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LEHNE’SPHARMACOTHERAPEUTICSFORADVANCEDPRACTICENURSESAND pz pz
PHYSICIAN ASSISTANTS 2ND EDITIONROSENTHAL TEST BANK
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Chapter1:Prescriptive
i0 AuthorityTestBank i0
i0 Multiple Choice pz
1. An APRN works in a urology clinic under the supervision of a physician who does not
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restrictthe types of medications the APRN is allowed to prescribe. State law does not
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require the APRN to practice under physician supervision. How would the APRN‘s
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prescriptiveauthoritybedescribed?
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a. Fullauthority pz
b. Independent
c. Without limitation i0
d. Limited authority i0
ANS:B i0
The APRN has independent prescriptive authority because the regulating body does not
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i0 require that the APRN work under physician supervision. Full prescriptive authority gives
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i0 the provider the right to prescribe independently and without limitation. Limited authority
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places restrictions on the types of drugs that can be prescribed.DIF: Cognitive Level:
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i0 ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: i0 i0 i0 i0 i0 i0 i0 i0 i0 i0
i0 PhysiologicIntegrity:Pharmacologic andParenteral Therapiesi0 i0 i0 i0 i0
2. Whichfactorsincreasetheneed forAPRNstohavefullprescriptive
pz pz i 0 authority?
a. Morepatientswillhaveaccesstohealthcare. pz i0
b. Enrollmentinmedicalschoolsispredictedto decrease. pz pz pz pz pz i0
c. Physician‘sassistantsarebeingutilizedless often. pz pz i0
d. APRNeducationismorecomplexthaneducationforphysicians. pz pz pz
ANS:A i0
Implementationof the A
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health care coverage, and thus the number who have access to health care services. The
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i0 increase in the number of patients creates the need for more providers with prescriptive
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i0 authority. APRNs can fillthis practice gap.DIF: Cognitive Level: ComprehensionREF: p.
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i0 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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Integrity:PharmacologicandParenteral Therapies
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3. Whichfactorscouldbeattributedtolimitedprescriptiveauthorityfor
pz pz pz pz
i0 APRNs?Select all that i0 pz i 0 apply.
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a. Inaccessibilityof patientcare i0
b. Higherhealthcarecosts
c. Higherqualitymedicaltreatment pz
d. Improvedcollaborative care i0
e. Enhancedhealth literacy i0 i0
ANS:A ,B i0 pz i0
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
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i0 accessible patient care. It may also lead to poor collaboration among providers and higher
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i0 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:
i0 i0 i0 i0 i0 i0 i0 i0 i0
i0 PhysiologicIntegrity:Pharmacologic andParenteral Therapies i0 i0 i0 i0 i0
4. WhichaspectssupporttheAPRN‘sprovisionforfullprescriptive
pz pz
i0 authority?Select allthat i0 i 0 apply.
a. Clinicaleducationincludesprescriptionofmedicationsanddiseaseprocesses. pz pz pz pz pz
b. FederalregulationssupporttheprovisionoffullauthorityforAPRNs. pz
c. Nationalexaminations provide validationoftheAPRN‘s abilityto providesafecare. pz i0 i0 pz i0 i 0 pz
d. Licensureensurescompliance withhealth care and safetystandards. pz i0 pz pz i0 i 0
e. Limitingprovisioncandecreasehealthcareaffordability. pz pz
ANS:A , C,D i0 pz i0 i0
APRNs are educated to practice and prescribe independently without supervision.
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i0 Nationalexaminations validate the ability to provide safe and competent care. Licensure i0 i0 i0 i0 i0 i0 i0 i0 i0 i0
i0 ensures compliance with standards to promote public health and safety. Limited
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i0 prescriptive authority creates numerous barriers to quality, affordable, and accessible
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i0 patient care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process:
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i0 Implementation MSC:
i0 i0 NCLEX Client
i0 i0 Needs i0 Category: Physiologic
i0 Integrity:
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i0 PharmacologicandParenteralTherapies i0 i0 i0
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