LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK

LEHNE’S PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND PHYSICIAN
ASSISTANTS 2ND EDITION ROSENTHAL TEST
BANK



Chapter .1: .Prescriptive

.Authority.Test .Bank


Multiple .Choice


1. An .APRN .works .in .a .urology .clinic .under .the .supervision .of .a .physician .who .does .not
.restrict .the .types .of .medications .the .APRN .is .allowed .to .prescribe. .State .law .does .not
.require .the .APRN .to .practice .under .physician .supervision. .How .would .the .APRN‘s
.prescriptive .authority.be .described?


a. Full .authority
b. Independent
c. Without . limitation
d. Limited .authority

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




2. Which .factors .increase .the .need .for .APRNs .to .have .full .prescriptive . authority?

a. More .patients .will .have .access .to .health .care.
b. Enrollment .in .medical .schools .is .predicted .to . decrease.
c. Physician‘s .assistants .are .being .utilized .less . often.
d. APRN .education .is .more .complex .than .education .for .physicians.

ANS: .A
Implementation .of .the .Affordable .Care .Act .has .increased .the .number .of .individuals .with
.health .care .coverage, .and .thus .the .number .who .have .access .to .health .care .services. .The
.increase .in .the .number .of .patients .creates .the .need .for .more .providers .with .prescriptive
.authority. .APRNs .can .fill .this .practice .gap.DIF: .Cognitive .Level: .ComprehensionREF: .p.
.2TOP: .Nursing .Process: .Implementation .MSC: .NCLEX .Client .Needs .Category: .Physiologic
.Integrity: .Pharmacologic .and.Parenteral .Therapies

,3. Which .factors .could .be .attributed .to .limited .prescriptive .authority .for
.APRNs?.Select . all .that . apply.

, a. Inaccessibility .of . patient .care
b. Higher .health .care .costs
c. Higher .quality .medical .treatment
d. Improved .collaborative .care
e. Enhanced .health . literacy

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




4. Which .aspects .support .the .APRN‘s .provision .for .full .prescriptive
.authority?.Select . all .that . apply.


a. Clinical .education .includes .prescription .of . medications .and .disease .processes.
b. Federal .regulations .support .the .provision .of .full .authority .for .APRNs.
c. National .examinations .provide .validation .of .the .APRN‘s .ability .to .provide .safecare.
d. Licensure .ensures .compliance .with .health .care . and . safety .standards.
e. Limiting .provision .can .decrease .health .care .affordability.

ANS: .A ., .C ., .D
APRNs .are .educated .to .practice .and .prescribe .independently .without .supervision.
.National .examinations .validate .the .ability .to .provide .safe .and .competent .care. .Licensure
.ensures .compliance .with .standards .to .promote .public .health .and .safety. .Limited .prescriptive
.authority .creates .numerous .barriers .to .quality, .affordable, .and .accessible .patient . care.DIF:
.Cognitive .Level: .ComprehensionREF: .pp. .1-2TOP: .Nursing .Process: .Implementation .MSC:
.NCLEX .Client .Needs.Category: .Physiologic .Integrity: .Pharmacologic .and . Parenteral .Therapies




5. Which .aspects .support .the .APRN‘s .provision .for .full .prescriptive
.authority?.Select . all .that . apply.


a. Clinical .education .includes .prescription .of . medications .and .disease .processes.
b. Federal .regulations .support .the .provision .of .full .authority .for .APRNs.
c. National .examinations .provide .validation .of .the .APRN‘s .ability .to .provide .safecare.
d. Licensure .ensures .compliance .with .health .care .and . safety .standards.

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

, ComprehensionREF: . pp. . 1-2TOP: . Nursing . Process: . .Implementation MSC: .NCLEX
.Client.Needs .Category: .Physiologic .Integrity: .Pharmacologic .and .Parenteral .Therapies




6. A .family .nurse .practitioner .practicing .in .Maine .is .hired .at .a .practice .across .state .lines
.in.Virginia. . Which .aspect . of .practice . may .change . for .the . APRN?


a. The .APRN .will .have .less .prescriptive .authority .in .the .new . position.
b. The .APRN .will .have .more .prescriptive .authority .in .the .new .position.
c. The .APRN .will .have .equal .prescriptive .authority .in .the .newposition.
d. The .APRN‘s .authority .will .depend .on .federalregulations.

ANS: .A
Virginia .allows .limited .prescriptive .authority, .while .Maine .gives .full .authority .to .certified
.nurse .practitioners. .The .federal .government .does .not .regulate .prescriptive .authority.DIF:
.Cognitive .Level: .ComprehensionREF: .p. .3TOP: .Nursing .Process: .Implementation .MSC:
.NCLEX .Client .Needs .Category: .Physiologic .Integrity: .Pharmacologic .and .Parenteral
.Therapies



Rosenthal: .Lehne's .Pharmacotherapeutics .for .Advanced .Practice .Providers, .2nd
. Ed..Chapter .2: .Rational .Drug .Selection .and .Prescription .Writing


Test .Bank

.Multiple .Choice




7. How .can .collaboration .with .a .pharmacist . improve .positive .outcomes .for
.patients?.Select . all .that . apply.


a. Pharmacists .can .suggest .foods .that .will .help .with .the .patient‘s .condition.
b. Pharmacists .have .additional .information .on .drug .interactions.
c. The .pharmacist .can .suggest .adequate .medication . dosing.
d. Pharmacists .have .firsthand .knowledge .of .the .facility .formulary.
e. Pharmacy .can .alter .prescriptions .when .necessary .to .prevent .patient .harm.

ANS: .B ., .C ., .D
Providers .should .collaborate .with .pharmacists .because .they .will .likely .have .additional
.information .on .formulary, .drug .interactions, .and .suggestions .for .adequate .medication .dosing.
.Dietitians .can .make .foods .recommendations .to .treat .the .patient‘s .condition. .The .pharmacist
.can .contact .the .prescriber .about .questionable .prescriptions, .but .cannot .alter .the .prescription
.without .notification .of .and .approval .by .the .provider.DIF: .Cognitive .Level:
.ComprehensionREF: .p. .9TOP: .Nursing .Process: .Diagnosis .MSC: .NCLEX .Client .Needs
.Category: .Physiologic .Integrity: .Reduction .of .Risk .Potential