TEST BANK FOR LEHNES PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2nd EDITION ROSENTHAL ...

Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician
vAssistants 2nd Edition Rosenthal Test Bank
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,Lehne’s Pharmacotherapeutics for Advanced
v v v v v Practice v Nurses v and v Physician
Assistants 2nd Edition Rosenthal Test Bank
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Chapter 1: Prescriptive Authority Test
Bank Multiple Choice
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1. An APRN works in a urology clinic under the supervision of a v v v




physician who does not restrict the types of medications the APRN is
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allowed to prescribe. State law does not require theAPRN to practice
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under physician supervision. How would the
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APRN‘s prescriptive authority bedescribed? v v




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
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v that thev APRN work under
v physician
v supervision. Full v v v v v v v v v v v v




prescriptive authority gives the provider the right to prescribe independently and
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vwithout limitation. Limited authority places restrictions on the types of drugs that
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vcan be prescribed .DIF: Cognitive Level: Comprehension REF: p.
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1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
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Pharmacologic and Parenteral Therapies
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2. Which factors increase the need for APRNs to have full prescriptive
authority?
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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 v




individuals with healthcare coverage, and thus the number who have
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access to health care services. The increase in thenumber of patients
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creates the need for more providers with prescriptive authority. APRNs can
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fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP:
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Nursing Process: Implementation MSC: NCLEX Client Needs Category:
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Physiologic Integrity: Pharmacologic and Parenteral Therapies
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician
Assistants 2nd Edition Rosenthal Test Bank
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3. Which factors could be attributed to limited prescriptive authority for v v




APRNs? Select allthat apply.
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a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment v v




d. Improved collaborative care
e. Enhanced health literacy


ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality,
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affordable, and accessible patient care. It may also lead to poor
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collaboration
v among providers and higher healthcare costs. v v




It would not directly impact
v patient‘s health literacy.DIF: v




Cognitive
v Level: ComprehensionREF: v




p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
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Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN‘s provision for full prescriptive v v




authority? Select allthat apply.
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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 v




safecare.
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d. Licensure ensures compliance with health care and safety standards. v v




e. Limiting provision can decrease health care affordability.


ANS: A , C , D
APRNs are educated to practice and prescribe independently without
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supervision. National examinations validate the ability to provide safe and
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competent care.
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Licensure ensures compliance with standards to promote public health v v v




and safety. Limitedprescriptive v authoritycreates numerous barriers
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to quality, affordable, and accessible
v patient care.DIF:
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Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing v v




Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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, v Integrity: Pharmacologic and