TEST BANK LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL Test Bank Questions with Complete Solutions

Lehne's Pharmacotherapeutics for Advanced Practice
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Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edi
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Nurses
tion and
Rosenthal Test
m mBank Physician Assistants 2nd Edition 2
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Chapterm1:mPrescriptivemAuthoritymTestmBankmM
ultiplemChoice
1. AnmAPRNmworksminmamurologymclinicmundermthemsupervisionmofmamphysicianmwhomdoesmnot
mrestrictmthemtypesmofmmedicationsmthemAPRNmismallowedmtomprescribe.mStatemlawmdoesmnotmrequire

mthemAPRNmtompracticemundermphysicianmsupervision.mHowmwouldmthemAPRN‘smprescriptivemautho

ritymbemdescribed?
a. Fullmauthority
b. Independent
c. Withoutmlimitation
d. Limitedmauthority


ANS:mB
ThemAPRNmhasmindependentmprescriptivemauthoritymbecausemthemregulatingmbodymdoesmnotmrequi
remthatmthemAPRNmworkmundermphysicianmsupervision.mFullmprescriptivemauthoritymgivesmthempro
vidermthemrightmtomprescribemindependentlymandmwithoutmlimitation.mLimitedmauthoritymplacesmres
trictionsmonmthemtypesmofmdrugsmthatmcanmbemprescribedm.DIF:mCognitivemLevel:mComprehensionm
REF:mp.
1TOP:mNursingmProcess:mImMSC:mNCLEXmClientmNeedsmCategory:mPhysiologicmIntegrit
y:mPharmacologicmandmParenteralmTherapies
2. WhichmfactorsmincreasemthemneedmformAPRNsmtomhavemfullmprescriptivemauthority?


a. Morempatientsmwillmhavemaccessmtomhealthmcare.
b. Enrollmentminmmedicalmschoolsmismpredictedmtomdecrease.
c. Physician‘smassistantsmarembeingmutilizedmlessmoften.
d. APRNmeducationmismmoremcomplexmthanmeducationmformphysicians.


ANS:mA
ImplementationmofmthemAffordablemCaremActmhasmincreasedmthemnumbermofmindividualsmwithmhealt
hmcaremcoverage,mandmthusmthemnumbermwhomhavemaccessmtomhealthmcaremservices.mThemincreasemin
mthemnumbermofmpatientsmcreatesmthemneedmformmoremprovidersmwithmprescriptivemauthority.mAPRN

smcanmfillmthismpracticemgap.mDIF:mCognitivemLevel:mComprehensionmREF:mp.m2TOP:mNursingmPro
cess:mImplementationmMSC:mNCLEXmClientmNeedsmCategory:mPhysiologicmIntegrity:mPharmacol
ogicmandmParenteralmTherapies

,Lehne’smPharmacotherapeuticsmformAdvancedmPracticemNursesmandmPhysicianmAssistantsm2n
dmEditionmRosenthalmTestmBank 3

3. WhichmfactorsmcouldmbemattributedmtomlimitedmprescriptivemauthoritymformAPRNs?mSelectm
allmthatmapply.
a. Inaccessibilitymofmpatientm care
b. Highermhealthmcaremcosts
c. Highermqualitymmedicalmtreatment
d. Improvedmcollaborativemcare
e. Enhancedmhealthmliteracy


ANS:mAm,mB
LimitingmprescriptivemauthoritymformAPRNsmcanmcreatembarriersmtomquality,maffordable,mandmacces
siblempatientmcare.mItmmaymalsomleadmtompoormcollaborationmamongmprovidersmandmhighermhealthmca
remcosts.mItmwouldmnotmdirectlymimpactmpatient‘smhealthmliteracy.DIF:mCognitivemLevel:mComprehe
nsionREF:
p.m2TOP:mNursingmProcess:mImplementationmMSC:mNCLEXmClientmNeedsmCategory:mPhysiologicm
Integrity:mPharmacologicmandmParenteralmTherapies


4. WhichmaspectsmsupportmthemAPRN‘smprovisionmformfullmprescriptivemauthority?mSelectm
allmthatmapply.


a. Clinicalmeducationmincludesmprescriptionmofmmedicationsmandmdiseasemprocesses.
b. FederalmregulationsmsupportmthemprovisionmofmfullmauthoritymformAPRNs.
c. NationalmexaminationsmprovidemvalidationmofmthemAPRN‘smabilitymtomprovidemsafecare.
d. Licensuremensuresmcompliancemwithmhealthmcaremandmsafetymstandards.
e. Limitingmprovisionmcanmdecreasemhealthmcaremaffordability.


ANS:mAm,mCm,mD
APRNsmaremeducatedmtompracticemandmprescribemindependentlymwithoutmsupervision.mNationalmex
aminationsmvalidatemthemabilitymtomprovidemsafemandmcompetentmcare.mLicensuremensuresmcomplia
ncemwithmstandardsmtompromotempublicmhealthmandmsafety.mLimitedmprescriptivemauthoritymcreatesm
numerousmbarriersmtomquality,maffordable,mandmaccessiblempatientmcare.DIF:mCognitivemLevel:mCo
mprehensionREF:mpp.m1-
2TOP:mNursingmProcess:mImplementationmMSC:mNCLEXmClientmNeedsmCategory:mPhysiologicmI
ntegrity:mPharmacologicmandmParenteralmTherapies

,Lehne’smPharmacotherapeuticsmformAdvancedmPracticemNursesmandmPhysicianmAssistantsm2n
dmEditionmRosenthalmTestmBank 4

5. WhichmaspectsmsupportmthemAPRN‘smprovisionmformfullmprescriptivemauthority?mSelectm
allmthatmapply.


a. Clinicalmeducationmincludesmprescriptionmofmmedicationsmandmdiseasemprocesses.
b. FederalmregulationsmsupportmthemprovisionmofmfullmauthoritymformAPRNs.
c. NationalmexaminationsmprovidemvalidationmofmthemAPRN‘smabilitymtomprovidemsafecare.
d. Licensuremensuresmcompliancemwithmhealthmcaremandmsafetymstandards.


ANS:mAm,mCm,mD
APRNsmaremeducatedmtompracticemandmprescribemindependentlymwithoutmsupervision.mNationalmex
aminationsmvalidatemthemabilitymtomprovidemsafemandmcompetentmcare.mLicensuremensuresmcomplia
ncemwithmstandardsmtompromotempublicmhealthmandmsafety.mLimitedmprescriptivemauthoritymcreatesm
numerousmbarriersmtomquality,maffordable,mandmaccessiblempatientmcare.DIF:mCognitivemLevel:


ComprehensionmREF:mpp.m 1-2TOP:mNursingmProcess:mImplementation
MSC:mNCLEXmClien
tmNeedsmCategory:mPhysiologicmIntegrity:mPharmacologicmandmParenteralmTherapies




6. AmfamilymnursempractitionermpracticingminmMainemismhiredmatmampracticemacrossmstatemlines
minmVirginia.mWhichmaspectmofmpracticemmaymchangemformthemAPRN?



a. ThemAPRNmwillmhavemlessmprescriptivemauthorityminmthemnewmposition.
b. ThemAPRNmwillmhavemmoremprescriptivemauthorityminmthemnewm position.
c. ThemAPRNmwillmhavemequalmprescriptivemauthorityminmthemnewmposition.
d. ThemAPRN‘smauthoritymwillmdependmonmfederalmregulation
s.mANS:mA
Virginiamallowsmlimitedmprescriptivemauthority,mwhilemMainemgivesmfullmauthoritymtomcertifiedmnurs
empractitioners.mThemfederalmgovernmentmdoesmnotmregulatemprescriptivemauthority.DIF:mCognitive
m Level:mComprehensionREF:mp.m3TOP:mNursingmProcess:m ImplementationmMSC:mNCLEXmClient

mNeedsmCategory:mPhysiologicm Integrity:mPharmacologicmandmParenteralmTherapies

, Lehne’smPharmacotherapeuticsmformAdvancedmPracticemNursesmandmPhysicianmAssistantsm2n
dmEditionmRosenthalmTestmBank 5

Rosenthal:mLehne'smPharmacotherapeuticsmformAdvancedmPracticemProviders,m2ndmEd.mCha
pterm2:mRationalmDrugmSelectionmandmPrescriptionmWriting
TestmBankmMultiplemChoice


7. Howmcanmcollaborationmwithmampharmacistmimprovempositivemoutcomesmformpatients?mSele
ctmallmthatmapply.


a. Pharmacistsmcanmsuggestmfoodsmthatmwillmhelpmwithmthempatient‘smcondition.
b. Pharmacistsmhavemadditionalminformationmonmdrugminteractions.
c. Thempharmacistmcanmsuggestmadequatemmedicationmdosing.
d. Pharmacistsmhavemfirsthandmknowledgemofmthemfacilitymformulary.
e. Pharmacymcanmaltermprescriptionsmwhenmnecessarymtompreventmpatientmharm.


ANS:mBm,mCm,mD
Providersmshouldmcollaboratemwithmpharmacistsmbecausemtheymwillmlikelymhavemadditionalminforma
tionmonmformulary,mdrugminteractions,mandmsuggestionsmformadequatemmedicationmdosing.mDietitian
smcanmmakemfoodsmrecommendationsmtomtreatmthempatient‘smcondition.mThempharmacistmcanmcontact
mthemprescribermaboutmquestionablemprescriptions,mbutmcannotmaltermthemprescriptionmwithoutmnotific

ationmofmandmapprovalmbymthemprovider.DIF:mCognitivemLevel:mComprehensionREF:mp.
9TOP:mNursingmProcess:mDiagnosismMSC:mNCLEXmClientmNeedsmCategory:mPhysiologicmIntegrit
y:mReductionmofmRiskmPotential


8. AmpatientmpresentsmwithmdeliriumtremensmrequiringmAtivanmadministration.mThemprovid
ermofcaremismnotminmthemfacility.mWhichmactionmbymthemnursemismmostmappropriate?


a. Obtainmamtelephonemorder.
b. Contactmthemon-callmhospitalist.
c. Obtainmanmordermfrommthemchargemnurse.
d. WaitmformamwrittenmAtivanmorder.


ANS:mA