TEST BANK FOR LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSING ATTENDANTS AND PHYSICIAN ASSISTANTS 3ND EDITION ROSENTHAL

TEST BANK FOR LEHNE’S
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PHARMACOTHERAPEUTICS FOR ADVANCED
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j1 PRACTICE NURSING ATTENDANTS AND PHYSICIAN
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ASSISTANTS 3ND EDITION ROSENTHAL
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,Chapter j1 1: j1 Prescriptive

j1 AuthorityMultiple Choice j1 j1




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 require
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the APRN to practice under physician supervision. How would the APRN‘s prescriptive
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authoritybe described?
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a. Full authority j1



b. Independent
c. Without limitation j1



d. Limited authority j1




CORRECT RESPONSE:- B j1 j 1



Reasoning :->>> The APRN has independent prescriptive authority because the regulating body
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does not require that the APRN work under physician supervision. Full prescriptive authority
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gives the provider the right to prescribe independently and without limitation. Limited authority
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places restrictions on the types of hospital medications that can be prescribed.DIF: Cognitive
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Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Hospital client Needs
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jCategory: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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2. Which factors increase the need for APRNs to have full prescriptive authority?
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a. More clients will have access to health care.
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b. Enrollment in medical schools is predicted to decrease. j1 j1 j1 j1 j1 j1 j1



c. Physician‘s assistants are being utilized less often. j1 j1 j1 j1 j1 j1



d. APRN education is more complex than education for physicians.
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CORRECT RESPONSE:- A j1 j 1



Reasoning :->>> Implementation of the Affordable Care Act has increased the number of
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individuals with health care coverage, and thus the number who have access to health care
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services. The increase in the number of clients creates the need for more providers with
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prescriptive authority. APRNs can fill this practice gap.DIF: Cognitive Level:
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ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital
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client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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,3. Which factors could be attributed to limited prescriptive authority for
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APRNs?Select all that apply.
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a. Inaccessibility of client care j1 j1 j1



b. Higher health care costs j1 j1 j1



c. Higher quality medical treatment j1 j1 j1



d. Improved collaborative care j1 j1



e. Enhanced health literacy j1 j1




CORRECT RESPONSE:- A , B j1 j 1 j1 j1



Reasoning :->>> Limiting prescriptive authority for APRNs can create barriers to quality,
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affordable, and accessibleclient care. It may also lead to poor collaboration among providers and
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higher health care costs. It would not directly impact client‘s health literacy.DIF: Cognitive
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Level: ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category:
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Physiologic Integrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN‘s provision for full prescriptive
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authority?Select all that apply.
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a. Clinical education includes prescription of medications andillness processes.
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b. Federal regulations support the provision of full authority for APRNs.
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c. National examinations provide validation of the APRN‘s abilityto provide safe care.
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d. Licensure ensures compliance with health care and safety standards.
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e. Limiting provision can decrease health care affordability.
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CORRECT RESPONSE:- A , C , D j1 j 1 j1 j1 j1 j1



Reasoning :->>> APRNs are educated to practice and prescribe independently without
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supervision. National examinations validate the ability to provide safe and competent care.
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Licensure ensures compliance with standards to promote public health and safety. Limited
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prescriptive authority creates numerous barriers to quality, affordable, and accessible client
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care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation
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MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
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Parenteral Therapies
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5. Which aspects support the APRN‘s provision for full prescriptive
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authority?Select all that apply.
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a. Clinical education includes prescription of medications andillness processes.
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b. Federal regulations support the provision of full authority for APRNs.
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c. National examinations provide validation of the APRN‘s abilityto provide safe care.
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d. Licensure ensures compliance with health care and safety standards.
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CORRECT RESPONSE:- A , C , D j1 j 1 j1 j1 j1 j1



Reasoning :->>> APRNs are educated to practice and prescribe independently without
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supervision. National examinations validate the ability to provide safe and competent care.
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Licensure ensures compliance with standards to promote public health and safety. Limited
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prescriptive authority creates numerous barriers to quality, affordable, and accessible client
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, care.DIF: Cognitive Level:
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3

ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Hospital
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client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nursing attendant practicing in Maine is hired at a practice across state
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lines inVirginia. Which aspect of practice may change for the APRN?
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a. The APRN will have less prescriptive authority in the new position.
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b. The APRN will have more prescriptive authority in the new position.
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c. The APRN will have equal prescriptive authority in the new position.
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d. The APRN‘s authority will depend on federal regulations.
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CORRECT RESPONSE:- A j1 j 1



Reasoning :->>>Virginia allows limited prescriptive authority, while Maine gives full authority
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to certified nursing attendants. The federal government does not regulate prescriptive
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authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process:
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Implementation MSC: NCLEX Hospital client Needs Category: Physiologic Integrity:
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Pharmacologic and Parenteral Therapies
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