Test Bank: Lehne's s! s!
Pharmacotherapeutics forAdvanced Pra s! s! s!
ctice Nurses and Physician Assistants, 3r
s! s! s! s! s!
d
Edition
s !
Authors : s!
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
s! s! s! s! s! s!
s! @2024
,Chapter 1: Prescriptive Authority
s! s! s!
1. An APRN works in a urology clinic under the supervision of a physician w
s! s! s! s! s! s! s! s! s! s! s! s! s!
ho does not restrict the types of medications the APRN is allowed to prescri
s! s! s! s! s! s! s! s! s! s! s! s! s!
be. State law does not require the APRN to practice under physician supervis
s! s! s! s! s! s! s! s! s! s! s! s!
ion. How would the APRN’s prescriptive authority be described?
s! s! s! s! s! s! s! s!
a. Full authority s!
b. Independent
c. Without limitation s!
d. Limited authority s!
ANS: B s!
Rationale: The APRN has independent prescriptive authority because the reg
s! s! s! s! s! s! s! s! s!
ulating body does not require that the APRN work under physician supervisi
s! s! s! s! s! s! s! s! s! s! s!
on. Full prescriptive authority gives the provider the right to prescribe indepe
s! s! s! s! s! s! s! s! s! s! s!
ndently and without limitation. Limited authority places restrictions on the ty
s! s! s! s! s! s! s! s! s! s!
pes of drugs that can be prescribed.
s! s! s! s! s! s!
DIF: Cognitive Level: Comprehension
s! s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
2. Which factors increase the need for APRNs to have full prescriptive a
s! s! s! s! s! s! s! s! s! s! s!
uthority?
a. More patients will have access to health care.
s! s! s! s! s! s! s!
b. Enrollment in medical schools is predicted to decrease. s! s! s! s! s! s! s!
c. Physician’s assistants are being utilized less often. s! s! s! s! s! s!
d. APRN education is more complex than education for physicians.
s! s! s! s! s! s! s! s!
ANS: A s!
Rationale: Implementation of the Affordable Care Act has increased the num
s! s! s! s! s! s! s! s! s! s!
ber of individuals with health care coverage, thus increasing the number of pat
s! s! s! s! s! s! s! s! s! s! s! s!
ients who require access to health care services. The increase in patient numbe
s! s! s! s! s! s! s! s! s! s! s! s!
rs creates the need for more providers with prescriptive authority.
s! s! s! s! s! s! s! s! s!
APRNs can fill this practice gap. s! s! s! s! s!
DIF: Cognitive Level: Comprehension
s! s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
3. Which factors could be attributed to limited prescriptive authority for
s! s! s! s! s! s! s! s! s! s!
APRNs? (Select all that apply) s! s! s! s!
a. Inaccessibility of patient care s! s! s!
b. Higher health care costs s! s! s!
, c. Higher quality medical treatment s! s! s!
d. Improved collaborative care s! s!
e. Enhanced health literacy s! s!
ANS: A, B s! s!
Rationale: Limiting prescriptive authority for APRNs can create barriers to q
s! s! s! s! s! s! s! s! s! s!
uality, affordable, and accessible patient care. It may also lead to poor collabo
s! s! s! s! s! s! s! s! s! s! s! s!
ration among providers and higher health care costs. Enhanced health literacy
s! s! s! s! s! s! s! s! s! s! s!
and improved collaborative care are not directly impacted by limited prescript
s! s! s! s! s! s! s! s! s! s!
ive authority.
s!
DIF: Cognitive Level: Comprehension
s! s! s!
REF: p. 2 s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
4. Which aspects support the APRN’s provision for full prescriptive authority? (
s! s! s! s! s! s! s! s! s! s!
Select all that apply) s! s! s!
a. Clinical education includes prescription of medications and disease
s! s! s! s! s! s! s! s!
processes.
b. Federal regulations support the provision of full authority for APRNs.
s! s! s! s! s! s! s! s! s!
c. National examinations provide validation of the APRN’s ability to provide s
s! s! s! s! s! s! s! s! s! s!
afe care.
s!
d. Licensure ensures compliance with health care and safety standards.
s! s! s! s! s! s! s! s!
e. Limiting provision can decrease health care affordability.
s! s! s! s! s! s!
ANS: A, C, D s! s! s!
Rationale: APRNs are educated to practice and prescribe independently wit
s! s! s! s! s! s! s! s! s!
hout supervision. National examinations validate their ability to provide safe
s! s! s! s! s! s! s! s! s! s!
and competent care. Licensure ensures compliance with standards that prom
s! s! s! s! s! s! s! s! s!
ote public health and safety. Limited prescriptive authority creates barriers to
s! s! s! s! s! s! s! s! s! s!
quality, affordable, and accessible patient care.
s! s! s! s! s! s!
DIF: Cognitive Level: Comprehension
s! s! s!
REF: pp. 1-2 s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
5. Which aspects support the APRN’s provision for full prescriptive authority? (
s! s! s! s! s! s! s! s! s! s!
Select all that apply) s! s! s!
a. Clinical education includes prescription of medications and disease
s! s! s! s! s! s! s! s!
processes.
b. Federal regulations support the provision of full authority for APRNs.
s! s! s! s! s! s! s! s! s!
c. National examinations provide validation of the APRN’s ability to provide
s! s! s! s! s! s! s! s! s!
, safe care. s!
d. Licensure ensures compliance with health care and safety standards. s! s! s! s! s! s! s! s!
ANS: A, C, D s! s! s!
Rationale: APRNs are educated to practice and prescribe independently wit
s! s! s! s! s! s! s! s! s!
hout supervision. National examinations validate their ability to provide safe
s! s! s! s! s! s! s! s! s! s!
and competent care. Licensure ensures compliance with standards to promot
s! s! s! s! s! s! s! s! s!
e public health and safety. Limited prescriptive authority creates barriers to q
s! s! s! s! s! s! s! s! s! s! s!
uality, affordable, and accessible patient care.
s! s! s! s! s!
DIF: Cognitive Level: Comprehension
s! s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
6. What is the primary benefit of APRNs having full prescriptive authority?
s! s! s! s! s! s! s! s! s! s!
a. Increased job satisfaction s! s!
b. Improved patient outcomes s! s!
c. Decreased need for collaboration s! s! s!
d. Reduced medication costs s! s!
ANS: B s!
Rationale: Full prescriptive authority allows APRNs to make timely decisio
s! s! s! s! s! s! s! s! s!
ns regarding patient care, leading to improved patient outcomes. While job s
s! s! s! s! s! s! s! s! s! s! s!
atisfaction and reduced medication costs may also be benefits, the primary fo
s! s! s! s! s! s! s! s! s! s! s!
cus is on patient outcomes.
s! s! s! s!
DIF: Cognitive Level: Comprehension
s! s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
7. Which of the following describes a challenge faced by APRNs seeking full p
s! s! s! s! s! s! s! s! s! s! s! s!
rescriptive authority? s!
a. Increased demand for primary care services s! s! s! s! s!
b. Variability in state regulations s! s! s!
c. Enhanced education programs s! s!
d. Collaboration with physicians s! s!
ANS: B s!
Rationale: Variability in state regulations can create challenges for APRNs s
s! s! s! s! s! s! s! s! s! s!
eeking full prescriptive authority, as laws differ regarding what APRNs are al
s! s! s! s! s! s! s! s! s! s! s!
lowed to prescribe and under what circumstances.
s! s! s! s! s! s!
DIF: Cognitive Level: Comprehension
s! s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
Pharmacotherapeutics forAdvanced Pra s! s! s!
ctice Nurses and Physician Assistants, 3r
s! s! s! s! s!
d
Edition
s !
Authors : s!
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
s! s! s! s! s! s!
s! @2024
,Chapter 1: Prescriptive Authority
s! s! s!
1. An APRN works in a urology clinic under the supervision of a physician w
s! s! s! s! s! s! s! s! s! s! s! s! s!
ho does not restrict the types of medications the APRN is allowed to prescri
s! s! s! s! s! s! s! s! s! s! s! s! s!
be. State law does not require the APRN to practice under physician supervis
s! s! s! s! s! s! s! s! s! s! s! s!
ion. How would the APRN’s prescriptive authority be described?
s! s! s! s! s! s! s! s!
a. Full authority s!
b. Independent
c. Without limitation s!
d. Limited authority s!
ANS: B s!
Rationale: The APRN has independent prescriptive authority because the reg
s! s! s! s! s! s! s! s! s!
ulating body does not require that the APRN work under physician supervisi
s! s! s! s! s! s! s! s! s! s! s!
on. Full prescriptive authority gives the provider the right to prescribe indepe
s! s! s! s! s! s! s! s! s! s! s!
ndently and without limitation. Limited authority places restrictions on the ty
s! s! s! s! s! s! s! s! s! s!
pes of drugs that can be prescribed.
s! s! s! s! s! s!
DIF: Cognitive Level: Comprehension
s! s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
2. Which factors increase the need for APRNs to have full prescriptive a
s! s! s! s! s! s! s! s! s! s! s!
uthority?
a. More patients will have access to health care.
s! s! s! s! s! s! s!
b. Enrollment in medical schools is predicted to decrease. s! s! s! s! s! s! s!
c. Physician’s assistants are being utilized less often. s! s! s! s! s! s!
d. APRN education is more complex than education for physicians.
s! s! s! s! s! s! s! s!
ANS: A s!
Rationale: Implementation of the Affordable Care Act has increased the num
s! s! s! s! s! s! s! s! s! s!
ber of individuals with health care coverage, thus increasing the number of pat
s! s! s! s! s! s! s! s! s! s! s! s!
ients who require access to health care services. The increase in patient numbe
s! s! s! s! s! s! s! s! s! s! s! s!
rs creates the need for more providers with prescriptive authority.
s! s! s! s! s! s! s! s! s!
APRNs can fill this practice gap. s! s! s! s! s!
DIF: Cognitive Level: Comprehension
s! s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
3. Which factors could be attributed to limited prescriptive authority for
s! s! s! s! s! s! s! s! s! s!
APRNs? (Select all that apply) s! s! s! s!
a. Inaccessibility of patient care s! s! s!
b. Higher health care costs s! s! s!
, c. Higher quality medical treatment s! s! s!
d. Improved collaborative care s! s!
e. Enhanced health literacy s! s!
ANS: A, B s! s!
Rationale: Limiting prescriptive authority for APRNs can create barriers to q
s! s! s! s! s! s! s! s! s! s!
uality, affordable, and accessible patient care. It may also lead to poor collabo
s! s! s! s! s! s! s! s! s! s! s! s!
ration among providers and higher health care costs. Enhanced health literacy
s! s! s! s! s! s! s! s! s! s! s!
and improved collaborative care are not directly impacted by limited prescript
s! s! s! s! s! s! s! s! s! s!
ive authority.
s!
DIF: Cognitive Level: Comprehension
s! s! s!
REF: p. 2 s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
4. Which aspects support the APRN’s provision for full prescriptive authority? (
s! s! s! s! s! s! s! s! s! s!
Select all that apply) s! s! s!
a. Clinical education includes prescription of medications and disease
s! s! s! s! s! s! s! s!
processes.
b. Federal regulations support the provision of full authority for APRNs.
s! s! s! s! s! s! s! s! s!
c. National examinations provide validation of the APRN’s ability to provide s
s! s! s! s! s! s! s! s! s! s!
afe care.
s!
d. Licensure ensures compliance with health care and safety standards.
s! s! s! s! s! s! s! s!
e. Limiting provision can decrease health care affordability.
s! s! s! s! s! s!
ANS: A, C, D s! s! s!
Rationale: APRNs are educated to practice and prescribe independently wit
s! s! s! s! s! s! s! s! s!
hout supervision. National examinations validate their ability to provide safe
s! s! s! s! s! s! s! s! s! s!
and competent care. Licensure ensures compliance with standards that prom
s! s! s! s! s! s! s! s! s!
ote public health and safety. Limited prescriptive authority creates barriers to
s! s! s! s! s! s! s! s! s! s!
quality, affordable, and accessible patient care.
s! s! s! s! s! s!
DIF: Cognitive Level: Comprehension
s! s! s!
REF: pp. 1-2 s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
5. Which aspects support the APRN’s provision for full prescriptive authority? (
s! s! s! s! s! s! s! s! s! s!
Select all that apply) s! s! s!
a. Clinical education includes prescription of medications and disease
s! s! s! s! s! s! s! s!
processes.
b. Federal regulations support the provision of full authority for APRNs.
s! s! s! s! s! s! s! s! s!
c. National examinations provide validation of the APRN’s ability to provide
s! s! s! s! s! s! s! s! s!
, safe care. s!
d. Licensure ensures compliance with health care and safety standards. s! s! s! s! s! s! s! s!
ANS: A, C, D s! s! s!
Rationale: APRNs are educated to practice and prescribe independently wit
s! s! s! s! s! s! s! s! s!
hout supervision. National examinations validate their ability to provide safe
s! s! s! s! s! s! s! s! s! s!
and competent care. Licensure ensures compliance with standards to promot
s! s! s! s! s! s! s! s! s!
e public health and safety. Limited prescriptive authority creates barriers to q
s! s! s! s! s! s! s! s! s! s! s!
uality, affordable, and accessible patient care.
s! s! s! s! s!
DIF: Cognitive Level: Comprehension
s! s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
6. What is the primary benefit of APRNs having full prescriptive authority?
s! s! s! s! s! s! s! s! s! s!
a. Increased job satisfaction s! s!
b. Improved patient outcomes s! s!
c. Decreased need for collaboration s! s! s!
d. Reduced medication costs s! s!
ANS: B s!
Rationale: Full prescriptive authority allows APRNs to make timely decisio
s! s! s! s! s! s! s! s! s!
ns regarding patient care, leading to improved patient outcomes. While job s
s! s! s! s! s! s! s! s! s! s! s!
atisfaction and reduced medication costs may also be benefits, the primary fo
s! s! s! s! s! s! s! s! s! s! s!
cus is on patient outcomes.
s! s! s! s!
DIF: Cognitive Level: Comprehension
s! s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
7. Which of the following describes a challenge faced by APRNs seeking full p
s! s! s! s! s! s! s! s! s! s! s! s!
rescriptive authority? s!
a. Increased demand for primary care services s! s! s! s! s!
b. Variability in state regulations s! s! s!
c. Enhanced education programs s! s!
d. Collaboration with physicians s! s!
ANS: B s!
Rationale: Variability in state regulations can create challenges for APRNs s
s! s! s! s! s! s! s! s! s! s!
eeking full prescriptive authority, as laws differ regarding what APRNs are al
s! s! s! s! s! s! s! s! s! s! s!
lowed to prescribe and under what circumstances.
s! s! s! s! s! s!
DIF: Cognitive Level: Comprehension
s! s! s!
TOP: Nursing Process: Implementation
s! s! s!
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
s! s! s! s! s! s! s! s
and Parenteral Therapies
! s! s!
