practice under physician supervision. How would the APRN‘s
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33 prescriptiveauthoritybedescribed? 3 3




a. Fullauthority pz




b. Independent
c. Without limitation 33




d. Limited authority 33




ANS:B 3




The APRN has independent prescriptive authority because the regulating body does not
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33 require that the APRN work under physician supervision. Full prescriptive authority gives the
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provider the right to prescribe independently and without limitation. Limited authority places
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33 restrictions on the types of drugs that can be prescribed.DIF: Cognitive Level:
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33 ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: 33 33 33 33 33 33 33 33 33 33




33 PhysiologicIntegrity:PharmacologicandParenteralTherapies
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2. Whichfactorsincreasetheneed forAPRNstohavefullprescriptive authority?
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a. Morepatientswillhaveaccesstohealthcare. pz 3




b. Enrollmentinmedicalschoolsispredictedto decrease. pz pz pz pz pz 3 3




c. Physician‘sassistantsarebeingutilizedless often. pz pz 3 3




d. APRNeducationismorecomplexthaneducationforphysicians. pz pz pz




ANS:A 3




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health care coverage, and thus the number who have access to health care services. The
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33 increase in the number of patients creates the need for more providers with prescriptive
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33 authority. APRNs can fillthis practice gap.DIF: Cognitive Level: ComprehensionREF: p.
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33 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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Integrity:PharmacologicandParenteralTherapies
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3. Whichfactorscouldbeattributedtolimitedprescriptiveauthorityfor
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APRNs?Select all that
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a. Inaccessibilityof patientcare 33




b. Higherhealthcarecosts
c. Higherqualitymedicaltreatment pz




d. Improvedcollaborative care 33




e. Enhancedhealth literacy 3 33




ANS:A ,B 3 pz 3




Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
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33 accessible patient care. It may also lead to poor collaboration among providers and higher
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33 health care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level:
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ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
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33 PhysiologicIntegrity:PharmacologicandParenteralTherapies 3 3 3 3 3




4. WhichaspectssupporttheAPRN‘sprovisionforfullprescriptive pz pz




authority?Select allthat
33 33 3 3 apply.


a. Clinicaleducationincludesprescriptionofmedicationsanddiseaseprocesses. pz pz pz pz pz




b. FederalregulationssupporttheprovisionoffullauthorityforAPRNs. pz




c. NationalexaminationsprovidevalidationoftheAPRN‘sabilityto providesafecare. pz 33 3 pz 3 3 3 pz




d. Licensureensurescompliancewithhealth care and safetystandards. pz 3 pz pz 33 3 3




e. Limitingprovisioncandecreasehealthcareaffordability. pz pz




ANS:A ,C,D 3 pz 3 3




APRNs are educated to practice and prescribe independently without supervision.
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33 Nationalexaminations validate the ability to provide safe and competent care. Licensure 33 33 33 33 33 33 33 33 33 33




33 ensures compliance with standards to promote public health and safety. Limited
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33 prescriptive authority creates numerous barriers to quality, affordable, and accessible
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33 patient care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process:
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33 Implementation 33 MSC: 33 NCLEX 33 Client 33 Needs 33 Category: 33 Physiologic 33 Integrity:
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