TEST BANK FOR Lehne's Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edition by Laura D. Rosenthal , Jacqueline Rosenjack Burchum ISBN:978-0323554954 ALL CHAPTERS COVERED!! A+ GRADE ASSURED!!

Lehne’sPharmacotherapeutics forAdvanced PracticeNurses and Physician Assistants2ndEdi ti
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on Rosenthal Test Bank
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LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND E r




DITION ROSENTHAL TESTBANK

,Lehne’sPharmacotherapeutics forAdvanced PracticeNurses and Physician Assistants2ndEdi ti
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on Rosenthal Test Bank
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Chapter1: Prescriptive Authority Test Bank bv bv bv bv b




Multiple Choice
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1. An APRN works in a urologyclinic underthesupervision of a physician who does not restric
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t the types of medications the APRN is allowed to prescribe. State law does notrequire theAPRN to pr
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a ctice underphysician supervision. Howwould the APRN‘sprescriptive authoritybedescribed?
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a. Full authority r




b. Independent
c. Without limitation r




d. Limited authority r




ANS: B r




The APRN has independent prescriptive authoritybecausetheregulating bodydoes not requirethat
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the APRN work underphysician supervision. Fullprescriptive authority givestheproviderthe right
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to prescribe independentlyand without limitation. Limited authorityplaces restrictions on the types
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vofdrugs thatcan beprescribed .DIF:Cognitive Level: Comprehension REF:p.
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1TOP: Nursing Process:I MSC:NCLEX Client Needs Category:Physiologic Integrity: Pha
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rmacologic and Parenteral Therapies bv bv bv




2. Which factors increase the need forAPRNsto have full prescriptive authority?
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a. More patients willhave access to health care.
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b. Enrollment in medical schools is predicted to decrease. rbv rbv r rb v r bv bv




c. Physician‘s assistants are being utilized less often. bv r bv r bv r




d. APRN education is morecomplex than education forphysicians.
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ANS: A r




Implementation of the Affordable Care Acthas increased the numberof individuals with health car r rbv bv bv bv bv r bv rbv bv rbv r



e coverage, and thus the number who haveaccess to health care services. The increase in thenumber o
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f patients creates the need for more providers with prescriptive authority. APRNs can fill this pract
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ice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process:Implementation M
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SC
: NCLEXClient Needs Category:Physiologic Integrity: Pharmacologic and Parenteral Therapies
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,Lehne’sPharmacotherapeutics forAdvanced PracticeNurses and Physician Assistants2ndEdi ti
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on Rosenthal Test Bank
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3. Which factors could beattributedto limited prescriptive authority for APRNs?Selectall that
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vapply.
a. Inaccessibilityof patient care r r




b. Higherhealthcarecosts bv bv




c. Higherquality medicaltreatment bv rb v




d. Improved collaborative care r bv




e. Enhanced health literacy bv rb v




ANS: A, B r bv bv




Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible p at
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ient care. It mayalso lead to poorcollaboration among providersand higher health carecosts. It woul d n
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otdirectly impactpatient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
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p.2TOP: Nursing Process: ImplementationMSC: NCLEX Client Needs Category:Physiologic Integ rity: Phar
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macologic and Parenteral Therapies bv bv r




4. Which aspects support the APRN‘s provision for fullprescriptive authority? Select all that
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apply.
b v




a. Clinical education includesprescription of medicationsand disease processes.
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b. Federal regulations support theprovision of full authorityfor APRNs.
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c. National examinations provide validation of theAPRN‘sability to provide safecare.
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d. Licensure ensures compliance with health care and safetystandards. r bv bv r r bv bv




e. Limiting provisioncandecrease healthcareaffordability. r bv




ANS: A,C ,D r bv bv bv bv




APRNsareeducated to practice and prescribe independently without supervision. National exami r bv bv r bv bv r bv r b




nations validate theability to provide safeand competent care. Licensure ensurescompliance with
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standards to promote public health and safety. Limited prescriptive authoritycreates numerous ba
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rriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionRE
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F: pp.1-
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2TOP:Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Inte
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grity: PharmacologicandParenteral Therapies
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, Lehne’sPharmacotherapeutics forAdvanced PracticeNurses and Physician Assistants2ndEdi ti
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on Rosenthal Test Bank
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5. Which aspects support the APRN‘sprovision for fullprescriptive authority? Select all that
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apply.
b v




a. Clinicaleducation includesprescriptionof medications and disease processes. bv bv bv bv bv




b. Federal regulations support theprovision of full authorityfor APRNs.
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c. National examinationsprovide validation of theAPRN‘sabilitytoprovidesafecare.
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d. Licensure ensures compliance withhealthcareand safetystandards.
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ANS: A,C ,D r bv bv bv bv




APRNsareeducated to practice and prescribe independently without supervision. National examina r bv bv r bv bv r bv r b



tions validate theabilityto provide safeand competent care. Licensure ensurescompliance with stan
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dards to promote public health and safety. Limited prescriptive authoritycreates numerous barriers to
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quality, affordable, and accessible patient care.DIF: Cognitive Level:
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Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation r r bv r r r



MSC: NCLEX Client r r r



NeedsCategory:Physiologic Integrity:Pharmacologic and Parenteral Therapies
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6. A family nurse practitionerpracticing in Maine is hired at apracticeacrossstate lines in Virg
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i nia. Which aspect ofpractice maychange forthe APRN?
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a. TheAPRN willhave lessprescriptiveauthorityinthenewposition.
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b. The APRN will have moreprescriptive authorityin the newposition.
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c. The APRN will have equal prescriptive authority in the newposition.
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d. The APRN‘s authoritywilldepend on federalregulations.A
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NS: A r




Virginia allows limited prescriptive authority, while Maine gives full authorityto certified nurseprac
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titioners. The federal government doesnotregulate prescriptive authority.DIF: Cognitive Level: C
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o mprehensionREF:p. 3TOP: Nursing Process:ImplementationMSC:NCLEX Client Needs Catego
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r y: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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