tionlRosenthallTestl Bank 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
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PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND ED
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ITION ROSENTHAL TEST BANK
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,Lehne’slPharmacotherapeuticslforlAdvancedlPracticelNurseslandlPhysicianlAssistantsl2ndlEdi
tionlRosenthallTestl Bank 2
Chapterl1:lPrescriptivelAuthoritylTestlBankl
MultiplelChoice
1. AnlAPRNlworkslinlalurologylcliniclunderlthelsupervisionloflalphysicianlwholdoeslnotlrestrictl
theltypesloflmedicationslthelAPRNlislallowedltolprescribe.lStatellawldoeslnotlrequirelthelAPRNltolpra
cticelunderlphysicianlsupervision.lHowlwouldlthelAPRN‘slprescriptivelauthoritylbeldescribed?
a. Fulllauthority
b. Independent
c. Withoutllimitation
d. Limitedlauthority
ANS:lB
ThelAPRNlhaslindependentlprescriptivelauthoritylbecauselthelregulatinglbodyldoeslnotlrequirelthatl
thelAPRNlworklunderlphysicianlsupervision.lFulllprescriptivelauthoritylgiveslthelproviderlthelrightl
tolprescribelindependentlylandlwithoutllimitation.lLimitedlauthoritylplaceslrestrictionslonltheltypesl
ofldrugslthatlcanlbelprescribedl.DIF:lCognitivelLevel:lComprehensionlREF:lp.
1TOP:lNursinglProcess:lIlMSC:lNCLEXlClientlNeedslCategory:lPhysiologiclIntegrity:lPh
armacologiclandlParenterallTherapies
2. WhichlfactorslincreaselthelneedlforlAPRNsltolhavelfulllprescriptivelauthority?
a. Morelpatientslwilllhavelaccessltolhealthlcare.
b. Enrollmentlinlmedicallschoolslislpredictedltoldecrease.
c. Physician‘slassistantslarelbeinglutilizedllessloften.
d. APRNleducationlislmorelcomplexlthanleducationlforlphysicians.
ANS:lA
ImplementationloflthelAffordablelCarelActlhaslincreasedlthelnumberloflindividualslwithlhealthlcarel
coverage,landlthuslthelnumberlwholhavelaccessltolhealthlcarelservices.lThelincreaselinlthelnumberlof
lpatientslcreateslthelneedlforlmorelproviderslwithlprescriptivelauthority.lAPRNslcanlfilllthislpractice
lgap.lDIF:lCognitivelLevel:lComprehensionlREF:lp.l2TOP:lNursinglProcess:lImplementationlMS
C:lNCLEXlClientlNeedslCategory:lPhysiologiclIntegrity:lPharmacologiclandlParenterallTherapies
,Lehne’slPharmacotherapeuticslforlAdvancedlPracticelNurseslandlPhysicianlAssistantsl2ndlEdi
tionlRosenthallTestl Bank 3
3. WhichlfactorslcouldlbelattributedltollimitedlprescriptivelauthoritylforlAPRNs?lSelectlalllthatl
apply.
a. Inaccessibilityloflpatientl care
b. Higherlhealthlcarelcosts
c. Higherlqualitylmedicalltreatment
d. Improvedlcollaborativelcare
e. Enhancedlhealthlliteracy
ANS:lAl,lB
LimitinglprescriptivelauthoritylforlAPRNslcanlcreatelbarriersltolquality,laffordable,landlaccessiblelp
atientlcare.lItlmaylalsolleadltolpoorlcollaborationlamongl providerslandlhigherlhealthlcarelcosts.lItlwoul
dlnotldirectlylimpactlpatient‘slhealthlliteracy.DIF:lCognitivelLevel:lComprehensionREF:
p.l2TOP:lNursinglProcess:lImplementationlMSC:lNCLEXlClientlNeedslCategory:lPhysiologiclInte
grity:lPharmacologiclandlParenterallTherapies
4. WhichlaspectslsupportlthelAPRN‘slprovisionlforlfulllprescriptivelauthority?lSelectlalllthat
lapply.
a. Clinicalleducationlincludeslprescriptionloflmedicationslandldiseaselprocesses.
b. FederallregulationslsupportlthelprovisionloflfulllauthoritylforlAPRNs.
c. NationallexaminationslprovidelvalidationloflthelAPRN‘slabilityltolprovidelsafecare.
d. Licensurelensureslcompliancelwithlhealthlcarelandlsafetylstandards.
e. Limitinglprovisionlcanldecreaselhealthlcarelaffordability.
ANS:lAl,lCl,lD
APRNslareleducatedltolpracticelandlprescribelindependentlylwithoutlsupervision.lNationallexami
nationslvalidatelthelabilityltolprovidelsafelandlcompetentlcare.lLicensurelensureslcompliancelwit
hlstandardsltolpromotelpubliclhealthlandlsafety.lLimitedlprescriptivelauthoritylcreateslnumerouslb
arriersltolquality,laffordable,landlaccessiblelpatientlcare.DIF:lCognitivelLevel:lComprehensionR
EF:lpp.l1-
2TOP:lNursinglProcess:lImplementationlMSC:lNCLEXlClientlNeedslCategory:lPhysiologiclInte
grity:lPharmacologiclandlParenterallTherapies
, Lehne’slPharmacotherapeuticslforlAdvancedlPracticelNurseslandlPhysicianlAssistantsl2ndlEdi
tionlRosenthallTestl Bank 4
5. WhichlaspectslsupportlthelAPRN‘slprovisionlforlfulllprescriptivelauthority?lSelectlalllthat
lapply.
a. Clinicalleducationlincludeslprescriptionloflmedicationslandldiseaselprocesses.
b. FederallregulationslsupportlthelprovisionloflfulllauthoritylforlAPRNs.
c. NationallexaminationslprovidelvalidationloflthelAPRN‘slabilityltolprovidelsafecare.
d. Licensurelensureslcompliancelwithlhealthlcarelandlsafetylstandards.
ANS:lAl,lCl,lD
APRNslareleducatedltolpracticelandlprescribelindependentlylwithoutlsupervision.lNationallexamina
tionslvalidatelthelabilityltolprovidelsafelandlcompetentlcare.lLicensurelensureslcompliancelwithlstan
dardsltolpromotelpubliclhealthlandlsafety.lLimitedlprescriptivelauthoritylcreateslnumerouslbarrierslto
lquality,laffordable,landlaccessiblelpatientlcare.DIF:l CognitivelLevel:
ComprehensionlREF:lpp.l 1-2TOP:lNursinglProcess:lImplementation
MSC:lNCLEXlClientl
NeedslCategory:lPhysiologiclIntegrity:lPharmacologiclandlParenterallTherapies
6. AlfamilylnurselpractitionerlpracticinglinlMainelislhiredlatlalpracticelacrosslstatellineslinlVirgi
nia.l Whichlaspectl oflpracticel maylchangel forlthelAPRN?
a. ThelAPRNlwilllhavellesslprescriptivelauthoritylinlthelnewlposition.
b. ThelAPRNlwilllhavelmorelprescriptivelauthoritylinlthelnewlposition.
c. ThelAPRNlwilllhavelequallprescriptivelauthoritylinlthelnewlposition.
d. ThelAPRN‘slauthoritylwillldependlonlfederallregulations.lA
NS:lA
Virginialallowsllimitedlprescriptivelauthority,lwhilelMainelgiveslfulllauthorityltolcertifiedlnurselprac
titioners.lThelfederallgovernmentldoeslnotlregulatelprescriptivelauthority.DIF:lCognitivelLevel:lCo
mprehensionREF:lp.l3TOP:lNursinglProcess:lImplementationlMSC:lNCLEXlClientlNeedslCategor
y:lPhysiologiclIntegrity:lPharmacologiclandlParenterallTherapies