Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
+0 +0 +0 +0 +0 +0 +0 +0 +0
ndEdition Rosenthal Test Bank
+
0 +0 +0 +0 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
+0 +0 +0 0+
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
+0 +0 +0 +0 +0 +0
EDITION ROSENTHAL TEST BANK
+0 +0 +0
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
+0 +0 +0 +0 +0 +0 +0 +0 +0
ndEdition Rosenthal Test Bank
+
0 +0 +0 +0 2
Chapter 1: Prescriptive Authority Test Ban
+0 +0 +0 +0 +0
kMultiple Choice
0+ +0
1. An APRN works in a urology clinic under the supervision of a physician who does n
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ot restrict the types of medications the APRN is allowed to prescribe. State law does not req
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
uire theAPRN to practice under physician supervision. How would the APRN‘s prescriptive a
+0 +
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
uthority bedescribed? +0 +
0
a. Full authority +0
b. Independent
c. Without limitation +0
d. Limited authority +0
ANS: B +0
The APRN has independent prescriptive authority because the regulating body does not req
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
uirethat the APRN work under physician supervision. Full prescriptive authority gives the p
+
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
roviderthe right to prescribe independently and without limitation. Limited authority places r
+
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
estrictionson the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehensio
+
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
n REF: p.
+0 +0
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrit
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
y:Pharmacologic and Parenteral Therapies
+
0 +0 +0 +0
2. Which factors increase the need for APRNs to have full prescriptive authority?
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
a. More patients will have access to health care.
+0 +0 +0 +0 +0 +0 +0
b. Enrollment in medical schools is predicted to decrease.+0 +0 +0 +0 +0 +0 +0
c. Physician‘s assistants are being utilized less often. +0 +0 +0 +0 +0 +0
d. APRN education is more complex than education for physicians.
+0 +0 +0 +0 +0 +0 +0 +0
ANS: A +0
Implementation of the Affordable Care Act has increased the number of individuals with he
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
althcare coverage, and thus the number who have access to health care services. The increas
+
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
e in thenumber of patients creates the need for more providers with prescriptive authority. A
+0 +0 +
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
PRNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursi
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ng Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: P
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
harmacologic and Parenteral Therapies +0 +0 +0
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
+0 +0 +0 +0 +0 +0 +0 +0 +0
ndEdition Rosenthal Test Bank
+
0 +0 +0 +0 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
allthat apply.
+
0 +0
a. Inaccessibility of patient care +0 +0 +0
b. Higher health care costs +0 +0 +0
c. Higher quality medical treatment
+0 +0 +0
d. Improved collaborative care +0 +0
e. Enhanced health literacy +0 +0
ANS: A , B +0 +0 +0
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acce
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ssible patient care. It may also lead to poor collaboration among providers and higher healthc
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +
0
are costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Compre
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
hensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologi
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
cIntegrity: Pharmacologic and Parenteral Therapies
+
0 +0 +0 +0 +0
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
allthat apply.
+
0 +0
a. Clinical education includes prescription of medications and disease processes.
+0 +0 +0 +0 +0 +0 +0 +0
b. Federal regulations support the provision of full authority for APRNs.
+0 +0 +0 +0 +0 +0 +0 +0 +0
c. National examinations provide validation of the APRN‘s ability to provide safecare.
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
d. Licensure ensures compliance with health care and safety standards.
+0 +0 +0 +0 +0 +0 +0 +0
e. Limiting provision can decrease health care affordability.
+0 +0 +0 +0 +0 +0
ANS: A , C , D +0 +0 +0 +0 +0
APRNs are educated to practice and prescribe independently without supervision. National
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
examinations validate the ability to provide safe and competent care. Licensure ensures c
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ompliance with standards to promote public health and safety. Limited prescriptive authori
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
tycreates numerous barriers to quality, affordable, and accessible patient care.DIF: Cogniti
+
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ve Level: ComprehensionREF: pp. 1-
+0 +0 +0 +0
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolog
+0 +0 +0 +0 +0 +0 +0 +0 +0
ic Integrity: Pharmacologic and Parenteral Therapies
+0 +0 +0 +0 +0
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
+0 +0 +0 +0 +0 +0 +0 +0 +0
ndEdition Rosenthal Test Bank
+
0 +0 +0 +0 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
allthat apply.
+
0 +0
a. Clinical education includes prescription of medications and disease processes.
+0 +0 +0 +0 +0 +0 +0 +0
b. Federal regulations support the provision of full authority for APRNs.
+0 +0 +0 +0 +0 +0 +0 +0 +0
c. National examinations provide validation of the APRN‘s ability to provide safecare.
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
d. Licensure ensures compliance with health care and safety standards.
+0 +0 +0 +0 +0 +0 +0 +0
ANS: A , C , D +0 +0 +0 +0 +0
APRNs are educated to practice and prescribe independently without supervision. National e
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
xaminations validate the ability to provide safe and competent care. Licensure ensures compl
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
iance with standards to promote public health and safety. Limited prescriptive authoritycreate
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +
0
s numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation +0 +0 + 0 +0 +0 +0
MSC: NCLEX Clien +0 +0
tNeeds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
+
0 +0 +0 +0 +0 +0 +0 +0
6. A family nurse practitioner practicing in Maine is hired at a practice across state line
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
s inVirginia. Which aspect of practice may change for the APRN?
+0 +
0 +0 +0 +0 +0 +0 +0 +0 +0 +0
a. The APRN will have less prescriptive authority in the new position.
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
b. The APRN will have more prescriptive authority in the new position.
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
c. The APRN will have equal prescriptive authority in the new position.
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
d. The APRN‘s authority will depend on federal regulation
+0 +0 +0 +0 +0 +0 +0
s.ANS: A
+
0 +0
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nur
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
sepractitioners. The federal government does not regulate prescriptive authority.DIF: Cogniti
+
0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ve Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Cl
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ient Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
+0 +0 +0 +0 +0 +0 +0 +0
+0 +0 +0 +0 +0 +0 +0 +0 +0
ndEdition Rosenthal Test Bank
+
0 +0 +0 +0 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
+0 +0 +0 0+
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
+0 +0 +0 +0 +0 +0
EDITION ROSENTHAL TEST BANK
+0 +0 +0
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
+0 +0 +0 +0 +0 +0 +0 +0 +0
ndEdition Rosenthal Test Bank
+
0 +0 +0 +0 2
Chapter 1: Prescriptive Authority Test Ban
+0 +0 +0 +0 +0
kMultiple Choice
0+ +0
1. An APRN works in a urology clinic under the supervision of a physician who does n
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ot restrict the types of medications the APRN is allowed to prescribe. State law does not req
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
uire theAPRN to practice under physician supervision. How would the APRN‘s prescriptive a
+0 +
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
uthority bedescribed? +0 +
0
a. Full authority +0
b. Independent
c. Without limitation +0
d. Limited authority +0
ANS: B +0
The APRN has independent prescriptive authority because the regulating body does not req
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
uirethat the APRN work under physician supervision. Full prescriptive authority gives the p
+
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
roviderthe right to prescribe independently and without limitation. Limited authority places r
+
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
estrictionson the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehensio
+
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
n REF: p.
+0 +0
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrit
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
y:Pharmacologic and Parenteral Therapies
+
0 +0 +0 +0
2. Which factors increase the need for APRNs to have full prescriptive authority?
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
a. More patients will have access to health care.
+0 +0 +0 +0 +0 +0 +0
b. Enrollment in medical schools is predicted to decrease.+0 +0 +0 +0 +0 +0 +0
c. Physician‘s assistants are being utilized less often. +0 +0 +0 +0 +0 +0
d. APRN education is more complex than education for physicians.
+0 +0 +0 +0 +0 +0 +0 +0
ANS: A +0
Implementation of the Affordable Care Act has increased the number of individuals with he
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
althcare coverage, and thus the number who have access to health care services. The increas
+
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
e in thenumber of patients creates the need for more providers with prescriptive authority. A
+0 +0 +
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
PRNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursi
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ng Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: P
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
harmacologic and Parenteral Therapies +0 +0 +0
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
+0 +0 +0 +0 +0 +0 +0 +0 +0
ndEdition Rosenthal Test Bank
+
0 +0 +0 +0 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
allthat apply.
+
0 +0
a. Inaccessibility of patient care +0 +0 +0
b. Higher health care costs +0 +0 +0
c. Higher quality medical treatment
+0 +0 +0
d. Improved collaborative care +0 +0
e. Enhanced health literacy +0 +0
ANS: A , B +0 +0 +0
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acce
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ssible patient care. It may also lead to poor collaboration among providers and higher healthc
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +
0
are costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Compre
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
hensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologi
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
cIntegrity: Pharmacologic and Parenteral Therapies
+
0 +0 +0 +0 +0
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
allthat apply.
+
0 +0
a. Clinical education includes prescription of medications and disease processes.
+0 +0 +0 +0 +0 +0 +0 +0
b. Federal regulations support the provision of full authority for APRNs.
+0 +0 +0 +0 +0 +0 +0 +0 +0
c. National examinations provide validation of the APRN‘s ability to provide safecare.
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
d. Licensure ensures compliance with health care and safety standards.
+0 +0 +0 +0 +0 +0 +0 +0
e. Limiting provision can decrease health care affordability.
+0 +0 +0 +0 +0 +0
ANS: A , C , D +0 +0 +0 +0 +0
APRNs are educated to practice and prescribe independently without supervision. National
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
examinations validate the ability to provide safe and competent care. Licensure ensures c
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ompliance with standards to promote public health and safety. Limited prescriptive authori
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
tycreates numerous barriers to quality, affordable, and accessible patient care.DIF: Cogniti
+
0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ve Level: ComprehensionREF: pp. 1-
+0 +0 +0 +0
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiolog
+0 +0 +0 +0 +0 +0 +0 +0 +0
ic Integrity: Pharmacologic and Parenteral Therapies
+0 +0 +0 +0 +0
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2
+0 +0 +0 +0 +0 +0 +0 +0 +0
ndEdition Rosenthal Test Bank
+
0 +0 +0 +0 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
allthat apply.
+
0 +0
a. Clinical education includes prescription of medications and disease processes.
+0 +0 +0 +0 +0 +0 +0 +0
b. Federal regulations support the provision of full authority for APRNs.
+0 +0 +0 +0 +0 +0 +0 +0 +0
c. National examinations provide validation of the APRN‘s ability to provide safecare.
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
d. Licensure ensures compliance with health care and safety standards.
+0 +0 +0 +0 +0 +0 +0 +0
ANS: A , C , D +0 +0 +0 +0 +0
APRNs are educated to practice and prescribe independently without supervision. National e
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
xaminations validate the ability to provide safe and competent care. Licensure ensures compl
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
iance with standards to promote public health and safety. Limited prescriptive authoritycreate
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +
0
s numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation +0 +0 + 0 +0 +0 +0
MSC: NCLEX Clien +0 +0
tNeeds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
+
0 +0 +0 +0 +0 +0 +0 +0
6. A family nurse practitioner practicing in Maine is hired at a practice across state line
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
s inVirginia. Which aspect of practice may change for the APRN?
+0 +
0 +0 +0 +0 +0 +0 +0 +0 +0 +0
a. The APRN will have less prescriptive authority in the new position.
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
b. The APRN will have more prescriptive authority in the new position.
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
c. The APRN will have equal prescriptive authority in the new position.
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
d. The APRN‘s authority will depend on federal regulation
+0 +0 +0 +0 +0 +0 +0
s.ANS: A
+
0 +0
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nur
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0 +0
sepractitioners. The federal government does not regulate prescriptive authority.DIF: Cogniti
+
0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ve Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Cl
+0 +0 +0 +0 +0 +0 +0 +0 +0 +0
ient Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
+0 +0 +0 +0 +0 +0 +0 +0