LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK ISBN-13: 978-0323554954

Test Bank for Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician
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Assistants 2nd Edition Rosenthal
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REVISED EDITION
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,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician
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Assistants2nd Edition Rosenthal Test Bank REVISED EDITION
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Chapter 1: Prescriptive Authority Test Bank Multiple
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r Choice
1. An APRN works in a urology clinic under the supervision of a physician who does
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not restrict the types of medications the APRN is allowed to prescribe. State law does
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not require the APRN to practice under physician supervision. How would the
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APRN‘s prescriptive authority be described? r r r r




a. Full authority r




b. Independent
c. Without limitation r




d. Limited authority r




ANS: B r




The APRN has independent prescriptive authority because the regulating body does not require that
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rthe APRN work under physician supervision. Full prescriptive authority gives the
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provider the right to prescribe independently and without limitation. Limited authority places
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restrictions on the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension
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rREF: p. r




1TOP:NursingProcess:IMSC:NCLEXClientNeedsCategory:Physiologic Integrity: Pharmacologic
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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. r r r r r r r




b. Enrollment in medical schools is predicted to decrease. r r r r r r r




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




d. APRN education is more complex than education for physicians. r r r r r r r r




ANS: A r




Implementation of the Affordable Care Act has increased the number of individuals with health care r r r r r r r r r r r r r r




coverage, and thus the number who have access to health care services. The increase in the number of
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patients creates the need for more providers with prescriptive authority. APRNs can fill this
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rpractice gap. DIF: Cognitive Level: Comprehension REF: r r r r r r




p. 2TOP: 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
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Assistants2nd Edition Rosenthal Test Bank REVISED EDITION
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3. Which factors could be attributed to limited prescriptive authority for r r r r r r r r r




APRNs?Select all that apply.
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a. Inaccessibility of patient care r r r r




b. Higher health care costs r r r




c. Higher quality medical treatment r r r




d. Improved collaborative care r r




e. Enhanced health literacy r r




ANS: A , B r r r




Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
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accessible patient care. It may also lead to poor collaboration among providers and
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higher health care costs. It would not directly impact patient‘s health literacy.DIF:
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Cognitive Level: ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
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Physiologic Integrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN‘s provision for full prescriptive r r r r r r r r




authority?Select all that apply.
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a. Clinical education includes prescription of medications and disease processes. r r r r r r r r




b. Federal regulations support the provision of full authority for APRNs. r r r r r r r r r




c. National examinations provide validation of the APRN‘s ability to provide safecare. r r r r r r r r r r




d. Licensure ensures compliance with health care and safety standards. r r r r r r r r




e. Limiting provision can decrease health care affordability. r r r r r r




ANS: A , C , D
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APRNs are educated to practice and prescribe independently without supervision.
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National examinations validate the ability to provide safe and competent care.
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Licensureensures compliance with standards to promote public health and safety.
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Limitedprescriptive authority creates numerous barriers to quality, affordable, and
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accessiblepatient care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing
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Process:Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
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Pharmacologic and Parenteral Therapies
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, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician
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Assistants2nd Edition Rosenthal Test Bank REVISED EDITION
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5. Which aspects support the APRN‘s provision for full prescriptive r r r r r r r r




authority?Select all that apply.
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a. Clinical education includes prescription of medications and disease processes.
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b. Federal regulations support the provision of full authority for APRNs.
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c. National examinations provide validation of the APRN‘s ability to provide safecare.
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d. Licensure ensures compliance with health care and safety standards. r r r r r r r r




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




APRNs are educated to practice and prescribe independently without supervision.
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National examinations validate the ability to provide safe and competent care.
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Licensure ensures compliance with standards to promote public health and safety.
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Limitedprescriptive authority creates numerous barriers to quality, affordable, and
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accessiblepatient care.DIF: Cognitive Level:
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Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX r r r r r r r r




Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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6. A family nurse practitioner practicing in Maine is hired at a practice across state
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lines in Virginia. Which aspect of practice may change for the APRN?
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a. The APRN will have less prescriptive authority in the new position.
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b. The APRN will have more prescriptive authority in the new position.
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c. The APRN will have equal prescriptive authority in the new position.
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d. The APRN‘s authoritywill depend on federal
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r regulations. ANS: A r r




Virginia allows limited prescriptive authority, while Maine gives full authority to certified
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nurse practitioners. The federal government does not regulate prescriptive authority.DIF:
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Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC:
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NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
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Therapies
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