EditioncRosenthalcTestcBank 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRA
c c c c
CTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION R
c c c c c c c
OSENTHAL TEST BANKc c
,Lehne’scPharmacotherapeuticscforcAdvancedcPracticecNursescandcPhysiciancAssistantsc2ndc
EditioncRosenthalcTestcBank 2
Chapterc1:cPrescriptivecAuthoritycTestcBankcMul
tiplecChoice
1. AncAPRNcworkscincacurologyccliniccundercthecsupervisioncofcacphysiciancwhocdoescnotcrestr
ictcthectypescofcmedicationscthecAPRNciscallowedctocprescribe.cStateclawcdoescnotcrequirecthecAPRN
ctocpracticecundercphysiciancsupervision.cHowcwouldcthecAPRN‘scprescriptivecauthoritycbecdescribe
d?
a. Fullcauthority
b. Independent
c. Withoutclimitation
d. Limitedcauthority
ANS:cB
ThecAPRNchascindependentcprescriptivecauthoritycbecausecthecregulatingcbodycdoescnotcrequirecth
atcthecAPRNcworkcundercphysiciancsupervision.cFullcprescriptivecauthoritycgivescthecprovidercthec
rightctocprescribecindependentlycandcwithoutclimitation.cLimitedcauthoritycplacescrestrictionsconcth
ectypescofcdrugscthatccancbecprescribedc.DIF:cCognitivecLevel:cComprehensioncREF:cp.
1TOP:cNursingcProcess:cIcMSC:cNCLEXcClientcNeedscCategory:cPhysiologiccIntegrity:cP
harmacologiccandcParenteralcTherapies
2. WhichcfactorscincreasecthecneedcforcAPRNsctochavecfullcprescriptivecauthority?
a. Morecpatientscwillchavecaccessctochealthccare.
b. Enrollmentcincmedicalcschoolsciscpredictedctocdecrease.
c. Physician‘scassistantscarecbeingcutilizedclesscoften.
d. APRNceducationciscmoreccomplexcthanceducationcforcphysicians.
ANS:cA
ImplementationcofcthecAffordablecCarecActchascincreasedcthecnumbercofcindividualscwithchealthccar
eccoverage,candcthuscthecnumbercwhochavecaccessctochealthccarecservices.cThecincreasecincthecnumbe
rcofcpatientsccreatescthecneedcforcmorecproviderscwithcprescriptivecauthority.cAPRNsccancfillcthiscpr
acticecgap.cDIF:cCognitivecLevel:cComprehensioncREF:cp.c2TOP:cNursingcProcess:cImplementatio
ncMSC:cNCLEXcClientcNeedscCategory:cPhysiologiccIntegrity:cPharmacologiccandcParenteralcThe
rapies
,Lehne’scPharmacotherapeuticscforcAdvancedcPracticecNursescandcPhysiciancAssistantsc2ndc
EditioncRosenthalcTestcBank 3
3. WhichcfactorsccouldcbecattributedctoclimitedcprescriptivecauthoritycforcAPRNs?cSelectcallcth
atcapply.
a. Inaccessibilitycofcpatientc care
b. Higherchealthccareccosts
c. Highercqualitycmedicalctreatment
d. Improvedccollaborativeccare
e. Enhancedchealthcliteracy
ANS:cAc,cB
LimitingcprescriptivecauthoritycforcAPRNsccanccreatecbarriersctocquality,caffordable,candcaccessibl
ecpatientccare.cItcmaycalsocleadctocpoorccollaborationcamongcproviderscandchigherchealthccareccosts.cI
tcwouldcnotcdirectlycimpactcpatient‘schealthcliteracy.DIF:cCognitivecLevel:cComprehensionREF:
p.c2TOP:cNursingcProcess:cImplementationcMSC:cNCLEXcClientcNeedscCategory:cPhysiologiccInt
egrity:cPharmacologiccandcParenteralcTherapies
4. WhichcaspectscsupportcthecAPRN‘scprovisioncforcfullcprescriptivecauthority?cSelectcallct
hatcapply.
a. Clinicalceducationcincludescprescriptioncofcmedicationscandcdiseasecprocesses.
b. FederalcregulationscsupportcthecprovisioncofcfullcauthoritycforcAPRNs.
c. NationalcexaminationscprovidecvalidationcofcthecAPRN‘scabilityctocprovidecsafecare.
d. Licensurecensuresccompliancecwithchealthccarecandcsafetycstandards.
e. Limitingcprovisionccancdecreasechealthccarecaffordability.
ANS:cAc,cCc,cD
APRNscareceducatedctocpracticecandcprescribecindependentlycwithoutcsupervision.cNationalcexami
nationscvalidatecthecabilityctocprovidecsafecandccompetentccare.cLicensurecensuresccompliancecwith
cstandardsctocpromotecpublicchealthcandcsafety.c Limitedcprescriptivecauthorityc createscnumerouscba
rriersctocquality,caffordable,candcaccessiblecpatientccare.DIF:cCognitivecLevel:cComprehensionRE
F:cpp.c1-
2TOP:cNursingcProcess:cImplementationcMSC:cNCLEXcClientcNeedscCategory:cPhysiologiccInte
grity:cPharmacologiccandcParenteralcTherapies
, Lehne’scPharmacotherapeuticscforcAdvancedcPracticecNursescandcPhysiciancAssistantsc2ndc
EditioncRosenthalcTestcBank 4
5. WhichcaspectscsupportcthecAPRN‘scprovisioncforcfullcprescriptivecauthority?cSelectcallct
hatcapply.
a. Clinicalceducationcincludescprescriptioncofcmedicationscandcdiseasecprocesses.
b. FederalcregulationscsupportcthecprovisioncofcfullcauthoritycforcAPRNs.
c. NationalcexaminationscprovidecvalidationcofcthecAPRN‘scabilityctocprovidecsafecare.
d. Licensurecensuresccompliancecwithchealthccarecandcsafetycstandards.
ANS:cAc,cCc,cD
APRNscareceducatedctocpracticecandcprescribecindependentlycwithoutcsupervision.cNationalcexami
nationscvalidatecthecabilityctocprovidecsafecandccompetentccare.cLicensurecensuresccompliancecwith
cstandardsctocpromotecpublicchealthcandcsafety.cLimitedcprescriptivecauthorityccreatescnumerouscbar
riersctocquality,caffordable,candcaccessiblecpatientccare.DIF:cCognitivecLevel:
ComprehensioncREF:cpp.c 1-2TOP:cNursingcProcess:cImplementation
MSC:cNCLEXcClientc
NeedscCategory:cPhysiologiccIntegrity:cPharmacologiccandcParenteralcTherapies
6. AcfamilycnursecpractitionercpracticingcincMainecischiredcatcacpracticecacrosscstateclinescincVi
rginia.cWhichcaspectcofcpracticecmaycchangecforcthecAPRN?
a. ThecAPRNcwillchaveclesscprescriptivecauthoritycincthecnewcposition.
b. ThecAPRNcwillchavecmorecprescriptivecauthoritycincthecnewcposition.
c. ThecAPRNcwillchavecequalcprescriptivecauthoritycincthecnewcposition.
d. ThecAPRN‘scauthoritycwillcdependconcfederalcregulations.c
ANS:cA
Virginiacallowsclimitedcprescriptivecauthority,cwhilecMainecgivescfullcauthorityctoccertifiedcnursecpr
actitioners.cThecfederalcgovernmentcdoescnotcregulatecprescriptivecauthority.DIF:cCognitivecLevel
:cComprehensionREF:cp.c3TOP:cNursingcProcess:cImplementationcMSC:cNCLEXcClientcNeedscC
ategory:cPhysiologiccIntegrity:cPharmacologiccandcParenteralcTherapies